{"title":"青少年女运动员参与接触性和碰撞性运动中运动相关脑震荡的发生率及危险因素：系统回顾","authors":"Laura Ernst, Jessica Farley, Nikki Milne","doi":"10.1007/s40279-024-02133-x","DOIUrl":null,"url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>The incidence and risk factors for sport-related concussion (SRC) associated with contact and collision invasion sports (CCIS) in female youth are unclear.</p><h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>This systematic review aimed to identify (i) the incidence of and (ii) risk factors for SRC in female youth athletes playing CCIS.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A systematic search of PubMed, CINAHL, Embase, SPORTDiscus and ProQuest to 8 May, 2024 was conducted. Two reviewers independently screened articles against eligibility criteria and assessed risk of bias (Joanna Briggs Institute Critical Appraisal Tool). Aetiological or intervention studies reporting on SRC incidence or risk factors in female youth athletes (aged 13–19 years and under) participating in CCIS were included. Meta-analyses were conducted to explore SRC incidence and risk factors. For each meta-analysis of SRC incidence rate, sub-group analyses were conducted by sport. Where heterogeneity was above 60% for the meta-analysis of SRC risk/protective factors, sensitivity analyses were conducted.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The search yielded 4509 articles; 66 were included. Sport-related concussion incidence or risk factor data for nine CCIS were extracted. Pooled estimates revealed SRC incidence for female youth athletes in CCIS combined was 0.50/1000 match and practice hours (95% confidence interval [CI] 0.34–0.66). When examined by sport classification, SRC incidence in contact invasion sports was 0.12/1000 match and practice hours (95% CI 0.03–0.21), and in collision invasion sports was 2.08/1000 match and practice hours (95% CI 0.90–3.25). Sub-group analysis by individual sport revealed female youth soccer players had the highest overall SRC incidence rate (0.89/1000 match and practice hours, 95% CI − 0.19 to 1.97) amongst contact sports, and rugby union players had the highest overall SRC incidence rate (4.04/1000 match and practice hours, 95% CI 3.03–5.05) among collision sports. Forty-five studies (68%) reported SRC risk factor data, investigating 12 different potential risk factors. Female youth sustained over 7.5 times the rate of SRC in matches compared with practice (incidence rate ratio 7.52, 95% CI 6.32–8.95, <i>p</i> < 0.01) when competing in CCIS; however, considerable heterogeneity existed (<i>I</i><sup>2</sup> = 84.98%). When exploring potential risk factors, no significant difference was found in SRC rate between female youth lacrosse players wearing versus not wearing headgear (<i>p</i> = 0.07). No significant difference was found in SRC rates between female youth athletes competing in younger versus older age groups (incidence rate ratio 0.91, 95% CI 0.52–1.61, <i>p</i> = 0.48, <i>I</i><sup>2</sup> = 0.00%). Insufficient evidence was available to examine remaining risk factors.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>This meta-analysis revealed SRC in female youth playing CCIS was higher than previously reported, with SRC rates higher in matches than practice. Soccer had the highest SRC incidence rate for female youth athletes competing in contact invasion sports, whilst rugby union demonstrated the highest SRC incidence rates for collision invasion sports. The results of this review should be interpreted with caution given the lack of representation from some common CCIS codes. Further research is required to examine SRC risk factors in female youth athletes participating in CCIS.</p><h3 data-test=\"abstract-sub-heading\">Clinical Trial Registration</h3><p>OSF Registration: osf.io/s573v.</p>","PeriodicalId":21969,"journal":{"name":"Sports Medicine","volume":"39 1","pages":""},"PeriodicalIF":9.3000,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Incidence and Risk Factors for Sport-Related Concussion in Female Youth Athletes Participating in Contact and Collision Invasion Sports: A Systematic Review\",\"authors\":\"Laura Ernst, Jessica Farley, Nikki Milne\",\"doi\":\"10.1007/s40279-024-02133-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<h3 data-test=\\\"abstract-sub-heading\\\">Background</h3><p>The incidence and risk factors for sport-related concussion (SRC) associated with contact and collision invasion sports (CCIS) in female youth are unclear.