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Bhanushali A, Bright R, Xu L, Cundy P, Williams N. Return to sport after forearm fractures in children: A scoping review and survey. J Child Orthop 2023; 17:164-172. [PMID: 37034195 PMCID: PMC10080236 DOI: 10.1177/18632521231156434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Accepted: 01/25/2023] [Indexed: 04/11/2023] Open
Abstract
Purpose A common question faced by clinicians is when a child may return to sport after treatment for a pediatric forearm fracture. There are few published recommendations and fewer supported by evidence. The aims of this study were to summarize existing published recommendation for return to sport after pediatric forearm fractures and to conduct a survey to determine usual clinical recommendations. Methods A scoping review was performed on Ovid MEDLINE, Cochrane Central Register of Controlled Trials, Embase, Scopus, and Google Scholar in accordance with the Joanna Briggs Institute guidelines. In addition, 64 orthopedic surgeons were anonymously surveyed asking for recommendations regarding return to sport after pediatric forearm fractures. Participants were to assume children were 9 years old and played a sport with an average risk of forearm injury. Results Twenty-two publications for return to sport were retrieved. Children with distal radius buckle fractures safely commonly returned to sport by 4 weeks after initial injury, while survey respondents recommended over 6 weeks. Survey respondents valued fracture stability the highest when making return to sport recommendations. Children with simple, metaphyseal, single-bone fractures were usually allowed to return to sport at 8-10 weeks post-injury. Diaphyseal and complete fractures were prescribed longer return to sport intervals. Australian respondents also prescribed longer return to sport intervals. Conclusion Children with distal radius buckle fractures may return to sport by 4 weeks after initial injury, sooner than recommended. Published recommendations remain limited for other fractures. However, our survey suggests children with simple, metaphyseal, single-bone fractures may return to sport at 8-10 weeks. Children with diaphyseal and complete fractures should abstain from sport for longer than metaphyseal and greenstick fractures, respectively. Level of evidence level V.
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Affiliation(s)
- Ameya Bhanushali
- University of Adelaide, Adelaide, SA,
Australia
- Department of Orthopaedic Surgery,
Women’s and Children’s Hospital, Adelaide, SA, Australia
- Department of Orthopaedics and Trauma,
Flinders Medical Centre, Adelaide, SA, Australia
| | | | - Louis Xu
- Department of Orthopaedic Surgery,
Women’s and Children’s Hospital, Adelaide, SA, Australia
| | - Peter Cundy
- University of Adelaide, Adelaide, SA,
Australia
- Department of Orthopaedic Surgery,
Women’s and Children’s Hospital, Adelaide, SA, Australia
| | - Nicole Williams
- University of Adelaide, Adelaide, SA,
Australia
- Department of Orthopaedic Surgery,
Women’s and Children’s Hospital, Adelaide, SA, Australia
- Nicole Williams, Department of Orthopaedic
Surgery, Women’s and Children’s Hospital, 72 King William Road, North Adelaide,
SA 5006, Australia.
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Cardoso-Marinho B, Barbosa A, Bolling C, Marques JP, Figueiredo P, Brito J. The perception of injury risk and prevention among football players: A systematic review. Front Sports Act Living 2022; 4:1018752. [PMID: 36570494 PMCID: PMC9768495 DOI: 10.3389/fspor.2022.1018752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 11/18/2022] [Indexed: 12/12/2022] Open
Abstract
Football is associated with a certain risk of injury, leading to short- and long-term health consequences. However, the perception of football players about injury risk and prevention strategies is poorly documented. The present article reviewed the literature about perceptions, beliefs, attitudes and knowledge toward injury risk and prevention strategies in football players. An electronic search was performed in PubMed, Scopus, Web of Science, and APA PsychINFO until July 2022. Studies were eligible if they included the perceptions, beliefs, attitudes, and knowledge about injury risk and prevention in football players from any competitive level. The risk of bias was assessed in included studies using the Joanna Briggs Institute critical appraisal checklist. A total of 14 studies were included. Most football players agreed that their risk of injury is high and prevention strategies are important, however they do not intend to use some of these strategies. The most frequent perceived injury risk factors were low muscle strength, lack of physical fitness, fatigue, excessive training and type and condition of surfaces. The most frequent perceived injury prevention factors were warm-up, workload monitoring and strength and conditioning training. It is essential to acknowledge perceived injury risk factors, as well as a better understanding of how coaching and medical departments' perceptions match with players' perceptions, and a modification in the perceptions of the several stakeholders at different levels of action.
