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Barendrecht M, Barten CC, van Mechelen W, Verhagen E, Smits-Engelsman BCM. Injuries in Physical Education Teacher Students: Differences between Sex, Curriculum Year, Setting, and Sports. TRANSLATIONAL SPORTS MEDICINE 2023; 2023:8643402. [PMID: 38654919 PMCID: PMC11023724 DOI: 10.1155/2023/8643402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Revised: 11/05/2022] [Accepted: 12/08/2022] [Indexed: 04/26/2024]
Abstract
Background Injury risk is high in Physical Education Teacher Education (PETE) students. Insights into specific injury locations per sex, setting, sports, and curriculum year are needed to develop preventive measures. Purpose To compare injury distributions by body locations in PETE students and how these distributions differ by sex, type, onset, curriculum year, settings, or sports. Methods In a historical cohort study over 14 years, data from 2899 students (male 76.2%, n = 1947) enlisted in the first three years of a PETE curriculum were analysed. Injuries reported at the institution's medical facility were categorised per sex, body location, onset, type, setting, sports, and curriculum year. Results Forty-three percent (n = 1247) of all students (female 54.9%, n = 523, male 37.2%, and n = 429) reported a total of 2129 injuries (freshmen 56.4%; 2nd year 28.2%; 3rd year 15.5%). The most prevalent sudden onset injury locations (63.4% of all injuries) were the ankle (32.5%) and knee (16.6). The most prevalent gradual onset injuries were the lower leg (27.8%) and knee (25.2%). Joint/ligament injuries (45.8%) and muscle/tendon injuries (23.4%) were the most prevalent injury types. Proportions for injury locations and injury types differed significantly between curriculum years. Injury prevalence per setting and sport differed significantly between the sexes. Injury locations differed significantly between sports and between the sexes per sport. Conclusion A differential approach per injury location, onset, type, sex, setting, sports, and curriculum year is needed to develop adequate preventive measures in PETE studies. The engagement of precurricular, intracurricular, and extracurricular stakeholders is needed in the development of these measures.
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Affiliation(s)
- Maarten Barendrecht
- Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences & Amsterdam Public Health Institute, Amsterdam UMC (location VUmc), Amsterdam, Netherlands
- Avans+ Improving Professionals, Claudius Prinsenlaan 140, Breda, Netherlands
| | - Carl C. Barten
- Haagsche Hogeschool, Academie voor Sportstudies, Mr. P. Droogleever Fortuynweg 22, Den Haag, Netherlands
- Sportgeneeskunde Rotterdam, Jan Leentvaarlaan 37-47, Rotterdam, Netherlands
| | - Willem van Mechelen
- Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences & Amsterdam Public Health Institute, Amsterdam UMC (location VUmc), Amsterdam, Netherlands
- Division of Exercise Science and Sports Medicine (ESSM), Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
- School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, University of Queensland, Brisbane, Australia
- School of Public Health, Physiotherapy and Population Sciences, University College Dublin, Dublin, Ireland
- Center of Human Movement Sciences, University Medical Center Groningen, Groningen, Netherlands
| | - Evert Verhagen
- Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences & Amsterdam Public Health Institute, Amsterdam UMC (location VUmc), Amsterdam, Netherlands
- Division of Exercise Science and Sports Medicine (ESSM), Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Bouwien C. M. Smits-Engelsman
- University of Cape Town, Faculty of Health Sciences, Department of Health and Rehabilitation Sciences, Old Main Building, Groote Schuur Hospital, Cape Town, South Africa
- Physical Activity Sport and Recreation, Faculty Health Sciences, North West University, Potchefstroom 2520, South Africa
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Barendrecht M, Tak I, Barten C, Verhagen E. Contribution of sex, sports and activity types and curriculum load distribution to intracurricular injury risk in physical education teacher education: a cohort study. BMJ Open Sport Exerc Med 2022; 8:e001415. [PMID: 36213759 PMCID: PMC9535192 DOI: 10.1136/bmjsem-2022-001415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2022] [Indexed: 11/06/2022] Open
Abstract
Objectives To investigate the influence of sports/activity types and their distribution over the curriculum years on intracurricular injury risk differences between curriculum years and sexes in Physical Education Teacher Education (PETE) studies. Methods In a cohort study over 14 years (2000-2014), injuries reported at the medical facility of a Dutch vocational institute by PETE students who completed their full curriculum were registered. Intracurricular injury rates (IR) per 1000 hours and 95% CIs were calculated per sport, sex and curriculum year and compared with injury rate ratios (RR) and 95% CI. Exposure times per sports category per curriculum year were compared with the χ2 test. Results Intracurricular IR was highest for gymnastics, team ball sports and track and field (0.76-1.23, 95% CI 0.65 to 1.45). IRs were higher for female compared with male students (RR 2.38, 95% CI 1.97 to 2.87). Comparisons for all individual sports and for all three curriculum years showed the same pattern. IR for the first year was higher than for the second (RR 1.79, 95% CI 1.45 to 2.21) and third year (RR 2.74, 95% CI 2.13 to 3.54) with similar patterns for all sports categories. Over the curriculum years, exposure time distributions per sport showed small differences (p<0.001, Cramer's V=0.07). Conclusion Curriculum year, sex and sports types are risk factors to be independently targeted for preventive and rehabilitative measures in PETE studies. The nature and aetiology of injuries in mixed sports, and the adaption to increased loads in first-year and female PETE students, need further investigation.
