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Hirata A, Saito Y, Nakamura M, Muramatsu Y, Tabira K, Kikuchi K, Manabe T, Oka K, Sato M, Oguma Y. Epidemiology of adverse events related to sports among community people: a scoping review. BMJ Open 2024; 14:e082984. [PMID: 38866565 PMCID: PMC11177675 DOI: 10.1136/bmjopen-2023-082984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Accepted: 06/01/2024] [Indexed: 06/14/2024] Open
Abstract
OBJECTIVES Numerous reports have described injuries and illnesses in competitive athletes, but studies on leisure-time physical activity and associated adverse events in the general population have not been adequately reviewed. This study aimed to summarise the previous findings on this topic. DESIGN Scoping review. DATA SOURCES PubMed and Ichushi-Web for articles in English and Japanese, respectively (13 April 2023). ELIGIBILITY CRITERIA FOR SELECTING STUDIES Articles on adverse events related to sports performed by 'individuals and groups active in the community' were included, whereas those on elite athletes, exercise therapy and rehabilitation, and school sports were excluded. Terms related to physical activity, exercise, sports and adverse events were used for the search strategies. RESULTS The literature search yielded 67 eligible articles. Most articles were from the USA, Japan and Australia. Running, scuba diving, rugby and soccer were the most commonly reported sports. Adults were the most common age category in the samples. The most commonly reported adverse events were injuries; only 10 articles reported diseases. 13 longitudinal studies reported the frequency of adverse events based on the number of events/participants×exposure. CONCLUSION Adverse events such as sports trauma, disability and certain diseases occur sometimes during sporting activities by residents; however, the articles identified in this review showed biases related to the countries and regions where they were published and the sports disciplines and types of adverse events reported, and articles reporting the frequency of adverse events were also limited. This highlights the need for more high-quality observational studies on diverse populations in the future.
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Affiliation(s)
- Akihiro Hirata
- Research Fellow, Japan Society for the Promotion of Science, Chiyoda-ku, Tokyo, Japan
- Graduate School of Health Management, Keio University, Fujisawa, Kanagawa, Japan
| | - Yoshinobu Saito
- Faculty of Sport Management, Nippon Sport Science University, Yokohama, Tokyo, Japan
- Graduate School of Physical Education, Health and Sport Studies, Nippon Sport Science University, Yokohama, Kanagawa, Japan
| | - Manabu Nakamura
- Graduate School of Health Management, Keio University, Fujisawa, Kanagawa, Japan
| | - Yasuaki Muramatsu
- Graduate School of Health Management, Keio University, Fujisawa, Kanagawa, Japan
| | - Kento Tabira
- Graduate School of Health Management, Keio University, Fujisawa, Kanagawa, Japan
| | - Kanako Kikuchi
- Graduate School of Health Management, Keio University, Fujisawa, Kanagawa, Japan
| | - Tomoki Manabe
- Graduate School of Health Management, Keio University, Fujisawa, Kanagawa, Japan
| | - Kentaro Oka
- Graduate School of Health Management, Keio University, Fujisawa, Kanagawa, Japan
| | - Mizuki Sato
- Graduate School of Health Management, Keio University, Fujisawa, Kanagawa, Japan
| | - Yuko Oguma
- Graduate School of Health Management, Keio University, Fujisawa, Kanagawa, Japan
- Sports Medicine Research Center, Keio University, Yokohama, Kanagawa, Japan
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Ressman J, von Rosen P, Grooten WJA, Rasmussen-Barr E. Factors associated with the Single Leg Squat test in female soccer players: a cross-sectional study. BMC Sports Sci Med Rehabil 2024; 16:76. [PMID: 38566260 PMCID: PMC10985895 DOI: 10.1186/s13102-024-00853-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Accepted: 02/19/2024] [Indexed: 04/04/2024]
Abstract
BACKGROUND The Single Leg Squat (SLS) test is widely used in the clinical setting to examine and evaluate rehabilitation goals. It is simple to perform and is proposed to have biomechanical and neuromuscular similarities to athletic movements. The aim of the present study was to investigate whether demographics, previous injuries, and biomechanical and psychosocial factors are associated with the outcome of the SLS, assessed as a total score for all segments and as a separate knee segment in elite and sub-elite female soccer players. METHODS We conducted a cross-sectional study involving 254 female soccer players (22 yrs; SD ± 4, height 1.69 m; SD ± 0.1, weight 64 kg; SD ± 6) from divisions 1-3 of the Swedish Soccer League. During the preseason, we assessed the participants using the SLS and tested their hip strength and ankle mobility. Demographics, previous injury, sleep quality, fear of movement, anxiety, and perceived stress were assessed with questionnaires. Logistic regression models were built to analyse the association between the outcome of the SLS and the independent variables for the dominant and non-dominant leg. RESULTS Significantly more participants failed the SLS on the dominant leg compared with the non-dominant leg (p < 0.001). The outcome of the SLS associated with various biopsychosocial factors depending on if the dominant or non-dominant leg was tested. The total score associated with hip strength for the dominant (OR 0.99, 95% CI 0.98-0.99, p = 0.04) and the non-dominant leg (OR 0.99, 95% CI 0.97-0.99, p = 0.03). The knee segment associated with division level for the dominant (div 2; OR 2.34, 95% CI 1.01-5.12, p = 0.033. div 3; OR 3.07, 95% CI 1.61-5.85, p = 0.001) and non-dominant leg (div 2; OR 3.30, 95% CI 1.33-8.00, p = 0.01. div 3; OR 3.05, 95% CI 1.44-6.43, p = 0.003). CONCLUSIONS This study identified that leg dominance, division level, hip strength, and psychosocial factors were associated with the outcome of the SLS when assessed as a total score and as a separate knee segment. This indicates that clinicians need to understand that movement control is associated with factors from several domains. Whether these factors and, the results of the SLS are related to injury need to be studied prospectively. TRIAL REGISTRATION Clinical Trials Gov, date of registration 2022-03-01. CLINICAL TRIALS IDENTIFIER NCT05289284A.
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Affiliation(s)
- John Ressman
- Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Alfred Nobels Allé 23, Huddinge, Stockholm, 141 83, Sweden.
| | - Philip von Rosen
- Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Alfred Nobels Allé 23, Huddinge, Stockholm, 141 83, Sweden
| | - Wilhelmus Johannes Andreas Grooten
- Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Alfred Nobels Allé 23, Huddinge, Stockholm, 141 83, Sweden
- Medical Unit Occupational Therapy and Physiotherapy, Allied Health Professionals, Karolinska University Hospital, Stockholm, 141 86, Sweden
| | - Eva Rasmussen-Barr
- Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Alfred Nobels Allé 23, Huddinge, Stockholm, 141 83, Sweden
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Edouard P, Dandrieux PE, Blanco D, Tondut J, Chapon J, Navarro L, Junge A, Hollander K. How do sports injury epidemiological outcomes vary depending on athletes' response rates to a weekly online questionnaire? An analysis of 39-week follow-up from 391 athletics (track and field) athletes. Scand J Med Sci Sports 2024; 34:e14589. [PMID: 38441349 DOI: 10.1111/sms.14589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 01/26/2024] [Accepted: 02/22/2024] [Indexed: 03/07/2024]
Abstract
OBJECTIVE To explore how sports injury epidemiological outcomes (i.e., prevalence, average prevalence, incidence, burden, and time to first injury) vary depending on the response rates to a weekly online self-reported questionnaire for athletes. METHODS Weekly information on athletics injuries and exposure from 391 athletics (track and field) athletes was prospectively collected over 39 weeks (control group of the PREVATHLE randomized controlled trial) using an online self-reported questionnaire. The data were used to calculate sports injury epidemiological outcomes (i.e., prevalence, average prevalence, incidence, burden, and time to first injury) for sub-groups with different minimum individual athletes' response rates (i.e., from at least 100%, at least 97%, at least 95%, … to at least 0% response rate). We then calculated the relative variation between each sub-group and the sub-group with a 100% response rate as a reference. A substantial variation was considered when the relative variation was greater than one SD or 95% CI of the respective epidemiological outcome calculated in the sub-group with a 100% response rate. RESULTS Of 15 249 expected weekly questionnaires, 7209 were completed and returned, resulting in an overall response rate of 47.3%. The individual athletes' response rates ranged from 0% (n = 51) to 100% (n = 100). The prevalence, average weekly prevalence, and time to first injury only varied substantially for the sub-groups below a 5%, 10% and 18% minimum individual response rate, respectively. The incidence and injury burden showed substantial variations for all sub-groups with a response rate below 100%. CONCLUSIONS Epidemiological outcomes varied depending on the minimum individual athletes' response rate, with injury prevalence, average weekly prevalence, and time to first injury varying less than injury incidence and injury burden. This highlights the need to take into account the individual response rate when calculating epidemiological outcomes, and determining the optimal study-specific cut-offs of the minimum individual response rate needed.
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Affiliation(s)
- Pascal Edouard
- Inter-University Laboratory of Human Movement Biology (EA 7424), Université Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Saint-Etienne, France
- Sports Medicine Unit, Department of Clinical and Exercise Physiology, Faculty of Medicine, University Hospital of Saint-Etienne, Saint-Etienne, France
- European Athletics Medical & Anti-Doping Commission, European Athletics Association (EAA), Lausanne, Switzerland
| | - Pierre-Eddy Dandrieux
- Inter-University Laboratory of Human Movement Biology (EA 7424), Université Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Saint-Etienne, France
- Mines Saint-Etienne, University of Lyon, Université Jean Monnet, INSERM, U 1059 Sainbiose, Centre CIS, Saint-Etienne, France
- Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany
| | - David Blanco
- Physiotherapy Department, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Jeanne Tondut
- Inter-University Laboratory of Human Movement Biology (EA 7424), Université Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Saint-Etienne, France
- Mines Saint-Etienne, University of Lyon, Université Jean Monnet, INSERM, U 1059 Sainbiose, Centre CIS, Saint-Etienne, France
| | - Joris Chapon
- Inter-University Laboratory of Human Movement Biology (EA 7424), Université Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Saint-Etienne, France
| | - Laurent Navarro
- Mines Saint-Etienne, University of Lyon, Université Jean Monnet, INSERM, U 1059 Sainbiose, Centre CIS, Saint-Etienne, France
| | - Astrid Junge
- Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany
- Center for Health in Performing Arts, MSH Medical School Hamburg, Hamburg, Germany
| | - Karsten Hollander
- Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany
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Diz JBM, Dutra MTP, Feijó IC, Sogno ALM, Silva FR, Carnevale GDEF, Moreira BDES, Silva CFM. LOW BACK PAIN ESTIMATES IN PROFESSIONAL SOCCER: A SYSTEMATIC REVIEW AND META-ANALYSIS. ACTA ORTOPEDICA BRASILEIRA 2023; 31:e266012. [PMID: 38115872 PMCID: PMC10726716 DOI: 10.1590/1413-785220233105e266012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Accepted: 11/22/2022] [Indexed: 12/21/2023]
Abstract
Objective To evaluate the epidemiological and clinical characteristics of low back pain (LBP) in adult professional soccer players. Methods Systematic review and meta-analysis. Results The review included 44 studies. The pooled prevalence of LBP during ≤ 1 season was 1% (95%CI = 0-4%) in men. The pooled point prevalence of LBP was 25% (95%CI = 16-36%) in men and 28% (95%CI = 20-37%) in women. The pooled past-year prevalence of LBP was 34% (95%CI = 24-44%) in men. The pooled lifetime prevalence of LBP was 32% (95%CI = 25-39%) in men and 50% (95%CI = 32-69%) in women. The pooled frequency of LBP/total number of injuries was 2% (95%CI = 1-3%) in men and 4% (95%CI = 2-5%) in women. The pooled incidence rate of LBP/1,000 player-hours of exposure was 0.30 (95%CI = 0.17- 0.53) in men and 0.32 (95%CI = 0.06 -1.87) in women. The recurrence of LBP ranged from 3% to 63% in men. The intensity of LBP ranged from 1.68 (2.39) to 4.87 (2.14) points on a 0-10 scale (minimum = 0 and maximum = 8 points). The severity of LBP (days absent from professional activities due to pain) ranged from 2 (0) to 10 (19) days (minimum = 1 and maximum = 28 days). Conclusion Adult elite soccer players have a substantial prevalence of LBP. The frequency and incidence of LBP (compared with other conditions and sports) seems to be low. Estimates of the recurrence, intensity, and severity of LBP are uncertain. Level of Evidence II, Systematic Review of Level II Studies.
