The impact of COVID-19 related disruption on injury rates in elite men’s domestic cricket

2021 ◽  
Author(s):  
Luke Goggins ◽  
Nicholas Peirce ◽  
Steve Griffin ◽  
Ben Langley ◽  
Hannah Jowitt ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Medical Illness ◽  
Injury Incidence ◽  
Time Loss ◽  
Injury Rates ◽  
Competitive Season ◽  
Prolonged Training ◽  
The Impact

This study aimed to investigate the impact of COVID-19 enforced prolonged training disruption and shortened competitive season, on in-season injury and illness rates. Injury incidence and percent proportion was calculated for the 2020 elite senior men’s domestic cricket season and compared to a historical average from five previous regular seasons (2015 to 2019 inclusive). The injury profile for the shortened 2020 season was generally equivalent to what would be expected in a regular season, except for a significant increase in medical illness as a proportion of time loss (17% compared to historic average of 6%) and in-season days lost (9% compared to historic average of 3%) due to COVID-19 related instances (most notably precautionary isolation due to contact with a confirmed or suspected COVID-19 case). There was a significant increase in the proportion of in-season days lost to thigh injuries (24% compared to 9%) and a significant decrease in the proportion of days lost to hand (4% compared to 12%) and lumbar spine (7% compared to 21%) injuries. These findings enhance understanding of the impact prolonged period of training disruption and shortened season can have on cricket injuries and the challenges faced by practitioners under such circumstances.

scholarly journals Injury rates decreased in men’s professional football: an 18-year prospective cohort study of almost 12 000 injuries sustained during 1.8 million hours of play

2021 ◽  
pp. bjsports-2020-103159
Author(s):  
Jan Ekstrand ◽  
Armin Spreco ◽  
Håkan Bengtsson ◽  
Roald Bahr
Keyword(s):  
Ligament Injury ◽  
Football Players ◽  
Injury Incidence ◽  
Professional Football ◽  
Muscle Injuries ◽  
Time Loss ◽  
Match Play ◽  
Injury Rates ◽  
Surveillance Programme ◽  
Individual Player

BackgroundThe UEFA Elite Club Injury Study is the largest and longest running injury surveillance programme in football.ObjectiveTo analyse the 18-season time trends in injury rates among male professional football players.Methods3302 players comprising 49 teams (19 countries) were followed from 2000–2001 through 2018–2019. Team medical staff recorded individual player exposure and time-loss injuries.ResultsA total of 11 820 time-loss injuries were recorded during 1 784 281 hours of exposure. Injury incidence fell gradually during the 18-year study period, 3% per season for both training injuries (95% CI 1% to 4% decrease, p=0.002) and match injuries (95% CI 2% to 3% decrease, p<0.001). Ligament injury incidence decreased 5% per season during training (95% CI 3% to 7% decrease, p<0.001) and 4% per season during match play (95% CI 3% to 6% decrease, p<0.001), while the rate of muscle injuries remained constant. The incidence of reinjuries decreased by 5% per season during both training (95% CI 2% to 8% decrease, p=0.001) and matches (95% CI 3% to 7% decrease, p<0.001). Squad availability increased by 0.7% per season for training sessions (95% CI 0.5% to 0.8% increase, p<0.001) and 0.2% per season for matches (95% CI 0.1% to 0.3% increase, p=0.001).ConclusionsOver 18 years: (1) injury incidence decreased in training and matches, (2) reinjury rates decreased, and (3) player availability for training and match play increased.

scholarly journals FAIR PLAY AS AN INJURY PREVENTION INTERVENTION: DO YELLOW CARD ACCUMULATION POLICIES REDUCE HIGH SCHOOL SOCCER INJURIES?