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Affiliation(s)
- Beatriz Cardoso-Marinho
- Portugal Football School, Portuguese Football Federation, Oeiras, Portugal,Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, University of Maia, Maia, Portugal,Portuguese Institute of Sports and Youth, IPDJ, Sports Medicine Center, Porto, Portugal,Armed Forces Hospital, Porto, Portugal,Correspondence: Beatriz Cardoso-Marinho
| | - Ana Barbosa
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal,Laboratório Para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal
| | - Caroline Bolling
- Amsterdam Collaboration on Health & Safety in Sports, Department of Orthopaedic Surgery and Sports Medicine, Amsterdam Movement Science, Amsterdam UMC, Amsterdam, the Netherlands
| | - José Pedro Marques
- Portugal Football School, Portuguese Football Federation, Oeiras, Portugal,Hospital da Luz, Lisboa, Portugal
| | - Pedro Figueiredo
- Portugal Football School, Portuguese Football Federation, Oeiras, Portugal,Physical Education Department, College of Education, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates,Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, Vila Real, Portugal
| | - João Brito
- Portugal Football School, Portuguese Football Federation, Oeiras, Portugal
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Ma L, Liu J, Liu Y, Zhang Y, Yang C. Function of Perceived Corporate Social Responsibility in Safety of Sports Activities and Home Aerobic Equipment in the Late Period of COVID-19. Front Psychol 2022; 13:919254. [PMID: 35795447 PMCID: PMC9251432 DOI: 10.3389/fpsyg.2022.919254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 05/20/2022] [Indexed: 11/16/2022] Open
Abstract
The pandemic has impacted various industries, including the sports industry. However, corporate social responsibility (CSR) can mitigate the adverse effects of the crisis and promote the sports industry. To analyze the effect of CSR, the study examined the impact of perceived corporate social responsibility on injury prevention expectation, injury risk perception, and health up-gradation with the mediation of sports safety measures. There are 259 sportsmen of local sports bodies provided the data through a self-administered survey. Data analysis was conducted through Smart-PLS and SEM techniques. The outcome of the analysis showed that perceived corporate social responsibility leads to injury prevention expectation, injury risk perception, and health up-gradation. Also, the study found that sports safety measure mediates the relationship between perceived corporate social responsibility and injury prevention expectation, between perceived corporate social responsibility and injury risk perception, and between perceived corporate social responsibility and health up-gradation among sportsmen of local sports bodies. The theoretical implications were presented related to the significance of CSR and sports safety measure and their impact on sportsmen injury prevention expectation, health, and risk perception. The practical implications were related to the management of local sports bodies and how they can induce CSR initiatives and programs. Some limitations related to sample size, incorporating other variables, examining the model in other contexts, and using different study designs, have also been mentioned in the study.
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Affiliation(s)
- Lang Ma
- Physical Education Department, Southwest Jiaotong University, Chengdu, China
| | - Jiang Liu
- Physical Education Department, Southwest Jiaotong University, Chengdu, China
- *Correspondence: Jiang Liu
| | - Yicheng Liu
- Intensive Care Unit, Neijiang Hospital of Traditional Chinese Medicine, Neijiang, China
| | - Yue Zhang
- Physical Education Department, Southwest Jiaotong University, Chengdu, China
| | - Chunmei Yang
- Physical Education Department, Southwest Jiaotong University, Chengdu, China
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4
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Primary Periphyseal Stress Injuries in Young Athletes: A Systematic Review. Sports Med 2021; 52:741-772. [PMID: 34370212 DOI: 10.1007/s40279-021-01511-z] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/18/2021] [Indexed: 12/18/2022]
Abstract
BACKGROUND Overuse injuries are common in sporting children and adolescents. These injuries are a particular concern when they involve the epiphyseal-physeal-metaphyseal (EPM) complex given their potential to disturb skeletal growth. Specifically, the limits of mechanical tolerance of the EPM complex to repetitive stress may be exceeded by the intense and continuous training characteristic of many youth sports today. OBJECTIVE This article describes the present status of knowledge on the occurrence and outcome of primary periphyseal stress injuries (PPSIs) affecting the EPM complex in the extremities of children and adolescents involved in youth sports. METHODS A comprehensive review of the sports medicine literature was conducted to determine the nature and extent of PPSIs affecting the EPM complex of the extremities among youth sports participants and the potential for consequent skeletal