Skeletal maturation and growth rates are related to bone and growth plate injuries in adolescent athletics
Skeletal maturation and growth rates are related to bone and growth plate injuries in adolescent athletics
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DOI：
10.1111/sms.13635
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发表时间：
2020-02-20
影响因子：
4.1
通讯作者：
Bahr, Roald
中科院分区：
文献类型：
--
作者：
Wik, Eirik Halvorsen;Martinez-Silvan, Daniel;Bahr, Roald
受伤在青少年运动员中很常见，但很少有研究涉及受伤的风险因素。生长和成熟是该人群的潜在风险因素;然而，目前的文献既不确定，也被认为具有高偏倚风险。因此，本研究的目的是检查是否生长速度，成熟状态和成熟克里思与受伤的风险在一个精英体育学院。分析中包括了前瞻性收集的四个赛季（117个运动员赛季）的人体测量，骨骼成熟度和损伤数据。身高增长率与骨（发生率比（IRR）：高于平均值每增加一个标准差，发生率比为1.5; 95% CI：1.1-1.9）和生长板损伤（IRR：2.1; 1.5-3.1）的风险更高相关。腿长的增长率与更大的总体损伤风险（IRR：1.3; 1.0-1.7）以及骨损伤（IRR：1.4; 1.0-1.9）和生长板损伤（IRR：2.1; 1.4-3.0）的风险相关。骨骼成熟度较高的运动员，以骨龄（IRR：每年0.6; 0.5-0.9）和预测成熟身高的百分比（IRR：每增加一个百分点0.8; 0.7-1.0）表示，不太容易发生生长板损伤。骨龄变化率与骨损伤风险增加相关（IRR：1.5; 1.0-2.3）。这项研究的结果表明，在身高和腿长，骨骼成熟状态和成熟克里思的快速增长代表某些类型的伤害在青少年田径运动的危险因素。
Injuries are common in elite adolescent athletics, but few studies have addressed risk factors for injury. Growth and maturation are potential risk factors in this population; however, the current body of literature is both inconclusive and considered at high risk of bias. The aim of this study was therefore to examine whether growth rate, maturity status, and maturity tempo are associated with injury risk in an elite sports academy. Anthropometric, skeletal maturity and injury data collected prospectively over four seasons (117 athlete-seasons) were included in the analyses. Growth rate for stature was associated with greater risk of bone (incidence rate ratio (IRR): 1.5 per one standard deviation increase above the mean; 95% CI: 1.1-1.9) and growth plate injuries (IRR: 2.1; 1.5-3.1). Growth rate for leg length was associated with greater overall injury risk (IRR: 1.3; 1.0-1.7) as well as the risk of bone (IRR: 1.4; 1.0-1.9) and growth plate injuries (IRR: 2.1; 1.4-3.0). Athletes with greater skeletal maturity, expressed as skeletal age (IRR: 0.6 per year; 0.5-0.9) and percentage of predicted mature height (IRR: 0.8 per percent increase; 0.7-1.0), were less prone to growth plate injuries. Rate of change in skeletal age was associated with an increased risk of bone injuries (IRR: 1.5; 1.0-2.3). The results of this study suggest that rapid growth in stature and leg length, skeletal maturity status, and maturity tempo represent risk factors for certain injury types in adolescent athletics.