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van Rijn RM, Volkova VG, Critchley ML, Stubbe JH, Kenny SJ. Injury Prevalence Among Elite Adolescent Ballet Dancers is not Affected by Frequency of Questionnaire Administration: A 6-Month Exploratory Prospective Study. J Dance Med Sci 2024:1089313X241256549. [PMID: 38853756 DOI: 10.1177/1089313x241256549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2024]
Abstract
INTRODUCTION The Oslo Sports Trauma Research Centre Questionnaire on Health Problems (OSTRC-H) is a valid and reliable registration method for self-reported injuries and is regularly used among dancer populations. Monthly questionnaire administration is acceptable in athlete populations but has not been evaluated in dancers. The aim of this exploratory study was to assess the influence of weekly versus monthly administration of the OSTRC-H on estimated injury outcomes among elite adolescent ballet dancers. METHODS Participants (n = 103) were prospectively followed for 6 months and completed the OSTRC-H online, evaluating perceived consequences of self-reported health problems during the previous week and the previous 4 weeks, respectively. Four definitions of dance-related injury were utilized: (1) all complaints, (2) substantial, (3) medical attention, and (4) time-loss injuries. Descriptive statistics estimated: (1) the number of injuries reported (count), (2) average injury prevalence [proportion, 95% confidence intervals (CI)], (3) average severity score (0-100), and (4) days of time loss (count) for each injury definition. The 4 outcome measures were then compared between weekly and monthly registration with paired sample t-tests (P < .05) and overlapping 95% CI. RESULTS A significant difference between the number of all complaints injuries (weekly: 133; monthly: 94; P < .001) and substantial injuries (weekly: 64; monthly: 45; P = .012) was found. Regardless of injury definition, there were no significant differences between injury prevalence, severity scores, and days of time loss when reported weekly versus monthly. CONCLUSION Monthly administration of the OSTRC-H is an acceptable method to estimate injury prevalence, severity scores, and days of time loss amongst elite adolescent ballet dancers.
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Affiliation(s)
- Rogier M van Rijn
- Codarts Rotterdam, University of the Arts, Rotterdam, The Netherlands
- Performing Artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands
| | - Valeriya G Volkova
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Canada
| | - Meghan L Critchley
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Canada
| | - Janine H Stubbe
- Codarts Rotterdam, University of the Arts, Rotterdam, The Netherlands
- Performing Artist and Athlete Research Lab (PEARL), Rotterdam, The Netherlands
| | - Sarah J Kenny
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Canada
- School of Creative and Performing Arts, Faculty of Arts, University of Calgary, Canada
- Alberta Children's Hospital Research Institute, University of Calgary, Canada
- O'Brien Institute for Public Health, University of Calgary, Canada
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Patel B, Schneider N, Vanguri P, Issac L. Effects of Education, Nutrition, and Psychology on Preventing the Female Athlete Triad. Cureus 2024; 16:e55380. [PMID: 38562361 PMCID: PMC10982842 DOI: 10.7759/cureus.55380] [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: 01/23/2024] [Accepted: 03/01/2024] [Indexed: 04/04/2024] Open
Abstract
The female athlete triad is a syndrome occurring in young female athletes defined by menstrual dysfunction, decreased energy availability (EA), and low bone mineral density (BMD). Although the triad includes these three conditions, not all three need to occur simultaneously for the diagnosis to be made. The goal of this review is to analyze published research on the female athlete triad and determine prevention methods in athletics. A review of 23 published sources using the PubMed database identified key recommendations, including education resources, psychological factors, and nutrition. It is recommended that athletes, parents, coaches, and healthcare professionals should learn about the risk factors, warning signs, and diagnosis for better prevention. Research revealed that eating disorders, self-esteem issues, and coach-athlete relationships should be evaluated and potentially managed with counseling. Finally, nutritional recommendations included maintaining EA, providing nutritional counseling, and proper nutritional education. Early intervention with proper education, psychological support, and nutritional management are vital to preventing the onset of the female athlete triad.