growth disturbance and resultant limb deformity associated with these injuries. RESULTS Our initial search uncovered 128 original published scientific articles reporting relevant data on PPSIs. There were 101 case reports/series, 19 cross-sectional, 1 case-control, and 7 cohort studies with relevant data. The case reports/series studies reported 448 patients with PPSIs involving the extremities. Children and adolescents representing a variety of high impact repetitive youth sports activities-including baseball, badminton, climbing, cricket, dance, gymnastics, rugby, soccer, swimming, tennis, and volleyball-may sustain PPSIs involving the shoulder, elbow, hand and wrist, knee, and ankle and foot. Although incidence data from prospective cohort studies are lacking, data arising from cross-sectional studies suggest that PPSIs may be common in select groups of youth athletes-including the shoulder in baseball players (0-36.6%), wrist in gymnasts (10-83%) and platform divers (52.6%), and fingers in rock climbers (5-58%). Notably, not all stress-related skeletal changes detected on imaging were symptomatic in these studies. When diagnosed and treated with an appropriate period of rest and rehabilitation, most patients studied were able to return to their sport activities. However, our data also show that 57/448 PPSIs (12.7%) produced growth disturbance, and that 28/448 patients (6.2%) underwent surgery for their injuries. Absence of treatment, delayed presentation and diagnosis, and non-compliance with a rest regimen were common in cases that produced growth disturbance. CONCLUSIONS PPSIs may affect the extremities of children and adolescents engaged in a variety of youth sports, especially at advanced levels of training and competition. Most skeletally immature patients with PPSIs respond well to timely treatment; however, in extreme cases, PPSIs can progress to produce skeletal growth disruption which may necessitate surgical intervention. Clearly, establishing the early diagnosis of PPSIs and providing timely treatment of these injuries are needed to ensure the skeletal health of youth sports participants. Rigorous prospective longitudinal epidemiological and imaging studies designed to provide incidence rates of PPSIs and to determine the effect of PPSIs on long-term skeletal health are also necessary.
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Gardner MM, Grimm JT, Conner BT. Examining the Role of Risk Compensation in Extreme Sports. JOURNAL OF SPORT & EXERCISE PSYCHOLOGY 2021; 43:215-222. [PMID: 33883298 DOI: 10.1123/jsep.2020-0159] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 11/24/2020] [Accepted: 11/25/2020] [Indexed: 06/12/2023]
Abstract
This study explored the relations between sensation seeking, impulsivity, risk compensation, and extreme-sports injury to better understand contributing factors to risk taking in extreme sports and subsequent adverse outcomes. Data included cross-sectional survey responses from 1,107 college students (Mage = 19.47, SD = 2.14). Poisson, logistic, and negative binomial regressions were used to investigate the relations of interest. Results indicate that sensation seeking and impulsivity are significantly associated with both risk compensation and extreme-sports injury. Risk compensation is significantly and positively associated with extreme-sports injury in mountain biking and snowboarding. Risk compensation did not significantly moderate the relation between the personality constructs of interest and extreme-sports injury. These results show that the role of risk compensation in extreme-sports injury is highly sport-specific. These results highlight the importance of considering both personality and risk compensation in prevention and intervention efforts.
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Kerr ZY, Gildner P, Nedimyer AK, Chandran A, Kay MC, Byrd KH, Register-Mihalik JK. Approaching community priorities in youth sports injury prevention research. Inj Epidemiol 2020; 7:35. [PMID: 32624001 PMCID: PMC7335636 DOI: 10.1186/s40621-020-00261-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 05/22/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Research in youth sports is often complex. As interest in youth sports injury prevention grows, scientists should consider community priorities beyond a specific research study. MAIN TEXT This commentary discusses the authors' personal experiences researching concussion prevention in middle school sports, as the overarching community faced multiple challenges. These challenges included a series of weather-related emergencies that resulted in a shift in the community's priorities, multi-day school closures, and cancellations of sports activities and meetings. We discuss the importance of considering community priorities and providing support as scientists, colleagues, and members of the communities in which we conduct research. CONCLUSION Scientists should consider the changing circumstances and dynamics surrounding community priorities in order to help drive their research-based decisions and ensure successful and respectful applications of research based on community values and priorities.
