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Lacrosse injuries among high school boys and girls in the united states: Academic years 2008-2009 through 2011-2012

机译:美国高中男孩和女孩的网兜球受伤:2008-2009学年至2011-2012学年

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Background: Lacrosse is a fast growing youth sport in the United States. Although there have been published studies examining injuries associated with lacrosse, significantly less research has been conducted in high school lacrosse players than in older lacrosse players. The objective of this study was to compare high school lacrosse injury rates and patterns by type of athletic activity (ie, competition vs practice) and sex.Hypothesis: Lacrosse injury rates and patterns differ by type of athletic activity and sex.Study Design: Descriptive epidemiology study.Methods: Using the High School RIO (Reporting Information Online) database, lacrosse exposure and injury data were collected during 4 academic years, 2008-2012, from a large sample of high schools in the United States. Schools' certified athletic trainers submitted exposure and injury information weekly.Results: During the study period, 1406 injuries occurred during 716,812 athlete exposures, for an injury rate of 1.96 per 1000 athlete exposures (AEs). Injury rates were higher in competition than in practice (3.61 vs 1.23 per 1000 AEs, respectively; rate ratio [RR], 2.94; 95% CI, 2.65-3.27). Boys had a higher injury rate than girls (2.26 vs 1.54 per 1000 AEs, respectively; RR, 1.47; 95% CI, 1.32-1.64). The most common injury diagnoses among both boys and girls were sprains/strains (boys: 35.6%; girls: 43.9%) and concussions (boys: 21.9%; girls: 22.7%). The most commonly injured body sites in competition were the head/face (32.0%), lower leg/ankle/foot (17.8%), and knee (12.2%), while in practice, the most commonly injured body sites were the lower leg/ankle/foot (34.9%), head/face (16.4%), and knee (12.7%). Among boys, the most common mechanisms of injury were contact with another person (40.9%) and no contact (21.1%). Among girls, the most common mechanisms of injury were no contact (26.2%), contact with a playing apparatus (24.0%), and overuse/chronic (17.7%). Most injured athletes (71.8%) returned to activity in -21 days, but 6.9% of all injuries required surgery.Conclusion: Lacrosse injury rates and patterns among high school athletes in the United States differ by type of athletic activity and sex. Future studies should continue to compare differences in injury rates and patterns in high school lacrosse, with particular emphasis placed on high-risk plays in competition and the prevention and management of concussions in both boys and girls.
机译:背景:曲棍网兜球是美国一项快速发展的青年运动。尽管已经发表了研究与曲棍球相关的伤害的研究,但是与高龄曲棍球运动员相比,高中曲棍球运动员所进行的研究少得多。这项研究的目的是根据体育活动的类型(即比赛与练习)和性别比较高中曲棍球的伤害率和模式。假设:体育活动和性别的类型对曲棍球的伤害率和模式有所不同。方法:使用高中RIO(报告信息在线)数据库,在2008-2012年的4个学年中,从美国大量高中样本中收集曲棍球的暴露和伤害数据。获得学校认证的运动教练每周提交一次暴露和受伤的信息。结果:在研究期间,716,812例运动员暴露中有1406例受伤,每1000例运动员暴露(AE)的伤害率为1.96。竞争中的伤害率高于实际情况(每1000 AE分别为3.61比1.23;比率[RR]为2.94; 95%CI为2.65-3.27)。男孩的受伤率高于女孩(分别为2.26比1.54 / 1000 AE; RR,1.47; 95%CI,1.32-1.64)。在男孩和女孩中,最常见的损伤诊断是扭伤/拉伤(男孩:35.6%;女孩:43.9%)和脑震荡(男孩:21.9%;女孩:22.7%)。比赛中最受伤的身体部位是头部/面部(32.0%),小腿/踝/脚(17.8%)和膝盖(12.2%),而实际上,最受伤的身体部位是小腿/脚踝/脚(34.9%),头/脸(16.4%)和膝盖(12.7%)。在男孩中,最常见的伤害机制是与他人接触(40.9%)和没有接触(21.1%)。在女孩中,最常见的伤害机制是不接触(26.2%),接触游戏器具(24.0%)和过度使用/慢性(17.7%)。大多数受伤的运动员(71.8%)在-21天后恢复活动,但所有受伤的6.9%都需要手术。结论:美国高中运动员的曲棍球损伤率和方式因运动类型和性别而异。未来的研究应继续比较高中曲棍球比赛中受伤率和受伤方式的差异,并特别强调比赛中的高风险比赛以及男孩和女孩的脑震荡的预防和管理。

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