休息一下：休息日对美国职业棒球大联盟先发投手肌肉骨骼损伤的影响》（The Impact of Rest Days on Musculoskeletal Injuries Among Starting Pitchers in Major League Baseball）。

IF 2.1 3区医学 Q2 ORTHOPEDICS

Clinical Journal of Sport Medicine Pub Date : 2024-09-18 DOI:10.1097/jsm.0000000000001277

Matthew Waldrop,Zachary Sitton,Jeremy Swisher,Kiran Mullur,Stephen Davis

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引用次数: 0

摘要

目的：研究棒球大联盟（MLB）先发投手休息日对肌肉骨骼（MSK）损伤发生率的影响。参与者方法数据（2022-2023 年）来自 Baseball-Reference.com 和 fangraphs.com。按照两次先发之间的平均休息日对球队进行分组（A 组为 5 个休息日）。结果从 2022 年到 2023 年，MLB 两次首发之间的平均休息日为 4.80 天。A 组有 54 支球队。B 组有 6 支球队。各队每次首发的平均休息日范围为 4.56 至 5.73 天，平均休息日为 4.80 天。每 1000 次投球，B 组投手因 MSK 损伤休养 10.7 天，而 A 组休养 13.6 天（IRR = 0.78 [95% CI, 0.72-0.85]; P < 0.0001）。B 组比 A 组平均多投 0.93 球（P = 0.0164）。结论从 2022 年到 2023 年，MLB 球队中平均两次首发之间休息时间大于 5 天的首发投手因 MSK 损伤而接受 IL 治疗的时间少于平均休息时间小于 5 天的 MLB 球队。投球数没有临床意义上的显著差异，MSK损伤的IL分配次数也没有显著差异。

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Give It a Rest: The Impact of Rest Days on Musculoskeletal Injuries Among Starting Pitchers in Major League Baseball.

OBJECTIVE Examine the impact of rest days on musculoskeletal (MSK) injury incidence in Major League Baseball (MLB) starting pitchers. DESIGN Descriptive epidemiological study. SETTING MLB pitching and injury reports. PARTICIPANTS: MLB starting pitchers. METHODS Data (2022-2023) were obtained from Baseball-Reference.com and fangraphs.com. Teams were grouped by average rest days between starts (Group A <5 rest days, Group B >5 rest days). Poisson regression was used to compare main outcome measure incidence rate ratios (IRRs). INDEPENDENT VARIABLES Number of rest days between starts. MAIN OUTCOME MEASURES Pitches per start, MSK injury incidence, injured list (IL) days for MSK injury. RESULTS From 2022 to 2023, the average MLB rest days between starts was 4.80. Group A had 54 teams. Group B had 6 teams. The range of average rest days per start by team was 4.56 to 5.73 with a mean of 4.80. Group B pitchers spent 10.7 days on IL for MSK injuries per 1000 pitches, while Group A spent 13.6 days on IL (IRR = 0.78 [95% CI, 0.72-0.85]; P < 0.0001). Group B averaged 0.93 more pitches per start than Group A (P = 0.0164). Group B had a lower number of IL assignments for MSK injuries per 1000 pitches (0.245 vs 0.351, IRR = 0.70 [95% CI, 0.38-1.18]; P = 0.1715). CONCLUSIONS Starting pitchers on MLB teams averaging > 5 rest days between starts spent less time on the IL for MSK injuries than MLB teams averaging < 5 rest days from 2022 to 2023. There was no clinically significant difference in pitch count and no significant difference in the number of IL assignments for MSK injuries.

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来源期刊

Clinical Journal of Sport Medicine 医学-生理学

CiteScore

4.70

自引率

7.40%

发文量

185

审稿时长

6-12 weeks

期刊介绍： Clinical Journal of Sport Medicine is an international refereed journal published for clinicians with a primary interest in sports medicine practice. The journal publishes original research and reviews covering diagnostics, therapeutics, and rehabilitation in healthy and physically challenged individuals of all ages and levels of sport and exercise participation.