Middle School Injuries: A 20-Year (1988-2008) Multisport Evaluation

Middle School Injuries: A 20-Year (1988-2008) Multisport Evaluation
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DOI:
10.4085/1062-6050-49.2.19
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发表时间:
2014-07-01
影响因子:
3.3
通讯作者:
Rauh, Mitchell
Rauh, Mitchell
中科院分区:
医学2区
文献类型:
--
作者:
Beachy, Glenn;Rauh, Mitchell

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内容:中学体育运动伤害发生率的数据是有限的。目的:描述29所中学体育运动的总体、实践和游戏伤害率模式。设计:描述性流行病学研究。设置:收集20年期间的伤害数据(1988-2008年)。(n = 8078)和女孩(n = 5960)分别参加14项和15项中学体育项目的运动员。受伤状态和运动员暴露(AE)由认证的运动教练收集。计算每1000例AE的发生率(损伤/AE),包括总体发生率、练习和比赛、损伤部位、损伤类型和损伤严重程度(参与时间损失)。率比(RRs)和95%置信区间(CI)被用来比较性别匹配的sports.Results:足球受伤率最高的所有伤害(16.03/1000 AE)和时间损失的伤害(8.486/1000 AE)。在配对的中学体育项目中,女生在所有伤害中表现出更高的伤害率(7.686/1000例AE,RR = 1.15,95% CI = 1.1,1.2)和时间损失损伤(2.944/1000起AE,RR = 1.09,95% CI = 1.0,1.2)高于男孩(所有伤害:6.684/1000起AE,时间损失伤害:2.702/1000起AE)。对于所有运动,女孩在练习期间的受伤率(3.30/1000 AE)高于游戏(1.67/1000 AE,RR = 1.97,95% CI = 1.7,2.4)。只有体操(RR = 0.96,95%CI = 0.3,3.8)有较高的游戏受伤率的女孩。在所有运动项目中,男孩的练习和比赛受伤率几乎相同(RR = 0.99,95%CI = 0.9,1.1)。只有足球(RR = 0.49,95%CI = 0.4,0.6)和男孩摔跤(RR = 0.50,95%CI = 0.3,0.8)报告较高的游戏损伤率。肌腱炎损伤占19.1%的所有中学injuries.Conclusions:在中学水平的运动相关的伤害的风险是更大的做法比游戏和性别匹配的运动中的女孩比男孩更大。可能需要调节程序来解决肌腱炎损伤的高发生率。
Context: Data on the incidence of injury in middle school sports are limited.Objective: To describe overall, practice, and game injury rate patterns in 29 middle school sports.Design: Descriptive epidemiology study.Setting: Injury data collected over a 20-year period (1988-2008) at a single school.Patients or Other Participants: Boy (n = 8078) and girl (n = 5960) athletes participating in 14 and 15 middle school sports, respectively.Main Outcome Measure(s): Injury status and athlete-exposures (AEs) were collected by certified athletic trainers. Incidence rates per 1000 AEs (injuries/AEs) were calculated for overall incidence, practices and games, injury location, injury type, and injury severity (time lost from participation). Rate ratios (RRs) and 95% confidence intervals (CIs) were used to compare injury rates for sex-matched sports.Results: Football had the highest injury rate for all injuries (16.03/1000 AEs) and for time-loss injuries (8.486/1000 AEs). In matched middle school sports, girls exhibited a higher injury rate for all injuries (7.686/1000 AEs, RR = 1.15, 95% CI = 1.1, 1.2) and time-loss injuries (2.944/1000 AEs, RR = 1.09, 95% CI = 1.0, 1.2) than boys (all injuries: 6.684/1000 AEs, time-loss injuries: 2.702/1000 AEs). Girls had a higher injury rate during practices (3.30/1000 AEs) than games (1.67/1000 AEs, RR = 1.97, 95% CI = 1.7, 2.4) for all sports. Only gymnastics (RR = 0.96, 95% CI = 0.3, 3.8) had a higher game injury rate for girls. Practice and game injury rates were nearly identical for boys in all sports (RR = 0.99, 95% CI = 0.9, 1.1). Only football (RR = 0.49, 95% CI = 0.4, 0.6) and boys' wrestling (RR = 0.50, 95% CI = 0.3, 0.8) reported higher game injury rates. Tendinitis injuries accounted for 19.1% of all middle school injuries.Conclusions: The risk for sport-related injury at the middle school level was greater during practices than games and greater for girls than boys in sex-matched sports. Conditioning programs may be needed to address the high rate of tendinitis injuries.