Overuse Injuries in Professional Road Cyclists

Overuse Injuries in Professional Road Cyclists
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DOI:
10.1177/0363546510376816
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发表时间:
2010-12-01
影响因子:
4.8
通讯作者:
Bahr, Roald
Bahr, Roald
中科院分区:
医学1区
文献类型:
--
作者:
Clarsen, Benjamin;Krosshaug, Tron;Bahr, Roald

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背景:关于优秀公路自行车运动员过度使用损伤的流行病学信息很少。轶事报告表明前膝关节疼痛和下背部疼痛可能是常见的问题。目的:本研究进行登记过度使用损伤之间的专业公路自行车运动员,特别关注前膝关节和下背部疼痛。研究设计:描述性流行病学研究。方法:我们参加了7个专业团队的训练营,并采访了116名自行车运动员中的109名(94%),了解他们在过去12个月内经历的过度使用伤害。需要医务人员注意或涉及骑自行车时间损失的伤害被登记在案。使用特定的questionnaire.Results:共登记了94例损伤; 45%发生在下背部,23%发生在膝盖。记录了23例时间损失性损伤,其中57%发生在膝盖,22%发生在下背部,13%发生在小腿。在过去的12个月里,58%的自行车运动员经历过下背部疼痛,41%的自行车运动员为此就医。36%的自行车运动员经历过前膝疼痛,19%的自行车运动员为此就医。很少有自行车运动员因为下背部疼痛(6%)或前膝疼痛(9%)而错过比赛。下背部疼痛和前膝关节疼痛是最普遍的过度使用损伤,与膝关节损伤最有可能导致时间损失和下背部疼痛造成的功能障碍和medical attention.Clinical Relevance的最高利率:未来的努力,以防止过度使用损伤的竞争性自行车运动员应集中在下背部疼痛和前膝关节疼痛。
Background: Little epidemiological information exists on overuse injuries in elite road cyclists. Anecdotal reports indicate anterior knee pain and lower back pain may be common problems.Purpose: This study was conducted to register overuse injuries among professional road cyclists with special focus on anterior knee and lower back pain.Study Design: Descriptive epidemiology study.Methods: We attended training camps of 7 professional teams and interviewed 109 of 116 cyclists (94%) on overuse injuries they had experienced in the previous 12 months. Injuries that required attention from medical personnel or involved time loss from cycling were registered. Additional information on anterior knee pain and lower back pain was collected using specific questionnaires.Results: A total of 94 injuries were registered; 45% were in the lower back and 23% in the knee. Twenty-three time-loss injuries were registered-57% in the knee, 22% in the lower back, and 13% in the lower leg. Fifty-eight percent of all cyclists had experienced lower back pain in the previous 12 months, and 41% of all cyclists had sought medical attention for it. Thirty-six percent had experienced anterior knee pain and 19% had sought medical attention for it. Few cyclists had missed competitions because of pain in the lower back (6%) or anterior knee (9%).Conclusion: Lower back pain and anterior knee pain were the most prevalent overuse injuries, with knee injuries most likely to cause time loss and lower back pain causing the highest rates of functional impairment and medical attention.Clinical Relevance: Future efforts to prevent overuse injuries in competitive cyclists should focus on lower back pain and anterior knee pain.