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Affiliation(s)
- Maarten Barendrecht
- Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- MSPT, Avans University of Applied Science, Breda, The Netherlands
| | - Igor Tak
- Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Physiotherapy Utrecht Oost, Utrecht, The Netherlands
| | - Carl Barten
- Academie voor Sportstudies, Haagsche Hogeschool, Den Haag, The Netherlands
- Sportgeneeskunde Rotterdam, Rotterdam, The Netherlands
| | - Evert Verhagen
- Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Division of Exercise Science and Sports Medicine (ESSM), Department of Human Biology, University of Cape Town Faculty of Health Sciences, Observatory, South Africa
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Barendrecht M, Barten CC, Smits‐Engelsman BCM, Mechelen W, Verhagen EALM. A retrospective analysis of injury risk in physical education teacher education students between 2000‐2014. TRANSLATIONAL SPORTS MEDICINE 2021. [DOI: 10.1002/tsm2.256] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Maarten Barendrecht
- Mijn Fysio en Adviespunt Den Haag the Netherlands
- Avans+ Improving Professionals Breda the Netherlands
| | - Carl C. Barten
- Haagsche Hogeschool Academie voor Sportstudies Den Haag the Netherlands
| | - Bouwien C. M. Smits‐Engelsman
- Department of Health and Rehabilitation Sciences Groote Schuur Hospital University of Cape Town Cape Town South Africa
| | - Willem Mechelen
- Amsterdam Collaboration on Health and Safety in Sports Department of Public and Occupational Health Amsterdam Movement Sciences & Amsterdam Public Health Institute Amsterdam UMC (location VUmc) Amsterdam the Netherlands
- Division of Exercise Science and Sports Medicine (ESSM) Department of Human Biology Faculty of Health Sciences University of Cape Town Cape Town South Africa
- Faculty of Health and Behavioural Sciences School of Human Movement and Nutrition Sciences University of Queensland Brisbane QLD Australia
- School of Public Health, Physiotherapy and Population Sciences University College Dublin Dublin Ireland
- Center of Human Movement Sciences University Medical Center Groningen Groningen the Netherlands
| | - Evert A. L. M Verhagen
- Amsterdam Collaboration on Health and Safety in Sports Department of Public and Occupational Health Amsterdam Movement Sciences & Amsterdam Public Health Institute Amsterdam UMC (location VUmc) Amsterdam the Netherlands
- Division of Exercise Science and Sports Medicine (ESSM) Department of Human Biology Faculty of Health Sciences University of Cape Town Cape Town South Africa
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Risk factors for musculoskeletal injuries in military personnel: a systematic review with meta-analysis. Int Arch Occup Environ Health 2021; 94:1173-1189. [PMID: 33987772 DOI: 10.1007/s00420-021-01700-3] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Accepted: 01/25/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To investigate the risk factors for musculoskeletal injuries in military personnel. METHODS A systematic literature search was carried out in August 2019 and updated in July 2020 without language or time filters. The inclusion criteria were prospective studies that investigated the risk factors for injuries in military personnel. Only risk factors analyzed by at least ten studies were selected for the meta-analysis. For data analysis, the RevMan5.3 program was used to compare the number of participants with injuries between high- or low-risk groups. The measurement of dichotomous variables was one of the selected parameters for the analysis, as well as the Mantel-Haenszel statistical method, random-effects model, and analysis with a relative risk (RR) and 95% confidence interval for the included studies. RESULTS A total of 2,629 studies were identified through databases. Thirty-four studies met the inclusion criteria. The groups considered at risk were the oldest [RR = 1.22; (95% CI 1.06-1.41)], with overweight or obesity [RR = 1.27; (95% CI 1.08-1, 48)], with previous injuries [RR = 1.15; (95% CI 1.01-1.30)], and with the worst performance in running tests of 1,600-3,200 m [RR = 1.87; (95% CI 1.28-2.71)]. Gender, ethnicity, and smoking were not associated with injuries. However, a subgroup analysis showed that among studies with a follow-up of fewer than 12 months, women presented RR = 2.44 (95% CI 1.65-3.60) more likely to develop injuries. CONCLUSION Age, overweight or obesity, previous injuries, and performance in the 1600-3200 m run are associated with an increased risk of injury in the military.