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Mashimo S, Nishida S, Ito A, Ogaki R, Hirono J, Hogan T, Yoshida N. Injury data collection and utilisation practices in university sports teams: A cross-sectional study. Phys Ther Sport 2023; 64:55-61. [PMID: 37748250 DOI: 10.1016/j.ptsp.2023.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 09/11/2023] [Accepted: 09/11/2023] [Indexed: 09/27/2023]
Abstract
OBJECTIVES This study aimed to examine injury surveillance practices in a variety of university sports teams and barriers and facilitators for injury data collection and utilisation. DESIGN Cross-sectional study. SETTING University sports teams in Japan. PARTICIPANTS Medical, coaching, and other staff (non-medical/-coaching staff) of the university sports teams in Japan. MAIN OUTCOME MEASURES The survey included 31 questions that examined the barriers and facilitators for injury data collection, and the type of data on injury and exposure collected. RESULTS Injury data were collected during matches for 69 teams (48.3%) and training for 61 teams (42.7%). Injuries were primarily captured by athletic trainers in teams with medical staff, coaching staff and athletes in teams without medical staff. Common barriers in collecting and utilising injury data included limited funding for trained personnel and lack of time for medical staff to record data. Facilitating factors included clarification of the methods employed in recording and utilising injury data for teams with medical staff and the deployment of trained personnel to record injuries for teams without medical staff. CONCLUSIONS Approximately half of the Japanese university teams collected injury data. Considering barriers and facilitators is crucial to facilitate the collection and utilisation of injury data.
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Affiliation(s)
- Sonoko Mashimo
- Institute for Liberal Arts and Sciences, Osaka Electro-Communication University, Neyagawa, Japan.
| | - Satoru Nishida
- Faculty of Sport and Health Sciences, Ryutsu Keizai University, Ryugasaki, Japan
| | - Akira Ito
- College of Sociology, Edogawa University, Nagareyama, Japan
| | - Ryo Ogaki
- Faculty of Humanities and Social Sciences, Teikyo Heisei University, Nakano, Japan
| | - Junichi Hirono
- School of General Education, Shinshu University, Matsumoto, Japan
| | - Takaaki Hogan
- Media Communication Center, Osaka Electro-Communication University, Neyagawa, Japan
| | - Naruto Yoshida
- Faculty of Health Care, Teikyo Heisei University, Toshima, Japan
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Husen M, Burgsmüller L, Burggraf M, Jaeger M, Dudda M, Kauther M. Injuries and Overuse Syndromes in Rink Hockey Players. SPORTVERLETZUNG SPORTSCHADEN : ORGAN DER GESELLSCHAFT FUR ORTHOPADISCH-TRAUMATOLOGISCHE SPORTMEDIZIN 2023; 37:141-147. [PMID: 37524094 DOI: 10.1055/a-2036-8107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/02/2023]
Abstract
Rink Hockey is a high-speed low-contact sport with a widely recognized injury potential. Played with a hard ball by players wearing little or no protective gear, the rates of concussions and head injuries are of high interest. In this study, we reviewed and investigated injuries sustained by 108 German National League rink hockey players. We conducted an epidemiological cross-sectional study to determine sport-specific injuries and injury patterns in female and male rink hockey players. Data were collected by a standardized questionnaire. A total of 108 players participated in the study. The combined rate of injuries were 9.4/1000 athlete exposures. There was no significant difference between injury rates during games and practice. A sexspecific difference was not detected. Head injuries were the most frequent type (20.8 % of all injuries). Concussions made up 7 % of all head injuries with a rate of 0.76/1000 athlete exposure. Ball contact was the cause for 31 % of injuries, while player contact generated 26.2 % of all injuries. High rates of ball-contact-related injuries resulted in time loss and medical consultations. Head injuries were frequent, however did not result in significant time loss as compared to other injuries. The use of protective gear should be recommended.
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Affiliation(s)
- Martin Husen
- Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany
| | - Lars Burgsmüller
- Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany
| | - Manuel Burggraf
- Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany
| | - Marcus Jaeger
- Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany
| | - Marcel Dudda
- Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany
| | - Max Kauther
- Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany
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Póvoa AR, Costa CM, Simões S, Azevedo AM, Oliveira R. Irish Dancing Injuries and Associated Risk Factors: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6190. [PMID: 37372775 DOI: 10.3390/ijerph20126190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Revised: 06/12/2023] [Accepted: 06/15/2023] [Indexed: 06/29/2023]
Abstract
Irish dance is growing in popularity, evolving to a more athletic and demanding dance style. The aim of this study is to conduct a systematic review, previously registered with PROSPERO, to identify the prevalence, incidence, and the injury pattern among Irish dancers and analyse the associated risk factors. Six online databases and two dance-specific science publications were searched systematically. Studies were included if the patterns of injuries among Irish dancers were evaluated or the factors associated with injury were analysed, published in English or Portuguese, in peer-reviewed scientific journals. Four reviewers assessed the quality and level of evidence using the Downs and Black criteria and a modified Oxford Centre of Evidence-Based Medicine 2009 model, respectively. Eleven articles were included, eight of Level 3c (cross-sectional) and three of Level 3b (prospective). Mean DB percentage score was 63% ± 7.2%. Prevalence ranged from 72.2% to 92.6%, affecting mostly the foot/ankle complex. Only two articles reported incidence, which ranged from 3.4 to 10.6 injuries/1000 h danced depending on injury definition. Psychological factors, elite level, and insufficient/poor sleep were associated with musculoskeletal injury. Injury prevalence and incidence is high in Irish dancers, with the foot and ankle being more affected. Due to heterogeneity in injury definitions, methods, and populations, along with the need for improvement in studies quality, recommendations were made for future research.
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Affiliation(s)
- Ana Rita Póvoa
- Egas Moniz School of Health and Science, 2829-511 Almada, Portugal
| | - Cláudia Maria Costa
- Hospital Garcia de Orta, 2805-267 Almada, Portugal
- CiiEM-Centro de Investigação Interdisciplinar Egas Moniz, 2829-511 Caparica, Portugal
| | - Sérgio Simões
- Egas Moniz School of Health and Science, 2829-511 Almada, Portugal
| | - Ana Morais Azevedo
- La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne 3086, Australia
- The Australian Ballet, Melbourne 3006, Australia
| | - Raul Oliveira
- Interdisciplinary Centre for the Study of Human Performance, Neuromuscular Research Lab, Human Kinetics Faculty, University of Lisbon, 1499-002 Cruz Quebrada-Dafundo, Portugal
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de Souza Lima EB, de Godoy GP, Osés GL, Lara PHS, Ribeiro LM, Andreoli CV, de Castro Pochini A, Belangero PS, Arliani GG, Ejnisman B, Cohen M. Epidemiology of Upper Limb Injuries in two major Brazilian Soccer Championships from 2016 to 2019. J Exp Orthop 2022; 9:120. [PMID: 36515745 DOI: 10.1186/s40634-022-00560-1] [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] [Received: 06/19/2022] [Accepted: 12/02/2022] [Indexed: 12/15/2022] Open
Abstract
PURPOSE To evaluate epidemiological data of upper limb injuries in professional athletes who participated in two major Brazilian soccer championships between 2016 and 2019. METHODS A prospective cohort study was conducted to evaluate the teams of two divisions over four seasons within the Brazilian Soccer Championship and the Paulista Soccer Championship. Clubs and their doctors were contacted to participate in the study and guided on the correct way to enter data via online platforms: Transfermarkt (Transfermarkt GmbH & Co. KG) and Survey Monkey (Momentive.AI). Demographic data, injury characteristics, and FIFA Incidence Formula were analyzed. RESULTS Overall, the study analyzed 3,828 matches and 126,357 hours of play. Upper limb injuries were registered 169 times, representing 6.8% of total injuries, with a FIFA incidence of 1.34. Most lesions occurred in forward players (21.3%), the shoulder exhibited the highest number of injuries (63.3%). The player's position was related to the location on the field where the injury occurred (p < 0.001); however, there was no relationship between the type of injury and the location on the body (p > 0.001). The average time to return to play was 19.1 days (range 0-200 days) and it was longer for goalkeepers. The necessity of surgical treatment was statistically associated with additional time to return to play (p < 0.001). CONCLUSIONS Shoulder injuries were the most frequent upper limb injury sustained during the two major Brazilian soccer championships. Forward players suffered the most upper limb injuries and goalkeepers experienced the longest time to return to play.
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Affiliation(s)
- Ewerton Borges de Souza Lima
- Department of Orthopaedics and Traumatology, Sports Traumatology Group, Discipline of Sports Medicine, Escola Paulista de Medicina, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP, Brazil.
| | - Gabriel Paris de Godoy
- Department of Orthopaedics and Traumatology, Sports Traumatology Group, Discipline of Sports Medicine, Escola Paulista de Medicina, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP, Brazil
| | - Guilherme Ladeira Osés
- Department of Orthopaedics and Traumatology, Sports Traumatology Group, Discipline of Sports Medicine, Escola Paulista de Medicina, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP, Brazil
| | - Paulo Henrique Schmidt Lara
- Department of Orthopaedics and Traumatology, Sports Traumatology Group, Discipline of Sports Medicine, Escola Paulista de Medicina, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP, Brazil
| | - Leandro Masini Ribeiro
- Department of Orthopaedics and Traumatology, Sports Traumatology Group, Discipline of Sports Medicine, Escola Paulista de Medicina, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP, Brazil
| | - Carlos Vicente Andreoli
- Department of Orthopaedics and Traumatology, Sports Traumatology Group, Discipline of Sports Medicine, Escola Paulista de Medicina, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP, Brazil
| | - Alberto de Castro Pochini
- Department of Orthopaedics and Traumatology, Sports Traumatology Group, Discipline of Sports Medicine, Escola Paulista de Medicina, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP, Brazil
| | - Paulo Santoro Belangero
- Department of Orthopaedics and Traumatology, Sports Traumatology Group, Discipline of Sports Medicine, Escola Paulista de Medicina, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP, Brazil
| | - Gustavo Gonçalves Arliani
- Department of Orthopaedics and Traumatology, Sports Traumatology Group, Discipline of Sports Medicine, Escola Paulista de Medicina, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP, Brazil
| | - Benno Ejnisman
- Department of Orthopaedics and Traumatology, Sports Traumatology Group, Discipline of Sports Medicine, Escola Paulista de Medicina, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP, Brazil
| | - Moisés Cohen
- Department of Orthopaedics and Traumatology, Sports Traumatology Group, Discipline of Sports Medicine, Escola Paulista de Medicina, Federal University of São Paulo, R. Estado de Israel, 713 - Vila Clementino, São Paulo, SP, Brazil
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Meyers MC, Sterling JC. Lisfranc injury: Prevalence and maintaining a high index of suspicion for optimal evaluation. PHYSICIAN SPORTSMED 2022; 50:507-514. [PMID: 34429021 DOI: 10.1080/00913847.2021.1969218] [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: 10/20/2022]
Abstract
OBJECTIVES To quantify the long-term prevalence of game-related Lisfranc trauma in college football on artificial turf and natural grass. METHODS 32 universities were evaluated over 10 competitive seasons across all Football Bowl Subdivision (FBS) conferences. Outcomes of interest included injury severity, injury category, primary type of injury, player and skill position, injury mechanism and situation, elective imaging and surgical procedures, and field conditions. Injury incidence rates (IIR) were calculated using injuries per 10 games = (number of injuries) number of games) × 10. RESULTS Of the 1577 games documented, 783 games (49.7%) were played on a 3-layer artificial turf (≥9.0 lbs/ft2) infill system versus 794 games (50.3%) played on natural grass. In sum, 78 Lisfranc cases were documented with 34 (43.6%) occurring on artificial turf, and 44 (56.4%) on natural grass. MANOVAs indicated significant main effects by injury category (F3,74 = 6.439; P = .001), and injury mechanism (F5,72 = 3.372; P = .009) observed between surfaces, but not by injury severity (F2,75 = 0.720; P = .490), primary type of injury (F4,73 = 0.772; P = .547), overall player (F2,75 = 0.219; P = .804) and skill positions (F8,69 = 0.850; P = .563), injury situation (F10,67 = 1.030; P = .428), elective imaging and surgical procedures (F3,74 = 0.515; P = .673), or field conditions (F2,75 = 0.375; P = .688). Post hoc analyses indicated significantly greater incidences (P < .05) of Lisfranc trauma on natural grass attributed to shoe:surface interaction during noncontact play, and during no contact, foot rotation or planting. Ligament tears (n = 8; 57.1%), with minimal cases of subluxation/dislocations (n = 4; 28.6%) and fractures (n = 2; 14.3%) comprised grade 3 cases across both surfaces. CONCLUSION In regards to Lisfranc trauma, a 3-layer, heavyweight artificial infill surface is as safe or safer than natural grass. The findings of this study may be generalizable only to this level of football competition.
