The Football Association Medical Research Programme: an audit of injuries in professional football - analysis of hamstring injuries
The Football Association Medical Research Programme: an audit of injuries in professional football - analysis of hamstring injuries
复制标题
DOI：
10.1136/bjsm.2002.002352
复制
发表时间：
2004-02-01
影响因子：
18.4
通讯作者：
Hodson, A
中科院分区：
文献类型：
--
作者：
Woods, C;Hawkins, RD;Hodson, A
目的：进行详细的分析，腿筋受伤持续在英国职业足球在两个竞争性的seasons.Methods：俱乐部医务人员在91个职业足球俱乐部注释球员受伤超过两个赛季。一个具体的伤害审计问卷一起使用，每周一次的形式，记录每个俱乐部的当前injury status.Results：完整的受伤记录的两个竞争赛季分别从87%和76%的参与俱乐部。在两个赛季中，腿筋拉伤占总受伤人数的12%，其中近一半（53%）涉及股二头肌。平均每个俱乐部每个赛季有五次腿筋拉伤。由于腿筋拉伤，共有13116天和2029场比赛缺席，平均每个俱乐部每个赛季缺席90天和15场比赛。在57%的情况下，受伤发生在跑步过程中。腿筋拉伤最常见于比赛期间（62%），在每半场结束时增加（p< 0.01）。腿筋损伤率高于预期的球员组有英超（p，0.01）和外野球员（p，0.01），黑人球员（p< 0.05）和老年球员（p< 0.01）。只有5%的腘绳肌拉伤进行了某种形式的诊断调查。结论：腘绳肌拉伤是足球运动中常见的损伤类型。在试图减少足球中初始和复发性腿筋拉伤的数量时，预防初始损伤至关重要。如果确实发生了损伤，则强调鉴别诊断的重要性，其次是对大腿后疼痛的所有原因进行管理。建议根据现有最佳证据进行临床推理治疗。
Objective: To conduct a detailed analysis of hamstring injuries sustained in English professional football over two competitive seasons.Methods: Club medical staff at 91 professional football clubs annotated player injuries over two seasons. A specific injury audit questionnaire was used together with a weekly form that documented each clubs' current injury status.Results: Completed injury records for the two competitive seasons were obtained from 87% and 76% of the participating clubs respectively. Hamstring strains accounted for 12% of the total injuries over the two seasons with nearly half (53%) involving the biceps femoris. An average of five hamstring strains per club per season was observed. A total of 13 116 days and 2029 matches were missed because of hamstring strains, giving an average of 90 days and 15 matches missed per club per season. In 57% of cases, the injury occurred during running. Hamstring strains were most often observed during matches (62%) with an increase at the end of each half (p< 0.01). Groups of players sustaining higher than expected rates of hamstring injury were Premiership ( p, 0.01) and outfield players ( p, 0.01), players of black ethnic origin (p< 0.05), and players in the older age groups (p< 0.01). Only 5% of hamstring strains underwent some form of diagnostic investigation. The reinjury rate for hamstring injury was 12%.Conclusion: Hamstring strains are common in football. In trying to reduce the number of initial and recurrent hamstring strains in football, prevention of initial injury is paramount. If injury does occur, the importance of differential diagnosis followed by the management of all causes of posterior thigh pain is emphasised. Clinical reasoning with treatment based on best available evidence is recommended.