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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >A Preseason Checklist for Predicting Elbow Injury in Little League Baseball Players
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A Preseason Checklist for Predicting Elbow Injury in Little League Baseball Players

机译：预测小联盟棒球运动员肘部损伤的季前检查清单

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Background: Despite pitch count limits, the incidence of Little League elbow is increasing. A risk-evaluation tool capable of predicting which players are predisposed to throwing injury could potentially prevent injuries. Purpose: To investigate the effectiveness of a risk factor checklist for predicting elbow injury in Little League baseball players during 1 season. The hypothesis was that a preseason risk-evaluation checklist could predict which players were predisposed to elbow injury. Study Design: Case-control study; Level of evidence, 3. Methods: A preseason risk-evaluation checklist was distributed to Little League baseball teams in Japan. Six months later, a follow-up questionnaire was mailed to determine injuries sustained during the season. Logistic regression analysis was performed, assigning presence or absence of elbow injury during the season as the dependent variable, and an injury risk score (IRS) was developed based on the statistically significant variables. Receiver operating characteristic (ROC) curve analysis was conducted to determine the predictive validity of the checklist and the optimal cutoff IRS. Results: Data from 389 Little League players were analyzed. Among them, 53 players experienced an elbow injury requiring medical treatment during the season. Six checklist items associated with a medical history of throwing injury, pitch volume, and arm fatigue were found to be significant. Responses to the items could predict the players who were susceptible to injury during the season, with a two-thirds cutoff value for a 6-item checklist (area under the curve, 0.810; sensitivity, 0.717; specificity, 0.771). Conclusion: Results from a 6-item preseason checklist can predict which Little League players are to sustain an elbow injury by the end of the season. Clinical Relevance: The ability to predict which Little League baseball players are predisposed to elbow injury allows parents and coaches to initiate preventive measures in those players prior to and during the baseball season, which could lead to fewer elbow injuries.
机译：背景：尽管俯仰计数受到限制，但小联盟肘部的发病率正在增加。能够预测哪些球员容易受伤的风险评估工具可能会预防受伤。目的：研究危险因素清单在预测1赛季小联盟棒球运动员肘部受伤中的有效性。假设是，季前风险评估清单可以预测哪些球员容易肘部受伤。研究设计：病例对照研究;证据等级，3。方法：将季前风险评估清单分发给日本的小联盟棒球队。六个月后，寄出了一份后续调查表，以确定该季节期间遭受的伤害。进行逻辑回归分析，将季节内是否存在肘部损伤指定为因变量，并基于统计上的显着性变量制定损伤风险评分（IRS）。进行接收者工作特征（ROC）曲线分析，以确定清单和最佳截止IRS的预测有效性。结果：分析了389名小联盟球员的数据。其中，本赛季有53名球员肘部受伤，需要医疗。发现与摔伤，音高和手臂疲劳的病史相关的六个清单项目很重要。对物品的反应可以预测本赛季容易受伤的球员，对于6项清单，其截止值为三分之二（曲线下面积为0.810;敏感度为0.717;特异性为0.771）。结论：6项季前检查清单的结果可以预测哪些小联盟球员在本赛季结束前要承受肘部受伤。临床意义：能够预测哪些小联盟棒球运动员容易受到肘部伤害，这使得父母和教练可以在棒球季节之前和期间对那些球员发起预防措施，这可以减少肘部受伤。

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