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首页> 美国卫生研究院文献>other >Time to get our four priorities right: an 8-year prospective investigation of 1326 player-seasons to identify the frequency nature and burden of time-loss injuries in elite Gaelic football
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Time to get our four priorities right: an 8-year prospective investigation of 1326 player-seasons to identify the frequency nature and burden of time-loss injuries in elite Gaelic football

机译：是时候把我们的四个优先事项放在正确的位置：对1326个球员赛季进行为期8年的前瞻性调查以确定精英盖尔足球队造成时间损失的频率性质和负担

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摘要

Managing injury risk requires an understanding of how and when athletes sustain certain injuries. Such information guides organisations in establishing evidence-based priorities and expectations for managing injury risk. In order to minimise the impact of sports injuries, attention should be directed towards injuries that occur frequently, induce substantial time-loss, and elevate future risk. Thus, the current study aimed to investigate the rate at which elite Gaelic football players sustain different time-loss injuries during match-play and training activities. Datasets (n = 38) from elite Gaelic football teams (n = 17) were received by the National Gaelic Athletic Association Injury Surveillance Database from 2008 to 2016. A total of 1,614 time-loss injuries were analysed. Each season teams sustained 24.0 (interquartile ranges) (IQR 16.0–32.0) and 15.0 (IQR 10.0–19.0) match-play and training injuries, respectively. When exposure was standardised to 1,000 h, greater rates of injury (12.9, 95% CI [11.7–14.3]) and time-loss days (13.4, 95% CI [12.3–14.9]) were sustained in match-play than in training. Acute injury rates were 3.1-times (95% CI [2.7–3.4]) greater than chronic/overuse injuries. Similarly, non-contact injury rates were 2.8-times (95% CI [2.5–3.2]) greater than contact injuries. A total of 71% of injuries in elite Gaelic football affected five lower limb sites. Four lower limb-related clinical entities accounted for 40% of all time-loss injuries (hamstring, 23%; ankle sprain, 7%; adductor-related, 6%; quadriceps strain, 5%). Thus, most risk management and rehabilitation strategies need to be centred around five lower limb sites—and just four clinical entities. Beyond these, it may be highly unlikely that reductions in injury susceptibility can be attributed to specific team interventions. Thus, compliance with national databases is necessary to monitor injury-related metrics and future endeavours to minimise injury risk.
机译：管理伤害风险需要了解运动员如何以及何时遭受某些伤害。此类信息可指导组织建立基于证据的优先事项和对伤害风险进行管理的期望。为了最大程度地减少运动伤害的影响，应注意经常发生的伤害，造成大量的时间损失，并增加未来的风险。因此，当前的研究旨在调查精英盖尔足球运动员在比赛和训练活动中遭受不同时间损失的受伤率。国家盖尔体育协会伤害监测数据库从2008年至2016年接收了来自盖尔精英足球队（n = 17）的数据集（n = 38）。共分析了1,614例失时工伤。每个赛季的球队在比赛和训练中分别受伤24.0（四分位间距）（IQR 16.0-32.0）和15.0（IQR 10.0-19.0）。将暴露标准化为1,000小时后，比赛中的受伤率（12.9，95％CI [11.7-14.3]）和时间流失天数（13.4，95％CI [12.3-14.9]）要比训练期间更高。急性损伤率比慢性/过度使用损伤高3.1倍（95％CI [2.7-3.4]）。同样，非接触伤害率是接触伤害的2.8倍（95％CI [2.5-3.2]）。盖尔精英足球总计71％的受伤事故影响了五个下肢部位。四个下肢相关的临床实体占所有失时伤的40％（ham绳肌，23％；踝扭伤，7％；内收肌相关，6％；股四头肌拉伤，5％）。因此，大多数风险管理和康复策略都需要以五个下肢部位和四个临床实体为中心。除此之外，将伤害敏感性降低的可能性极不可能归因于特定的团队干预。因此，必须遵守国家数据库，以监测与伤害有关的指标以及未来的工作，以最大程度地降低伤害风险。

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