Injury pattern in youth team handball: a comparison of two prospective registration methods
Injury pattern in youth team handball: a comparison of two prospective registration methods
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DOI：
10.1111/j.1600-0838.2005.00484.x
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发表时间：
2006-12-01
影响因子：
4.1
通讯作者：
Bahr, R.
中科院分区：
文献类型：
--
作者：
Olsen, O. -E.;Myklebust, G.;Bahr, R.
本研究的目的是研究受伤的发生率和受伤的模式，在青年男女手球队球员使用两种不同的前瞻性登记方法，比赛报告（90支球队，1080名球员）和教练报告（34支球队，428名球员）。教练报告共记录了118起受伤事件，其中93起（79%）为急性损伤（训练：0.9 +/- 0.16受伤/1000运动员小时;比赛：9.9 +/- 1.26;比率与训练：10.8 [95%置信区间（0）7.0-16.6]; P < 0.0001）和25例（21%）为过度使用损伤。膝关节（26%）和踝关节（24%）损伤占急性损伤的一半（训练：0.5 +/- 0.12次损伤/1000/h;比赛：4.4 +/- 0.84;与训练的比率：8.0（95%CI 4.5-14.5）; P < 0.0001）。未发现损伤率的性别差异（女性与男性的比率：1.3（95%C1 0.8-2.1）; P = 0.40）。大多数受伤发生在进攻阶段，由后卫或边锋做一个植物和削减，着陆或转身运动，超过一半的接触情况下与对手。在比赛报告中也观察到了类似的急性比赛损伤结果。结果表明，我国青年手球运动员的损伤率与成年手球运动员相当，预防手球运动员膝关节和踝关节损伤是预防手球运动员损伤的重点。教练报告似乎是记录青年队手球受伤的最佳方法，可以根据受伤的类型、发生率和严重程度提供完整的受伤谱。
The purpose of this study was to examine the injury incidence and pattern of injuries in youth female and male team handball players using two different prospective registration methods; match reports (90 teams, 1080 players) and coach reports (34 teams, 428 players). A total of 118 injuries were recorded by the coach report, of which 93 (79%) were acute injuries (incidence training: 0.9 +/- 0.16 injuries/1000 player hours; matches: 9.9 +/- 1.26; rate ratio vs training: 10.8 [95% confidence interval (0) 7.0-16.6]; P < 0.0001) and 25 (21%) were overuse injuries. Knee (26%) and ankle (24%) injuries accounted for half of the acute injuries (training: 0.5 +/- 0.12 injuries/1000/h; matches: 4.4 +/- 0.84; rate ratio vs training: 8.0 (95% CI 4.5-14.5); P < 0.0001). No gender difference was found in the injury rate (rate ratio female vs male: 1.3 (95% C1 0.8-2.1); P = 0.40). Most of the injuries occurred in the attacking phase by back or wing players doing a plant-and-cut, landing or turning movement, and more than half in contact situations with the opponent. Similar results were observed for acute match injuries in the match report. These results indicate that the rate of injuries in youth team handball is as high as at the senior level, and prevention should focus on knee and ankle injuries. The coach report seems to be the best method to register injuries in youth team handball to provide a full spectrum of injuries according to their type, incidence and severity.