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Affiliation(s)
- Zachary Y. Kerr
- Department of Exercise and Sport Science, Injury Prevention Research Center, University of North Carolina at Chapel Hill, 313 Woollen Gym CB#8700, Chapel Hill, NC 27599-8700 USA
| | - Paula Gildner
- Injury Prevention Research Center, University of North Carolina at Chapel Hill, Sheryl-Mar South Building, 521 S Greensboro St, Carrboro, NC 27510 USA
| | - Aliza K. Nedimyer
- Human Movement Science Curriculum, University of North Carolina at Chapel Hill, 209 Fetzer Hall, CB#8700, Chapel Hill, NC 27599-8700 USA
| | - Avinash Chandran
- Datalys Center for Sports Injury Research and Prevention, 401 West Michigan Street, Suite 500, Indianapolis, IN 46202 USA
| | - Melissa C. Kay
- School of Health Professions, University of Southern Mississippi, Harkins Hall (EHH), Hattiesburg, MS 224 USA
| | - K. Hunter Byrd
- Injury Prevention Research Center, University of North Carolina at Chapel Hill, Sheryl-Mar South Building, 521 S Greensboro St, Carrboro, NC 27510 USA
| | - Johna K. Register-Mihalik
- Department of Exercise and Sport Science, Injury Prevention Research Center, University of North Carolina, 125 Fetzer Hall CB#8700, Chapel Hill, NC 27599-8700 USA
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M Selveindran S, Tango T, Khan MM, Simadibrata DM, Hutchinson PJA, Brayne C, Hill C, Servadei F, Kolias AG, Rubiano AM, Joannides AJ, Shabani HK. Mapping global evidence on strategies and interventions in neurotrauma and road traffic collisions prevention: a scoping review. Syst Rev 2020; 9:114. [PMID: 32434551 PMCID: PMC7240915 DOI: 10.1186/s13643-020-01348-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Accepted: 04/02/2020] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Neurotrauma is an important global health problem. The largest cause of neurotrauma worldwide is road traffic collisions (RTCs), particularly in low- and middle-income countries (LMICs). Neurotrauma and RTCs are preventable, and many preventative interventions have been implemented over the last decades, especially in high-income countries (HICs). However, it is uncertain if these strategies are applicable globally due to variations in environment, resources, population, culture and infrastructure. Given this issue, this scoping review aims to identify, quantify and describe the evidence on approaches in neurotrauma and RTCs prevention, and ascertain contextual factors that influence their implementation in LMICs and HICs. METHODS A systematic search was conducted using five electronic databases (MEDLINE, EMBASE, CINAHL, Global Health on EBSCO host, Cochrane Database of Systematic Reviews), grey literature databases, government and non-government websites, as well as bibliographic and citation searching of selected articles. The extracted data were presented using figures, tables, and accompanying narrative summaries. The results of this review were reported using the PRISMA Extension for Scoping Reviews (PRISMA-ScR). RESULTS A total of 411 publications met the inclusion criteria, including 349 primary studies and 62 reviews. More than 80% of the primary studies were from HICs and described all levels of neurotrauma prevention. Only 65 papers came from LMICs, which mostly described primary prevention, focussing on road safety. For the reviews, 41 papers (66.1%) reviewed primary, 18 tertiary (29.1%), and three secondary preventative approaches. Most of the primary papers in the reviews came from HICs (67.7%) with 5 reviews on only LMIC papers. Fifteen reviews (24.1%) included papers from both HICs and LMICs. Intervention settings ranged from nationwide to community-based but were not reported in 44 papers (10.8%), most of which were reviews. Contextual factors were described in 62 papers and varied depending on the interventions. CONCLUSIONS There is a large quantity of global evidence on strategies and interventions for neurotrauma and RTCs prevention. However, fewer papers were from LMICs, especially on secondary and tertiary prevention. More primary research needs to be done in these countries to determine what strategies and interventions exist and the applicability of HIC interventions in LMICs.
