Objective To identify the priority injuries and illnesses across UK summer Paralympic World Class Programmes (WCP). Methods Four years (2016–2019) of electronic medical records from 360 athletes across 17 Paralympic WCP sports were analysed. Methods were based on the 2021 International Paralympic Committee translation of the original 2020 International Olympic Committee consensus statement for epidemiological recording and reporting. This included reporting incidence (count of injury per athlete year) and burden (time loss days per athlete year) of injuries by impairment category. Results 836 injuries and 453 illnesses were recorded during the surveillance period, accounting for 34 638 and 10 032 time-loss days, respectively. 216 (60%) athletes reported at least one injury, while 171 (47.5%) reported at least one illness. There were 0.9 injuries per athlete year, resulting in a mean injury burden of 38.1 days per athlete year. The lumbar/pelvis, shoulder and thoracic/ribs body region had the greatest incidence whereas the shoulder, lumbar/pelvis and wrist had the greatest injury burden. All impairment categories had shoulder or lumbar/pelvis as the body region with the greatest incidence, however the burden of body areas did not always reflect the incidence. Athletes reported 0.5 illnesses per athlete year, resulting in an average illness burden of 11.3 days per athlete year. The respiratory, gastrointestinal, dermatological and genitourinary organ systems had the greatest illness incidence. Conclusions To optimise health and performance in Paralympic sport athletes, system-wide mitigation initiatives should target priority injury problems occurring in the lumbar/pelvis, shoulder, thoracic spine/ribs and wrist. Illness types causing the greatest burden vary with impairment group, and illness mitigation initiatives should consider athlete impairment types in their design, while continuing to note the high incidence of respiratory and gastrointestinal illness across all impairments. Further research should examine associated risk factors and the influence of impairment categorisation. All data relevant to the study are included in the article or uploaded as supplementary information. All the data was collected and controlled by the UK Sports Institute (UKSI) on behalf of the UK Sport high performance system. Prior informed consent to use anonymised data for the purposes of research was obtained in writing by the UKSI, confirming each athlete had read and accepted the athlete privacy notice. . We have included all relevant data in tables within the article.

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英国夏季残奥会运动员的全年伤害和疾病监测：2016-2019

目标 确定英国夏季残奥会世界级项目 (WCP) 中的优先伤害和疾病。方法 对 17 个残奥会 WCP 项目的 360 名运动员四年（2016 年至 2019 年）的电子病历进行了分析。方法基于2021年国际残奥委会翻译的2020年国际奥委会原始共识声明进行流行病学记录和报告。这包括按损伤类别报告受伤的发生率（每个运动员每年的受伤次数）和负担（每个运动员每年的时间损失天数）。结果 监测期内共发生伤害836起、患病453起，损失时间分别为34 638天和10 032天。216 名（60%）运动员报告至少有一次受伤，而 171 名（47.5%）运动员报告至少有一种疾病。每个运动员每年发生 0.9 次受伤，导致每个运动员每年的平均受伤负担为 38.1 天。腰椎/骨盆、肩部和胸椎/肋骨身体区域的发病率最高，而肩部、腰部/骨盆和腕部的损伤负担最大。所有损伤类别中肩部或腰部/骨盆是发病率最高的身体区域，但身体部位的负担并不总是反映发病率。每个运动员每年报告 0.5 例疾病，导致每个运动员每年的平均疾病负担为 11.3 天。呼吸系统、胃肠道、皮肤科和泌尿生殖系统的发病率最高。结论 为了优化残奥会体育运动员的健康和表现，全系统缓解措施应针对腰椎/骨盆、肩部、胸椎/肋骨和腕部发生的优先伤害问题。造成最大负担的疾病类型因损伤组而异，疾病缓解举措应在设计中考虑运动员损伤类型，同时继续注意到所有损伤中呼吸系统和胃肠道疾病的高发病率。进一步的研究应检查相关的风险因素和减值分类的影响。与研究相关的所有数据都包含在文章中或作为补充信息上传。所有数据均由英国体育研究所（UKSI）代表英国体育高性能系统收集和控制。UKSI 以书面形式获得了出于研究目的使用匿名数据的事先知情同意，确认每位运动员已阅读并接受运动员隐私声明。。我们已将所有相关数据包含在本文的表格中。