Effect of nationwide injury prevention programme on serious spinal injuries in New Zealand rugby union: ecological study
Effect of nationwide injury prevention programme on serious spinal injuries in New Zealand rugby union: ecological study
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DOI：
10.1136/bmj.39185.605914.ae
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发表时间：
2007-06-02
影响因子：
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通讯作者：
Hume, Patria A.
中科院分区：
文献类型：
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作者：
Quarrie, Kenneth L.;Gianotti, Simon M.;Hume, Patria A.
目的探讨英式橄榄球(RugbySmart)对脊髓损伤发生率的影响。设计生态学研究。建立新西兰橄榄球联盟。所有新西兰橄榄球联盟球员都是有受伤风险的人群。从2001年开始，所有新西兰橄榄球教练员和裁判员都被要求完成英式橄榄球(Rugby Smart)项目，重点是在橄榄球接触阶段对参与者进行身体调理、损伤处理和安全技术方面的教育。主要结果衡量1976-2005年因参加橄榄球联盟导致永久残疾的所有脊柱损伤的数量，分五年进行分组；结果2001~2005年共发生8例脊柱损伤，预测值为18.9例(相对率=0.46，95%可信区间0.19~1.14)。在此期间，只有1例脊髓损伤是由Scrum引起的；预测的数字是9.0(相对率=0.11，0.02到0.74)。相应的观察和预测的脊柱损伤的其他阶段(铲球，踢球和MAUL)为7和9.0(相对率=0.83，0.29到2.36)。结论橄榄球智能计划的引入与橄榄球联盟中Scrum导致的脊柱伤残率的下降是一致的。这项研究说明了伤害预防教育举措的益处，以及评估运动中伤害预防举措的全面伤害监测系统的必要性。
Objective To investigate the effect of RugbySmart, a nationwide educational injury prevention programme, on the frequency of spinal cord injuries.Design Ecological study.Setting New Zealand rugby union.Participants Population at risk of injury comprised all New Zealand rugby union players.Intervention From 2001, all New Zealand rugby coaches and referees have been required to complete RugbySmart, which focuses on educating rugby participants about physical conditioning, injury management, and safe techniques in the contact phases of rugby.Main outcome measures Numbers of all spinal injuries due to participation in rugby union resulting in permanent disablement in 1976-2005, grouped into five year periods; observed compared with predicted number of spinal injuries in 2001-5.Results Eight spinal injuries occurred in 2001-5, whereas the predicted number was 18.9 (relative rate=0.46, 95% confidence interval 0.19 to 1.14). Only one spinal injury resulted from scrums over the period; the predicted number was 9.0 (relative rate=0.11, 0.02 to 0.74). Corresponding observed and predicted rates for spinal injuries resulting from other phases of play (tackle, ruck, and maul) were 7 and 9.0 (relative rate=0.83, 0.29 to 2.36).Conclusions The introduction of the RugbySmart programme coincided with a reduction in the rate of disabling spinal injuries arising from scrums in rugby union. This study exemplifies the benefit of educational initiatives in injury prevention and the need for comprehensive injury surveillance systems for evaluating injury prevention initiatives in sport.