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Affiliation(s)
- Bijal Patel
- Osteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA
| | - Nicole Schneider
- Osteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA
| | - Pradeep Vanguri
- Health and Human Performance, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA
| | - Lailah Issac
- Sports Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA
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Edler C, Droste JN, Anemüller R, Pietsch A, Gebhardt M, Riepenhof H. Injuries in elite road cyclists during competition in one UCI WorldTour season: a prospective epidemiological study of incidence and injury burden. PHYSICIAN SPORTSMED 2023; 51:129-138. [PMID: 34808064 DOI: 10.1080/00913847.2021.2009744] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
METHODS Fifty-four male athletes from two different teams were involved. Accidents and injuries were recorded immediately after the incident by a team physician present at every race. Exposure, location, type and cause of injury have been recorded. Incidence was calculated. Severity was measured as a cumulative severity score and burden depicted in a risk matrix. RESULTS Total time of exposure was 12537 hours over 3524 athlete days and 544002 kilometers of racing. 98 accidents were recorded, with 83 leading to injury. The total number of recorded injuries was 193. Injury incidence for all injuries was 54,8 (±SD 47,7-62,8) /1000 athlete days, 15,4 (±SD 13,4-17,7) /1000 athlete hours and 35,5 (±SD 30,8-40,8) /100.000 km raced. By far the most frequent types of injury were hematomas, contusions and bruising (n = 141, 73%) followed by lacerations (n = 22; 11,4%). Most injuries affected the arm and elbow (n = 34, 17,6%) followed by the shoulder and clavicle (n = 28, 14,5%) and occurred with contact (79%). Fractures pose a high injury burden due to long time loss, whereas hematomas, contusions and bruising showed the highest incidence numbers but comparably less time loss. CONCLUSION Road cyclists' injuries have been underestimated in previous studies. Hematomas, contusions and bruising pose the highest number of injuries with a broad degree of severity and range of injury burden. Fractures are less common but show the highest injury burden. The upper extremities are involved the most.
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Affiliation(s)
- Christopher Edler
- Department of Prevention, Rehabilitation and Interdisciplinary Sports Medicine, Bg Hospital Hamburg - Teaching Hospital of the University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Jan-Niklas Droste
- Department of Prevention, Rehabilitation and Interdisciplinary Sports Medicine, Bg Hospital Hamburg - Teaching Hospital of the University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- Department of Medicine and Sports Science RB Leipzig Football Club, Leipzig Germany
| | - Ruben Anemüller
- Department of Trauma, Orthopedic Surgery and Sports Traumatology, BG Hospital Hamburg - Teaching Hospital of the University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Aki Pietsch
- Department of Prevention, Rehabilitation and Interdisciplinary Sports Medicine, Bg Hospital Hamburg - Teaching Hospital of the University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Matthias Gebhardt
- Department of Surgery and Sports Traumatology, Park Clinic Manhagen, Großhansdorf, Germany
| | - Helge Riepenhof
- Department of Prevention, Rehabilitation and Interdisciplinary Sports Medicine, Bg Hospital Hamburg - Teaching Hospital of the University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- Department of Medicine and Sports Science RB Leipzig Football Club, Leipzig Germany
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Why Median Severity and Ordinal Scale Severity Values should not be used for Injury Burden Results: A Critical Review. Int J Sports Med 2023; 44:313-319. [PMID: 36669525 DOI: 10.1055/a-1983-0040] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Injury burden is a composite measure of injury incidence and mean severity; this parameter has been reported as an output measure from injury surveillance studies in rugby for over 20 years. The benefits of reporting injury burden results have, more recently, been recognised in other sports. This wider use of injury burden as an output measure from injury surveillance studies has, however, highlighted misunderstandings about how to calculate, present and interpret injury burden data. The aim of this critical review is to explain why median severity and ordinal severity scales should not be used to calculate and report injury burden results in injury surveillance studies. Equations are presented to show how injury burden results should be calculated, and graphs and tables are presented to explain the errors that are introduced when median severity and ordinal scales of severity are used instead of mean severity. This critical review is intended to highlight the correct procedures for calculating, reporting and interpreting injury burden results in order to avoid incorrect results, conclusions and injury prevention recommendations being published.
