Position comparison of sport-related concussions in female youth soccer players.

IF 1.9 4区医学 Q2 ORTHOPEDICS Physician and Sportsmedicine Pub Date : 2024-08-01 Epub Date: 2023-08-15 DOI:10.1080/00913847.2023.2246869

Hannah Worrall, Caroline Podvin, Claire Althoff, Jane S Chung, Dai Sugimoto, Mathew Stokes, Luke C Radel, C Munro Cullum, Shane M Miller, Jacob C Jones

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Abstract

Objectives: Youth soccer participation, particularly among females, continues to grow worldwide. With the high incidence of sport-related concussion (SRC) in soccer, it is important to investigate if SRC occurs disproportionally by positions. Our hypothesis was to see no positional differences in SRCs, SRC-related characteristics, and outcomes among in female youth soccer athletes.

Methods: Data were prospectively collected from participants at a single sports medicine institution between August 2015-April 2021. Female participants aged 8-18 diagnosed with SRC sustained during an organized soccer practice, scrimmage, or game were separated into 4 groups based on position: Forward, Midfielder, Defender, and Goalkeeper. Demographics, medical history, injury-related details, and outcomes were reviewed. A chi-square test or Fisher's exact test was used for categorical variables. Continuous variables were compared with Mann-Whitney or Kruskal-Wallis test.

Results: Two hundred fourteen participants were included: 52 Forwards, 65 Midfielders, 63 Defenders, and 34 Goalkeepers. There were no significant differences between the groups in age, race, ethnicity, or previous concussion history. Differences in mechanism existed with Goalkeepers most commonly reporting Head to Body Part. Goalkeepers, which make up 1/11 of the total positions on the field, had a significantly higher proportion of SRCs compared to Field Positions. (9.1% vs 15.9%)At 3-month post-enrollment, there were no significant differences in reported symptoms or return-to-play between the different positions.

Conclusion: In youth female soccer players, goalkeepers sustained a higher proportion of sport-related concussions compared to field players based upon the composition of a soccer team. The mechanism of injury also differed among the different soccer positions. However, no differences in concussion characteristics, outcomes, or RTP were seen across the different soccer positions.

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青少年女子足球运动员运动相关脑震荡的位置比较。

目标：全世界青少年尤其是女性参与足球运动的人数持续增长。由于足球运动中运动相关脑震荡（SRC）的发病率很高，因此研究不同位置的运动员是否会出现不成比例的 SRC 非常重要。我们的假设是，在青少年女子足球运动员中，SRC、SRC 相关特征和结果没有位置差异：在 2015 年 8 月至 2021 年 4 月期间，我们对一家运动医学机构的参与者进行了前瞻性数据收集。在有组织的足球训练、散打或比赛中被诊断出患有 SRC 的 8-18 岁女性参与者根据位置被分为 4 组：前锋、中场、后卫和守门员。研究人员对这些患者的人口统计学特征、病史、受伤相关细节和结果进行了审查。对分类变量采用卡方检验或费雪精确检验。连续变量采用 Mann-Whitney 或 Kruskal-Wallis 检验进行比较：结果：共纳入 214 名参与者：52 名前锋、65 名中场、63 名后卫和 34 名门将。各组之间在年龄、种族、民族或既往脑震荡病史方面没有明显差异。在机制方面存在差异，守门员最常报告头部撞击身体部位。门将占场上所有位置的 1/11，与场上位置相比，门将的 SRC 比例明显更高。(9.1%对15.9%)在注册后3个月，不同位置的球员在报告症状或重返赛场方面没有明显差异：结论：在青少年女子足球运动员中，根据足球队的组成，守门员与场上球员相比，遭受运动相关脑震荡的比例更高。不同足球位置的受伤机制也有所不同。不过，不同足球位置的球员在脑震荡特征、结果或 RTP 方面没有差异。

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来源期刊

Physician and Sportsmedicine PRIMARY HEALTH CARE-ORTHOPEDICS

CiteScore

4.90

自引率

4.30%

发文量

审稿时长

>12 weeks

期刊介绍： The Physician and Sportsmedicine is a peer-reviewed, clinically oriented publication for primary care physicians. We examine the latest drug discoveries to advance treatment and recovery, and take into account the medical aspects of exercise therapy for a given condition. We cover the latest primary care-focused treatments serving the needs of our active patient population, and assess the limits these treatments govern in stabilization and recovery. The Physician and Sportsmedicine is a peer-to-peer method of communicating the latest research to aid primary care physicians’ advancement in methods of care and treatment. We routinely cover such topics as: managing chronic disease, surgical techniques in preventing and managing injuries, the latest advancements in treatments for helping patients lose weight, and related exercise and nutrition topics that can impact the patient during recovery and modification.