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Affiliation(s)
- Michael C Meyers
- Human Performance Laboratory, Department of Human Performance and Sport Studies, Idaho State University, Pocatello, ID. USA
| | - James C Sterling
- Baylor, Scott & White, Sports and Physical Medicine Center, Dallas, TX, USA
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Marušič J, Šarabon N. Hip adduction and abduction strength in youth male soccer and basketball players with and without groin pain in the past year. PLoS One 2022; 17:e0275650. [PMID: 36197941 PMCID: PMC9534424 DOI: 10.1371/journal.pone.0275650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Accepted: 09/21/2022] [Indexed: 11/25/2022] Open
Abstract
The objectives of this study were to 1) assess the differences between youth soccer and basketball players with and without past year groin pain (GP) in hip adduction and abduction strength and several training characteristics (age at the start of regular training, weekly training frequency, warm-up and training duration, use of stretching and/or stabilisation exercises during warm-up, use of resistance training); 2) present strength reference values for youth soccer and basketball players. 227 players participated (age 16.9 ± 1.4 years; height 184.2 ± 8.5 cm; mass 75.5 ± 11.9 kg). Hip adduction and abduction strength was measured in supine position (hip, knee and ankle in neutral position) using a MuscleBoard dynamometer. Interlimb asymmetries and hip adduction:abduction ratios were calculated. Past year GP and training characteristics were assessed with a retrospective questionnaire. 11.9% of players reported past year GP (16.9% in soccer and 6.4% in basketball). The only significant difference between the past year GP and the control groups was found in the age of the players at the start of regular training (7.2 ± 1.8 years for the GP group vs. 8.5 ± 2.6 years for the control group). Additionally, soccer players without past year GP have significantly higher hip adduction strength (1.1 ± 0.2 Nm/kg vs. 1.0 ± 0.2 Nm/kg) and adduction:abduction strength ratio (1.10 ± 0.18 vs. 1.03 ± 0.16) compared to basketball players. Our results show that hip adduction and abduction strength, interlimb asymmetry and hip adduction:abduction ratio do not differentiate between players with and without past year GP (p = 0.29-0.90), which means that their adduction or abduction strength can be analysed regardless of the GP presence in the past year. Additionally, players with past year GP started regularly training at significantly lower age, which could indicate the problematic nature of early/premature sports specialisation.
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Affiliation(s)
- Jan Marušič
- Faculty of Health Sciences, University of Primorska, Izola, Slovenia
| | - Nejc Šarabon
- Faculty of Health Sciences, University of Primorska, Izola, Slovenia
- Science to Practice, Ltd., Laboratory for Motor Control and Motor Behavior, Ljubljana, Slovenia
- * E-mail:
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11
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Popkin CA, Fortney TA, Padaki AS, Rogers AJ, Trofa DP, Lynch TS, Tuominen M, Stuart MJ. Injuries to Ice Hockey Referees and Linesmen: A Survey of International Ice Hockey Federation Officials. Orthop J Sports Med 2022; 10:23259671221117504. [PMID: 36105655 PMCID: PMC9465570 DOI: 10.1177/23259671221117504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Accepted: 05/17/2022] [Indexed: 11/15/2022] Open
Abstract
Background Ice hockey referees and linesmen are at risk for musculoskeletal injuries because of the lack of protective equipment and contact with players, sticks, pucks, the ice surface and boards. Purpose To quantify and analyze injuries reported by officials of the International Ice Hockey Federation (IIHF). Study Design Descriptive epidemiology study. Methods A 61-question survey tool was designed by an interdisciplinary team to evaluate musculoskeletal injuries experienced by ice hockey officials. This survey was administered to 600 active IIHF referees and linesmen. Only completed survey responses were included in the statistical analysis. Continuous variables were analyzed using unpaired t-tests, while categorical data were assessed utilizing chi-square tests. Results Of the 600 surveys administered, 264 surveys were completed by officials from 45 countries (44% response rate). Of the respondents, 72% were male, and 28% were female, with a mean age of 31.1 ± 5.8 years. Officiating experience averaged 11.4 ± 6.0 years (6.3 ± 4.5 years with the IIHF). A total of 295 injuries were reported by 55% of the officials. Injuries occurred more frequently during games compared with training, and officials who worked year-round had more total injuries than those who took time off (P = .03). The most common injuries involved the wrist and hand (n = 64 [22%]), head and face (n = 58 [20%]), and the knee (n = 47 [16%]). Wrist and hand trauma included 23 fractures. Knee and shoulder injuries were most likely to require surgery compared with other body areas (P < .001); 30 officials underwent surgery because of an acute knee injury (10%). Injury prevention activities were effective at reducing injuries (P = .04). Conclusion Most ice hockey officials experienced musculoskeletal injuries during their career. The risk of trauma to the wrist and hand can possibly be reduced via equipment modifications including protective gloves. A greater emphasis should be placed on injury prevention programs and time away from officiating competitions.
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Affiliation(s)
- Charles A Popkin
- Center for Shoulder, Elbow and Sports Medicine, Columbia University, New York, New York, USA
| | - Thomas A Fortney
- Center for Shoulder, Elbow and Sports Medicine, Columbia University, New York, New York, USA
| | - Ajay S Padaki
- University of California, San Francisco, San Francisco, California, USA
| | - Andrew J Rogers
- Newton-Wellesley Hospital, Massachusetts General Brigham, Newton, Massachusetts, USA
| | - David P Trofa
- Center for Shoulder, Elbow and Sports Medicine, Columbia University, New York, New York, USA
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12
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Abstract
OBJECTIVES The aim of this study was to investigate the incidence and characteristics of match and training injuries in elite-level national male beach soccer players. METHOD The incidence, mechanism, location, type, severity, and burden of injuries of the Turkish national beach soccer team were recorded between 2017 and 2019. RESULTS A total of 136 injuries occurred during the study period. Total injury incidence was 238.9 injuries/1,000 match hours (MHs) and 37.7 injuries/1,000 training hours (THs) (p < 0.001). Twenty-seven injuries led to time-loss, and the incidences for match and training injuries were 36.7 and 7.9 per 1,000 hours, respectively. Of medical attention injuries (MAI) caused by trauma, 54.6% (n = 53) were due to another player and, 60.9% (n = 14) of time-loss injuries (TLI) caused by trauma were due to non-contact trauma (p < 0.001). While 82% (n = 91) of training injuries occurred in lower extremities, 29% (n = 9) of match injuries occurred in the head/neck region (p < 0.001). Head injury incidence was 45.9 per 1,000 match hours. Of MAI, 50% (n = 57) were contusion, and 32.1% (n = 9) of TLI were strain (p < 0.001). Also, the most common injury subtype was foot/toe contusion during match and training (19.4%; n = 6, 27.9%; n = 31, respectively). The majority of injuries 91.9% (n = 125) had slight severity. CONCLUSION Head trauma, tendon injury, and foot/toe contusion are important for clinical practice in beach soccer. Protective measures (rule regulation, use of protective equipment, etc.) should be considered to prevent these injuries.
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Affiliation(s)
- Yavuz Lima
- Sports Medicine Clinic, Balıkesir Atatürk City Hospital, Balıkesir, Turkey
| | - Bulent Bayraktar
- Istanbul Faculty of Medicine, Sports Medicine Department, Istanbul University, Istanbul, Turkey.,Turkish Football Federation, Istanbul, Turkey.,Acıbadem Sports/FIFA Medical Centre of Excellence Consultant, Istanbul, Turkey
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13
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Cairo AL, Räisänen AM, Shill I, Black AM, Emery CA. High Injury and Concussion Rates in Female Youth Team Sport: An Opportunity for Prevention. Int J Sports Med 2021; 43:608-615. [PMID: 34781391 DOI: 10.1055/a-1697-2195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The aim of this study was to investigate sport-related injury rates, types, locations, and mechanisms in female youth team sports.This was a secondary analysis of a cross-sectional study. An anonymous online survey was administered to high school students (ages 14-19) in Canada. The survey included questions regarding demographic information, sport participation and self-reported injuries sustained in the past year. Results were analyzed for girls who reported playing a top ten team sports for female participation. For girls participating in team sports, the overall injury rate was 55.5 injuries/100 participants/year. The rate of at least one concussion was 9.4 concussions/100 participants/year. Injury and concussion rates were highest in ringette (Injury rate=42.9 injuries/100 participants/year, Concussion rate=19.0 concussions/100 participants/year) and rugby (Injury rate=40.0, Concussion rate=15.3). The top three most serious injury locations were the knee (24.7%), ankle (21.6%) and head (16.1%). The most common injury types were joint/ligament sprain (26.71%), fracture (13.0%) and concussion (11.8%). Contact mechanisms accounted for 73.4% of all serious injuries reported in girls team sports.Team sport injury rates are high in female youth team sports. Specific consideration of sport-specific injury rates, types and mechanisms in girls' team sports will inform development and evaluation of targeted sport-specific prevention strategies.
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Affiliation(s)
- Alexis L Cairo
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | - Anu M Räisänen
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Canada.,Department of Physical Therapy Education, College of Health Sciences, Western University of Health Sciences, Lebanon, United States
| | - Isla Shill
- Hotchkiss Brain Institute, University of Calgary, Calgary, Canada.,Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | - Amanda M Black
- Hotchkiss Brain Institute, University of Calgary, Calgary, Canada.,Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Canada.,Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Canada.,O'Brien Institute for Public Health, University of Calgary, Calgary, Canada
| | - C A Emery
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Canada.,Hotchkiss Brain Institute, University of Calgary, Calgary, Canada.,Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Canada.,Pediatrics and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada
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14
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Mason J, Rahlf AL, Groll A, Wellmann K, Junge A, Zech A. The Interval Between Matches Significantly Influences Injury Risk in Field Hockey. Int J Sports Med 2021; 43:262-268. [PMID: 34535021 PMCID: PMC8885327 DOI: 10.1055/a-1577-3451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Fixture congestion increases injury risk in football, but how it impacts other
sports is unclear. The aim of this study was to identify associations between
match density and injury incidence in field hockey players. Injury data from a
prospective cohort study of professional and youth players was analysed in two
ways. Inter-match intervals were clustered into<2424-hours,
3–7-days, and 13 + days, and injury rate ratios (IRR) were calculated
to identify differences between clusters in match injuries.