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Fernandes I, Gomes JH, de Oliveira L, Almeida M, Claudino JG, Resende C, Neto DR, Galán MH, Oliveira PMP, Aidar FJ, Mendes R, Da Silva-Grigoletto ME. Monitoring of the Training Load and Well-Being of Elite Rhythmic Gymnastics Athletes in 25 Weeks: A Comparison between Starters and Reserves. Sports (Basel) 2022; 10:sports10120192. [PMID: 36548489 PMCID: PMC9780862 DOI: 10.3390/sports10120192] [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: 07/15/2022] [Revised: 08/16/2022] [Accepted: 11/14/2022] [Indexed: 11/29/2022] Open
Abstract
The objective of this study was to monitor the training loads (TL) and well-being of elite rhythmic gymnastics (RG) athletes, as well as compare these variables between starters and reserve gymnasts during 25 weeks of training. Ten athletes from the Brazilian national RG team (17.4 ± 1.1 y of age) were monitored during the general preparatory period (GPP), specific preparatory period (SPP), and pre-competitive period (PCP). The internal TL was quantified with the use of sessional ratings of perceived exertion (sRPE). We assessed well-being daily with a well-being scale. The TL, duration, monotony, and strain were calculated weekly. We found that the internal TL and session durations were 9242 ± 2511 AU and 2014 ± 450 min, respectively. The internal TL, strain, and monotony were greater in the PCP than in the GPP and SPP for starters. In the SPP, there were statistical differences in internal TL (p = 0.036) and strain (p = 0.027) between starters and reserves. In the PCP, there were also statistical differences between starters vs. reserves athletes regarding internal TL (p = 0.027) and strain (p = 0.05). There was no statistically significant difference in well-being between the periods assessed. In conclusion, RG athletes display a higher TL magnitude during the PCP, whereas only reporting non-significant minor variations in well-being. In addition, there is a discrepancy in the TL between starters and reserves.
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Affiliation(s)
- Iohanna Fernandes
- Functional Training Group, Post Graduate Program in Physical Education, Department of Physical Education, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
- Correspondence:
| | - João H. Gomes
- Department of Physical Education, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
| | - Levy de Oliveira
- Functional Training Group, Post Graduate Program in Physical Education, Department of Physical Education, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
| | - Marcos Almeida
- L’Esporte—Exercise and Sport Performance Research Group, Post Graduate Program in Physical Education, Department of Physical Education, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
| | - João G. Claudino
- Group of Research, Innovation and Technology Applied to Sport (GSporTech), Multi-User Laboratory of the Department of Physical Education (MultiLab of the DPE), Department of Physical Education, Center for Health Sciences, Federal University of Piauí, Teresina 64000-850, Brazil
| | - Camila Resende
- Brazilian Gymnastics Federation, Aracaju 81610-020, Brazil
| | - Dermival R. Neto
- Functional Training Group, Post Graduate Program in Physical Education, Department of Physical Education, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
| | - Mónica Hontoria Galán
- Faculty of Physical Activity and Sports Sciences (INEF—Sports Department), Polytechnic University of Madrid, 28040 Madrid, Spain
| | | | - Felipe J. Aidar
- Department of Physical Education, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
| | - Renata Mendes
- Study Group on Nutrition Applied to Exercise (GENAE), Department of Nutrition, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
| | - Marzo E. Da Silva-Grigoletto
- Functional Training Group, Post Graduate Program in Physical Education, Department of Physical Education, Federal University of Sergipe, São Cristóvão 49100-000, Brazil
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Gulati R, Rychlik K, Wild JT, LaBella CR. Rhythmic gymnasts' injuries in a pediatric sports medicine clinic in the United States: a 10-year retrospective chart review. PHYSICIAN SPORTSMED 2022; 50:454-460. [PMID: 35135415 DOI: 10.1080/00913847.2022.2040890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVES Rhythmic gymnastics injuries have not been studied thoroughly especially in the United States. Existing research studies are predominantly from Europe or Canada or from more than 15 years ago. The purpose of our study was to provide an updated description of injury patterns among rhythmic gymnasts in the United States. METHODS A retrospective chart review was conducted of 193 