Acute and overuse injuries correlated to hours of training in master running athletes
Acute and overuse injuries correlated to hours of training in master running athletes
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DOI：
10.3113/fai.2008.0671
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发表时间：
2008-07-01
影响因子：
2.7
通讯作者：
Vogt, Peter M.
中科院分区：
文献类型：
--
作者：
Knobloch, Karsten;Yoon, Uzung;Vogt, Peter M.
背景资料：这项研究的目的是根据训练时间和其他危险因素来确定跑步相关肌腱病变的发生率。材料与方法：291名精英跑步者（平均年龄42 9岁），平均每周跑65.2 +/- 28.3公里，总距离为9，980，852公里（34，416公里/运动员）。采用卡方检验、Fisher精确检验和Mann-Whitney检验进行描述性统计，计算相对危险度（RR）。结果：运动员总损伤率为0.08/1000 km（2.93/运动员）。过度使用损伤（0.07/1000 km）比急性损伤（0.01/1000 km）更常见。跟腱病是主要损伤（0.02/1000 km），其次是前膝疼痛（0.01/1000 km）和胫骨夹板（0.01/1000 km）。跟腱断裂很少发生（0.001/1000 km）。56.6%的运动员曾有过跟腱过度使用性损伤，46.4%的运动员有膝前痛，35.7%的运动员有胫骨夹板，12.7%的运动员有足底筋膜炎。中部跟腱病变（0.01/1000 km）比插入（0.005/1000 km）更常见。沥青跑步表面降低了中间部分肌腱病变的风险（RR 0.47，p = 0.02）。相比之下，沙子使中部跟腱病的相对风险增加了10倍（RR 10，CI 1.12至92.8，p = 0.01）。有超过10年跑步经验的跑步者患跟腱病的风险增加（RR 1.6，p = 0.04）。结论：跟腱病是最常见的跑步相关性肌腱病，其次是跑步者的膝关节和胫骨夹板。
Background: The goal of the study was to determine the rate of running-associated tendinopathy in light of the amount of time training and other risk factors. Materials and Methods: 291 elite runners (average age 42 9 years) who ran an average of 65.2 +/- 28.3 km/week were included with an overall distance of 9,980,852 km (34,416 km/athlete). Descriptive statistics with Chi(2)-Test, Fisher-Exact-Test and Mann-Whitney-Test were used to calculate relative risks (RR). Results: The overall injury rate was 0.08/1000 km (2.93/athlete). Overuse injuries (0.07/1000 km) were more frequent than acute injuries (0.01/1000 km). Achilles tendinopathy was the predominant injury (0.02/1000 km) followed by anterior knee pain (0.01/1000 km), and shin splints (0.01/1000 km). Achilles tendon rupture was rarely encountered (0.001/1000 km). At some time, 56.6% of the athletes bad an Achilles tendon overuse injury, 46.4% anterior knee pain, 35.7% shin splints, and 12.7% had plantar fasciitis. Mid-portion Achilles tendinopathy was more common (0.01/1000 km) than insertional (0.005/1000 km). An asphalt running surface decreased mid-portion tendinopathy risk (RR 0.47, p = 0.02). In contrast, sand increased the relative risk for mid-portion Achilles tendinopathy tenfold (RR 10, CI 1.12 to 92.8, p = 0.01). Runners with more than 10 years experience had an increased risk (RR 1.6, p = 0.04) for Achilles tendinopathy. Conclusion: Achilles tendinopathy is the most common running-associated tendinopathy followed by runner's knee and shin splints.