National injury prevention measures in team sports should focus on knee, head, and severe upper limb injuries

Abstract Introduction: Unlike other team sports on the court, volleyball lacks physical contact between players, the teams being separated by the net. However, lower limb injuries take place during spiking and blocking trough unintentional and illegal intrusion of a player in the opponent’s court. Due to the specificity of the game, the joints of the upper limbs are also subject to overload. The purpose of this study is to analyze the international literature on injury and trauma in performance volleyball. Methods: We analysed several studies about injuries in performance volleyballwhich were identified using online databases: Google Scholar, EBSCO, Springer, Elsevier, and Scopus. Results: The injury patternshows the ankle sprain as being by far the most common injury in volleyball with a percentage of 31.9%. The knee is the second most injured anatomic site, 17.38% of injuries affecting this joint. Third most frequent injury affects the fingers 13.44%, followed by lower back 12,38% andshoulder trauma 12.18%. The hand is injured in 6.97%, while other injuries were found in 5.25% of cases. Conclusions: The need for in depth analysis of volleyball injuries still persists. Analysing the literature we are comming to understand the mechanisms that produce the injuries with the purpose of finding metods to avoid these unfortunate events before they happen. It is no longer enough to recover from an injury, it must be prevented entirely if possible. Time spent by a player recovering may negatively affect the team's performance. Injury prevention measures must occupy an important place in training. Coaches should take into acount all the factors that influence injury incidence and design the training plan accordingly.

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Sports Injury and Illness Epidemiology: Thailand Team Surveillance During the 30th Southeast Asian Games

Asian Journal of Sports Medicine ◽

10.5812/asjsm.116382 ◽

2022 ◽

Vol In Press (In Press) ◽

Author(s):

Kotchakorn Jumroenketpratheep ◽

Htet Zayar ◽

Kittinad Kaewkul ◽

Kornkit Chaijenkij

Keyword(s):

Injury Prevention ◽

Respiratory Illness ◽

Body Part ◽

Lower Leg ◽

Southeast Asian ◽

Medical Attention ◽

Prevention Measures ◽

National Team ◽

Limb Injuries ◽

Sport Events

Background: Injury and illness surveillance in sports is the first step of the injury prevention model that generates effective injury prevention measures. Objectives: To identify the incidence, severity, and causes of injuries and illness in the Thailand national team during the 30th Southeast Asian (SEA) Games. Methods: All medical encounters were documented using the International Olympic Committee (IOC) injury and illness surveillance system for multi-sport events. We recorded the daily occurrence of injuries and illnesses reported by Thailand’s medical teams over the 12 days of the competition period. Results: Among 980 Thai athletes (568 male and 412 female), that participated in the 30th SEA Games, a total of 105 injuries and illnesses were reported. There were 84 injuries and 21 illnesses which equated to an incidence of 86 injuries and 21 illnesses per 1000 athletes. The most commonly injured body part was the lower leg (14% of all injuries), followed by the shoulder and clavicle. Ligament sprain or rupture and contusion (25% of all injuries) were reported as the most common type of injury. Of all injuries, 56 were classified as needing medical attention (only), 26 caused performance restriction, and two caused complete-time loss. The most common athlete illness was respiratory illness (48% of all illnesses) followed by gastrointestinal illness (19% of all illnesses). One-third (7 out of 21) of athlete illnesses restricted the athlete's performance, and the remaining 14 only required medical attention. Conclusions: Overall, 8% of athletes incurred at least one injury during the competition, and 2% suffered from an illness. Lower leg injury and respiratory illness were the most common, which is similar to other multi-sport events. Based on the research data, injury prevention, especially of ligamentous sprain and lower limb injuries, should be the focus in multi-sport events.