rhythmic gymnastics injuries in 79 females, ages 6-20. Patients were seen between January 2010 and March 2020 in a hospital-based pediatric sports medicine clinic. Gymnast demographics, injury locations, and injury types were collected as available. Descriptive and bivariate statistical analysis was performed using general linear mixed models. RESULTS Our cohort had a mean age of 14.61 ± 2.61 years. Overuse injuries (76.7%) were more common than acute injuries (23.3%). The most common injury types were strain (20.7%), nonspecific pain (15.5%), and tendinitis/tenosynovitis (10.36%). The most frequently injured body regions were lower extremity (75.1%), followed by trunk/back (19.2%), upper extremity (4.7%), and head/neck (1.0%). The most common injured body parts were foot (24.9%), ankle (15.5%), knee (15.0%), lower back (14.0%), and hip (13.0%). General linear mixed models revealed that older age (p = 0.001) and higher competitive level (p = 0.016) were associated with a greater number of diagnoses. Gymnasts with foot injuries were older than gymnasts with ankle (p = 0.026), hip (p < 0.0001), and knee (p = 0.002) injuries. Gymnasts with higher BMI-for-age percentile were more likely to have acute injuries than overuse (p = 0.035). CONCLUSION Our data showed that injuries among rhythmic gymnasts were most frequently located in the lower extremities, specifically the foot, followed by trunk/back. Additionally, the most frequent injury types were strains and nonspecific pain, and overuse was the most prevalent mechanism. Gymnasts with foot injuries were older than gymnasts with ankle, hip, and knee injuries. Higher BMI is a predictor of acute injuries.
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Affiliation(s)
- Reeti Gulati
- Medical Student, Northwestern University Feinberg School of Medicine, Chicago, United States
| | - Karen Rychlik
- Stanley Manne Children's Research Institute, Department of Pediatrics, Feinberg School of Medicine Northwestern University, Chicago, Unites States
| | - Jacob Thomas Wild
- Division of Pediatric Orthopedics and Sports Medicine, Northwestern University Feinberg School of Medicine. Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, United States
| | - Cynthia R LaBella
- Division of Pediatric Orthopedics and Sports Medicine, Northwestern University Feinberg School of Medicine. Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, United States
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Mashimo S, Hogan T, Nishida S, Watanabe Y, Matsuki Y, Suhara H, Yoshida N. Influence of Surveillance Methods in the Detection of Sports Injuries and Illnesses. Int J Sports Phys Ther 2022; 17:1119-1127. [PMID: 36237647 PMCID: PMC9528695 DOI: 10.26603/001c.37852] [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] [Received: 04/05/2022] [Accepted: 07/24/2022] [Indexed: 11/05/2022] Open
Abstract
Background Epidemiological data on sports injuries and illnesses depend on the surveillance methodology and the definition of the health problems. The effect of different surveillance methods on the data collection has been investigated for overuse injuries, but not for other health problems such as traumatic injuries and illnesses. Purpose The purpose of this study was to investigate the new surveillance method developed by the Oslo Sports Trauma Research Center (OSTRC), which is based on any complaint definition (new method), to identify health problems compared with the traditional surveillance method, which is based on time loss definition. Study design Descriptive epidemiology study. Methods A total of 62 Japanese athletes were prospectively followed-up for 18 weeks to assess differences in health problems identified by both new and traditional methods. Every week, the athletes completed the Japanese version of the OSTRC questionnaire (OSTRC-H2.JP), whereas the teams' athletic trainers registered health problems with a time loss definition. The numbers of health problems identified via each surveillance method were calculated and compared with each other to assess any differences between their results. Results The average weekly response rate to the OSTRC-H2.JP was 82.1% (95% CI, 79.8-84.3). This new method recorded 3.1 times more health problems (3.1 times more injuries and 2.8 times more illnesses) than the traditional method. The difference between both surveillance methods' counts was greater for overuse injuries (5.3 times) than for traumatic injuries (2.5 times). Conclusions This study found that the new method captured more than three times as many health problems as the traditional method. In particular, the difference between both methods' counts was greater for overuse injuries than for traumatic injuries. Level of evidence 2b.
