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Epidemiology of Judo-Related Injuries in 21 Seasons of Competitions in France: A Prospective Study of Relevant Traumatic Injuries

机译:法国竞争21个赛季柔道相关伤害的流行病学 - 相关创伤损伤前瞻性研究

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Background: Judo is a full-contact fighting sport that may lead to severe injuries. There are limited data available on the incidence of judo-related injuries. The French Judo Federation has established a surveillance system to document the frequency and type of injuries during judo competitions. Purpose: To describe the incidence rates and types of judo-related traumatic injuries during 21 seasons of competitions in France with respect to athlete (judoka) age, sex, and level of performance. Study Design: Descriptive epidemiology study. Methods: Between 1993 and 2014, each physician in charge of each judo competition filled out a form in which he/she documented the number of competing judokas, the number of fights, the number of medical interventions, the specific type of traumatic injuries for each intervention, the number of fight interruptions, and the number of athletes removed from the competition venue because of an injury. The age, sex, and level of performance of each judoka were also documented. Variance analysis was applied to assess whether differences in incidence rates of injuries between groups were significant (Student t test and chi-square test). Results: Surveillance of 421,670 fights demonstrated 3511 injuries in 316,203 judokas (incidence proportion, 1.1%). Among the injuries recorded, the most common were sprains (54.3%), fractures (15.6%), and dislocations (12.5%). Female athletes exhibited significantly higher incidence rates for knee sprains and elbow dislocations, whereas male athletes exhibited a higher incidence rate for shoulder dislocations ( P & .001 for all). Regarding age, higher incidence rates were observed in young adults (aged 18-20 years) for acromioclavicular sprains and in children (aged 10-14 years) for clavicle fractures compared with adults (aged 21-35 years) ( P & .001 for both). Both young adult and adult athletes had a higher incidence rate of shoulder dislocations ( P & .001). Regarding the level of performance, athletes competing at higher levels had a higher incidence rate of sprains to the knee ( P & .001). Conclusion: During 21 years of surveillance of injuries in judo competitions in France, the incidence proportion of injuries was 1.1%. Significant differences in incidence rates demonstrated when considering age, sex, and level of performance may help in developing strategies to prevent traumatic injuries in the future.
机译:背景:柔道是一项全面的战斗运动,可能导致严重伤害。有限的数据可提供有关柔道相关伤害的发生率。法国柔道联合会建立了一个监测系统,以记录柔道竞赛期间伤害的频率和类型。目的:描述在法国的21个赛季竞赛中,描述了与运动员(judoka)年龄,性别和绩效水平的法国竞争中的柔道相关创伤伤害的发病率和类型。研究设计:描述性流行病学研究。方法:1993年至2014年间,每个医生负责每个柔道竞赛的每位医生都填写了他/她记录了竞争judokas的数量,战斗人数,医疗干预次数,每个创伤伤害的特定类型的创伤伤害干预,战斗中断的数量,以及因受伤而从竞争场所中移除的运动员数量。还记录了每个judoka的年龄,性别和表现水平。应用方差分析评估组之间损伤的发生率是否显着(学生T试验和Chi-Square测试)。结果:421,670次战斗监测显示3511次judokas(发病比例,1.1%)。在记录的伤害中,最常见的扭伤(54.3%),骨折(15.6%)和脱臼(12.5%)。女运动员对膝关节扭伤和肘部脱臼的发病率显着较高,而男性运动员表现出肩脱臼的较高发病率(P& .001)。关于年龄,在与成人(21-35岁)相比的锁骨骨折和儿童(年龄10-14岁)中,观察到年龄的年龄,在肩癌瘙动和儿童(10-14岁)中观察到更高的发病率(年龄10-14岁)(P <.001对彼此而言)。年轻成人和成年运动员均具有较高的肩脱臼发病率(P& .001)。关于性能水平,在较高水平竞争的运动员对膝盖的扭曲发生率较高(P& .001)。结论:在法国柔道比赛中21年的伤害监测,伤害的发病率比例为1.1%。在考虑年龄,性别和性能水平时,发病率的显着差异可能有助于制定未来预防创伤损伤的策略。

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