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Mangling upper limb injuries in industry

Injury ◽

10.1016/s0020-1383(99)00177-1 ◽

1999 ◽

Vol 30 ◽

pp. S

Author(s):

D RING

Keyword(s):

Upper Limb ◽

Limb Injuries

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Development and Usability Testing of a Web-Based and Therapist-Assisted Coping Skills Program for Managing Psychosocial Problems in Individuals With Hand and Upper Limb Injuries: Mixed Methods Study (Preprint)

10.2196/preprints.17088 ◽

2019 ◽

Author(s):

Folarin Omoniyi Babatunde ◽

Joy MacDermid ◽

Ruby Grewal ◽

Luciana Macedo ◽

Mike Szekeres

Keyword(s):

Upper Limb ◽

Coping Skills ◽

Usability Testing ◽

Psychosocial Problems ◽

Skills Training ◽

Hand Therapy ◽

Web Based ◽

Coping Skills Training ◽

Limb Injuries ◽

Prolonged Pain

BACKGROUND Ineffective coping has been linked to prolonged pain, distress, anxiety, and depression after a hand and upper limb injury. Evidence shows that interventions based on cognitive behavioral therapy (CBT) may be effective in improving treatment outcomes, but traditional psychological interventions are resource intensive and unrealistic in busy hand therapy practices. Developing web-based, evidence-based psychological interventions specifically for hand therapy may be feasible in clinical practice and at home with reduced training and travel costs. Hand Therapy Online Coping Skills (HOCOS) is a program developed to supplement traditional hand therapy with therapist-assisted coping skills training based on principles from CBT and the Technology Acceptance Model. OBJECTIVE This study aimed to describe the development and assess the usability of HOCOS to support hand therapists in the management of psychosocial problems. METHODS The ADDIE model (Analysis, Design, Development, Implementation, and Evaluation) of system design was applied to create HOCOS. The usability testing of HOCOS involved a 2-stage process. In the first step, heuristic testing with information and communications technology (ICT) experts was completed using two sets of heuristics: Monkman heuristics and the Health Literacy Online (HLO) checklist. The second step involved user testing with hand therapists performing a series of online and face-to-face activities, completing 12 tasks on the website using the think-aloud protocol, completing the system usability scale (SUS) questionnaire, and a semistructured feedback interview in 2 iterative cycles. Descriptive statistics and content analyses were used to organize the data. RESULTS In total, 4 ICT experts and 12 therapists completed usability testing. The heuristic evaluation revealed 15 of 35 violations on the HLO checklist and 5 of 11 violations on the Monkman heuristics. Initially, hand therapists found 5 tasks to be difficult but were able to complete all 12 tasks after the second cycle of testing. The cognitive interview findings were organized into 6 themes: task performance, navigation, design esthetics, content, functionality and features, and desire for future use. Usability issues identified were addressed in two iterative cycles. There was good agreement on all items of the SUS. Overall, therapists found that HOCOS was a detailed and helpful learning resource for therapists and patients. CONCLUSIONS We describe the development and usability testing of HOCOS; a new web-based psychosocial intervention for individuals with a hand and upper limb injuries. HOCOS targets psychosocial problems linked to prolonged pain and disability by increasing access to therapist-guided coping skills training. We actively involved target users in the development and usability evaluation of the website. The final website was modified to meet the needs and preferences of the participants.

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Computed tomography angiography and microsurgical flaps for traumatic wounds: What is the added value?

Clinical Hemorheology and Microcirculation ◽

10.3233/ch-200986 ◽

2021 ◽

pp. 1-9

Author(s):

Lucas Sousa Macedo ◽

Renato Polese Rusig ◽

Gustavo Bersani Silva ◽

Alvaro Baik Cho ◽

Teng Hsiang Wei ◽

...

Keyword(s):