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Affiliation(s)
- Sonoko Mashimo
- Institute for Liberal Arts and Sciences, Osaka Electro-Communication University
| | - Takaaki Hogan
- Media Communication Center, Osaka Electro-Communication University
| | - Satoru Nishida
- Faculty of Sports and Health Science, Fukuoka University
| | - Yumi Watanabe
- Department of Physical Therapy, Riseisha College of Medicine and Sport
| | - Yuya Matsuki
- Department of Health and Sports Sciences, Faculty of Health and Medical Sciences, Kyoto University of Advanced Science
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Bullock G, Prats-Uribe A, Thigpen CA, Boyer L, Varnado K, Pequette J, Shanley E. The Impact of Statewide Limitations of Practice on High School Injury Incidence During the COVID-19 Season: An Ecological Study. Sports Health 2022; 14:656-664. [PMID: 35766456 DOI: 10.1177/19417381221106693] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Abrupt training stoppage can increase injury incidence and risk following return to sport. The rate of coronavirus disease 2019 (COVID-19) infections in the general population has resulted in the abrupt stoppage of high school education and sport. The objective of this study was to (1) compare injury incidence proportion (IP) and excess injury in high school athletes before and during the COVID-19 pandemic; and (2) stratify by identified gender. HYPOTHESIS The COVID-19 academic year will demonstrate increased injury incidence, and injury incidence will be similar between genders. STUDY DESIGN Ecological. LEVEL OF EVIDENCE Level 2. METHODS High schools (6 states; 176 high schools) were matched between prepandemic and pandemic years. Injury IP with 95% confidence interval (CI) was calculated. Interrupted time series models with robust errors were performed to assess the IP ratio and excess injury incidence between prepandemic and pandemic academic calendar years. RESULTS A total of 98,487 athletes participated in high school sport in the prepandemic year and 72,521 athletes in the pandemic year; 15,477 injuries were reported in the prepandemic year compared with 14,057 injuries during the pandemic year. Injury IP (CI) was 15.7 (15.5-15.9) and 19.4 (19.1-19.7) for the prepandemic and pandemic years, respectively. Injury incidence ratio increased by 1.3 (1.2-1.5) between the prepandemic and pandemic years. Excess injuries were 1812 greater in the pandemic year compared with the prepandemic year. Female and male athlete incidence ratios were similar. CONCLUSION Prolonged sport stoppage due to the COVID-19 pandemic resulted in increased injury incidence compared with the previous high school academic year. CLINICAL RELEVANCE High school sports stakeholders should consider longer periods of ramp up for training in lieu of future sport stoppages compared with usual preseason training. These data may also have more generalizable implications to other abrupt sport and physical activity stoppage scenarios such as earthquakes and hurricanes.