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Bliekendaal S, Barendrecht M, Stubbe J, Verhagen E. Mechanisms of sport‐related injuries in physical education teacher education students: A descriptive analysis of 896 injuries. TRANSLATIONAL SPORTS MEDICINE 2021. [DOI: 10.1002/tsm2.225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Sander Bliekendaal
- Department of Public and Occupational Health Amsterdam Collaboration on Health and Safety in SportsAmsterdam Movement ScienceAmsterdam UMC Amsterdam the Netherlands
- Faculty of Sports and Nutrition Amsterdam University of Applied Sciences Amsterdam the Netherlands
| | - Maarten Barendrecht
- Mijn Fysio en Adviespunt Den Haag The Netherlands
- Avans+ Breda The Netherlands
| | - Janine Stubbe
- Codarts University of the Arts Rotterdam The Netherlands
- PErforming artist and Athlete Research Lab (PEARL) Rotterdam The Netherlands
- Rotterdam Arts and Science Lab (RASL) Rotterdam The Netherlands
- Department of General Practice Erasmus MC University Medical Center Rotterdam The Netherlands
| | - Evert Verhagen
- Department of Public and Occupational Health Amsterdam Collaboration on Health and Safety in SportsAmsterdam Movement ScienceAmsterdam UMC Amsterdam the Netherlands
- Department of Human Biology Faculty of Health Sciences UCT/MRC Research Unit for Exercise Science and Sports Medicine (ESSM) University of Capetown Capetown South‐Africa
- Faculty of Physical Therapy & Occupational Therapy School of Physical EducationUniversidade Federal de Minas Gerais Belo Horizonte Brazil
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Abstract
OBJECTIVE To determine whether student characteristics, lower-extremity kinematics, and strength are risk factors for sustaining lower-extremity injuries in preprofessional contemporary dancers. DESIGN Prospective cohort study. SETTING Codarts University of the Arts. PATIENTS Forty-five first-year students of Bachelor Dance and Bachelor Dance Teacher. ASSESSMENT OF RISK FACTORS At the beginning of the academic year, the injury history (only lower-extremity) and student characteristics (age, sex, educational program) were assessed using a questionnaire. Besides, lower-extremity kinematics [single-leg squat (SLS)], strength (countermovement jump) and height and weight (body mass index) were measured during a physical performance test. MAIN OUTCOME MEASURES Substantial lower-extremity injuries during the academic year were defined as any problems leading to moderate or severe reductions in training volume or in performance, or complete inability to participate in dance at least once during follow-up as measured with the Oslo Sports Trauma Research Center (OSTRC) Questionnaire on Health Problems. Injuries were recorded on a monthly basis using a questionnaire. Analyses on leg-level were performed using generalized estimating equations to test the associations between substantial lower-extremity injuries and potential risk factors. RESULTS The 1-year incidence of lower-extremity injuries was 82.2%. Of these, 51.4% was a substantial lower-extremity injury. Multivariate analyses identified that ankle dorsiflexion during the SLS (OR 1.25; 95% confidence interval, 1.03-1.52) was a risk factor for a substantial lower-extremity injury. CONCLUSIONS The findings indicate that contemporary dance students are at high risk for lower-extremity injuries. Therefore, the identified risk factor (ankle dorsiflexion) should be considered for prevention purposes.
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Bliekendaal S, Stubbe J, Verhagen E. Dynamic balance and ankle injury odds: a prospective study in 196 Dutch physical education teacher education students. BMJ Open 2019; 9:e032155. [PMID: 31892652 PMCID: PMC6955497 DOI: 10.1136/bmjopen-2019-032155] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVE The aim of this study was to investigate whether dynamic balance, measured with the anterior component of the Star Excursion Balance Test (SEBT-ANT), is a risk factor for ankle injuries in physical education teacher education (PETE) students. DESIGN AND SETTING A prospective monocentre study in first-year PETE students. PARTICIPANTS A total of 196 subjects, of which 137 men (70%) and 59 women (30%). OUTCOME MEASURES This study consisted of measures of the SEBT-ANT at baseline (September 2015) and an injury registration procedure during a follow-up period (September 2015-June 2016). The association between the SEBT-ANT score and subsequent ankle injury was analysed with generalised estimating equations analysis at the leg level. RESULTS Men and women had an average SEBT-ANT score of, respectively, 65.1% and 67.7% of leg length. In 20 (15%) subjects, the first injured body site involved the ankle. Across all participants, a below average SEBT-ANT score was not associated with increased ankle injury odds (OR OR=2.43, 95% CI: 0.94 to 6.29, p=0.07). In men, a below average SEBT-ANT score indicated sevenfold increased odds for ankle injury (OR=7.06, 95% CI: 1.43 to 34.92, p=0.02). In women, this relationship was not significant (OR=0.72, 95% CI: 0.19 to 2.71, p=0.62). CONCLUSIONS Below average normalised SEBT-ANT scores were associated with sevenfold likelihood for ankle injuries in men. In contrast, no relationship was found for the SEBT-ANT score and ankle injuries in woman. These results may provide directions for the implementation of screening tools, as part of an injury prevention programme, to identify male PETE students with an increased likelihood for ankle injuries.
