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The Journal of Sports Medicine and Physical Fitness 1999 June;39(2):147-53

Copyright © 1999 EDIZIONI MINERVA MEDICA

lingua: Inglese

Head and neck injuries in young taekwondo athletes

Pieter W. 1, Zemper E. D. 2

1 School of Health and Sports Science, University of North London, London, UK; 2 Exercise Research Associates of Oregon (ExRA), Eugene, Oregon, USA


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Background. To inves­ti­gate the loca­tion, ­type, sit­u­a­tion and mech­a­nism of ­head and ­neck inju­ries in ­young taek­won­do ath­letes.
Methods. Experimental ­design: Prospective. Setting: National and inter­na­tion­al taek­won­do tour­na­ments. Participants: 3,341 ­boys and 917 ­girls, ­aged 6 to 16 ­years. Measures: Injury ­rates per 1,000 ath­lete-expo­sures (A-E) for ­total num­ber of ­head and ­neck inju­ries, loca­tion, ­type, sit­u­a­tion, and mech­a­nism of inju­ry.
Results. There was a sig­nif­i­cant dif­fer­ence ­between ­young ­male and ­female taek­won­do ath­letes in ­total ­head and ­neck inju­ry ­rate (p<0.001) ­with the ­boys (21.42/1,000 A-E) record­ing a high­er ­rate ­than the ­girls (16.91/1,000 A-E). The ­head was the ­most ­often ­injured ­body ­part (6.10/1,000 A-E and 4.55/1,000 A-E for ­boys and ­girls, respec­tive­ly). The con­tu­sion was the ­most ­often occur­ring inju­ry ­type for ­both ­boys (8.41/1,000 A-E) and ­girls (7.80/1,000 A-E). The cere­bral con­cus­sion ­ranked sec­ond in ­both ­boys (5.11/1,000 A-E) and ­girls (4.55/1,000 A-E). The ­unblocked ­attack was the ­major inju­ry sit­u­a­tion for ­both ­boys (19.78/1,000 A-E) and ­girls (14.96/1,000 A-E). As a con­se­quence, the ­major inju­ry mech­a­nism was receiv­ing a ­blow (20.93/1,000 A-E and 16.25/1,000 A-E for ­boys and ­girls, respec­tive­ly). Only the ­boys (0.66/1,000 A-E) ­incurred the ­most seri­ous ­head and ­neck inju­ries ­that result­ed in ≥21 ­days ­away ­from par­tic­i­pa­tion.
Conclusions. The nation­al and inter­na­tion­al taek­won­do gov­ern­ing bod­ies ­should ­review ­their cur­rent inju­ry pre­ven­tion meas­ures. Given the poten­tial­ly debil­i­tat­ing ­nature of ­these inju­ries, impli­ca­tions for any diag­nos­tic capa­bil­ities on ­site ­should be care­ful­ly ­reviewed.

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