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Affiliation(s)
- Garrett Bullock
- Department of Orthopaedic Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina.,Centre for Sport, Exercise and Osteoarthritis Research Versus Arthritis, University of Oxford, Oxford, UK
| | - Albert Prats-Uribe
- Pharmaco- and Device Epidemiology, Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, UK
| | - Charles A Thigpen
- ATI Physical Therapy.,University of South Carolina Center for Effectiveness Research in Orthopedics, Greenville, South Carolina
| | | | | | | | - Ellen Shanley
- ATI Physical Therapy.,University of South Carolina Center for Effectiveness Research in Orthopedics, Greenville, South Carolina
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Sastre-Munar A, Pades-Jiménez A, García-Coll N, Molina-Mula J, Romero-Franco N. Injuries, Pain, and Catastrophizing Level in Gymnasts: A Retrospective Analysis of a Cohort of Spanish Athletes. Healthcare (Basel) 2022; 10:healthcare10050890. [PMID: 35628027 PMCID: PMC9141380 DOI: 10.3390/healthcare10050890] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 05/08/2022] [Accepted: 05/10/2022] [Indexed: 02/04/2023] Open
Abstract
Physical and psychological demands from gymnastics increase the occurrence of injuries and pain among athletes, whose consequent level of catastrophizing could affect rehabilitation and performance. Although the characteristics of each gymnastics discipline may be key factors, they remain unclear. This study aimed to describe injuries, pain, and catastrophizing levels of gymnasts, according to their discipline and training characteristics. A total of 160 gymnasts fulfilled an online survey at the end of the 2021 season. Eighty gymnasts sustained 106 injuries (mainly ankle), and 128 had current pain (mainly low back). Although results were similar among disciplines, rhythmic gymnasts had a higher prevalence of low back pain (p = 0.003) and artistic wrist pain (p = 0.011). Gymnasts who sustained an injury displayed higher hours of training (p = 0.026), and those with current pain had more sports experience (p = 0.001) and age (p < 0.001). A higher catastrophizing level was observed in injured gymnasts and correlated with pain level (p < 0.001). No other differences were found (p > 0.05). Pain and injury prevalence is extremely high among gymnasts, being specific to the gymnastics discipline and increasing catastrophizing experience. Hours of training, age, and sports experience are key related factors, regardless of discipline.
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Affiliation(s)
- Andreu Sastre-Munar
- Nursing and Physiotherapy Department, University of the Balearic Islands, E-07122 Palma de Mallorca, Spain; (A.S.-M.); (A.P.-J.); (N.G.-C.); (N.R.-F.)
- Sport High Performance Centre of Balearic Islands, E-07009 Palma de Mallorca, Spain
| | - Antonia Pades-Jiménez
- Nursing and Physiotherapy Department, University of the Balearic Islands, E-07122 Palma de Mallorca, Spain; (A.S.-M.); (A.P.-J.); (N.G.-C.); (N.R.-F.)
| | - Natalia García-Coll
- Nursing and Physiotherapy Department, University of the Balearic Islands, E-07122 Palma de Mallorca, Spain; (A.S.-M.); (A.P.-J.); (N.G.-C.); (N.R.-F.)
| | - Jesús Molina-Mula
- Nursing and Physiotherapy Department, University of the Balearic Islands, E-07122 Palma de Mallorca, Spain; (A.S.-M.); (A.P.-J.); (N.G.-C.); (N.R.-F.)
- Correspondence:
| | - Natalia Romero-Franco
- Nursing and Physiotherapy Department, University of the Balearic Islands, E-07122 Palma de Mallorca, Spain; (A.S.-M.); (A.P.-J.); (N.G.-C.); (N.R.-F.)
- Health Research Institute of the Balearic Islands (IdISBa), E-07120 Palma de Mallorca, Spain
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10
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Training-Load Management in Rhythmic Gymnastics: Practices and Perceptions of Coaches, Medical Staff, and Gymnasts. Int J Sports Physiol Perform 2022; 17:530-540. [PMID: 35016155 DOI: 10.1123/ijspp.2021-0279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2021] [Revised: 07/31/2021] [Accepted: 08/13/2021] [Indexed: 11/18/2022]
Abstract
PURPOSE This study described and analyzed practices and perceptions of rhythmic gymnastics coaches, medical staff, and athletes on training-load management. METHODS Online surveys were distributed among professionals and gymnasts involved in rhythmic gymnastics training across the world. One hundred (50 coaches, 12 medical staff, and 38 gymnasts) participants from 25 different countries completed the surveys. RESULTS Respondents stated using coaches' perception on a daily basis as a method of monitoring external (57%) and internal (58%) load, recovery/fatigue (52%), and performance (64%). Variables and methods (eg, wearable devices, athlete self-reported measures, session rating of perceived exertion), and metrics (eg, acute and chronic load) commonly reported in the training-load literature and other sports were not frequently used in rhythmic gymnastics. The majority of coaches (60.3% [17%]) perceived that maladaptation rarely or never occurred. Medical staff involvement in sharing and discussing training-load information was limited, and they perceived that the measurement of athletes' recovery/fatigue was poor. Gymnasts noted good quality in relation to the measurement of performance. Most participants (≥85%) believed that a specific training-load management model for rhythmic gymnastics could be very or extremely effective. CONCLUSIONS In conclusion, rhythmic gymnastics coaches' perception is the most commonly used strategy to monitor load, recovery/fatigue, and performance; although, this could be a limited method to guarantee effective training-load management in this sport.
