Objectives To describe the frequency, type, and severity of health problems in long-track speed skating to inform injury prevention strategies. Methods We prospectively collected weekly health and sport exposure data on 84 highly trained Dutch athletes aged 15–21 years during the 2019/2020 season using the Oslo Sports Trauma Research Centre questionnaire on Health Problems and the trainers’ documentation. We categorised health problems into acute or repetitive mechanisms of injury or illness and calculated incidences (per 1000 sports exposure hours), weekly prevalence and burden (days of time loss per 1000 sports exposure hours) related to the affected body region. Results We registered 283 health problems (187 injuries, 96 illnesses), yielding an average weekly prevalence of health problems of 30.5% (95% CI 28.7% to 32.2%). Incidence rates were 2.0/1000 hours for acute mechanism injuries (95% CI 1.5 to 2.5) and 3.2/1000 hours for illnesses (95% CI 2.6 to 3.9). For acute mechanism injuries the head, shoulder and lumbosacral region had the highest injury burden of 5.6 (95% CI 4.8 to 6.5), 2.9 (95% CI 2.3 to 3.5) and 2.2 (95% CI 1.7 to 2.8) days of time loss/1000 hours, respectively. For repetitive mechanism injuries, the knee, thoracic spine, lower leg and lumbosacral region had the highest injury burden, with 11.0 (95% CI 9.8 to 12.2), 6.8 (95% CI 5.9 to 7.7), 3.9 (95% CI 3.2 to 4.6) and 2.5 (95% CI 1.9 to 3.1) days of time loss/1000 hours, respectively. Conclusion Our study demonstrated a high prevalence of acute and repetitive mechanism injuries in speed skating. These results can guide future research and priorities for injury prevention. Data are available on reasonable request.

中文翻译：

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荷兰青少年长道速滑精英运动员的健康问题：一项单赛季前瞻性研究


目标 描述长道速滑中健康问题的频率、类型和严重程度，为伤害预防策略提供信息。方法 我们使用奥斯陆运动创伤研究中心的健康问题调查问卷和训练员的文件，前瞻性地收集了 2019/2020 赛季 84 名 15-21 岁、训练有素的荷兰运动员的每周健康和运动暴露数据。我们将健康问题分为急性或重复性损伤或疾病机制，并计算了与受影响身体区域相关的发病率（每 1000 小时运动时间）、每周患病率和负担（每 1000 小时运动时间损失天数）。结果 我们登记了 283 种健康问题（187 种受伤，96 种疾病），健康问题的平均每周患病率为 30.5%（95% CI 28.7% 至 32.2%）。急性机制损伤的发生率为 2.0/1000 小时（95% CI 1.5 至 2.5），疾病发生率为 3.2/1000 小时（95% CI 2.6 至 3.9）。对于急性机制损伤，头部、肩部和腰骶部区域的损伤负担最高，分别为 5.6 天（95% CI 4.8 至 6.5）、2.9 天（95% CI 2.3 至 3.5）和 2.2 天（95% CI 1.7 至 2.8）天的时间损失/1000小时，分别。对于重复性机制损伤，膝关节、胸椎、小腿和腰骶部的损伤负担最高，分别为11.0（95% CI 9.8至12.2）、6.8（95% CI 5.9至7.7）、3.9（95% CI 3.2至12.2）、3.9（95% CI 3.2至12.2）。 4.6) 和 2.5 (95% CI 1.9 至 3.1) 天的时间损失/1000 小时，分别。结论 我们的研究表明，速度滑冰运动中急性和重复性机制损伤的发生率很高。这些结果可以指导未来的研究和伤害预防的优先事项。可根据合理要求提供数据。