Separately, a Lasso-penalised Poisson regression model
was used to determine the association between match load
across the previous 24-hours, 3-days, 7-days and 14-days, and
match and training injuries. Injury rates in matches within
24-hours of the previous match were mostly significantly higher
when compared to matches after 3–7-days (IRRs: 3.78; 6.77,
P = 0.003; 0.005). While a higher match exposure in the preceding
24-hour and 3-day periods was associated with higher combined
match and training injury rates (β̂
= 0.0001; 0.0018), a
higher match exposure in the previous 7-and 14-day periods
was associated with a reduced injury rate (β̂ = –0.0001;
–0.0005). Due to the increased injury risk in matches 3-days
and especially 24-hours following the previous fixture, match
distribution should be cautiously planned.
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Affiliation(s)
- Joel Mason
- Institute for Sports Science, University of Jena Jena, Germany
| | - Anna Lina Rahlf
- Institute for Sports Science, University of Jena Jena, Germany.,Department of Statistics, TU Dortmund University, Dortmund, Germany
| | - Andreas Groll
- Department of Statistics, TU Dortmund University, Dortmund, Germany
| | - Kai Wellmann
- Institute for Sports Science, University of Jena Jena, Germany
| | - Astrid Junge
- MSH Medical School Hamburg, Prevention and Sport, Hamburg, Germany.,Schulthess Klinik, Swiss Concussion Center, Zurich, Switzerland
| | - Astrid Zech
- Institute for Sports Science, University of Jena Jena, Germany
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15
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Curtis RM, Huggins RA, Benjamin CL, Sekiguchi Y, Lepley LK, Huedo-Medina TB, Casa DJ. Factors Associated With Noncontact Injury in Collegiate Soccer: A 12-Team Prospective Study of NCAA Division I Men's and Women's Soccer. Am J Sports Med 2021; 49:3076-3087. [PMID: 34406087 DOI: 10.1177/03635465211036447] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
BACKGROUND Multiteam, multi-institution prospective studies of both women's and men's sports are essential for collectively investigating injury and primary to the generalization and individualization of injury prevention strategies. HYPOTHESIS Characteristics of workload, sleep, and contextual factors will be associated with injury risk in collegiate soccer athletes. STUDY DESIGN Cohort study; Level of evidence, 2. METHODS Injuries, workload, and sleep characteristics were recorded daily throughout a complete season for 256 athletes from 12 separate National Collegiate Athletic Association Division I men's and women's soccer teams. Workload and contextual factors were assessed via multilevel Poisson regression to capture differences in injury incidence rate ratio (IRR). Paired t test and multilevel logistic regressions were used to assess the relationship between sleep behavior and injury. RESULTS Collegiate soccer athletes had lower rates of noncontact injury in the in-season (IRR, 0.42) and postseason (IRR, 0.48) compared with preseason, lower rates of injury in training (IRR, 0.64) compared with matches, and higher injury rates with only 1 day of rest in the previous week (IRR, 1.58) compared with >1 day. Injury rates peaked when training occurred 4 days before a match (IRR, 2.24) compared with a match. Injury rate increased exponentially with increases in the number of noncontact injuries incurred throughout the season (IRR, 2.23). Lower chronic loading, higher training monotony, and acute spikes and lulls in workload were associated with higher noncontact injury rates. Alterations in previous week sleep quality were associated with injury, while chronic sleep behavior and acute alterations (<7 days) in sleep behavior were not (P > .05). CONCLUSION Athlete and schedule-specific contextual factors, combined with characteristics of workload and weekly sleep behavior, are significantly associated with injury in collegiate soccer. Multiteam prospective cohort studies involving objective and subjective monitoring allow for the identification of multiple injury risk factors in sports, which can be used to guide injury prevention strategies. Maintaining higher chronic workloads, lowering training monotony, minimizing acute spikes or lulls in workloads, managing workloads during preseason and for athletes with previous injury, integrating more rest and recovery during congested periods, and optimizing sleep quality are all practical considerations for reducing injury risk in collegiate soccer.
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Affiliation(s)
- Ryan M Curtis
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USA
| | - Robert A Huggins
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USA
| | - Courteney L Benjamin
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USA
| | - Yasuki Sekiguchi
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USA
| | - Lindsey K Lepley
- School of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA
| | - Tania B Huedo-Medina
- Department of Allied Health Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Douglas J Casa
- Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USA
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16
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Szymski D, Achenbach L, Krutsch V, Alt V, Meffert R, Krutsch W, Fehske K. Injury epidemiology in men's professional team sports: is media analysis helpful? Arch Orthop Trauma Surg 2021; 141:655-661. [PMID: 33426608 PMCID: PMC7966138 DOI: 10.1007/s00402-020-03743-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 12/19/2020] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Epidemiological injury surveillance in professional sports is often based on online media analysis in order to collect necessary data. However, the validation of this study protocol is lacking. Therefore, this study aimed to identify the validity of injury surveillance in men's professional team sports based on media reports. METHODS In a retrospective cohort study, the validity of media-data-relating injuries was investigated in participating teams of the highest two German divisions in men's professional basketball (BB) and handball (HB) in the season 2018/2019. Injury protocols completed by the team physicians were compared to those of sports media injury reports. RESULTS The study population was composed of 133 athletes (54 BB and 79 HB). Of 343 injuries reported by the team physicians, 151 (44%) could be identified by means of sports media reports. Severe injuries (n = 75, 72%) were reported more likely in sports media compared to less severe injuries (n = 76, 32%, p < 0.00001). Odds ratio (OR) was 5.33 (95% CI 3.22-8.82). No differences regarding injury reporting could be seen between the two team sports. CONCLUSION For severe injuries, media analysis may be a sufficient method for data collection in popular men's professional ball sports. An underestimation of true injury prevalence lies within the range of previous reported investigations concerning the validation of injury surveillance methods. Non-severe injuries could not be verified via media analysis in professional handball and basketball.
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Affiliation(s)
- Dominik Szymski
- Department of Trauma Surgery, University Medical Center Regensburg, Regensburg, Germany
| | - Leonard Achenbach
- Department of Trauma-, Hand-, Plastic- and Reconstructive Surgery, Julius-Maximilians University Wuerzburg, Josef-Schneider-Strasse 2, 97080 Wuerzburg, Germany
| | - Volker Krutsch
- Department of Otorhinolaryngology, Paracelsus Medical University Nuremberg, Nuremberg, Germany
| | - Volker Alt
- Department of Trauma Surgery, University Medical Center Regensburg, Regensburg, Germany
| | - Rainer Meffert
- Department of Trauma-, Hand-, Plastic- and Reconstructive Surgery, Julius-Maximilians University Wuerzburg, Josef-Schneider-Strasse 2, 97080 Wuerzburg, Germany
| | - Werner Krutsch
- Department of Trauma Surgery, University Medical Center Regensburg, Regensburg, Germany ,SportDocsFranken, Nuremberg, Germany
| | - Kai Fehske
- Department of Trauma-, Hand-, Plastic- and Reconstructive Surgery, Julius-Maximilians University Wuerzburg, Josef-Schneider-Strasse 2, 97080 Wuerzburg, Germany
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17
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Dvorak J, Pluim BM. Injury and illness surveillance in sports: how golf, tennis, cycling and parasport extended the IOC consensus statement to tailor injury and illness surveillance to specific sports. Br J Sports Med 2020; 55:6-7. [PMID: 33122251 DOI: 10.1136/bjsports-2020-102616] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/06/2020] [Indexed: 11/03/2022]
Affiliation(s)
- Jiri Dvorak
- Swiss Golf Medical Centre, Spine Unit, Schulthess Clinic, Zurich, Switzerland
| | - Babette M Pluim
- Section Sports Medicine, University of Pretoria, Faculty of Health Sciences, Pretoria, South Africa .,AMC/VUmc IOC Research Center of Excellence, Amsterdam Collaboration on Health & Safety in Sports (ACHSS), Amsterdam, The Netherlands.,Medical Dept, Royal Dutch Lawn Tennis Association (KNLTB), Amstelveen, The Netherlands
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18
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Husen M, Burgsmüller L, Burggraf M, Jäger M, Dudda M, Kauther M. Injuries and Overuse Syndromes in Rink Hockey Players. Int J Sports Med 2020; 42:132-137. [PMID: 32854123 DOI: 10.1055/a-1212-0780] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Rink Hockey is a high-speed low-contact sport with a widely recognized injury potential. Played with a hard ball by players wearing little or no protective gear, the rates of concussions and head injuries are of high interest. In this study, we reviewed and investigated injuries sustained by 108 German National League rink hockey players. We conducted an epidemiological cross-sectional study to determine sport-specific injuries and injury patterns in female and male rink hockey players. Data were collected by a standardized questionnaire. A total of 108 players participated in the study. The combined rate of injuries were 9.4/1000 athlete exposures. There was no significant difference between injury rates during games and practice. A sex-specific difference was not detected. Head injuries were the most frequent type (20.8% of all injuries). Concussions made up 7% of all head injuries with a rate of 0.76/1000 athlete exposure. Ball contact was the cause for 31% of injuries, while player contact generated 26.2% of all injuries. High rates of ball-contact-related injuries resulted in time loss and medical consultations. Head injuries were frequent, however did not result in significant time loss as compared to other injuries. The use of protective gear should be recommended.
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Affiliation(s)
- Martin Husen
- Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany
| | - Lars Burgsmüller
- Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany
| | - Manuel Burggraf
- Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany
| | - Marcus Jäger
- Chair of Orthopaedics and Trauma Surgery, University of Duisburg-Essen Department of Orthopaedics, Trauma & Reconstructive Surgery, St. Marien Hospital Mülheim/Contilia
| | - Marcel Dudda
- Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany
| | - Max Kauther
- Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany
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19
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Burggraf M, Burgsmüller L, Meyer HL, Polan C, Husen M, Mester B, Dudda M, Kauther MD. [Injuries in inline skater hockey]. SPORTVERLETZUNG-SPORTSCHADEN 2020; 34:212-216. [PMID: 32854130 DOI: 10.1055/a-1148-3485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
In Germany, Inline Skater Hockey (ISH) is played by about 7500 active players on inline skates with equipment comparable to ice hockey using a hard-plastic ball. The aim of this retrospective epidemiological cross-sectional study is to record the frequency and types of injuries in this sport, for which there is a lack of medically adequate studies in the literature. A questionnaire comprising 112 items was used to collect demographic data, injuries in eight body regions and defined overuse injuries. 274 ISH players with an average age of 24.5 ± 6.2 years and an exposure time of 2787 ± 2063 hours were examined. 5701 injuries were recorded, 60.5 % of which were minor bruises, abrasions and wounds. The total injury rate per 1000 hours was 9.6 ± 17.7, with an injury-related break of 12.8 ± 21.8 weeks per player. Field players with visors had highly significantly fewer head injuries (2.8 ± 6.1 vs. 8.9 ± 13.1; p < 0.001) with highly significantly (p < 0.001) fewer lacerations, nasal bone fractures, eye injuries and dental injuries. There was a weak negative correlation between facial protection and number of head injuries (r = -0.386, p < 0.001). In conclusion, frequency and types of injuries in ISH are comparable to ice hockey during training. In accordance with ice hockey, protective equipment in ISH can significantly reduce the occurrence of head injuries. Preventive attention should be paid to the wearing of a full visor and to education about the occurrence of concussions despite the use of a protective helmet.