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Affiliation(s)
- Sander Bliekendaal
- Amsterdam University of Applied Sciences, Centre for Applied Research in Sports and Nutrition, Amsterdam, Netherlands
| | - Janine Stubbe
- Codarts University College for the Arts, Rotterdam, Zuid-Holland, The Netherlands
- Performing Artist and Athlete Research Lab (PEARL), Rotterdam, Netherlands
- Erasmus MC Medical University Center Rotterdam, Department General Practice, Rotterdam, Netherlands
- Rotterdam Arts and Science Lab (RASL), Rotterdam, Netherlands
| | - Evert Verhagen
- Amsterdam Collaboration on Health and Safety in Sports & Department of Public and Occupational Health, Amsterdam Movement Science, VU University Medical Center, Amsterdam, North Holland, The Netherlands
- UCT/MRC Research Unit for Exercise Science and Sports Medicine (ESSM), Department of Human Biology, Faculty of Health Sciences, University of Capetown, Capetown, South-Africa
- School of Physical Education, Faculty of Physical Therapy & Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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Bliekendaal S, Moen M, Fokker Y, Stubbe JH, Twisk J, Verhagen E. Incidence and risk factors of medial tibial stress syndrome: a prospective study in Physical Education Teacher Education students. BMJ Open Sport Exerc Med 2018; 4:e000421. [PMID: 30364458 PMCID: PMC6196946 DOI: 10.1136/bmjsem-2018-000421] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/29/2018] [Indexed: 11/24/2022] Open
Abstract
Objective Medial tibial stress syndrome (MTSS) is a common lower extremity overuse injury often causing long-term reduction of sports participation. This study aimed to investigate the incidence and risk factors of MTSS in first-year Dutch Physical Education Teacher Education (PETE) students. Methods This prospective study consisted of physical measures at baseline (height, weight, fat percentage, 3000 m run test, navicular drop test, hip internal and external range of motion, hip adduction and adduction strength, single leg squat and shin palpation), an intake questionnaire at baseline (age, sport participation, presence of MTSS, MTSS history, insole use and use of supportive shoes) and an MTSS registration procedure during the academic year of 2016–2017 (10 months) using a validated questionnaire. In total 221 first-year PETE students were included, of whom 170 (77%) were male and 51 (23%) female. The evaluation of risk factors was conducted with univariable and multivariable logistic generalised estimating equation analyses. Results In total 55 (25%) subjects, 35 (21%) men and 20 (39%) women, developed MTSS during the follow-up period. The associated risk factors were female sex (OR=3.14, 95% CI 1.39 to 7.11), above-average age (OR=0.31, 95% CI 0.13 to 0.76), above-average body mass index (OR=2.29, 95% CI 1.02 to 5.16) and history of MTSS (OR=5.03, 95% CI 1.90 to 13.30). Conclusion The incidence of MTSS is high in PETE students. Several risk factors were identified. These results demonstrate the need for prevention and may provide direction to preventive intervention design.
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Affiliation(s)
- Sander Bliekendaal
- Amsterdam University of Applied Sciences, Centre for Applied Research in Sports and Nutrition, Amsterdam, The Netherlands
| | - Maarten Moen
- Onze Lieve Vrouwe Gasthuis (OLVG), Amsterdam, The Netherlands
| | - Young Fokker
- Amsterdam University of Applied Sciences, Centre for Applied Research in Sports and Nutrition, Amsterdam, The Netherlands
| | - Janine H Stubbe
- Codarts University of the Arts, Rotterdam, The Netherlands.,Performing Artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands.,Rotterdam Arts and Science Lab (RASL), Rotterdam, The Netherlands
| | - Jos Twisk
- Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands
| | - Evert Verhagen
- Amsterdam Collaboration on Health and Safety in Sports & Department of Public and Occupational Health, Amsterdam Movement Science, VU University Medical Center, Amsterdam, The Netherlands.,UCT/MRC Research Unit for Exercise Science and Sports Medicine (ESSM) Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.,School of Physical Education, Faculty of Physical Therapy & Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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