北美职业男子足球的伤病流行病学:COVID-19 禁赛期与前几个赛季的比较。

IF 2.7 2区 医学 Q1 SPORT SCIENCES Sports Health-A Multidisciplinary Approach Pub Date : 2025-03-01 Epub Date: 2024-05-18 DOI:10.1177/19417381241253227
Stacey Hardin, Richard Silverman, Robert Brophy, Margot Putukian, Holly Silvers-Granelli
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引用次数: 0

摘要

背景:在 COVID-19 禁赛之后,欧洲和亚洲的研究考察了其对职业足球伤病率和严重程度的影响;然而,COVID-19 禁赛对美国男子职业足球伤病的影响尚未进行评估:假设:2020 赛季的伤病率高于前两个赛季:研究设计:回顾性观察队列研究:研究方法参与研究的美国职业足球大联盟(MLS)俱乐部的医务人员将研究期间的伤病和运动暴露情况输入全联盟的电子病历系统。对受伤率和严重程度进行分析,以研究 2020 COVID 赛季与历史对照之间的差异:2020年每1000小时的受伤发生率为10.8,即高于2018年(5.4)和2019年(5.0)(P < 0.05)。与 2018 年(2.5)和 2019 年(2.6)相比,2020 年的训练受伤发生率(8.9)有所上升(P < 0.05),而与 2018 年(24.0)和 2019 年(22.7)相比,2020 年的比赛受伤发生率(18.3)有所下降(P < 0.05)。与 2018 年(2.5,0.07,0.27)和 2019 年(2.36,0.05,0.22)相比,2020 年的下肢肌肉损伤(6.04)、前交叉韧带(ACL)损伤(0.17)和脑震荡(0.49)发生率也更高(P < 0.05)。与 2018 年(10.2%)和 2019 年(10.1%)相比,2020 年受伤球员缺席 >90 天的人数(17.7%)更多(P < 0.05)。2020年所有非COVID-19疾病的发病率(3.93)高于2018年(1.53)和2019年(1.32)(P<0.05):2020年期间,与前两个赛季相比,整体受伤、训练受伤、下肢肌肉受伤、前交叉韧带受伤、脑震荡和非COVID疾病的发生率明显增加,同时缺席超过90天的球员比例也较高:临床相关性:这些结果可能有助于明确未来 MLS 季内停工和限制训练期的影响。
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Epidemiology of Injury and Illness in North American Professional Men's Soccer: Comparing COVID-19 Lockdown With Previous Seasons.

Background: After COVID-19 lockdown, studies across Europe and Asia examined its effect on professional soccer injury rates and severity; however, COVID-19 lockdown influence on injuries in United States men's professional soccer has not been evaluated.

Hypothesis: Injury and illness rates during the 2020 season were higher than the previous 2 seasons.

Study design: Retrospective observational cohort study.

Level of evidence: Level 3.

Methods: Medical staff from participating Major League Soccer (MLS) clubs entered injuries and athletic exposures during the study period into a league-wide electronic medical record system. Injury rate and severity were analyzed to examine differentials between the 2020 COVID season and historical controls.

Results: The injury incidence rate per 1000 hours in 2020 was 10.8, ie, higher than 2018 (5.4) and 2019 (5.0) (P < 0.05). Training injury incidence rate increased in 2020 (8.9) compared with 2018 (2.5) and 2019 (2.6) (P < 0.05), whereas match injury incidence decreased in 2020 (18.3) compared with 2018 (24.0) and 2019 (22.7) (P < 0.05). Incidence rates of lower extremity muscle injuries (6.04), anterior cruciate ligament (ACL) injuries (0.17), and concussions (0.49) were also higher in 2020 compared with 2018 (2.5, 0.07, 0.27) and 2019 (2.36, 0.05, 0.22) (P < 0.05). More injured players in 2020 missed >90 days (17.7%) than in 2018 (10.2%) and 2019 (10.1%) (P < 0.05). Incidence of all non-COVID-19 illness was higher in 2020 (3.93) than 2018 (1.53) and 2019 (1.32) (P < 0.05).

Conclusions: During 2020, there were significant increases in incidence rates of overall injuries, training injuries, lower extremity muscular injuries, ACL injuries, concussions, and non-COVID illness, along with a higher percentage of players missing >90 days compared with the 2 previous seasons.

Clinical relevance: These results may help clarify the effects of future MLS inseason work stoppages and periods of restricted training.

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来源期刊
Sports Health-A Multidisciplinary Approach
Sports Health-A Multidisciplinary Approach Medicine-Orthopedics and Sports Medicine
CiteScore
6.90
自引率
9.10%
发文量
101
期刊介绍: Sports Health: A Multidisciplinary Approach is an indispensable resource for all medical professionals involved in the training and care of the competitive or recreational athlete, including primary care physicians, orthopaedic surgeons, physical therapists, athletic trainers and other medical and health care professionals. Published bimonthly, Sports Health is a collaborative publication from the American Orthopaedic Society for Sports Medicine (AOSSM), the American Medical Society for Sports Medicine (AMSSM), the National Athletic Trainers’ Association (NATA), and the Sports Physical Therapy Section (SPTS). The journal publishes review articles, original research articles, case studies, images, short updates, legal briefs, editorials, and letters to the editor. Topics include: -Sports Injury and Treatment -Care of the Athlete -Athlete Rehabilitation -Medical Issues in the Athlete -Surgical Techniques in Sports Medicine -Case Studies in Sports Medicine -Images in Sports Medicine -Legal Issues -Pediatric Athletes -General Sports Trauma -Sports Psychology
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