Épidémiologie des blessures en athlétisme handisport : étude de cohorte sur 4 compétitions nationales

Abstract : Background and aims: the past few years have witnessed a real popularization of paralympic sports in France as in other countries. As valid athletes do, para-athletes can be experiencing injuries due to the constraints imposed by high intensity trainings combined with their handicap which may be a source of fragility. Those injuries can have major functional consequences and can alter the quality of life of the athletes. This study aims to determine the incidence of para-athletics’ injuries during competitions, analyze their characteristics (types, locations and causes) and to highlight the factors regularly associated with these injuries (gender, age, disability). Methods: a cohort study of 210 para-athletes was undertaken, all levels confused, who took part in one of four French national competitions in the 2016-2017 para-athletics season. Data were collected by 2 physicians with help of medical staff during the competitions. The collected data were the athlete's identity, impairment, location, type and mode of onset of the injury. Results: through the whole 4 competitions , the global proportion of injuries was 19% CI95% [13.7-24.4] and the incidence of 6,9 per 100 athletes-day CI95% [4.5-9.3]. Men were injured as many as women (17% CI95% [11.1-22.8] vs. 25% CI95% [13.5-37.5]. There is no significant difference in the occurrence of injuries between different age groups. Athletes with visual impairments (42.5% CI95% [27.2-57.8]) experienced the highest number of injuries followed by amputee athletes (23.8% CI95% [10.9-36.7]). Characteristics of injuries were 50% muscle lesions, in which 70% involved the thigh (hamstrings), 10.5% tendinosis and 10% skin lesions. In ambulant athletes, 39% of injuries was located in the thigh Conclusion: this cohort study brings new data about para-athletics traumatology. Athletes with visual impairment experienced the highest rate of injuries and prevention programs must focus on hamstring strains.
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Master Thesis
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Lucie Caudal. Épidémiologie des blessures en athlétisme handisport : étude de cohorte sur 4 compétitions nationales. Médecine humaine et pathologie. 2018. ⟨dumas-02072520⟩

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