Previous injury as a risk factor for injury in elite football:: a prospective study over two consecutive seasons

Previous injury as a risk factor for injury in elite football:: a prospective study over two consecutive seasons
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DOI:
10.1136/bjsm.2006.026609
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发表时间:
2006-09-01
影响因子:
18.4
通讯作者:
Ekstrand, J.
Ekstrand, J.
中科院分区:
医学1区
文献类型:
--
作者:
Hagglund, M.;Walden, M.;Ekstrand, J.

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背景资料:以前的受伤通常被认为是足球受伤的风险因素,但大多数研究依赖于球员报告自己的病史,因此可能会受到回忆偏见的影响。关于季节之间伤害模式的自然变化知之甚少。目的:研究一个季节中前瞻性记录的伤害是否与下一个季节中持续的伤害相关,并比较连续季节之间的伤害风险和伤害模式。瑞典12支精英男子足球队的医务人员前瞻性地记录了连续两个赛季的个人暴露和时间损失损伤(2001年和2002年)。一个多变量模型被用来确定以前的伤害,人体测量数据之间的关系,和injure.Results的风险:训练和比赛受伤的发生率是相似的季节之间(5.1 V 5.3受伤/1000训练小时和25.9 V 22.7/1000比赛小时),但受伤的严重程度和受伤模式的分析显示季节之间的变化。在2001赛季受伤的球员在接下来的赛季中受伤的风险比没有受伤的球员更大(风险比2.7; 95%置信区间1.7至4.3,p
Background: Previous injury is often proposed to be a risk factor for football injury, but most studies rely on players reporting their own medical history and are thus potentially subject to recall bias. Little is known about the natural variation in injury pattern between seasons.Objectives: To study whether prospectively recorded injuries during one season are associated with injuries sustained during the following season, and to compare injury risk and injury pattern between consecutive seasons.Methods: The medical staffs of 12 elite Swedish male football teams prospectively recorded individual exposure and time loss injuries over two full consecutive seasons (2001 and 2002). A multivariate model was used to determine the relation between previous injury, anthropometric data, and the risk of injury.Results: The training and match injury incidences were similar between seasons (5.1 v 5.3 injuries/1000 training hours and 25.9 v 22.7/1000 match hours), but analysis of injury severity and injury patterns showed variations between seasons. Players who were injured in the 2001 season were at greater risk of any injury in the following season compared with non-injured players (hazard ratio 2.7; 95% confidence interval 1.7 to 4.3, p