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Affiliation(s)
- Santhani M Selveindran
- Department of Clinical Neurosciences, Addenbrooke’s Hospital, Cambridge, UK
- NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK
| | - Tamara Tango
- Faculty of Medicine, University of Indonesia, Depok, Jawa Barat Indonesia
| | - Muhammad Mukhtar Khan
- NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK
- Department of Neurosurgery, Northwest School of Medicine and Northwest General Hospital and Research Centre, Peshawar, Pakistan
| | | | - Peter J. A. Hutchinson
- Department of Clinical Neurosciences, Addenbrooke’s Hospital, Cambridge, UK
- NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK
| | - Carol Brayne
- NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK
- Institute of Public Health, University of Cambridge, Cambridge, UK
| | - Christine Hill
- NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK
- Institute of Public Health, University of Cambridge, Cambridge, UK
| | - Franco Servadei
- Department of Neurosurgery, Humanitas University and Research Hospital, Milan, Italy
- World Federation of Neurosurgical Societies, Nyon, Switzerland
| | - Angelos G. Kolias
- Department of Clinical Neurosciences, Addenbrooke’s Hospital, Cambridge, UK
- NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK
| | - Andres M. Rubiano
- NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK
- Department of Neurosurgery, Universidad El Bosque, Bogota, Colombia
| | - Alexis J. Joannides
- Department of Clinical Neurosciences, Addenbrooke’s Hospital, Cambridge, UK
- NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK
| | - Hamisi K. Shabani
- NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK
- Neurological Surgery Unit, Muhimbili Orthopaedic Institute and Muhimbili University College of Allied Health Sciences, Dar es Salaam, Tanzania
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[Risk-taking Behaviour and Aspects on Adolescents' Participation in High-risk Sports]. Prax Kinderpsychol Kinderpsychiatr 2020; 69:98-108. [PMID: 32114948 DOI: 10.13109/prkk.2020.69.2.98] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Risk-taking Behaviour and Aspects on Adolescents' Participation in High-risk Sports The age of adolescence represents an enhanced reward sensitivity which is often linked to increased risk-taking behaviour. Peers enhance risk-taking behaviour which is shown through delinquency and substance use. Whereas most research on adolescent risk-taking has been directed towards negative risk-taking, this narrative review tries to highlight adventure and high-risk sport participation as a prosocial form of risk-taking and its potential influence on adolescents' behaviour. Adventure/high-risk sports such as mountainbiking, freeride ski and snowboarding and climbing have grown exponentially in the last years with a high popularity among adolescents. Besides the inherent risk of severe injury in case of a mismanaged accident, which should be minimized by preventive steps such as educative risk-management and protective gear, those sports bear the potential for multiple psychological benefits such as enhanced mood, autonomy, resilience and self-efficacy. Adventure/high-risk sports seem to have the possibility to satisfy the need for rewards, prestige and risk-taking in a socially accepted way. Few research projects have already successfully integrated adventure sport interventions in clinical settings in mental health treatment. The idea of testing adventure/high-risk sport interventions as an addition to the treatment in child and adolescent psychiatry and psychotherapy could be promising and an impulse for future research projects.
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Caine DJ, Provance AJ. Pediatric and adolescent injury in adventure and extreme sports. Res Sports Med 2019; 26:5-19. [PMID: 30431358 DOI: 10.1080/15438627.2018.1434041] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Affiliation(s)
- Dennis J Caine
- a Department of Kinesiology and Public Health Education , University of North Dakota , Grand Forks , ND , USA
| | - Aaron J Provance
- b Department of Orthopedics , University of Colorado School of Medicine , Aurora , CO , USA
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10
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Abstract
Emotions are a signaling system, evolved by providing selective advantage through enhanced survival and reproduction. The selective advantage conferred by thrill or exhilaration, however, remains unknown. Hypotheses, as yet untested, include overcoming phobias or honing physical skills as juveniles, or exhibiting desirability during mate selection. Extreme sports can provide an ethically and experimentally feasible tool to analyze thrill. To use this tool, extreme sports must first be defined in a non-circular way, independent of participant psychology. Existing concepts, from different disciplines, focus, respectively, on drama, activity types, or consequences of error. Here, I draw upon academic and popular literature, and autoethnographic experience, to distinguish extreme from adventurous levels for a range of different outdoor sports. I conclude that extreme outdoor adventure sports can be defined objectively as those activities, conditions, and levels, where participant survival relies on moment-by-moment skill, and any error is likely to prove fatal. This allows us to examine the motivations, experiences, and transformations of individuals who undertake these activities. In particular, it will allow us to examine the emotional experience of thrill, previously studied principally as an aspect of personality, from new neurophysiological and evolutionary perspectives.
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Affiliation(s)
- Ralf C Buckley
- International Chair in Ecotourism Research, Griffith University, Gold Coast, QLD, Australia
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