关键词: gender health medicine performance team sport

来  源:   DOI:10.1002/ejsc.12128

Abstract:
World RugbyTM supports dedicated women\'s welfare, injury surveillance and medical/technical interventions, yet breast health has received limited attention. This article aims to provide insights into breast health issues in rugby, including breast impacts and injuries. We discuss how breast anatomy and position may be problematic in rugby. Breast volume relates to body size, which may be increasing in women\'s rugby, suggesting increased breast surface area and mass, potentially increasing injury risk. Breast health issues in rugby have been reported previously, with 58% of contact footballers (including rugby) experiencing breast injuries. There are damaging effects related to these breast health issues, with breast impacts often causing pain and swelling. Breast impacts may lead to haematomas, cysts and fat necrosis which can calcify over time making them difficult to distinguish from breast carcinoma, causing further investigation and anxiety. In sport, poor bra fit and insufficient support are associated with pain, skin strain and performance decrements. This article reports the potential implications of these breast health issues on performance in rugby. Recent breast-related projects supported by rugby communities may address recommendations identified in the literature for robust breast injury classifications, updated injury surveillance systems and prospective data collection on breast injury prevalence, severity and impact in rugby. These data should inform breast injury care pathways and intervention research, including evidence-based bra design. Understanding the implications of breast impacts on tissue properties, health and wellbeing is vital. Finally, data should inform rugby-specific breast education, raising awareness of this aspect of athlete health.
摘要:
WorldRugbyTM支持专门的妇女福利,伤害监测和医疗/技术干预,然而,乳房健康受到的关注有限。本文旨在提供有关橄榄球乳房健康问题的见解,包括乳房撞击和伤害。我们讨论了橄榄球中乳房的解剖结构和位置如何存在问题。乳房体积与身体大小有关,这在女子橄榄球运动中可能会增加,表明乳房表面积和肿块增加,潜在的伤害风险。以前曾报道过橄榄球的乳房健康问题,58%的接触足球运动员(包括橄榄球)经历乳房受伤。这些乳房健康问题有破坏性影响,乳房撞击通常会引起疼痛和肿胀。乳房撞击可能会导致血肿,囊肿和脂肪坏死会随着时间的推移而钙化,使其与乳腺癌难以区分,引起进一步的调查和焦虑。在体育运动中,胸罩合身性差和支撑不足与疼痛有关,皮肤应变和性能下降。本文报告了这些乳房健康问题对橄榄球表现的潜在影响。最近由橄榄球社区支持的乳房相关项目可能会解决文献中确定的关于乳房损伤的可靠分类的建议,更新的伤害监测系统和乳房伤害患病率的前瞻性数据收集,橄榄球的严重性和影响。这些数据应该为乳房损伤护理路径和干预研究提供信息,包括循证文胸设计。了解乳房对组织特性的影响,健康和福祉至关重要。最后,数据应告知针对橄榄球的乳房教育,提高对运动员健康这方面的认识。
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