对青少年登山者的受伤人口统计,分布,严重程度和风险因素的前性分析
Volker Rainer Schöffl1,2, Isabelle Schöffl3,4, Gareth Jones4
1Orthopedic and Trauma Surgery, Sportsmedicine, Sozialstiftung Bamberg, Bamberg, Germany.
BMJ open sport & exercise medicine
|February 25, 2025
概括
青少年登山者经常遭受上肢损伤,特别是手指的初级周周体应力损伤 (PPSI). 预防策略应侧重于减少抓的使用和管理年轻登山者的训练负载.
科学领域:
- 运动医学 运动医学
- 儿科整形外科 儿科整形外科
- 登山伤害流行病学 登山伤害流行病学
背景情况:
- 青少年岩参与正在增加,需要了解运动特定的受伤模式.
- 关于登伤害的现有文献主要侧重于成年人群,留下了关于青少年登者的知识差距.
研究的目的:
- 为了前性地分析青少年登伤害的人口统计,分布和严重程度.
- 假设和调查青少年和成年登山者之间受伤模式的差异.
- 确定手指初级周周细胞应力损伤 (PPSI) 的患病率及其与训练变量之间的相关性.
主要方法:
- 从2017年至2020年,对青少年登山者 (<18岁) 进行前性,单中心伤害监测.
- 标准化问卷和检查协议收集了关于病史,训练和受伤细节的数据.
- 伤害被分类,并分析了风险因素,人体测量和发育阶段,并与成人文学进行比较.
主要成果:
- 在95名青少年登山者中记录了137起受伤;51.8%是慢性.
- 在82%的受伤中,上肢受到影响,手指的PPSI是最常见的 (45.3%).
- 伤害分布与成年人有显著差异 (p<0.001),男性比女性受伤指数更多.
结论:
- 青少年登山者主要遭受慢性上肢损伤,特别是手指的PPSI.
- 预防措施至关重要,包括减少手指纹的抓地力,监控训练负载,并确保充分恢复.
- 需要有针对性的教育和干预措施来缓解与登相关的伤害.
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