國家級運動員運動傷害防護自我勝任能力 林燕君 陳勝凱 呂衍謀 吳汶蘭 呂怡靜 關鍵詞 : 運動傷害 防護自我勝任能力 國家級運動員 70.0% p p 結論 : 2008;33(4):

Transcription

1 國家級運動員運動傷害防護自我勝任能力 1,2 陳勝凱 1 呂衍謀 3 林燕君 2 吳汶蘭 4,5 呂怡靜 背景與目的 : 研究方法 : 結果 : % 44% (68.4%)14.1%3.7% 86.2% 70.0% p p 結論 : 2008;33(4): 關鍵詞 : 運動傷害 防護自我勝任能力 國家級運動員 1, (07) yijilu@cc.kmu.edu.tw

2 intrinsic risk factor extrinsic risk factor Q Q angle 9 Chomiak % 11,12 13 研究方法

3 Kappa Kappa > Spearman s correlation Kruskal- Wallis H test Mann-Whitney U test SPSS 10.0 α 0.05 結果 2. Kappa Kappa Kappa % % % % % % 123.1% 221

4 2. Kappa n=393 / / / n=220 56% n=173 44% / n=390 n=13 3.3% n=82 21% n=10 2.6% n=269 69% n=16 4.1% / / % 68.4% 14.1%3.7% 86.2% 4. n (%)* n (%)* (n=117) 0 24( 100%) 4.16% (66.7%) 13(33.3%) 18.52% (52.6%) 9(47.4%) 16.67% ( 100%) % (n=164) 51( 100%) % ( 8.3%) 11(91.7%) 16.67% (82.8%) 5(17.2%) 40.00% (38.5%) 16(61.5%) 8.33% ( 100%) 26.09% (45.0%) 11(55.0%) 26.30% (n=112) 9(46.2%) 7(43.8%) 13.33% (54.2%) 11(45.8%) 4.50% (34.8%) 15(65.2%) 19.05% (50.0%) 10(50.0%) 21.05% (48.3%) 15(51.7%) 23.08% * 222

5 33.6% 51.0% 14.1% 1.3% 45.0% 87.7% 79.9% 76.9% 89.0% % (n=376) % % % % 8 2.1% n= % % % % n= % % n= % % n= % % n= % % n= % % n= % % p< p p n(%)* n(%)* n(%) N=220 n=173 n= (57.3%) 101(58.3%) 227(57.8%) 173(78.6%) 116(67.1%) 289(73.5%) 171(77.7%) 137(79.2%) 236(60.0%) 119(54.1%) 81(46.8%) 200(50.9%) 96(43.6%) 81(46.8%) 177(45.0%) 138(62.7%) 91(52.6%) 229(58.3%) 130(59.1%) 93(53.8%) 223(56.7%) 141(64.1%) 119(68.8%) 260(66.2%) 90(40.9%) 50(28.9%) 140(35.6%) 126(57.3%) 84(48.6%) 210(53.4%) 91(41.4%) 70(40.5%) 161(41.0%) 154(70.0%) 114(65.9%) 268(68.2%) 95(43.2%) 74(42.8%) 169(43.0%) * 223

6 討論 15 21,22 Wiese-Bjornstal 1998 cognitive appraisal 23, %68.2% 66.2%Radelet Health worker effect cross-sectional study longitudinal study 結論 224