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Affiliation(s)
| | | | | | | | - Martin Husen
- Universitätsklinikum Essen, Universität Duisburg-Essen
| | | | - Marcel Dudda
- Universitätsklinikum Essen, Universität Duisburg-Essen
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20
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Shi S, Shi X, Yang Z, Chen Z, Witchalls J, Adams R, Han J. Use of the lower extremity functional test to predict injury risk in active athletes. J Sports Med Phys Fitness 2020; 61:592-599. [PMID: 32744048 DOI: 10.23736/s0022-4707.20.11311-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND The purpose of the current study was to assess the reliability and validity of the lower extremity functional test (LEFT) for predicting low back and lower limb injury in active athletes. METHODS Seventy athletes (45M, 25F; mean age: 21±2 years) from seven different sports volunteered. The LEFT was a battery of five weight-bearing functional movements involving different movement planes, directions, modes, and at varying intensities. Both legs were assessed in a random order and each athlete was given both movement quality and associated symptom scores. Intratester, intrarater and inter-rater reliability were evaluated. Participants were followed up for 12 months, and their exposure to sport and subsequent injuries were recorded. Independent samples t-tests were performed to determine if a significant difference existed in LEFT scores between injured and non-injured athletes. Receiver operating characteristic (ROC) curve analysis was employed to assess the instrument's capacity to predict injury. RESULTS The intratester reliability ICC2, 1 was 0.875. The ICC2, 3 of intrarater reliability was 0.953 and the inter-rater reliability was 0.949, respectively. Nineteen participants had an injury in the low back or lower limb within the following 12 months. Injured athletes had significant lower movement quality and symptom scores of the LEFT than non-injured (t=4.278, P=0.000, Cohen's d=1.2; t=3.654, P=0.001, Cohen's d=1.3, respectively). When movement quality or symptom score alone was included in the ROC analysis, the area under the ROC curve (AUC) scores were 0.772 (P=0.000, 95% CI: 0.653-0.891) and 0.771 (P=0.001, 95% CI: 0.638-0.905), respectively. When movement quality and symptom scores were combined to predict injury, the AUC discrimination score was 0.853 (P=0.000, 95% CI: 0.754-0.953), resulting in 85.3% of cases being correctly predicted as low back or lower limb injured/noninjured. CONCLUSIONS The findings from the current study suggest that the LEFT appears to be a reliable and valid functional assessment tool for predicting low back or lower limb injury risk in these college athletes, especially when movement quality and symptom scores were used in combination.
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Affiliation(s)
- Shimeng Shi
- School of Kinesiology, Shanghai University of Sport, Shanghai, China
| | - Xiaojian Shi
- The First Rehabilitation Hospital of Shanghai, Shanghai, China
| | - Zonghan Yang
- Department of Physiotherapy, University of Melbourne, Melbourne, Australia
| | - Zhengquan Chen
- School of Kinesiology, Shanghai University of Sport, Shanghai, China
| | - Jeremy Witchalls
- UC Research Institute for Sport and Exercise, University of Canberra, Canberra, Australia
| | - Roger Adams
- Discipline of Physiotherapy, University of Sydney, Sydney, Australia
| | - Jia Han
- School of Kinesiology, Shanghai University of Sport, Shanghai, China -
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21
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Lundberg Zachrisson A, Desai P, Karlsson J, Grau S. Occurrence of overuse injuries in elite Swedish athletics—A prospective cohort study over one athletics season. TRANSLATIONAL SPORTS MEDICINE 2020. [DOI: 10.1002/tsm2.178] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Andreas Lundberg Zachrisson
- Department of Food and Nutrition, and Sport Science Center for Health and Performance University of Gothenburg Gothenburg Sweden
| | - Pia Desai
- Department of Orthopaedics at Institute of Clinical Sciences Sahlgrenska Academy University of Gothenburg Sweden
| | - Jon Karlsson
- Department of Orthopaedics at Institute of Clinical Sciences Sahlgrenska Academy University of Gothenburg Sweden
| | - Stefan Grau
- Department of Food and Nutrition, and Sport Science Center for Health and Performance University of Gothenburg Gothenburg Sweden
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22
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Rahlf AL, Zech A. Comparison of 10 vs. 20 min neuromuscular training for the prevention of lower extremity injuries in male youth football: A cluster randomised controlled trial. J Sports Sci 2020; 38:2177-2185. [PMID: 32520644 DOI: 10.1080/02640414.2020.1776459] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The aim of this study was to compare the effects of 20 min neuromuscular training with a programme of 10 min in youth football players. 342 (15.4 ± 1.7 years) male football players from 18 teams were included, and cluster-randomized by team into two intervention groups. Both groups performed an injury prevention programme twice a week over five months using the same exercises but a different duration. The first intervention group (INT10, n = 175) performed the programme for 10 min, the second intervention group (INT20, n = 167) for 20 min. Primary outcomes were lower extremity (LE) injuries. Secondary outcomes were injury type, severity, mechanism and compliance to the intervention. 13 teams with 185 players were included for final analysis. No significant group difference was found between INT10 (6.37 per 1000 h) and INT20 (7.20 per 1000 h) for the incidence rate ratio of the lower extremities (IRR = 1.03, 95% confidence interval 0.59, 1.79), nor for the distribution of injury location, type, severity or mechanism. The results show that performing preventive exercises for 10 min is no less effective than 20 min in youth football players. Shorter training sessions can, therefore, be effectively used for injury prevention. TRIAL REGISTRATION DRKS00015282.
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Affiliation(s)
- Anna Lina Rahlf
- Department of Human Movement Science and Exercise Physiology, Institute of Sport Science, Friedrich Schiller University of Jena , Jena, Germany
| | - Astrid Zech
- Department of Human Movement Science and Exercise Physiology, Institute of Sport Science, Friedrich Schiller University of Jena , Jena, Germany
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Fouasson-Chailloux A, Mesland O, Menu P, Dauty M. Soccer injuries documented by F-MARC guidelines in 13- and 14-year old national elite players: A 5-year cohort study. Sci Sports 2020. [DOI: 10.1016/j.scispo.2019.10.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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24
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Roos KG, Kucera KL, Golightly YM, Myers JB, Rosamond WD, Marshall SW. Variability in the identification and reporting of overuse injuries among sports injury surveillance data collectors. ACTA ACUST UNITED AC 2019; 11:143-146. [PMID: 31772716 DOI: 10.3928/19425864-20190214-01] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Purpose This study examined variability in identifying and reporting overuse injuries among Certified Athletic Trainers (ATs). Methods This cross-sectional study of ATs participating in the National Collegiate Athletic Association's Injury Surveillance Program, utilized a novel online-only survey, consisting of seven hypothetical clinical scenarios representing various clinical presentations including overuse and acute elements. Participants reported clinical opinions regarding the role overuse played in each scenario (major contributor, not a major contributor, not enough information) and probability (0-100%) of classifying each scenario as having an overuse injury mechanism, then completed open-ended questions addressing their decision-making process. Results 74 ATs (25%) completed the survey. Six of the seven scenarios generated discordance in responses among the participating ATs. Variability in AT decisions involved: the progression of injury, duration of symptoms, and activity at time of injury. Conclusion Developing a formalized definition of overuse injury may improve consistency and standardize methods for identifying and reporting overuse injuries within injury research.
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Rommers N, Rössler R, Goossens L, Vaeyens R, Lenoir M, Witvrouw E, D'Hondt E. Risk of acute and overuse injuries in youth elite soccer players: Body size and growth matter. J Sci Med Sport 2019; 23:246-251. [PMID: 31694798 DOI: 10.1016/j.jsams.2019.10.001] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Revised: 08/30/2019] [Accepted: 10/02/2019] [Indexed: 10/25/2022]
Abstract
OBJECTIVES This study investigated anthropometric measures and growth as risk factors for overuse and acute injuries in younger (U10-U12) and older (U13-U15) elite level soccer players. DESIGN Prospective cohort study. METHODS Height, weight, and sitting height were measured at the start and the end of the 2016-2017 competitive season and growth velocities were calculated. Throughout the season, injuries were registered continuously by the (para-)medical staff of the included clubs. We analyzed the injury risk using multilevel Poisson regression models, accounting for club and team clustering. RESULTS Of the included 314 players (11.7±1.7 years of age), 160 players sustained 133 overuse and 163 acute injuries (i.e. 106 injuries in 69 players of the younger group, 190 in 91 players of the older group). In the younger group, risk of overuse injuries was associated with an increase in leg length over the season (incidence rate ratio (IRR) 1.620 [95% CI 1.230-2.117]) and risk of acute injuries with relatively younger age (IRR 1.003 [95% CI 1.000-1.006]). In the older group, a higher leg length was associated with an increased risk of overuse injuries (IRR 1.055 [95% CI 1.011-1.108]), and a higher weight and a lower growth rate with an increased risk of acute injuries (IRR 1.043 [95% CI 1.021-1.067] and 0.903 [95% CI 0.831-0.981], respectively). CONCLUSIONS Injury risk factors differ by age group and type of injury. The age-specific anthropometric and growth-related risk factors should be monitored and these risk profiles should be considered to manage injury risk effectively.
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Affiliation(s)
- Nikki Rommers
- Department of Movement and Sports Sciences, Vrije Universiteit Brussel, Belgium; Department of Movement and Sports Sciences, Ghent University, Belgium; Research Foundation - Flanders (FWO), Belgium.
| | - Roland Rössler
- Amsterdam Collaboration on Health and Safety in Sports, Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Movement Sciences, The Netherlands; Department of Sport, Exercise, and Health, University of Basel, Switzerland
| | - Lennert Goossens
- Department of Movement and Sports Sciences, Ghent University, Belgium
| | - Roel Vaeyens
- Department of Movement and Sports Sciences, Ghent University, Belgium
| | - Matthieu Lenoir
- Department of Movement and Sports Sciences, Ghent University, Belgium
| | - Erik Witvrouw
- Department of Physical Therapy and Motor Rehabilitation, Ghent University, Belgium
| | - Eva D'Hondt
- Department of Movement and Sports Sciences, Vrije Universiteit Brussel, Belgium
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Vieira PR, Alonso AC, Ingham SJM, Oliveira ASB, Schmidt B, Fallopa F. INCIDENCE OF MUSCULOSKELETAL INJURIES IN SOCCER REFEREES: A THREE-YEAR STUDY. REV BRAS MED ESPORTE 2019. [DOI: 10.1590/1517-869220192503182833] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objectives To determine the incidence and intensity of pain and the areas most affected by injuries with musculoskeletal pain, and the incidence and severity of “injuries defined by time of leave” in games and training of soccer referees in a triennium. Methods An interview was conducted with 257 referees using a web application. With this tool, a monthly evaluation form was sent to the referees with questions that measured the incidence, location, and pain intensity of injuries with complaints of pain and time of leave, severity in games and training in the years 2012, 2013, and 2014. The numerical pain scale was used to classify the pain intensity of the lesions with pain complaint. Results There was no difference between the years studied in relation to injuries with pain complaints, both in games and in training. Mean values were 37.8/1,000 hours in games and 39.9/1,000 hours in training, with a mean incidence of “ injuries defined by time of leave” of 3.7/1,000 hours in games. The difference was significantly higher in 2013 compared to 2012 and 2014, and in training, the average incidence was 3.5/1,000 hours, with a significantly higher difference in 2012 compared to 2013 and 2014. Conclusion Lesions with pain complaints did not present a significant difference in games compared to training; in the lesions by time of leave, the incidence in games was higher than in training, and the most frequent type of injury was low-degree muscle pain, predominantly in the thigh and triceps surae. Level of Evidence II; Prognostic Study - Investigating the Effect of Patient Characteristics on Disease Outcome.