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Hausken-Sutter SE, Schubring A, Grau S, Af Gennäs KB, Barker-Ruchti N. Methodological implications of adapting and applying a web-based questionnaire on health problems to adolescent football players. BMC Med Res Methodol 2021; 21:252. [PMID: 34781894 PMCID: PMC8594195 DOI: 10.1186/s12874-021-01406-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Accepted: 09/20/2021] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND The Oslo Sport Trauma Research Centre Questionnaire on Health Problems (OSTRC-H) has become a popular tool to monitor health status in athletes. Originally developed for adult athletes, the tool is today also being used in adolescent athletes. However, little is known on the suitability of the questionnaire for the adolescent age group and the methodological implications of applying the tool to prospectively monitor illness and injury. To address this gap in methodological knowledge, the aim of this study is to outline and discuss the adaption and application process of the OSTRC-H to adolescent football players. METHOD The adaption process included a slightly modified back-translation method to translate the questionnaire. The application process included a web-based version of the Swedish OSTRC-H sent out once a week over 23 weeks to 115 adolescent football players aged 10-19 attending two football schools in Sweden. The response rate and prevalence of health problems over 23 weeks were calculated as feasibility indicators. Additionally, comprehensibility questions were added to the questionnaire in the end of the study. RESULT No major disagreement was found between the original and translated versions of the questionnaire. However, significant changes to the wording of the questions and answer categories were necessary to adapt it to adolescents. A visual body figure was also added. The average weekly response rate was 38% (SD 13.5). To increase this rate, questionnaire data was gathered retrospectively through telephone and email contact with the participants and their parents, elevating the response rate to 53% (SD 15.5). The adolescents experienced the questionnaire as easy to understand and to cover all relevant health problems. CONCLUSION Our study demonstrates the importance of adapting the questionnaire to the adolescent target group through translation, pre-tests, adjustments of wording and the facilitation of answering the questionnaire using a visual body figure. The study further shows the importance of keeping close and personal contact with the participants, their parents, teachers, and coaches throughout data collection. Future studies should take into account the age group and study context when adapting and applying the OSTRC-H to adolescents.
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Affiliation(s)
- Solveig E Hausken-Sutter
- Department of Food and Nutrition, and Sport Science, University of Gothenburg, Box 300, SE405 30, Gothenburg, Sweden.