7 致謝 NSC H 參考文獻 1. Powell JW, Barber-Foss KD. Sex-related injury patterns among selected high school sport. Am J Sports Med 2000;28: DeHaven KE, Lintner DM. Athletic injuries: comparison by age, sport, and gender. Am J Sports Med 1986;14: Andersen MB, Williams JM. Athletic injury, psychosocial factors and perceptual changes during stress. J Sports Sci 1999;17: Inklaar H. Soccer injuries. II. Aetiology and prevention. Sports Med 1994;18: Hewett TE, Myer GD, Ford KR. Anterior cruciate ligament injuries in female athletes: Part 1, mechanisms and risk factors. Am J Sports Med 2006;34: Chomiak J, Junge A, Peterson L, Dvorak J. Severe Injuries in football players. Influencing factors. Am J Sports Med 2000;28: S Ekstrand J, Gillquist J. The frequency of muscle tightness and injuries in soccer players. Am J Sports Med 1982;10: McMaster WC, Walter M. Injuries in soccer. Am J Sports Med 1978; 6: Shellock FG, Prentice WE. Warming-up and stretching for improved physical performance and prevention of sports-related injuries. Sports Med 1985;2: de Loës M. Epidemiology of sports injuries in the Swiss organization "Youth and Sports" Injuries, exposure and risks of main diagnoses. Int J Sports Med 1995;16: Nicholl JP, Coleman P, Williams BT. The epidemiology of sports and exercise related injury in the United Kingdom. Br J Sports Med 1995;29: Thurman DT, Branche CM, Sniezek JE: The epidemiology of sports-related traumatic brain injuries in the United States: recent developments. J Head Trauma Rehabil 1998;13: Sandelin J, Santavirta S, Lättilä R, Vuolle P, Sarna S. Sports injuries in a large urban population: occurrence and epidemiological aspects. Int J Sports Med. 1988;9: Conrad CC. The president s council on physical fitness and sports. Am J Sports Med 1981;9: Duff JF. Youth Sports Injuries: A Medical Handbook for Parents and Coaches. New York: Collier Books; Fleiss JL. Statistical methods for rates and proportions. New York: Wiley; Destombe C, Lejeune L, Guillodo Y, Roudaut A, Jousse S, Devauchelle V, et al. Incidence and nature of karate injuries. Joint Bone Spine 2006;73: Heidt RS Jr, Sweeterman LM, Carlonas RL, Traub JA, Tekulve FX. Avoidance of soccer injuries with preseason conditioning. Am J Sports Med 2000;28: Wiese-Bjornstal DM, Smith AM, Shaffer SM, Morrey MA. An integrated model of response to sport injury: psychological and sociological dynamics. J Appl Sport Psychol 1998;10: Radelet MA, Lephart SM, Rubinstein EN, Myers JB. Survey of the injury rate for children in community sports. Pediatrics 2002;110: Marshall SW, Covassin T, Dick R, Nassar LG, Agel J. Descriptive epidemiology of collegiate women's gymnastics injuries: National Collegiate Athletic Association Injury Surveillance System, through J Athl Train 2007;42:

8

9 The Self-Efficacy of Sports Injury Prevention for the National Athletes Shen-Kai Chen 1,2 Yen-Mou Lu 1 Yen-Chun Lin 3 Wen-Lan Wu 2 Yi-Jing Lue 4,5 Background and purposes: The performance of elite athletes depends on the physical condition and skill levels, and also on the knowledge of injury prevention. The aim of this study was to survey self-efficacy of elite athletes in recognizing the injury prevention. Methods: This cross-sectional study investigated the elite athletes of 15 different sports from the Tsoying National Sport Training Center. A questionnaire survey was delivered to these athletes to assess the perceived ability of recognizing the injury prevention, the attitude of prevention behavior and if they knew the causes of the previous injury. Results: A total of 393 athletes (56% male and 44% female) were recruited in this study. The mean age was 20.9±3.3 years old. This investigation found that 86.2% of the elite athletes claimed that they have medium, sufficient, to very sufficient knowledge of sports injury prevention. However, only 70% of the participants passed the cut-off point of injury prevention score. The injury prevention score was positively correlated with age, years of sports experience, and level of education. Those who were not injured because of overuse or lack of education in protection has significantly higher self-recognition knowledge of sports injury prevention ability. (p value: ). However, those answers such as due to over use, poor physical condition, and not poor concentration had significantly higher self-efficacy of prevention behavior (p value: ). Conclusion: Most of the elite athletes were confident in knowledge of prevention of sports injury though with insufficient action taken. Different causes of previous injury seem to have different confident in knowledge of prevention of sports injury and self-efficacy prevention behavior. (FJPT 2008;33(4): ) Key Words: Sport injury, Self-efficacy, Elite atheletes Department of Orthopaedic, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan Faculty of Sports Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan Faculty of Physical Therapy, College of Health Science, Kaohsiung Medical University, Kaohsiung, Taiwan Department of Rehabilitation Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan Correspondence to: Yi-Jing Lue, Faculty of Physical Therapy, College of Health Science, Kaohsiung Medical University, 100, Shih- Chuan 1st Rd., Kaohsiung 807, Taiwan Tel: (07) yijilu@cc.kmu.edu.tw Received: November 27, 2007 Revised: May 26, 2008 Accepted: June 10,