Risk factors that predict head trauma exposure in semi-professional Australian Rules Football players

2018 ◽  
Vol 21 ◽  
pp. S22-S23
Author(s):  
S. Harris ◽  
P. Chivers ◽  
F. McIntyre ◽  
B. Piggott ◽  
F. Farringdon
1989 ◽  
Vol 28 (01) ◽  
pp. 14-19 ◽  
Author(s):  
J. F. Dartigues ◽  
Ph. Peytour ◽  
E. Puymirat ◽  
P. Henry ◽  
M. Gagnon ◽  
...  

Abstract:When studying the possible effects of several factors in a given disease, two major problems arise: (1) confounding, and (2) multiplicity of tests. Frequently, in order to cope with the problem of confounding factors, models with multiple explanatory variables are used. However, the correlation structure of the variables may be such that the corresponding tests have low power: in its extreme form this situation is coined by the term “multicollinearity”. As the problem of multiplicity is still relevant in these models, the interpretation of results is, in most cases, very hazardous. We propose a strategy - based on a tree structure of the variables - which provides a guide to the interpretation and controls the risk of erroneously rejecting null hypotheses. The strategy was applied to a study of cervical pain syndrome involving 990 subjects and 17 variables. Age, sex, head trauma, posture at work and psychological status were all found to be important risk factors.


2021 ◽  
pp. 110689
Author(s):  
J. Cournoyer ◽  
C. Karton ◽  
D. Koncan ◽  
M.D. Gilchrist ◽  
R.C. Cantu ◽  
...  

2019 ◽  
Vol 14 (5) ◽  
pp. 598-605 ◽  
Author(s):  
Joel Garrett ◽  
Stuart R. Graham ◽  
Roger G. Eston ◽  
Darren J. Burgess ◽  
Lachlan J. Garrett ◽  
...  

Purpose: To compare the sensitivity of a submaximal run test (SRT) with a countermovement-jump test (CMJ) to provide an alternative method of measuring neuromuscular fatigue (NMF) in high-performance sport. Methods: A total of 23 professional and semiprofessional Australian rules football players performed an SRT and CMJ test prematch and 48 and 96 h postmatch. Variables from accelerometers recorded during the SRT were player load 1D up (vertical vector), player load 1D side (mediolateral vector), and player load 1D forward (anteroposterior vector). Meaningful difference was examined through magnitude-based inferences (effect size [ES]), with reliability assessed as typical error of measurements expressed as coefficient of variance. Results: A small decrease in CMJ height, ES −0.43 ± 0.39 (likely), was observed 48 h postmatch before returning to baseline 96 h postmatch. This was accompanied by corresponding moderate decreases in the SRT variables player load 1D up, ES −0.60 ± 0.51 (likely), and player load 1D side, ES −0.74 ± 0.57 (likely), 48 h postmatch before also returning to prematch baseline. Conclusion: The results suggest that in the presence of NMF, players use an alternative running profile to produce the same external output (ie, time). This indicates that changes in accelerometer variables during an SRT can be used as an alternative method of measuring NMF in high-performance Australian rules football and provides a flexible option for monitoring changes in the recovery phase postmatch.


1980 ◽  
Vol 8 (1) ◽  
pp. 107-110 ◽  
Author(s):  
Joseph S. Torg ◽  
Carol Beer ◽  
Leonard A. Bruno ◽  
Joseph Vegso

2018 ◽  
Vol 21 (12) ◽  
pp. 1120-1126 ◽  
Author(s):  
Rebekah Knight ◽  
Richard L Meeson

Objectives The aim of this study was to describe and evaluate the configurations and management of feline skull fractures and concurrent injuries following head trauma. Methods Medical records and CT images were reviewed for cats with skull fractures confirmed by CT that were managed conservatively or with surgery. Details of signalment, presentation, skull fracture configuration, management, re-examination, and complications or mortality were recorded and analysed. Results Seventy-five cats (53 males, 22 females) with a mean age of 4.8 ± 3 years met the inclusion criteria. Eighty-nine percent of cats had fractures in multiple bones of the skull, with the mandible, upper jaw (maxilla, incisive and nasal bones) and craniofacial regions most commonly affected. Temporomandibular joint injury occurred in 56% of cats. Road traffic accidents (RTAs) were the most common cause of skull fractures, occurring in 89% of cats, and caused fractures of multiple regions of the skull. RTAs were also associated with high levels of concurrent injuries, particularly ophthalmic, neurological and thoracic injuries. A more limited distribution of injuries was seen in non-RTA cats. Equal numbers of cats were managed conservatively or surgically (47%). Mortality rate was 8% and complications were reported in 22% of cats. Increasing age at presentation and presence of internal upper jaw fractures were risk factors for development of complications. No risk factors were identified for mortality. Conclusions and relevance RTAs were the most common cause of feline skull fractures and resulted in fractures in multiple regions of the skull and concurrent injuries occurred frequently. Problems with dental occlusion were uncommon post-treatment. An increased risk of implant loosening and malocclusion was seen with palatine and pterygoid bone fractures and hard palate injuries. This study provides useful additional information regarding feline skull fractures, concurrent injuries and management techniques following head trauma.