Computed Tomography ◽

Upper Limb ◽

Computed Tomography Angiography ◽

Lower Limb ◽

High Energy ◽

Lower Limbs ◽

Added Value ◽

Vascular Lesions ◽

Limb Injuries ◽

Significant Difference

BACKGROUND: Microsurgical flaps are widely used to treat complex traumatic wounds of upper and lower limbs. Few studies have evaluated whether the vascular changes in preoperative computed tomography angiography (CTA) influence the selection of recipient vessel and type of anastomosis and the microsurgical flaps outcomes including complications. OBJECTIVE: The aim of this study was to evaluate if preoperative CTA reduces the occurrence of major complications (revision of the anastomosis, partial or total flap failure, and amputation) of the flaps in upper and lower limb trauma, and to describe and analyze the vascular lesions of the group with CTA and its relationship with complications. METHODS: A retrospective cohort study was undertaken with all 121 consecutive patients submitted to microsurgical flaps for traumatic lower and upper limb, from 2014 to 2020. Patients were divided into two groups: patients with preoperative CTA (CTA+) and patients not submitted to CTA (CTA–). The presence of postoperative complications was assessed and, within CTA+, we also analyzed the number of patent arteries on CTA and described the arterial lesions. RESULTS: Of the 121 flaps evaluated (84 in the lower limb and 37 in the upper limb), 64 patients underwent preoperative CTA. In the CTA+ group, 56% of patients with free flaps for lower limb had complete occlusion of one artery. CTA+ patients had a higher rate of complications (p = 0.031), which may represent a selection bias as the most complex limb injuries and may have CTA indicated more frequently. The highest rate of complications was observed in chronic cases (p = 0.034). There was no statistically significant difference in complications in patients with preoperative vascular injury or the number of patent arteries. CONCLUSIONS: CTA should not be performed routinely, however, CTA may help in surgical planning, especially in complex cases of high-energy and chronic cases, since it provides information on the best recipient artery and the adequate level to perform the microanastomosis, outside the lesion area.

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Prevalence of Musculoskeletal Injuries in New Zealand Army Recruits as Defined by Physical Therapy Service Presentations

Military Medicine ◽

10.1093/milmed/usab186 ◽

2021 ◽

Author(s):

Narelle Hall ◽

Maria Constantinou ◽

Mark Brown ◽

Belinda Beck ◽

Suzanne Kuys

Keyword(s):

New Zealand ◽

Physical Therapy ◽

Injury Prevention ◽

Lower Limb ◽

Injury Incidence ◽

Basic Training ◽

Lower Limb Injuries ◽

Limb Injuries ◽

Army Recruits ◽

Therapy Service

ABSTRACT Introduction Army recruit injuries occurring during basic training can lead to high personal and organizational burdens potentially threatening deployment capability. Previous military surveillance describing recruit injury as defined by physical therapy presentations is limited to 1-year duration or includes only male infantry recruits or trained personnel. Research describing injury incidence and trends specific to New Zealand Army basic training recruits over a longer period will better inform future injury prevention programs. Aims To identify the incidence and patterns of injuries reported from physical therapy presentations for New Zealand Army recruits undertaking basic training over a 4-year period. Materials and Methods This retrospective observational study identified injuries from physical therapy service presentations in New Zealand Army recruits from 2008 to 2011. All male and female New Zealand Army recruits who presented to physical therapy, following medical triage, were included. Recruit physical therapy presentations for injury and respiratory and other conditions were collated. Injury incidence was grouped by body region (upper limbs, lower limbs, and combined spinal regions) and site (joint or segment), and cumulative and injury incidence rates were calculated. Results One thousand eight hundred and ninety-six (1,697 males and 199 females) New Zealand Army recruits commenced basic training between 2008 and 2011. One thousand six hundred and eighty-three physical therapy presentations occurred for recruit injury during New Zealand Army basic training over 4 years. Lower limb injuries accounted for over 75% (n = 1,285) of the overall demand for physical therapy service during recruit basic training. Injuries sustained at the knee and below accounted for 67% of all reported injury presentations. Conclusion Four years of injury surveillance using physical therapy presentations identified the lower limb, with the knee and below as the most commonly injured regions in New Zealand Army recruits. Injury prevention interventions for New Zealand Army recruits should aim to reduce lower limb injuries. Future research on injury surveillance would benefit from incorporating clear injury and severity definitions, established injury classification systems, and standardized incidence calculations.

