柔道運動傷害及就醫行為調查分析初探--以2008全國柔道錦標賽為例

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Title:	柔道運動傷害及就醫行為調查分析初探--以2008全國柔道錦標賽為例 The 2008 Investigation on Sport Injury and Medical Seeking Behavior in Elite Taiwan Judo Athletes
Authors:	張聰榮何文照莊榮仁何紀璋連昭美羅煥奎王信淵何宗融
Contributors:	運教所
Keywords:	柔道運動傷害就醫行為中醫 Judo Sport injury Medical seeking behaviors Transitional Chinese medicine
Date:	2009-12
Issue Date:	2018-11-16 14:57:24 (UTC+8)
Abstract:	柔道進行過程纏鬥激烈常有摔、制伏、壓制或扭關節等攻擊和防禦等拉扯動作，容易造成運動傷害。依據文獻顯示，先前的柔道比賽沒有中醫介入傷害處理，本研究針對2008柔道錦標賽之受傷選手進行中醫處理和教練及受傷選手進行醫療滿意度之調查。研究對象是以1837名2008年全國柔道錦標賽之比賽選手和教練為研究對象。結果此次研究統計顯示柔道運動選手其上肢受傷率明顯高於下肢且多好發於肩膀，另外柔道所造成的傷害以扭傷佔的百分比例最大，其次是挫傷以及拉傷等，顯示扭挫傷及肩部傷害對柔道運動選手為最應注意之傷害。平常訓練受傷就醫模式，選手平時受傷就醫的選擇大多數選擇中醫(61.7%)，其次是西醫(36.17%)，而教練就診則是選擇西醫(40.9%)與中醫(36.36%)並重，差距不大。對此次醫療服務滿意度上，對醫師的問診解說病情服務，對症狀之紓解改善速度都有達到85%以上的滿意度。因此在未來上，建議中醫醫療服務介入運動場上的有其必要性，並可有計畫地實施與推廣。 Judo combats involve fierce attack and defense movements such as throws, hold-downs, pinning and strangleholds, which are apt to cause sports injuries. Research results revealed there has been lack of Chinese medicine intervention to judo matches in the past. The present study investigates the Chinese medicine treatments of injured competitors, as well as medical satisfaction of coaches and competitors of 2008 National Judo Championship, with 1837 competitors and coaches in 2008 Judo Championship as survey objects. The statistics of the study demonstrates the injury rates of upper limbs of judo competitors are significantly higher than those of the lower extremities, as shoulder injuries occur frequently. In addition, sprain injuries account for the highest percentage of injuries caused during judo practice, followed by contusions and strain injuries. This result indicates contusions, strain injuries and shoulder injuries are injury types that require most attention. As to the medical seeking behavior, Chinese medicine is the first choice of medication for competitors (61.7%) during daily practice, followed by traditional western medicine (36.17%), though no distinct preference exists between traditional western medicine (40.9%) and Chinese medicine (36.36%) among coaches. Furthermore, the degree of medical satisfaction reached 85% regarding the Chinese medical physicians’ diagnosis and explanation of treatments, as well as injury relief the recovery rates. The introduction, promotion, and wide application of Chinese medicine to the treatments of sports injures is therefore strongly recommended.
Relation:	中醫骨傷科醫學雜誌 8 2009.12[民98.12] 頁31-37
Appears in Collections:	[Graduate Institute of Sport Coaching Science ] journal articles

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