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0022
Author(s):  
Peter K. Kriz ◽  
Jingzhen Yang ◽  
Alan Arakkal ◽  
Timothy Keeley ◽  
R. Dawn Comstock
Keyword(s):  
High School ◽  
Injury Prevention ◽  
Soccer Players ◽  
Fair Play ◽  
Yellow Card ◽  
Time Loss ◽  
Severe Injuries ◽  
Injury Rates ◽  
Illegal Activity ◽  
The Impact

Background: Pediatric sports-related injuries are common, yet prevention efforts too often go unevaluated. Collins et al. studied nine U.S. high school (HS) sports during 2005/06-2006/07, finding boys’ and girls’ soccer had the highest injury rates related to illegal activity. Several states have implemented yellow card accumulation policies (YCPs) in an effort to prevent injuries. Hypothesis/Purpose: Purpose: Evaluate the effectiveness of YCPs in reducing HS soccer competition injuries by comparing injury rates and patterns in states with and without YCPs. Hypotheses: Athlete-athlete contact injury rates are lower in states with YCPs Severe injuries (concussion, fracture, ACL, injury requiring surgery, injury resulting in > 3 weeks’ time loss) are less prevalent in states with YCPs Gender differences influence the effectiveness of YCPs Methods: Retrospective cohort study of NHFS member state association HS soccer players injured during competition in 2005/06-2017/18. Athlete exposure (AEs) and injury data collected from a national sports injury surveillance system, High School RIO. Poisson regression assessed the effects of YCPs on injury rates and patterns. Results: Of 50 NFHS member states associations, high schools from 47 were represented. Overall, 901 athlete-athlete contact injuries occurred during 352,775 competition AEs in states with YCPs and 3,525 during 1,459,708 AEs in states without YCPs. There was no significant difference in overall contact injury rates (rate ratio [RR] 1.06; 95% confidence interval [CI]: 0.98-1.14) between schools in states with and without YCPs. A small, significant increase in overall contact injury rates was discernable after states’ adoption of YCPs (RR 1.17; 95% CI: 1.03, 1.34), particularly in boys’ soccer (RR 1.32; 95% CI 1.08-1.62). A significantly lower proportion of injuries resulting in > 3 weeks’ time loss occurred in states with YCPs (injury proportion ratio [IPR] 0.81; p=0.047), while other severe injuries did not differ. There were no significant differences in YCPs’ effect by gender (p=0.319). Conclusion: Among HS boys’ and girls’ soccer players, playing in states with YCPs did not lower athlete-athlete contact injury rates, although injuries resulting in > 3 weeks’ time loss were less prevalent in states with YCPs. Athlete-athlete contact injury rates were slightly higher in states following adoption of YCPs, particularly in boys’ soccer. Enactment of YCPs alone, without proper enforcement, may not be a sufficient injury prevention strategy. Further studies assessing the impact of HS soccer YCPs need to consider the effects of state level YCP enforcement, documented illegal activity/foul play, and Fair Play education. Tables/Figures: [Table: see text][Table: see text][Table: see text]

scholarly journals Missed orthopaedic injuries in adult trauma patients at a major trauma centre

2020 ◽  
Author(s):  
Christopher David Roche
Keyword(s):  
Major Trauma ◽  
Whole Body ◽  
Trauma Patients ◽  
Injury Incidence ◽  
Injury Rates ◽  
Missed Injuries ◽  
Missed Injury ◽  
Radiology Reports ◽  
Trauma Networks ◽  
The Impact