2017 ◽  
Vol 5 (3) ◽  
pp. 319-323 ◽  
Author(s):  
Babak Masoumi ◽  
Farhad Heydari ◽  
Hamidreza Hatamabadi ◽  
Reza Azizkhani ◽  
Zahra Yoosefian ◽  
...  

BACKGROUND: In emergency medicine for determining the intracranial injury (ICI) in children with head trauma, usually brain CT scan is performed. Since brain CT scan, especially in children, has some disadvantages, it is better to find a procedure which could help to choose only the children with real head trauma injury for brain CT scan.AIMS: The aim of this study is to find such procedure. This study was descriptive, analytic and non-interventional.METHODS: We reviewed the archived files of children with head trauma injuries referred to the emergency department of Imam Hossein Hospital within two years. Patient’s CT scan findings and head trauma risk factors were evaluated in this study.RESULTS: Out of 368 patients, 326 patients had normal brain CT scan. 28 of them showed symptoms of ICI consisting intraventricular haemorrhage (IVH), contusion, subarachnoid haemorrhage (SAH), subdural haemorrhage (SDH), epidural hematoma (EDH), and pneumocephalus. Twenty-seven patients showed skull FX, which 14 of them had an Isolated fracture, and 13 of them also showed symptoms of ICI. Since patients with isolated FX usually discharge quickly from Emergency Department; their data did not include in results of the study. The patients have been divided into two groups: 1- ICI, 2- without ICI. RR (relative risk), CI (Confidence interval) and sensitivity, positive predictive value (PPV), negative predictive value (NPV) and association of these risk factors with ICI were assessed with the Chi-2 test. In the end to determine the indications of CT scan, the presence of one of these five risk factors is important including abnormal mental status, clinical symptoms of skull FX, history of vomiting, craniofacial soft tissue injury (including subgaleal hematomas or laceration) and headache.CONCLUSIONS: For all other patients without these risk factors, observation and Follow Up can be used which has more advantages and less cost.


2012 ◽  
Vol 47 (3) ◽  
pp. 264-272 ◽  
Author(s):  
Gary B. Wilkerson ◽  
Jessica L. Giles ◽  
Dustin K. Seibel

Context: Poor core stability is believed to increase vulnerability to uncontrolled joint displacements throughout the kinetic chain between the foot and the lumbar spine. Objective: To assess the value of preparticipation measurements as predictors of core or lower extremity strains or sprains in collegiate football players. Design: Cohort study. Setting: National Collegiate Athletic Association Division I Football Championship Subdivision football program. Patients or Other Participants: All team members who were present for a mandatory physical examination on the day before preseason practice sessions began (n  =  83). Main Outcome Measure(s): Preparticipation administration of surveys to assess low back, knee, and ankle function; documentation of knee and ankle injury history; determination of body mass index; 4 different assessments of core muscle endurance; and measurement of step-test recovery heart rate. All injuries were documented throughout the preseason practice period and 11-game season. Receiver operating characteristic analysis and logistic regression analysis were used to identify dichotomized predictive factors that best discriminated injured from uninjured status. The 75th and 50th percentiles were evaluated as alternative cutpoints for dichotomization of injury predictors. Results: Players with ≥2 of 3 potentially modifiable risk factors related to core function had 2 times greater risk for injury than those with <2 factors (95% confidence interval  =  1.27, 4.22), and adding a high level of exposure to game conditions increased the injury risk to 3 times greater (95% confidence interval  =  1.95, 4.98). Prediction models that used the 75th and 50th percentile cutpoints yielded results that were very similar to those for the model that used receiver operating characteristic-derived cutpoints. Conclusions: Low back dysfunction and suboptimal endurance of the core musculature appear to be important modifiable football injury risk factors that can be identified on preparticipation screening. These predictors need to be assessed in a prospective manner with a larger sample of collegiate football players.


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