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Affiliation(s)
| | | | | | | | - Beny Schmidt
- Universidade Federal do Estado de São Paulo, Brazil
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27
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Meyers MC. Incidence, Mechanisms, and Severity of Game-Related High School Football Injuries Across Artificial Turf Systems of Various Infill Weights. Orthop J Sports Med 2019; 7:2325967119832878. [PMID: 30937317 PMCID: PMC6434442 DOI: 10.1177/2325967119832878] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
Background: Artificial turf surfaces are developed to duplicate playing characteristics of natural grass. With the newer generations of sand and rubber infill systems, the infill is a common component that varies between fields and is a critical factor that could influence the player-surface interaction. Because the influence of infill weight on sport trauma is unknown, this study quantified football trauma in high schools in the United States across artificial turf systems of various infill weights. Hypothesis: Athletes would not experience differences in game-related injuries across artificial turf systems of various infill weights. Study Design: Cohort study; Level of evidence, 2. Methods: Artificial turf systems were divided into 4 sand/rubber infill weight groups by pounds per square foot: ≥9.0, 6.0-8.9, 3.0-5.9, and 0.0-2.9. A total of 57 high schools in 4 states participated over the course of 5 seasons. Outcomes of interest included injury severity, as a function of infill weight, across head, knee, and shoulder traumas; injury category; primary type of injury; tissue type; specific body location of injury; cleat design; environmental factors; and turf age. Data were subject to multivariate analyses of variance (MANOVAs) and Wilks λ criteria through use of general linear model procedures. Results: Of 1837 games documented, 528 games were played on infill weights of ≥9.0 lb/ft2, 521 on 6.0-8.9 lb/ft2, 525 on 3.0-5.9 lb/ft2, and 263 on 0.0-2.9 lb/ft2, with 4655 total injuries reported. MANOVAs indicated significant infill weight effects across injury severity (F2,4648 = 5.087; P = .0001), with significant main effects also observed by injury category, tissue injured, lower extremity joint and muscle, cleat design, environmental factors, and turf age. Post hoc analyses indicated significantly lower (P < .05 to .0001) total and substantial traumas, concussions, shoe-surface interaction during contact trauma, surface impacts, muscle-tendon overload, cleat design influence, adverse weather trauma, lower extremity injuries, and turf age effect while athletes were competing on the 6.0 to ≥9.0 lb/ft2 infill weight systems compared with the lighter infill weight systems. Conclusion: As infill surface weight decreased, football trauma significantly increased across numerous playing conditions. Based on findings, high school football fields should minimally contain 6.0 pounds of infill per square foot.
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Affiliation(s)
- Michael C Meyers
- Department of Sport Science and Physical Education, Idaho State University, Pocatello, Idaho, USA
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Mears AC, Osei-Owusu P, Harland AR, Owen A, Roberts JR. Perceived Links Between Playing Surfaces and Injury: a Worldwide Study of Elite Association Football Players. SPORTS MEDICINE-OPEN 2018; 4:40. [PMID: 30128862 PMCID: PMC6102163 DOI: 10.1186/s40798-018-0155-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Accepted: 08/07/2018] [Indexed: 12/01/2022]
Abstract
Background Injuries in association football (soccer) are debilitating for players and can also be detrimental to the success of a team or club. The type or condition of a playing surface has been empirically linked to injuries, yet results are inconclusive. The overall purpose of this study was to analyse elite football players’ perceived links between playing surfaces and injury from a worldwide cohort of players. The results of this study can help to inform areas for future playing surface research aimed at trying to alleviate user concerns and meet user (i.e. the player) needs. Methods Quantitative data were collected from 1129 players across the globe to address the aim of this study. Results Ninety-one percent of players believed the type or condition of a surface could increase injury risk. Abrasive injuries, along with soreness and pain, were perceived to be greater on artificial turf. Surface type, surface properties and age were all potential risk factors identified by the players and linked to the playing surfaces. Conclusions The results identified three areas where future research should be focussed to help develop surfaces that alleviate user concerns and meet user (i.e. player) needs: (i) current reporting of soreness, pain or fatigue as injuries, (ii) contribution of surface properties to injury; and (iii) surface experience of players from different countries differentiates their views of injury risk.
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Affiliation(s)
- Aimée C Mears
- Sports Technology Institute, Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, Loughborough, UK.
| | - Paul Osei-Owusu
- Sports Technology Institute, Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, Loughborough, UK
| | - Andy R Harland
- Sports Technology Institute, Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, Loughborough, UK
| | - Alun Owen
- Faculty of Engineering, Environment and Computing, Coventry University, Coventry, UK
| | - Jonathan R Roberts
- Sports Technology Institute, Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, Loughborough, UK
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Klein C, Henke T, Platen P. Injuries in football (soccer)—a systematic review of epidemiology and aetiological aspects. GERMAN JOURNAL OF EXERCISE AND SPORT RESEARCH 2018. [DOI: 10.1007/s12662-018-0530-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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30
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Hollander K, Wellmann K, Eulenburg CZ, Braumann KM, Junge A, Zech A. Epidemiology of injuries in outdoor and indoor hockey players over one season: a prospective cohort study. Br J Sports Med 2018; 52:1091-1096. [DOI: 10.1136/bjsports-2017-098948] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/07/2018] [Indexed: 11/04/2022]
Abstract
ObjectivesTo determine the incidence and characteristics of hockey (‘field hockey’) injuries over the course of one outdoor and indoor season. Comparisons of female versus male players, outdoor versus indoor season and match versus practice were performed.MethodsFemale and male teams of the first, second, third, regional and youth divisions were recruited among a local hockey association in Northern Germany, and followed over an indoor and an outdoor season. Exposure times and location, type, severity and cause of injuries during practice and matches were documented by the coaches or medical staff and collected weekly. Prevalence and incidence rates were calculated.ResultsOf the 232 players (mean±SD age 20.7±4.7 years, 68.1% male, 31.9% first division), 84 players (36.2%) suffered 108 new injuries during the season. The overall incidence rate was 3.7 injuries per 1000 player hours (95% CI 3.0 to 4.4). The injury incidence was lower in practice (2.7 per 1000 player practice hours, 95% CI 2.0 to 3.3) than in matches (9.7 per 1000 player match hours, 95% CI 6.8 to 12.7), and was similar for female and male players as well as during the outdoor and the indoor season. Most injuries affected the lower limb (thigh, knee and ankle) and occurred without contact (58.3%). Severe injuries (n=34; 31.5%) were predominantly located at the knee and hand/finger.ConclusionHockey players have a high prevalence and incidence of injuries, especially at the lower limb.
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31
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Gebert A, Gerber M, Pühse U, Gassmann P, Stamm H, Lamprecht M. Injuries in formal and informal non-professional soccer – an overview of injury context, causes, and characteristics. Eur J Sport Sci 2018; 18:1168-1176. [DOI: 10.1080/17461391.2018.1475507] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Affiliation(s)
- Angela Gebert
- Lamprecht und Stamm Sozialforschung und Beratung, Zürich, Switzerland
- Department of Sport, Exercise and Health, Sport Science Section, University of Basel, Basel, Switzerland
| | - Markus Gerber
- Department of Sport, Exercise and Health, Sport Science Section, University of Basel, Basel, Switzerland
| | - Uwe Pühse
- Department of Sport, Exercise and Health, Sport Science Section, University of Basel, Basel, Switzerland
| | | | - Hanspeter Stamm
- Lamprecht und Stamm Sozialforschung und Beratung, Zürich, Switzerland
| | - Markus Lamprecht
- Lamprecht und Stamm Sozialforschung und Beratung, Zürich, Switzerland
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The Influence of Injury Definition on Injury Burden in Preprofessional Ballet and Contemporary Dancers. J Orthop Sports Phys Ther 2018; 48:185-193. [PMID: 29237356 DOI: 10.2519/jospt.2018.7542] [Citation(s) in RCA: 49] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Study Design Cohort study. Background Multiple operational definitions of injury exist in dance research. The influence that these different injury definitions have on epidemiological estimations of injury burden among dancers warrants investigation. Objective To describe the influence of injury definition on injury prevalence, incidence, and severity in preprofessional ballet and contemporary dancers. Methods Dancers registered in full-time preprofessional ballet (n = 85; 77 female; median age, 15 years; range, 11-19 years) and contemporary (n = 60; 58 female; median age, 19 years; range, 17-30 years) training completed weekly online questionnaires (modified Oslo Sports Trauma Research Centre questionnaire on health problems) using 3 injury definitions: (1) time loss (unable to complete 1 or more classes/rehearsals/performances for 1 or more days beyond onset), (2) medical attention, and (3) any complaint. Physical therapists completed injury report forms to capture dance-related medical attention and time-loss injuries. Percent agreement between injury registration methods was estimated. Injury prevalence (seasonal proportion of dancers injured), incidence rates (count of new injuries per 1000 dance-exposure hours), and severity (total days lost) were examined across each definition, registration method, and dance style. Results Questionnaire response rate was 99%. Agreement between registration methods ranged between 59% (time loss) and 74% (injury location). Depending on definition, registration, and dance style, injury prevalence ranged between 9.4% (95% confidence interval [CI]: 4.1%, 17.7%; time loss) and 82.4% (95% CI: 72.5%, 89.8%; any complaint), incidence rates between 0.1 (95% CI: 0.03, 0.2; time loss) and 4.9 (95% CI: 4.1, 5.8; any complaint) injuries per 1000 dance-hours, and days lost between 111 and 588 days. Conclusion Time-loss and medical-attention injury definitions underestimate the injury burden in preprofessional dancers. Accordingly, injury surveillance methodologies should consider more inclusive injury definitions. J Orthop Sports Phys Ther 2018;48(3):185-193. Epub 13 Dec 2017. doi:10.2519/jospt.2018.7542 Level of Evidence Symptom prevalence study, level 1b.
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Read PJ, Oliver JL, De Ste Croix MBA, Myer GD, Lloyd RS. A prospective investigation to evaluate risk factors for lower extremity injury risk in male youth soccer players. Scand J Med Sci Sports 2018; 28:1244-1251. [PMID: 29130575 PMCID: PMC6556769 DOI: 10.1111/sms.13013] [Citation(s) in RCA: 50] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/06/2017] [Indexed: 11/27/2022]
Abstract
There is an inherent risk of injury in male youth football; however, pertinent risk factors for injury have yet to be examined. This study used a prospective cohort design with 357 elite male youth football players (aged 10-18 years) assessed during the preseason period and then monitored during the season recording all non-contact lower extremity injuries. Screening tests included single leg hop for distance (SLHD); 75% of maximum hop and stick (75%Hop); single leg countermovement jump (SLCMJ); and the tuck jump assessment (TJ). Players were divided into subgroups based on chronological age. SLCMJ peak landing vertical ground reaction force (pVGRF) asymmetry was the most prominent risk factor (U11-U12s, OR 0.90, P = .04; and U15-U16s, OR 0.91, P < .001). Maturational offset (OR 0.58, P = .04), lower right leg SLCMJ pVGRF relative to body weight (OR 0.36, P = .03), and advanced chronological age (OR 3.62, P = .04) were also significantly associated with heightened injury risk in the U13-U14s, U15-U16s, and U18s, respectively. Univariate analyses showed combinations of anthropometric and movement screening risk factors were associated with heightened risk of lower extremity injury; however, there was variability across the different chronological age groups. Greater SLCMJ pVGRF asymmetry, lower right leg SLCMJ pVGRF %BW, later maturation, and advanced chronological age are potential risk factors for injury in elite male youth football players, although the strength of these relationships was often low to moderate. In addition, risk factors are likely to change at different stages of development.