IntroductionDespite advances in trauma care, missed injury remains a significant cause of morbidity and mortality in trauma worldwide. In England, few have published their missed injury rates and there are no recent data for London. In 2010 London trauma networks were restructured and the impact on missed injury rates is not known. This study aimed to determine the incidence of missed orthopaedic injury for adult trauma patients at St George’s Hospital, London, and to analyse missed injuries and comment on risk factors.MethodTrauma patients were recorded prospectively at the daily trauma meeting from July to September 2012. The researcher attended clinical activities and reviewed the patient notes and radiology reports daily whilst each patient was an inpatient until discharge. Missed injuries were defined as fractures or dislocations discovered more than 12 h after arrival in the emergency department. The notes for missed injury patients were reviewed again at six months. Missed injury details were recorded/analysed.ResultsThree hundred and forty three adult trauma patients were referred to trauma and orthopaedics in the three-month study period; 5 (1.5%) had a missed injury and 148 (43.1%) had an ISS&gt;15. All missed injuries occurred in these major trauma patients, giving an incidence of 5/148 (3.4%). Four were extremity injuries and one was cervical. All missed injury patients had a GCS of 15/15, were admitted outside normal working hours, were direct admissions and had whole-body CT.ConclusionsAt 3.4% our missed injury incidence is comparable to those published from similar major trauma centres. This provides recent London data following the restructuring of trauma networks.

Injury and Player Availability in Women’s International Pathway Cricket from 2015 to 2019

2020 ◽  
Vol 41 (13) ◽  
pp. 944-950
Author(s):  
Luke Goggins ◽  
Anna Warren ◽  
Danni Smart ◽  
Susan Dale ◽  
Nicholas Peirce ◽  
...  
Keyword(s):  
Research Area ◽  
Incidence Rates ◽  
Medical Illness ◽  
Targeted Prevention ◽  
Injury Incidence ◽  
Prevention Strategies ◽  
Time Loss ◽  
Gradual Onset ◽  
Starting Point ◽  
Part Time

AbstractThis prospective cohort study aimed to describe injury and illness epidemiology within women’s international pathway cricket, understanding what influences player availability in this unique context where players are contracted part-time. Approximately 8.4% of players were impacted by injury or illness during the year, with an average 2.3% of players completely unavailable on any given day. Most medical complaints occurred during training (111.2 injuries/100 players per year). Of all complaints, medical illness had the highest overall incidence (45.0 complaints/100 players), followed by hand injuries (24.7 injuries/100 players). Gradual onset injuries were most common. Overall average match time-loss complaint prevalence rate was 4.1% and average match time-loss injury incidence rate was 7.0 injuries/1000 days of play. Fielding (56.4 injuries/100 players per year) was the activity resulting in the highest average overall and time-loss injury incidence rates, though ‘other’ activities (e. g. those occurring outside of cricket participation) collectively accounted for 78.3 injuries/100 players per year. The high incidence of medical illness relative to other complaints may be a distinct feature of the women’s cricket international pathway compared to other cricket samples. The high occurrence of injuries arising from ‘other’ activities, likely due to part-time participation, presents an opportunity for targeted injury prevention strategies.• The first study on an international women’s cricket pathway, contributes to the empirical base for specific injury risks associated with the women’s cricket game, which is an emerging research area for a developing sport.• Some of the findings may be a distinct feature of the women’s cricket international pathway, highlighting potential opportunities for targeted prevention strategies.• With the upcoming development of an elite domestic structure these preliminary findings will provide a good starting point for physiotherapy and medical staff working in these contexts.

The Impact of Multifocused Interventions on Sharps Injury Rates at an Acute-Care Hospital

1999 ◽  
Vol 20 (12) ◽  
pp. 806-811 ◽  
Author(s):  
Robyn R.M. Gershon ◽  
Lisa Pearse ◽  
Martha Grimes ◽  
Patricia A. Flanagan ◽  
David Vlahov
Keyword(s):  
Incidence Rate ◽  
Acute Care ◽  
Healthcare Workers ◽  
Injury Incidence ◽  
Care Hospital ◽  
Injury Rates ◽  
Injury Data ◽  
Sharps Injury ◽  
The Impact ◽  
Sharps Injuries

