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Lumbosacral injuries in elite Paralympic athletes with limb deficiency: a retrospective analysis of patient records
BMJ Open Sport & Exercise Medicine Pub Date : 2021-01-01 , DOI: 10.1136/bmjsem-2020-001001 Nicola R Heneghan , Esther Collacott , Paul Martin , Simon Spencer , Alison Rushton
BMJ Open Sport & Exercise Medicine Pub Date : 2021-01-01 , DOI: 10.1136/bmjsem-2020-001001 Nicola R Heneghan , Esther Collacott , Paul Martin , Simon Spencer , Alison Rushton
Background Compared to injury data in able-bodied athletes, relatively little literature exists for Paralympic athletes. Injury data underpins the design and evaluation of injury prevention strategies in elite sport. The aim of this study was to investigate frequency, characteristics and management of lumbosacral injuries in elite athletes with limb deficiency. Methods A retrospective analysis of injuries in elite athletes with limb deficiency (2008 to 2017) was conducted using available data extracted from The English Institute of Sport (EIS) clinical records. Eligibility criteria: funded athletes, eligible for EIS physiotherapy support with full or partial limb deficiency. Data were analysed descriptively using frequencies. Results A total of 107 injuries from 32 athletes were included. Participants comprised 18 men (59%), from 9 sports, with mean age for index injuries of 27 years (range 18 to 38 years) and 15 with congenital limb deficiency (47%). Average number of index injuries for congenital and traumatic limb deficient groups were 13 and 19, respectively. Where injury onset was recorded (n=79), half of injuries occurred during training (40%, n=43). Arthrogenic structures accounted for 32.7% of injuries, myogenic 26.2%, with neurogenic, discogenic and osteogenic each <5%. The number of treatments delivered in each injury episode ranged from 1 to 43, with symptom resolution taking 2 to 439 days. Conclusion Elite athletes with limb deficiency experience lumbosacral injuries predominantly involving muscles and joints. While consistency and accuracy of data recording limits definitive conclusions, findings highlight the importance of precision in recording injury data as part of surveillance to enable implementation of effective injury prevention strategies.
中文翻译:
肢残肢体残障精英运动员的腰ac部损伤:患者记录的回顾性分析
背景与健壮运动员的伤害数据相比,残奥会运动员的文献相对较少。伤害数据是精英运动中伤害预防策略设计和评估的基础。这项研究的目的是调查肢体缺乏的精英运动员腰ac部损伤的发生频率,特征和处理方法。方法使用英国体育学院(EIS)临床记录中提取的可用数据对2008年至2017年肢体缺乏的优秀运动员的损伤进行回顾性分析。资格标准:受资助的运动员,有资格获得肢体完全或部分肢体缺乏的EIS理疗支持。使用频率对数据进行描述性分析。结果包括32名运动员的107伤。参加者包括9种运动的18名男性(占59%),指数损伤的平均年龄为27岁(18至38岁),先天性肢体缺陷为15岁(47%)。先天性和外伤性肢体缺陷组的平均指数损伤数分别为13和19。在记录到受伤发作的地方(n = 79),一半的受伤发生在训练过程中(40%,n = 43)。关节形成结构占受伤的32.7%,其中肌形成的占26.2%,其中神经源性,椎间盘源性和成骨性分别<5%。每次损伤发作的治疗次数为1到43,症状缓解需要2到439天。结论肢体缺乏的优秀运动员的腰s部受伤主要累及肌肉和关节。尽管数据记录的一致性和准确性限制了明确的结论,
更新日期:2021-02-12
中文翻译:
肢残肢体残障精英运动员的腰ac部损伤:患者记录的回顾性分析
背景与健壮运动员的伤害数据相比,残奥会运动员的文献相对较少。伤害数据是精英运动中伤害预防策略设计和评估的基础。这项研究的目的是调查肢体缺乏的精英运动员腰ac部损伤的发生频率,特征和处理方法。方法使用英国体育学院(EIS)临床记录中提取的可用数据对2008年至2017年肢体缺乏的优秀运动员的损伤进行回顾性分析。资格标准:受资助的运动员,有资格获得肢体完全或部分肢体缺乏的EIS理疗支持。使用频率对数据进行描述性分析。结果包括32名运动员的107伤。参加者包括9种运动的18名男性(占59%),指数损伤的平均年龄为27岁(18至38岁),先天性肢体缺陷为15岁(47%)。先天性和外伤性肢体缺陷组的平均指数损伤数分别为13和19。在记录到受伤发作的地方(n = 79),一半的受伤发生在训练过程中(40%,n = 43)。关节形成结构占受伤的32.7%,其中肌形成的占26.2%,其中神经源性,椎间盘源性和成骨性分别<5%。每次损伤发作的治疗次数为1到43,症状缓解需要2到439天。结论肢体缺乏的优秀运动员的腰s部受伤主要累及肌肉和关节。尽管数据记录的一致性和准确性限制了明确的结论,