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Affiliation(s)
- P J Read
- Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
- Youth Physical Development Centre, School of Sport, Cardiff Metropolitan University, Cardiff, UK
| | - J L Oliver
- Youth Physical Development Centre, School of Sport, Cardiff Metropolitan University, Cardiff, UK
- Sport Performance Research Institute, New Zealand (SPRINZ), AUT University, Auckland, New Zealand
| | - M B A De Ste Croix
- School of Sport and Exercise, University of Gloucestershire, Gloucestershire, UK
| | - G D Myer
- Division of Sports Medicine, Cincinnati Children's Hospital, Cincinnati, OH, USA
- Department of Pediatrics and Orthopaedic Surgery, College of Medicine, University of Cincinnati, Cincinnati, OH, USA
- The Micheli Center for Sports Injury Prevention, Boston, MA, USA
- Department of Orthopaedics, University of Pennsylvania, Philadelphia, PA, USA
| | - R S Lloyd
- Youth Physical Development Centre, School of Sport, Cardiff Metropolitan University, Cardiff, UK
- Sport Performance Research Institute, New Zealand (SPRINZ), AUT University, Auckland, New Zealand
- Centre for Sport Science and Human Performance, Waikato Institute of Technology, Hamilton, New Zealand
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Vanderlei FM, Barbosa DA, Machado AF, Bastos FDN, Vanderlei LCM, Netto Júnior J, Pastre CM. Analysis of recall bias of information on soccer injuries in adolescents. MOTRIZ: REVISTA DE EDUCACAO FISICA 2017. [DOI: 10.1590/s1980-6574201700si0077] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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35
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Read PJ, Oliver JL, De Ste Croix MBA, Myer GD, Lloyd RS. An audit of injuries in six english professional soccer academies. J Sports Sci 2017; 36:1542-1548. [DOI: 10.1080/02640414.2017.1402535] [Citation(s) in RCA: 49] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Paul J. Read
- Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
- Youth Physical Development Unit, School of Sport, Cardiff Metropolitan University, Cardiff, UK
| | - Jon L. Oliver
- Youth Physical Development Unit, School of Sport, Cardiff Metropolitan University, Cardiff, UK
- Sport Performance Research Institute, New Zealand (SPRINZ), AUT University, Auckland, New Zealand
| | | | - Gregory D. Myer
- Division of Sports Medicine, Cincinnati Children’s Hospital, Cincinnati, OH, USA
- Department of Pediatrics and Orthopaedic Surgery, College of Medicine, University of Cincinnati, Cincinnati, OH, USA
- The Micheli Center for Sports Injury Prevention, Boston, MA, USA
- Department of Orthopaedics, University of Pennsylvania, Philadelphia, PA, USA
| | - Rhodri S. Lloyd
- Youth Physical Development Unit, School of Sport, Cardiff Metropolitan University, Cardiff, UK
- Sport Performance Research Institute, New Zealand (SPRINZ), AUT University, Auckland, New Zealand
- Centre for Sport Science and Human Performance, Waikato Institute of Technology, Hamilton, New Zealand
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Concussion Incidence and Recurrence in Professional Australian Football Match-Play: A 14-Year Analysis. JOURNAL OF SPORTS MEDICINE 2017; 2017:2831751. [PMID: 28804753 PMCID: PMC5540267 DOI: 10.1155/2017/2831751] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/23/2017] [Accepted: 06/15/2017] [Indexed: 11/18/2022]
Abstract
Background Concussion incidence rates in professional Australian football may be underreported due to the injury classification definition. A myriad of factors contribute to concussion risk; however, there is limited long-term surveillance in Australian football. This study analysed concussion in one Australian football team over an extended period. Method Match-play concussion injuries in one team (n = 116 participants) were diagnosed and treated by the team physician over 14 years. Analysis of factors related to concussion including matches played, time of day and season, and return to play provided an insight into occurrence and recurrence rates. Results 140 concussions were recorded (17.6 per 1000 player match hours). A strong relationship was evident between matches played and concussion incidence (r = 0.70) and match conditions did not negatively affect the concussion rate. Whether an athlete returned to play in the same match or suffered a loss-of-consciousness concussion (p = 0.84), their ensuing rate of concussion was not affected. Conclusion Concussion in professional Australian football was related to the number of matches played. Further, neither previous incidence nor loss of consciousness affected future concussion risk. This study provides ecologically valid evidence of the concussion incidence rate in professional Australian football and has implications for the management of athletes sustaining concussion injuries.
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Zech A, Wellmann K. Perceptions of football players regarding injury risk factors and prevention strategies. PLoS One 2017; 12:e0176829. [PMID: 28459845 PMCID: PMC5411057 DOI: 10.1371/journal.pone.0176829] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2016] [Accepted: 04/18/2017] [Indexed: 12/26/2022] Open
Abstract
Current approaches regarding injury prevention focus on the transfer of evidence into daily practice. One promising approach is to influence attitudes and beliefs of players. The objective of this study was to record player’s perceptions on injury prevention. A survey was performed among players of one German high-level football (soccer) club. 139 professional and youth players between age 13 and 35 years completed a standardized questionnaire (response rate = 98%). It included categories with (1) history of lower extremity injuries, (2) perceptions regarding risk factors and (3) regularly used prevention strategies. The majority of players (84.2%) had a previous injury. 47.5% of respondents believe that contact with other players is a risk factor, followed by fatigue (38.1%) and environmental factors (25.9%). The relevance of previous injuries as a risk factor is differently perceived between injured (25%) and uninjured players (0.0%). Nearly all players (91.5%) perform stretching to prevent injuries, followed by neuromuscular warm up exercises (54.0%). Taping is used by 40.2% of previously injured players and 13.6% of players without a history of injuries. In conclusion, the perception of risk factors and performed preventive strategies are inconsistent with scientific evidence. Future transfer strategies should incorporate the players beliefs and attitudes.
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Affiliation(s)
- Astrid Zech
- Institute of Sports Science, University of Jena, Jena, Germany
| | - Kai Wellmann
- Institute of Sports Science, University of Jena, Jena, Germany.,Institute of Human Movement Science, University of Hamburg, Hamburg, Germany
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van der Horst N, Backx FJG, Goedhart EA, Huisstede BMA. Return to play after hamstring injuries in football (soccer): a worldwide Delphi procedure regarding definition, medical criteria and decision-making. Br J Sports Med 2017; 51:1583-1591. [DOI: 10.1136/bjsports-2016-097206] [Citation(s) in RCA: 71] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/10/2017] [Indexed: 01/08/2023]
Abstract
There are three major questions about return to play (RTP) after hamstring injuries: How should RTP be defined? Which medical criteria should support the RTP decision? And who should make the RTP decision? The study aimed to provide a clear RTP definition and medical criteria for RTP and to clarify RTP consultation and responsibilities after hamstring injury. The study used the Delphi procedure. The results of a systematic review were used as a starting point for the Delphi procedure. Fifty-eight experts in the field of hamstring injury management selected by 28 FIFA Medical Centres of Excellence worldwide participated. Each Delphi round consisted of a questionnaire, an analysis and an anonymised feedback report. After four Delphi rounds, with more than 83% response for each round, consensus was achieved that RTP should be defined as ‘the moment a player has received criteria-based medical clearance and is mentally ready for full availability for match selection and/or full training’. The experts reached consensus on the following criteria to support the RTP decision: medical staff clearance, absence of pain on palpation, absence of pain during strength and flexibility testing, absence of pain during/after functional testing, similar hamstring flexibility, performance on field testing, and psychological readiness. It was also agreed that RTP decisions should be based on shared decision-making, primarily via consultation with the athlete, sports physician, physiotherapist, fitness trainer and team coach. The consensus regarding aspects of RTP should provide clarity and facilitate the assessment of when RTP is appropriate after hamstring injury, so as to avoid or reduce the risk of injury recurrence because of a premature RTP.
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Abstract
Classifying subsequent injuries is of high importance in injury epidemiology since a previous injury has been reported to increase the risk of a new injury or increase the risk of a more severe injury. Multiple reports have shown that self-reported data provide an extensive view of an injury problem and add valuable information to the understanding of the athlete's health. The purpose of this study was to display a method that can be used to facilitate classification of subsequent injuries and to discuss challenges faced when categorising subsequent injuries based on self-reported data. The suitability of a new model for Subsequent Injuries Adjusted for Self-reported data (SIAS model) was demonstrated with sport injury data from a cohort of 101 adolescent elite track & field athletes, followed over 52 weeks. A total number of 71 subsequent injuries were identified. Of all subsequent injuries, recurrent injuries represented 69.0% (n = 49) and 31.0% (n = 22) were classified as new injuries. The majority of subsequent injuries (n = 60, 84.5%) occurred after athletes had recovered from a previous injury. Of all subsequent injuries, 15.5% (n = 11) represented injuries where athletes had not fully recovered from a previous injury. Application of the SIAS model allows for classification of subsequent injuries based on self-reported data on the recovery level of the athletes, the injury onset and injury type. The developed SIAS model follows the consensus recommendations of injury definition, injury classification and is an attempt to increase the understanding of the complex relationship of subsequent injuries in self-reported data sets.
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Affiliation(s)
- Philip Von Rosen
- a Department of Neurobiology, Care Sciences, and Society (NVS), Division of Physiotherapy , Karolinska Institutet , Alfred Nobels Allé 23, SE-141 83 Huddinge , Sweden
| | - Annette Heijne
- a Department of Neurobiology, Care Sciences, and Society (NVS), Division of Physiotherapy , Karolinska Institutet , Alfred Nobels Allé 23, SE-141 83 Huddinge , Sweden
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Meyers MC. Incidence, Mechanisms, and Severity of Match-Related Collegiate Men's Soccer Injuries on FieldTurf and Natural Grass Surfaces: A 6-Year Prospective Study. Am J Sports Med 2017; 45:708-718. [PMID: 27872124 DOI: 10.1177/0363546516671715] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
BACKGROUND Numerous injuries have been attributed to playing on artificial turf. More recently, newer generations of artificial turf have been developed to duplicate the playing characteristics of natural grass. Although artificial turf has been deemed safer than natural grass in some studies, few long-term studies have been conducted comparing match-related collegiate soccer injuries between the 2 playing surfaces. HYPOTHESIS Collegiate male soccer athletes do not experience any difference in the incidence, mechanisms, or severity of match-related injuries between FieldTurf and natural grass. STUDY DESIGN Cohort study; Level of evidence, 2. METHODS Male soccer athletes from 11 universities were evaluated over 6 seasons. Demographic features and predictors included player position, cleat design, player weight, turf age, and environmental factors. Outcomes of interest included injury incidence, injury category, time loss, injury mechanism and situation, type of injury, injury grade and anatomic location, injury severity, head and lower extremity trauma, and elective medical procedures. All match-related injuries were evaluated by the attending head athletic trainer and team physicians on site and subsequently in the physician's office when further follow-up and treatment were deemed necessary. In sum, 765 collegiate games were evaluated for match-related soccer injuries sustained on FieldTurf or natural grass during 6 seasons. RESULTS Overall, 380 team games (49.7%) were played on FieldTurf versus 385 team games (50.3%) played on natural grass. A total of 722 injuries were documented, with 268 (37.1%) occurring on FieldTurf and 454 (62.9%) on natural grass. Multivariate analysis per 10 team games indicated a significant playing surface effect: F2,720 = 7.260, P = .001. A significantly lower total injury incidence rate (IIR) of 7.1 (95% CI, 6.6-7.5) versus 11.8 (95% CI, 11.3-12.2; P < .0001) and lower rate of substantial injuries, 0.7 (95% CI, 0.5-1.0) versus 1.9 (95% CI, 1.5-2.3; P < .03), were documented on FieldTurf versus natural grass, respectively. Analyses also indicated significantly less trauma on FieldTurf when comparing injury category, time loss, player position, injury mechanism and situation, injuries under various environmental conditions, cleat design, turf age, anatomic location, and elective medical procedures. No significant difference (F11,710 = 0.822, P = .618) between surfaces by knee injury was observed, with the majority of knee injuries involving patellar tendinopathies/syndromes followed by medial collateral ligament injuries on both surfaces. CONCLUSION Although similarities existed between FieldTurf and natural grass during competitive match play, FieldTurf is, in many cases, safer than natural grass when comparing injuries in collegiate men's soccer. The findings of this study, however, may not be generalizable to other levels of competition or to other artificial surfaces.
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Affiliation(s)
- Michael C Meyers
- Human Performance Laboratory, Department of Sport Science and Physical Education, Idaho State University, Pocatello, Idaho, USA
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Injury and illness epidemiology in soccer - effects of global geographical differences - a call for standardized and consistent research studies. Biol Sport 2017; 34:249-254. [PMID: 29158618 PMCID: PMC5676321 DOI: 10.5114/biolsport.2017.66002] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2017] [Revised: 01/27/2017] [Accepted: 01/28/2017] [Indexed: 01/08/2023] Open
Abstract
Soccer is the most popular sport in the world. While injuries and illnesses can affect the players’ health and performance, they can also have a major economic impact on teams. Moreover, several studies have shown the favourable association between higher player availability and team success. Therefore, injury prevention could directly impact clubs’ financial balance and teams’ performance via increased player availability. To be able to develop effective methods of injury prevention, it is vital to first determine the scope and the degree of the problem: the mechanisms and types of injuries, their frequency and severity, etc. According to the most widely known prevention model, systematic injury surveillance is the first and most fundamental step towards injury prevention. Since epidemiological studies have shown that injuries and illnesses in soccer players differ from region to region, it is important to establish a specific injuries and illness database in order to guide specific preventive actions. Since Asia is the largest continent, with the highest number of soccer players, and in the light of the long-term research on injuries performed in UEFA clubs, the authors of the present article present the AFC surveillance. Some methodological issues related to this prospective design study are discussed. The definition of injury and illness and the methods to track players’ exposure are described along with the potential challenges related to such a vast scale study. This article is also a call for action to have consistent and standardized epidemiological studies on soccer injuries and illnesses, with the aim to improve their prevention.
