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業餘綜合格鬥運動腦震盪及頭頸臉傷害之危險因子分析

Risk Factors for Concussion and Head, Neck, and Facial Injuries in Amateur Mixed Martial Arts Athletes

摘要


綜合格鬥(Mixed Martial Art)是2000年後台灣新興的運動,由於受傷比率及嚴重度較高,因此分析影響運動安全的各種因素極為重要,尤其是可能影響選手運動生涯的頭頸臉部傷害與腦震盪。本研究為台灣第一份分析綜合格鬥中頭頸臉傷及腦震盪之運動傷害的研究,藉由收集業餘綜合格鬥比賽共48人的資料來分析其受傷部位分布、腦震盪、頭頸臉傷盛行率及每回合、單位時間頭頸臉傷發生率,並與國外文獻比較以找出其中可能的影響因子與風險因子。統計結果以STATA14版分析勝算比及邏輯迴歸分析。賽事統計受傷人數為23名(47.92%),有頭頸臉受傷者19名,占總受傷人數82.61%。所有傷害類別中以頭頸臉傷害最多(75.76%),每回合出現頭頸臉傷的比例為20.65%,每秒鐘出現頭頸臉傷比例為0.13%,其中比賽持續時間較短者,有較高的頭頸臉傷害率。出現腦震盪者為2人,與其它全接觸運動比較,綜合格鬥腦震盪發生率並非最高。眾因子中,比賽輸贏對頭頸臉傷害有顯著影響,而年齡、量級、比賽結束方式、比賽回合數與比賽時間均對於頭頸臉傷害無顯著影響。本研究透過運動傷害風險因子的分析來提供日後賽事規則或醫療照護之參考,以期能促進業餘綜合格鬥比賽運動員之安全。

並列摘要


The popularity of mixed martial arts (MMA) has been on the rise globally since the year 2000 and Taiwan is no exception. Because MMA is a contact sport, it can cause sport-related injuries, especially concussion and head, neck, and facial injuries. This is the first study to analyse the risk of concussion and other head, facial, and neck injuries in amateur MMA competitions in Taiwan. Forty-eight competitors were enrolled in this study. The epidemiology of injuries was recorded and analysed using logistic regressions and odds ratios in STATA 14; data analysed included locations and incidence of concussion and head, neck, and facial injuries (per round, per seconds, and per athlete). Twenty-three (47.92%) athletes reported injuries, and 19 athletes experienced head, facial, and neck injuries, which accounted for 82.61% of all injuries. Head, facial, and neck injuries were the most common (75.75% among all injuries). The overall incidence of head, facial, and neck injuries was 20.65% per round and 0.13% per second; the injuries were more common in shorter bouts. Two athletes received a diagnosis of concussion, indicating that the incidence of concussion among amateur MMA fighters was not the highest among contact sports. Relative to losing athletes, winning athletes were less likely to sustain injuries of the head, face, and neck, whereas age, rank, and the determination of competitions, rounds, and the duration of competitions were not significantly related to these injuries. The results of the statistical analyses undertaken in our study may help establish injury prevention measures in amateur MMA competitions.

參考文獻


Lystad RP, Gregory K, Wilson J. The Epidemiology of Injuries in Mixed Martial Arts: A Systematic Review and Meta-analysis. Orthop J Sports Med 2014;2(1):2325967113518492.
Lystad RP, Pollard H, Graham PL. Epidemiology of injuries in competition taekwondo: a meta-analysis of observational studies. J Sci Med Sport 2009;12(6):614-21.
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黃昱倫、梁振威、張雅婷(2023)。以國際奧林匹克委員會共識聲明分析臺灣運動傷害與疾病流行病學研究大專體育學刊25(4),436-457。https://doi.org/10.5297%2fser.202312_25(4).0007

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