</p><h3 data-test=\\\"abstract-sub-heading\\\">Objectives</h3><p>This systematic review aimed to identify (i) the incidence of and (ii) risk factors for SRC in female youth athletes playing CCIS.</p><h3 data-test=\\\"abstract-sub-heading\\\">Methods</h3><p>A systematic search of PubMed, CINAHL, Embase, SPORTDiscus and ProQuest to 8 May, 2024 was conducted. Two reviewers independently screened articles against eligibility criteria and assessed risk of bias (Joanna Briggs Institute Critical Appraisal Tool). Aetiological or intervention studies reporting on SRC incidence or risk factors in female youth athletes (aged 13–19 years and under) participating in CCIS were included. Meta-analyses were conducted to explore SRC incidence and risk factors. For each meta-analysis of SRC incidence rate, sub-group analyses were conducted by sport. Where heterogeneity was above 60% for the meta-analysis of SRC risk/protective factors, sensitivity analyses were conducted.</p><h3 data-test=\\\"abstract-sub-heading\\\">Results</h3><p>The search yielded 4509 articles; 66 were included. Sport-related concussion incidence or risk factor data for nine CCIS were extracted. Pooled estimates revealed SRC incidence for female youth athletes in CCIS combined was 0.50/1000 match and practice hours (95% confidence interval [CI] 0.34–0.66). When examined by sport classification, SRC incidence in contact invasion sports was 0.12/1000 match and practice hours (95% CI 0.03–0.21), and in collision invasion sports was 2.08/1000 match and practice hours (95% CI 0.90–3.25). Sub-group analysis by individual sport revealed female youth soccer players had the highest overall SRC incidence rate (0.89/1000 match and practice hours, 95% CI − 0.19 to 1.97) amongst contact sports, and rugby union players had the highest overall SRC incidence rate (4.04/1000 match and practice hours, 95% CI 3.03–5.05) among collision sports. Forty-five studies (68%) reported SRC risk factor data, investigating 12 different potential risk factors. Female youth sustained over 7.5 times the rate of SRC in matches compared with practice (incidence rate ratio 7.52, 95% CI 6.32–8.95, <i>p</i> < 0.01) when competing in CCIS; however, considerable heterogeneity existed (<i>I</i><sup>2</sup> = 84.98%). When exploring potential risk factors, no significant difference was found in SRC rate between female youth lacrosse players wearing versus not wearing headgear (<i>p</i> = 0.07). No significant difference was found in SRC rates between female youth athletes competing in younger versus older age groups (incidence rate ratio 0.91, 95% CI 0.52–1.61, <i>p</i> = 0.48, <i>I</i><sup>2</sup> = 0.00%). Insufficient evidence was available to examine remaining risk factors.</p><h3 data-test=\\\"abstract-sub-heading\\\">Conclusions</h3><p>This meta-analysis revealed SRC in female youth playing CCIS was higher than previously reported, with SRC rates higher in matches than practice. Soccer had the highest SRC incidence rate for female youth athletes competing in contact invasion sports, whilst rugby union demonstrated the highest SRC incidence rates for collision invasion sports. The results of this review should be interpreted with caution given the lack of representation from some common CCIS codes. Further research is required to examine SRC risk factors in female youth athletes participating in CCIS.</p><h3 data-test=\\\"abstract-sub-heading\\\">Clinical Trial Registration</h3><p>OSF Registration: osf.io/s573v.</p>\",\"PeriodicalId\":21969,\"journal\":{\"name\":\"Sports Medicine\",\"volume\":\"39 1\",\"pages\":\"\"},\"PeriodicalIF\":9.3000,\"publicationDate\":\"2024-12-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sports Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s40279-024-02133-x\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sports Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s40279-024-02133-x","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0
摘要