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A Profile of Injuries Sustained by Law Enforcement Officers: A Critical Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14020142. [PMID: 28165373 PMCID: PMC5334696 DOI: 10.3390/ijerph14020142] [Citation(s) in RCA: 58] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2016] [Revised: 01/17/2017] [Accepted: 01/24/2017] [Indexed: 02/07/2023]
Abstract
Due to the unpredictable, varied and often physical nature of law enforcement duties, police officers are at a high risk of work-related physical injury. The aim of this critical narrative review was to identify and synthesize key findings of studies that have investigated musculoskeletal injuries sustained by law enforcement officers during occupational tasks. A systematic search of four databases using key search terms was conducted to identify potentially relevant studies, which were assessed against key inclusion and exclusion criteria to determine studies to be included in the review. Included studies were critically appraised and the level of evidence determined. Relevant data were extracted, tabulated and synthesized. The 16 identified studies ranged in percentage quality scores from 25.00% to 65.00%, with a mean score of 41.25% and high interrater agreement in scores reflected in a Cohen’s Kappa coefficient, κ = 0.977. The most common body site of injury was the upper extremity, the most common injury types were soft-tissue sprains and strains and the most common cause of injury was a non-compliant offender, often involving assault. However, there was limited peer reviewed research in this area and the published research had a narrow focus and was of low to fair methodological quality.
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Bliekendaal S, Goossens L, Stubbe JH. Incidence and risk factors of injuries and their impact on academic success: A prospective study in PETE students. Scand J Med Sci Sports 2017; 27:1978-1985. [PMID: 28139042 DOI: 10.1111/sms.12838] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/22/2016] [Indexed: 11/27/2022]
Abstract
Injuries can have a major impact on the physical performance and academic career of physical education teacher education (PETE) students. To investigate the injury problem, risk factors, and the impact of injuries on academic success, 252 PETE students were followed during their first semester. Risk factor analysis was conducted by means of logistic regression analysis with a differentiation for upper body, lower body, acute, overuse, and severe injuries. An incidence of 1.26 injuries/student/semester was found. Most injuries involved the lower body (61%), were new injuries (76%), occurred acutely (66%), and were sustained during curricular gymnastics (25%) or extracurricular soccer (28%). Significant risk factors for lower body acute injuries were age (OR=2.14; P=.01), previous injury (OR=2.23; P=.01), and an injury at the start of the year (OR=2.56; P=.02). For lower body overuse injuries, gender (OR=2.85; P=.02) and the interval shuttle run test score (OR=2.44; P=.04) were significant risk factors. Previous injury (OR=2.59; P=.04) and injury at the start of the year (upper body: OR=4.57; P=.02; lower body: OR=3.75; P<.01) were risk factors for severe injuries. Injury-related time loss was positively related to total academic success (r=.20; P=.02) and success in theoretical courses (r=.24; P=<.01). No association was found between time loss and academic success for sport courses.
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Affiliation(s)
- S Bliekendaal
- Centre for Applied Research in Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands
| | - L Goossens
- Department for Movement and Sports Sciences, Ghent University, Ghent, Belgium
| | - J H Stubbe
- Centre for Applied Research in Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands.,University of the Arts, Codarts, Rotterdam, The Netherlands
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Junge A, Dvorak J, Chomiak J, Peterson L, Graf-Baumann T. Medical History and Physical Findings in Football Players of Different Ages and Skill Levels. Am J Sports Med 2016. [DOI: 10.1177/28.suppl_5.s-16] [Citation(s) in RCA: 60] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
The physical and physiologic demands of football on its participants become more pronounced as the level of competition increases. The aim of this study was to compare the medical history and physical findings in players from different levels of play as well as to analyze the relationship between pathologic findings in the joints of the lower extremities and the medical history. Five hundred eighty-eight football players from eight age and skill levels were investigated. The medical histories of the players were obtained by questionnaire. A physical examination conducted by specially trained physicians incorporated anthropometric and body fat measurements and examination of the spine and the hip, knee, foot, and great toe joints. On average, the players reported 6.6 (SD, 8.8) previous injuries. At the time of the examination, 136 players (24%) still felt the effects of a previous injury. Almost one-quarter of the players (134, 23%) had a pathologic finding in either the right or left knee, and even more players (162, 28%) had a pathologic anterior drawer sign either in the right or left ankle. A correlation was found between the location of the pathologic findings and the preferred leg for playing football. We recommend that further research should address the prevalence of pathologic findings and complaints in football players as well as the secondary structural changes that may occur as the result of playing football.
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Affiliation(s)
| | | | - Jiri Chomiak
- Orthopedic Clinic Bulovka, Praha, the Czech Republic
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Medial patellofemoral ligament reconstruction using a bone groove and a suture anchor at patellar: a safe and firm fixation technique and 3-year follow-up study. J Orthop Surg Res 2016; 11:138. [PMID: 27842571 PMCID: PMC5109655 DOI: 10.1186/s13018-016-0473-z] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Accepted: 11/02/2016] [Indexed: 01/11/2023] Open
Abstract
Background Graft fixation is critical to the restoration of the medial patella of femoral ligament function and long-term success. Numerous fixations at the patella have been described, while the complications including patellar fractures, violation of the posterior patella and delay of tendon-to-bone healing remain significant challenges. Here, we describe a safe and firm fixation at the patellar for medial patellofemoral ligament (MPFL) reconstruction and explore the safety angle of drilling the suture anchor at different morphology of the patellar. Moreover, we evaluate the results at a 3-year follow-up. Methods Combined bone groove and suture anchor fixation at the patella was performed on 26 patients (16 females, 10 males; mean age 26.3 ± 4.7 years) diagnosed with recurrent patellar dislocation. The drilling direction of the suture anchor referred to the safety angle according to the Wiberg type classification. The safety angle was defined as the angle between the drill tunnel and a line that connected the medial and lateral margins of the patella and was established following computed tomography assessment of 117 patients who were diagnosed with patellar dislocation in our hospital according to the Wiberg type classification (I:29, II:65, III:23). X-ray, Lysholm, Kujala and Tegner scores were obtained preoperatively and at the time of final follow-up. Results There were no patellar complications, including fracture and redislocation. Average congruence, patella tilt angles and lateral patella angle were significantly changed (P < 0.01). The Lysholm, Kujala and Tegner scores were significantly increased (P < 0.01). The safe angles of male and female patients according to the patellar Wiberg type classification were less than 45.32 ± 1.76 and 41.20 ± 1.33, 69.74 ± 1.38 and 63.66 ± 1.45 and 84.11 ± 1.67 and 80.26 ± 1.73, respectively. Conclusions We achieved encouraging results with this fixation at the patellar. When drilling from Wiberg type I to type III patellar, the suture anchor should be more vertical. When fixing the patellar of female patients, the drilling suture anchor should be more sloping.
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Hirschmüller A, Steffen K, Fassbender K, Clarsen B, Leonhard R, Konstantinidis L, Südkamp NP, Kubosch EJ. German translation and content validation of the OSTRC Questionnaire on overuse injuries and health problems. Br J Sports Med 2016; 51:260-263. [DOI: 10.1136/bjsports-2016-096669] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2016] [Indexed: 11/04/2022]
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Baltich J, Emery CA, Whittaker JL, Nigg BM. Running injuries in novice runners enrolled in different training interventions: a pilot randomized controlled trial. Scand J Med Sci Sports 2016; 27:1372-1383. [DOI: 10.1111/sms.12743] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/05/2016] [Indexed: 12/15/2022]
Affiliation(s)
- J. Baltich
- Human Performance Laboratory (HPL); Faculty of Kinesiology; University of Calgary; Calgary Alberta Canada
| | - C. A. Emery
- Sport Injury Prevention Research Centre; Faculty of Kinesiology; University of Calgary; Calgary Alberta Canada
- The Alberta Children's Hospital Research Institute for Child and Maternal Health; Cumming School of Medicine; University of Calgary; Calgary Alberta Canada
| | - J. L. Whittaker
- Department of Physical Therapy; Faculty of Rehabilitation Medicine; Glen Sather Sports Medicine Clinic; University of Alberta; Edmonton Alberta Canada
| | - B. M. Nigg
- Human Performance Laboratory (HPL); Faculty of Kinesiology; University of Calgary; Calgary Alberta Canada
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O'Connor S, McCaffrey N, Whyte EF, Moran KA. Epidemiology of injury in male collegiate Gaelic footballers in one season. Scand J Med Sci Sports 2016; 27:1136-1142. [DOI: 10.1111/sms.12733] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/20/2016] [Indexed: 11/30/2022]
Affiliation(s)
- S. O'Connor
- Department of Life and Physical Science; Athlone Institute of Technology; Athlone Ireland
- School of Health and Human Performance; Dublin City University; Dublin Ireland
| | - N. McCaffrey
- School of Health and Human Performance; Dublin City University; Dublin Ireland
| | - E. F. Whyte
- School of Health and Human Performance; Dublin City University; Dublin Ireland
| | - K. A. Moran
- School of Health and Human Performance; Dublin City University; Dublin Ireland
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Paxinos O, Karavasili A, Delimpasis G, Stathi A. Prevalence of Knee Osteoarthritis in 100 Athletically Active Veteran Soccer Players Compared With a Matched Group of 100 Military Personnel. Am J Sports Med 2016; 44:1447-54. [PMID: 26933134 DOI: 10.1177/0363546516629648] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
BACKGROUND Although knee injuries in professional soccer (football) have been extensively studied, the prevalence of knee osteoarthritis (OA) in veteran players is not well documented. PURPOSE To investigate the prevalence of knee OA in retired professional soccer players in comparison with a group of athletically active military personnel. STUDY DESIGN Cross-sectional study; Level of evidence, 3. METHODS A group of 100 veteran Greek soccer players aged 35 to 55 years (mean [±SD] age, 46.90 ± 5.9 years) were examined for knee OA and were administered the Knee injury and Osteoarthritis Outcome Score (KOOS) questionnaire. A matched group of 100 athletically active military personnel served as a comparison group. RESULTS The sonographic prevalence of OA was significantly higher in the veteran soccer group (52%) than in the military group (33%) (n = 200; P = .010). This difference remained significant even after excluding participants with a history of knee surgery (44.1% vs 25.3%, respectively) (n = 151; P = .010). Femoral cartilage thickness was similar between the 2 groups (P = .473), while altered knee alignment had no effect on the prevalence of OA (P = .740). With the exception of perceived pain being more prevalent in the military group, there were no other statistically significant differences between the 2 groups in KOOS values. CONCLUSION Veteran soccer players had a higher sonographic prevalence of knee OA but better pain scores than a matched group of athletically active military personnel.
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Affiliation(s)
- Odysseas Paxinos
- Orthopedic Department, 251 Hellenic Air Force General Hospital, Athens, Greece
| | | | - Georgios Delimpasis
- Orthopedic Department, 251 Hellenic Air Force General Hospital, Athens, Greece
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Attenborough AS, Sinclair PJ, Sharp T, Greene A, Stuelcken M, Smith RM, Hiller CE. A snapshot of chronic ankle instability in a cohort of netball players. J Sci Med Sport 2016; 19:379-83. [DOI: 10.1016/j.jsams.2015.04.010] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2014] [Revised: 03/24/2015] [Accepted: 04/12/2015] [Indexed: 10/23/2022]
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