职业足球重返赛场后的受伤风险时间进程

IF 9.3 1区 医学 Q1 SPORT SCIENCES Sports Medicine Pub Date : 2024-09-14 DOI:10.1007/s40279-024-02103-3
Guangze Zhang, Michel Brink, Karen aus der Fünten, Tobias Tröß, Peter Willeit, Tim Meyer, Koen Lemmink, Anne Hecksteden
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引用次数: 0

摘要

背景职业足球运动中的受伤风险在重返赛场(RTP)后的几周内有所增加。然而,人们对重返赛场后受伤风险的时间过程(危险曲线)及其影响因素却知之甚少。这项研究旨在描述男子职业足球运动员重返赛场后非接触性时间损失伤害的危险曲线,并研究指数伤害的严重程度和比赛位置的影响。对 RTP 后的非接触性时间损失伤害采用了时间到事件分析法。结果分析了 646 名球员的 1623 次观察事件和 1520 次删减事件。危害曲线的整体形状与受伤风险的指数下降相吻合,从 RTP 后不久的约 2 倍水平下降到基线,半衰期约为 4 周。有趣的是,中度指数损伤的危险曲线峰值略有延迟,而重度指数损伤的危险曲线峰值则更为明显。危险曲线的形状及其影响因素具有实用性和方法学意义,值得进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The Time Course of Injury Risk After Return-to-Play in Professional Football (Soccer)

Background

Injury risk in professional football (soccer) is increased in the weeks following return-to-play (RTP). However, the time course of injury risk after RTP (the hazard curve) as well as its influencing factors are largely unknown. This knowledge gap, which is arguably due to the volatility of instantaneous risk when calculated for short time intervals, impedes on informed RTP decision making and post-RTP player management.

Objectives

This study aimed to characterize the hazard curve for non-contact time-loss injuries after RTP in male professional football and to investigate the influence of the severity of the index injury and playing position.

Methods

Media-based injury records from the first German football league were collected over four seasons as previously published. Time-to-event analysis was employed for non-contact time-loss injury after RTP. The Kaplan–Meier survival function was used to calculate the cumulative hazard function, from which the continuous hazard function was retrieved by derivation.

Results

There were 1623 observed and 1520 censored events from 646 players analyzed. The overall shape of the hazard curve was compatible with an exponential decline of injury risk, from an approximately two-fold level shortly after RTP towards baseline, with a half-time of about 4 weeks. Interestingly, the peak of the hazard curve was slightly delayed for moderate and more clearly for severe index injuries.

Conclusions

The time course of injury risk after RTP (the hazard curve) can be characterized based on the Kaplan–Meier model. The shape of the hazard curve and its influencing factors are of practical as well as methodological relevance and warrant further investigation.

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来源期刊
Sports Medicine
Sports Medicine 医学-运动科学
CiteScore
18.40
自引率
5.10%
发文量
165
审稿时长
6-12 weeks
期刊介绍: Sports Medicine focuses on providing definitive and comprehensive review articles that interpret and evaluate current literature, aiming to offer insights into research findings in the sports medicine and exercise field. The journal covers major topics such as sports medicine and sports science, medical syndromes associated with sport and exercise, clinical medicine's role in injury prevention and treatment, exercise for rehabilitation and health, and the application of physiological and biomechanical principles to specific sports. Types of Articles: Review Articles: Definitive and comprehensive reviews that interpret and evaluate current literature to provide rationale for and application of research findings. Leading/Current Opinion Articles: Overviews of contentious or emerging issues in the field. Original Research Articles: High-quality research articles. Enhanced Features: Additional features like slide sets, videos, and animations aimed at increasing the visibility, readership, and educational value of the journal's content. Plain Language Summaries: Summaries accompanying articles to assist readers in understanding important medical advances. Peer Review Process: All manuscripts undergo peer review by international experts to ensure quality and rigor. The journal also welcomes Letters to the Editor, which will be considered for publication.
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