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Effectiveness of an Educational Program in Health Promotion and Injury Prevention for Freshman Music Majors

Medical Problems of Performing Artists ◽

10.21091/mppa.2008.2010 ◽

2008 ◽

Vol 23 (2) ◽

pp. 47-53 ◽

Cited By ~ 4

Author(s):

Rebecca Barton ◽

Judy R Feinberg

Keyword(s):

Health Promotion ◽

Injury Prevention ◽

Performing Arts ◽

Educational Program ◽

Daily Routine ◽

Music Majors ◽

Prevention Measures ◽

Medical Problems ◽

Performing Arts Medicine ◽

Course Content

The purpose of this program evaluation was to examine the effectiveness of an educational course in health promotion and injury prevention designed specifically for college music majors. Course content included the provision of information on medical problems commonly seen in musicians, effective health promotion and preventive strategies, and application of this knowledge to music playing and other daily occupations. Students were taught how to assess risk for potential injury for themselves and their future students. Course content and self-assessment questionnaires aimed at assessing the students' use of health and injury prevention measures were administered before the start of the course, immediately after course completion, and 6 weeks later. The outcomes indicated that students improved in their overall knowledge of the content covered in this educational module and that this increased knowledge was retained 6 weeks later. Interestingly, self-perceived application of health promotion and injury prevention strategies did not improve significantly at the completion of the course but did so 6 weeks later, possibly indicating that behavior change takes longer to incorporate into one's daily routine. Literature suggests that such education programs have benefited performing artists, and these results indicate the efficacy of this type of educational program within an academic curriculum for student musicians. In addition, this program illustrates the role of the occupational therapist as a consultant and educator in the practice of performing arts medicine.

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Common and Less Well-known Upper-limb Injuries in Elite Tennis Players

Current Sports Medicine Reports ◽

10.1249/jsr.0000000000000760 ◽

2020 ◽

Vol 19 (10) ◽

pp. 414-421

Author(s):

Nicholas Shannon ◽

Brian Cable ◽

Timothy Wood ◽

John Kelly

Keyword(s):

Upper Limb ◽

Tennis Players ◽

Limb Injuries

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Injury prevention in football: Knowledge and behaviour of players and availability of medical care in a Nigerian youth football league

South African Journal of Sports Medicine ◽

10.17159/2078-516x/2013/v25i3a361 ◽

2013 ◽

Vol 25 (3) ◽

pp. 77 ◽

Cited By ~ 8

Author(s):

OBA Owoeye ◽

SRA Akinbo ◽

OA Olawale ◽

BA Tella ◽

NM Ibeabuchi

Keyword(s):

Medical Care ◽

Injury Prevention ◽

Knowledge Score ◽

Cross Sectional Study ◽

Football Players ◽

Prevention Measures ◽

Cross Sectional ◽

Male Youth ◽

Youth Football ◽

The Impact

Background. Exposure to competitive football is increasing among male youth football players in Nigeria. However, medical support to abate the impact of injuries appears inadequate and there is limited literature to show whether youth football players are knowledgeable about, and practise effective measures for injury prevention in football (IPF).Objective. To assess the knowledge and behaviour of male youth football players regarding IPF and the availability of medical care for players.Methods. We conducted a cross-sectional study among all registered first-division players of a male youth football league in Lagos, Nigeria. Using a self-administered questionnaire, we assessed players’ knowledge regarding IPF, awareness of the Fédération Internationale de Football Association (FIFA) 11+ injury-prevention programme, injury-prevention behaviour and availability of medical attendants during training and competitive matches.Results. The mean age of the players was 18.5 years (standard deviation (SD) ±1.7; range 12 - 19). Their overall mean knowledge score regarding IPF was 4.40 (SD ±1.92) from a total score of 9, with the majority falling into the poor (39.1%) and fair (43.9%) knowledge categories. Most (79.3%) players were not aware of the FIFA 11+ programme. Less than half (40.5%) wore shin guards during training sessions, while 52.5% reported wearing shin guards during matches. Less than two-thirds always warmed up or cooled down at training or matches. About three-quarters (73.1%) and over half (52.1%) reported not having medical attendants working with their teams during matches and training, respectively.Conclusion. There is a clear deficiency in the knowledge and behaviour of injury-prevention measures among Nigerian male youth football players, and adequate medical care is lacking. There is a need for injury-prevention advocacy and implementation of effective interventions to bridge the identified deficiencies in youth football in Nigeria.

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