AbstractObjective:To determine the impact of a multifocused interventional program on sharps injury rates.Design:Sharps injury data were collected prospectively over a 9-year period (1990-1998). Pre- and postinterventional rates were compared after the implementation of sharps injury prevention interventions, which consisted of administrative, work-practice, and engineering controls (ie, the introduction of an anti-needlestick intravenous catheter and a new sharps disposal system).Setting:Sharps injury data were collected from healthcare workers employed by a mid-sized, acute-care community hospital.Results:Preinterventional annual sharps injury incidence rates decreased significantly from 82 sharps injuries/1,000 worked full-time-equivalent employees (WFTE) to 24 sharps injuries/1,000 WFTE employees postintervention (P<.0001), representing a 70% decline in incidence rate overall. Over the course of the study, the incidence rate for sharps injuries related to intravenous lines declined by 93%, hollow-bore needlesticks decreased by 75%, and non-hollow-bore injuries decreased by 25%.Conclusion:The implementation of a multifocused interventional program led to a significant and sustained decrease in the overall rate of sharps injuries in hospital-based healthcare workers.

Epidemiology of injuries in juniors participating in top-level karate competition: a prospective cohort study

2017 ◽  
Vol 52 (11) ◽  
pp. 730-734 ◽  
Author(s):  
Dušana Čierna ◽  
Merce Barrientos ◽  
Carlos Agrasar ◽  
Rafael Arriaza
Keyword(s):  
Rate Ratio ◽  
Elite Athletes ◽  
Age Groups ◽  
Injury Rate ◽  
Incidence Rates ◽  
Injury Incidence ◽  
Contact Sport ◽  
Time Loss ◽  
Injury Rates ◽  
Junior Athletes

BackgroundKarate is a popular combat semi-contact sport among juniors, but there are only few studies available on the epidemiology of injuries in karate junior athletes.AimThe aims of this study were to determine the incidence and pattern of injuries in top-level karate competition for athletes aged 16 to 20 years, and to compare injury rates between age groups (ie, under 18-year-old [U18] and under 21-year-old [U21]) and genders, following the introduction of new weight categories.MethodsA prospective injury surveillance was undertaken at four consecutive World Karate Championships (2009 to 2015), following the same protocols used in previous investigations.ResultsDuring the four championships, a total of 257 injuries were recorded, with an incidence of 41.4/1,000 athlete exposures (AEs, 95% CI 36.4 to 46.3). The injury rate was significantly lower for females with a rate ratio 0.63 (95% CI 0.48 to 0.82). Most of the injuries were minor ones: contusions (n=100), followed by abrasions (n=63) and epistaxis (n=62). Only 10% of the injuries were time-loss injuries (injury incidence rates 4.2/1,000 AEs; 95% CI 2.7 to 6.1). Face injuries represented 69.6% of the injuries, most of them were minor ones (light abrasions 24.5%, epistaxis 24.1%, contusion 16.7%). Change of rules (raising the number of weight categories from three to five) reduced injury incidence in the U21 category.ConclusionsThe total injury rate in junior competitions is lower compared with elite adult athletes and higher compared with younger elite athletes. Time-loss injuries are rare. The implementation of the new competition categories in U21 karate has been associated with a significant reduction in injury rate.

Are Elite Soccer Teams’ Preseason Training Sessions Associated With Fewer In-Season Injuries? A 15-Year Analysis From the Union of European Football Associations (UEFA) Elite Club Injury Study

2020 ◽  
Vol 48 (3) ◽  
pp. 723-729 ◽  
Author(s):  
Jan Ekstrand ◽  
Armin Spreco ◽  
Johann Windt ◽  
Karim M. Khan
Keyword(s):  
Linear Regression ◽  
Regression Models ◽  
Injury Incidence ◽  
Linear Regression Models ◽  
Injury Rates ◽  
Percentage Points ◽  
Competitive Season ◽  
Soccer Teams ◽  
European Football ◽  
Injury Burden