| | - Astrid Schubring
- Department of Food and Nutrition, and Sport Science, University of Gothenburg, Box 300, SE405 30, Gothenburg, Sweden
| | - Stefan Grau
- Department of Food and Nutrition, and Sport Science, University of Gothenburg, Box 300, SE405 30, Gothenburg, Sweden
| | | | - Natalie Barker-Ruchti
- Department of Food and Nutrition, and Sport Science, University of Gothenburg, Box 300, SE405 30, Gothenburg, Sweden.,School of Health Sciences, Örebro University, Örebro, Sweden
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Nordstrøm A, Bahr R, Clarsen B, Talsnes O. Prevalence and Burden of Self-Reported Health Problems in Junior Male Elite Ice Hockey Players: A 44-Week Prospective Cohort Study. Am J Sports Med 2021; 49:3379-3385. [PMID: 34399056 PMCID: PMC8485253 DOI: 10.1177/03635465211032979] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
BACKGROUND Little is known about the burden of overuse injuries and illnesses in junior elite ice hockey. PURPOSE To describe the prevalence and burden of all health problems in junior male elite ice hockey players in Norway during 1 school year. STUDY DESIGN Descriptive epidemiological study. METHODS A total of 206 junior male ice hockey players (mean age, 17 years; range, 15-20 years) attending specialized sports academy high schools in Norway reported all health problems, acute injuries, overuse injuries, and illnesses, weekly during the 2018-2019 school year (44 weeks). The players self-reported injuries and illnesses using the Oslo Sports Trauma Research Center Questionnaire on Health Problems. RESULTS Of the players included, 25% (95% CI, 23%-27%) reported at least 1 health problem at any given time, while 16% (95% CI, 14%-17%) experienced health problems with a substantial negative effect on training and performance. Of the total burden of health problems, acute injuries accounted for 44%, overuse injuries 31%, and illnesses 25%. For acute injuries, the greatest burden was caused by injuries to the ankle, knee, and hand, whereas for overuse injuries the most burdensome location was the hip/groin and knee. CONCLUSION This study documented that while acute injuries did represent the greatest problem among junior elite ice hockey players, overuse injuries, especially to the knee and hip/groin, also had a substantial effect.
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Affiliation(s)
- Anine Nordstrøm
- Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway,Sykehuset Innlandet HF, Innlandet Hospital Trust, Elverum, Norway,Anine Nordstrøm, MD, Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sports Sciences, Postboks 4014 Ullevål stadion, 0806 Oslo, Norway () (Twitter: @AnineNordstrom)
| | - Roald Bahr
- Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway
| | - Ben Clarsen
- Sykehuset Innlandet HF, Innlandet Hospital Trust, Elverum, Norway,Center for Disease Burden, Norwegian Institute of Public Health, Bergen, Norway
| | - Ove Talsnes
- Sykehuset Innlandet HF, Innlandet Hospital Trust, Elverum, Norway,University of Oslo, Oslo University Hospital, Oslo, Norway
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Patel TS, McGregor A, Cumming SP, Williams K, Williams S. Return to competitive gymnastics training in the UK following the first COVID-19 national lockdown. Scand J Med Sci Sports 2021; 32:191-201. [PMID: 34558741 DOI: 10.1111/sms.14063] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Revised: 09/03/2021] [Accepted: 09/21/2021] [Indexed: 01/29/2023]
Abstract
Following the outbreak of COVID-19 (coronavirus), the UK entered a national lockdown, and all sport was suspended. The study aimed to explore the process of returning to gymnastics training after several months away from the gym, with a particular interest towards training load and injury. Twenty-six, national programmed gymnasts from Men's artistic, Women's artistic and Trampoline gymnastics recorded training load and injury whilst returning to training. At the end of data collection, three coaches were interviewed to further explore the experiences and practices of returning to training. Home-based training during lockdown was seen as beneficial in maintaining a level of fitness. Coaches described a gradual increase in training to reduce the risk of injury, and this partly explains a non-significant association between training load and a substantial injury (p = 0.441). However, week-to-week changes in training load following periods of additional restrictions (additional lockdown, periods of isolation, or substantial restrictions) were not always gradual. There was a significant association between an injury in the preceding week (niggle or substantial injury to a different body part) and a substantial injury in the subsequent week (RR: 5.29, p = 0.011). Monitoring training was described to be a useful practice during the process of returning to training. Coaches believed that although the short-term development of their gymnasts was affected, the long-term development would not be impacted from COVID-19. It is anticipated that learnings from this study can be applied to future practices and situations, particularly when gymnasts are away from the gym for an extended period.
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Affiliation(s)
- Tejal Sarika Patel
- British Gymnastics, Lilleshall National Sports Centre, Shropshire, UK.,Department for Health, University of Bath, Bath, UK
| | - Alex McGregor
- British Gymnastics, Lilleshall National Sports Centre, Shropshire, UK
| | | | - Karen Williams
- British Gymnastics, Lilleshall National Sports Centre, Shropshire, UK
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