MINOR SPORTS INJURIES AS PROXY MEASURES OF MAJOR INJURY

本项目的目的是研究使用轻微运动损伤作为 青少年后期更严重的运动损伤的替代措施。 我们 目的是评估：1）重大伤害的个人是否有更多的轻伤 （2）没有重大伤害的人;（3）重大伤害发生前 （3）轻微伤害的具体类型与 具体类型的重大伤害; 4）易受轻伤的时期， 重大伤害可以通过压力时期来预测; 5）医疗记录 是反映个体受伤经历的可靠有效指标。 将审查的方法问题包括： 最能预测重伤的轻伤（即，一 根据受限制的活动、 治疗，组织损伤）; 2）在此期间的时间段的长度 发生最能预测重大损伤的轻微损伤（即，是主要 受伤前一周有一系列轻伤， 重大伤害发生前的几周，重大伤害发生前的一个月， 伤？）; 3)自我报告的伤害数据的可靠性， 看病 我们建议研究轻伤与重伤之间的关系， 美国军事学院（英语：United States Military Academy at西点） USMA提供了一个 这是一个独特的机会来研究这个问题，因为一个高度控制和 统一的环境，集中提供和记录健康 护理，运动损伤的高频率，收集能力， 直接通过每个学员办公桌上的终端机自我报告数据， 军方对预防伤害有着浓厚的兴趣。 将采用三种研究设计：1）回顾性队列研究， 1988年进入学院的1400名学员的医疗记录， 跟踪他们四年的学员生涯; 2）一年的回顾 对参加校内足球比赛的学员的记录进行了队列研究， 1991年（N = 700），3）一项为期一个月的前瞻性研究，100名学员在校内 足球. 生存分析将用于研究 轻伤和重伤。 如果我们能证明轻微的运动损伤 严重损伤，无论是一般的，还是特定的解剖部位， 研究人员将能够制定和测试有关过程的假设， 将不同严重程度的损伤联系起来，并将能够量化， 针对轻伤的预防性干预措施对 严重的伤害。

The purpose of this project is to study the use of minor sports injuries as proxy measures for more serious athletic injuries in late adolescence. We aim to assess whether: 1) individuals with major injuries have more minor injuries than those without major injuries; 2) major injuries are preceded by minor injuries; 3) specific types of minor injuries are associated with specific types of major injuries; 4) periods of vulnerability to minor and major injuries can be predicted by periods of stress; 5) medical records are reliable and valid indicators of individual's injury experience. Methodological issues which will be examined include: 1) a definition of minor injuries which will be most predictive of major injuries (i.e., a comparison of severity ratings based on restricted activity, level of treatment, tissue damage); 2) the length of the time period during which minor injuries occur that best predicts major injuries (i.e., are major injuries preceded by a cluster of minor injuries the week before, the two weeks before the occurrence of the major injury, the month before the major injury?); 3) the reliability of self-reported injury data resulting in medical treatment. We propose to study the association between minor and major injuries at the United States Military Academy at West Point (USMA). The USMA offers a unique opportunity to study this issue because of a highly controlled and uniform environment, the centralized provision and recording of health care, a high frequency of athletic injuries, the ability to collect self-report data directly through terminals at each cadet's desk, and the strong interest the military has in injury prevention. Three study designs will be employed: 1) a retrospective cohort study of the medical records of 1400 cadets who entered the academy in 1988, followed over their four year cadet careers; 2) a one year retrospective cohort study of the records of cadets who played intramural football in 1991 (N = 700), 3) a one term prospective study of 100 cadets in intramural football. Survival analysis will be used to study the association between minor and major injuries. If we can demonstrate that minor athletic injuries are associated with major injuries, either in general, or for specific anatomical sites, researchers will be able to formulate and test hypotheses about processes which link injuries of different severity, and will be able to quantify, the effect of preventive interventions aimed at minor injuries on the rate of severe injuries.