背景：与接触和碰撞侵犯运动（CCIS）相关的运动相关性脑震荡（SRC）在女性青少年中的发病率和危险因素尚不清楚。本系统综述旨在确定(i)参加CCIS的女青年运动员SRC的发病率和（ii）危险因素。方法系统检索PubMed、CINAHL、Embase、SPORTDiscus和ProQuest数据库至2024年5月8日。两名审稿人独立筛选符合资格标准的文章，并评估偏倚风险（乔安娜布里格斯研究所关键评估工具）。纳入了报道参加CCIS的女青年运动员（13-19岁及以下）SRC发病率或危险因素的病因学或干预研究。荟萃分析探讨SRC的发病率和危险因素。对于SRC发病率的每项meta分析，均按运动进行亚组分析。对于SRC风险/保护因素的meta分析，如果异质性大于60%，则进行敏感性分析。结果检索到4509篇文章；66人入选。提取9例CCIS的运动相关脑震荡发生率或危险因素数据。汇总估计显示，CCIS中女青年运动员SRC的发生率为0.50/1000比赛和训练小时（95%可信区间[CI] 0.34-0.66）。通过运动分类检查，接触侵犯运动的SRC发病率为0.12/1000场比赛和练习小时（95% CI 0.03-0.21），碰撞侵犯运动的SRC发病率为2.08/1000场比赛和练习小时（95% CI 0.90-3.25）。个体运动亚组分析显示，女性青少年足球运动员在接触类运动中SRC总发病率最高（0.89/1000场比赛和练习小时，95% CI为−0.19 ~ 1.97），橄榄球联盟运动员在碰撞类运动中SRC总发病率最高（4.04/1000场比赛和练习小时，95% CI为3.03 ~ 5.05）。45项研究（68%）报告了SRC风险因素数据，调查了12种不同的潜在风险因素。女青年在CCIS比赛中SRC的发生率是训练的7.5倍以上（发生率比7.52,95% CI 6.32-8.95, p < 0.01）；但存在相当大的异质性（I2 = 84.98%）。在探讨潜在危险因素时，女青少年长曲棍球运动员佩戴与未佩戴头饰的SRC发生率无显著差异（p = 0.07）。年轻和年长年龄组的女青年运动员SRC发生率无显著差异（发病率比0.91,95% CI 0.52-1.61, p = 0.48, I2 = 0.00%）。没有足够的证据来检查剩余的危险因素。本荟萃分析显示，参加CCIS比赛的年轻女性的SRC发生率高于之前的报道，比赛中的SRC发生率高于练习。足球运动员在接触性侵犯运动中SRC发病率最高，而橄榄球联盟在碰撞性侵犯运动中SRC发病率最高。鉴于缺乏一些通用CCIS规范的代表性，应谨慎解释本综述的结果。参与CCIS的女青年运动员SRC的危险因素有待进一步研究。临床试验注册osf注册号：osf.io/s573v。
Incidence and Risk Factors for Sport-Related Concussion in Female Youth Athletes Participating in Contact and Collision Invasion Sports: A Systematic Review
Background
The incidence and risk factors for sport-related concussion (SRC) associated with contact and collision invasion sports (CCIS) in female youth are unclear.
Objectives
This systematic review aimed to identify (i) the incidence of and (ii) risk factors for SRC in female youth athletes playing CCIS.
Methods
A systematic search of PubMed, CINAHL, Embase, SPORTDiscus and ProQuest to 8 May, 2024 was conducted. Two reviewers independently screened articles against eligibility criteria and assessed risk of bias (Joanna Briggs Institute Critical Appraisal Tool). Aetiological or intervention studies reporting on SRC incidence or risk factors in female youth athletes (aged 13–19 years and under) participating in CCIS were included. Meta-analyses were conducted to explore SRC incidence and risk factors. For each meta-analysis of SRC incidence rate, sub-group analyses were conducted by sport. Where heterogeneity was above 60% for the meta-analysis of SRC risk/protective factors, sensitivity analyses were conducted.
Results
The search yielded 4509 articles; 66 were included. Sport-related concussion incidence or risk factor data for nine CCIS were extracted. Pooled estimates revealed SRC incidence for female youth athletes in CCIS combined was 0.50/1000 match and practice hours (95% confidence interval [CI] 0.34–0.66). When examined by sport classification, SRC incidence in contact invasion sports was 0.12/1000 match and practice hours (95% CI 0.03–0.21), and in collision invasion sports was 2.08/1000 match and practice hours (95% CI 0.90–3.25). Sub-group analysis by individual sport revealed female youth soccer players had the highest overall SRC incidence rate (0.89/1000 match and practice hours, 95% CI − 0.19 to 1.97) amongst contact sports, and rugby union players had the highest overall SRC incidence rate (4.04/1000 match and practice hours, 95% CI 3.03–5.05) among collision sports. Forty-five studies (68%) reported SRC risk factor data, investigating 12 different potential risk factors. Female youth sustained over 7.5 times the rate of SRC in matches compared with practice (incidence rate ratio 7.52, 95% CI 6.32–8.95, p < 0.01) when competing in CCIS; however, considerable heterogeneity existed (I2 = 84.98%). When exploring potential risk factors, no significant difference was found in SRC rate between female youth lacrosse players wearing versus not wearing headgear (p = 0.07). No significant difference was found in SRC rates between female youth athletes competing in younger versus older age groups (incidence rate ratio 0.91, 95% CI 0.52–1.61, p = 0.48, I2 = 0.00%). Insufficient evidence was available to examine remaining risk factors.
Conclusions
This meta-analysis revealed SRC in female youth playing CCIS was higher than previously reported, with SRC rates higher in matches than practice. Soccer had the highest SRC incidence rate for female youth athletes competing in contact invasion sports, whilst rugby union demonstrated the highest SRC incidence rates for collision invasion sports. The results of this review should be interpreted with caution given the lack of representation from some common CCIS codes. Further research is required to examine SRC risk factors in female youth athletes participating in CCIS.
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.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