Background: Preseason training develops players’ physical capacities and prepares them for the demands of the competitive season. In rugby, Australian football, and American football, preseason training may protect elite players against in-season injury. However, no study has evaluated this relationship at the team level in elite soccer. Purpose/Hypothesis: The aim of this study was to investigate whether the number of preseason training sessions completed by elite soccer teams was associated with team injury rates and player availability during the competitive season. It was hypothesized that elite soccer teams who participate in more preseason training will sustain fewer injuries during the competitive season. Study Design: Descriptive epidemiology study. Methods: We used the Union of European Football Associations (UEFA) injury dataset to analyze 44 teams for up to 15 seasons (total, 244 team-seasons). Separate linear regression models examined the association between the number of team preseason training sessions and 5 in-season injury measures. Injury-related problems per team were quantified by totals of the following: (1) injury burden, (2) severe injury incidence, (3) training attendance, (4) match availability, and (5) injury incidence. Results: Teams averaged 30 preseason training sessions (range, 10-51). A greater number of preseason training sessions was associated with less injury load during the competitive season in 4 out of 5 injury-related measures. Our linear regression models revealed that for every 10 additional preseason training sessions that the team performed, the in-season injury burden was 22 layoff days lower per 1000 hours ( P = .002), the severe injury incidence was 0.18 severe injuries lower per 1000 hours ( P = .015), the training attendance was 1.4 percentage points greater ( P = .014), and the match availability was 1.0 percentage points greater ( P = .042). As model fits were relatively low (adjusted R2 = 1.3%-3.2%), several factors that contribute to in-season injury outcomes were unaccounted for. Conclusion: Teams that performed a greater number of preseason training sessions had “healthier” in-season periods. Many other factors also contribute to in-season injury rates. Understanding the benefit of preseason training on in-season injury patterns may inform sport teams’ planning and preparation.

scholarly journals Sports Medicine Staffing Patterns and Incidence of Injury in Collegiate Men's Ice Hockey

2020 ◽  
Vol 55 (6) ◽  
pp. 587-593 ◽  
Author(s):  
Christine M. Baugh ◽  
Zachary Y. Kerr ◽  
Emily Kroshus ◽  
Bailey L. Lanser ◽  
Tory R. Lindley ◽  
...  
Keyword(s):  
Health Care ◽  
Athletic Trainers ◽  
Ice Hockey ◽  
Injury Incidence ◽  
Graduate Assistant ◽  
Time Loss ◽  
Injury Rates ◽  
Hockey Players ◽  
Patient Load ◽  
Staffing Patterns

Context The relative availability of clinicians as well as the types and training of health care providers have been associated with morbidity and mortality in non-athletic health care settings. Whether staffing variations are associated with injury incidence in collegiate athletes is unknown. Objective To evaluate whether the institutional ratio of athletes to athletic trainers (patient load) or the ratio of staff to nonstaff (graduate assistant and certified intern) athletic trainers or both is associated with the incidence of injuries sustained by male ice hockey athletes at the school. Design Descriptive epidemiology study. Setting National Collegiate Athletic Association (NCAA) men's ice hockey teams. Patients or Other Participants Collegiate men's ice hockey athletes. Main Outcome Measure(s) The NCAA Injury Surveillance Program collected data from collegiate men's ice hockey athletes. Staffing patterns were obtained through telephone interviews. Injury counts, injury rates per 1000 athlete-exposures, and injury rate ratios with 95% confidence intervals were calculated and compared between the following groups: (1) schools with high (versus low) patient load and (2) schools with high (versus low) ratio of staff to nonstaff (graduate assistant and certified intern) athletic trainers. Results Both the patient load and relative number of staff athletic trainers were associated with variations in the incidences and types of diagnosed injuries in male ice hockey players. Specifically, fewer injuries were diagnosed by clinicians at institutions with high patient loads. The rates of injury overall and non–time-loss injuries were lower in the high patient-load group. Time-loss injury rates, severe injury rates, concussion rates, and overall rates of injury during competition were greater in the group with a higher proportion of staff athletic trainers, whereas non–time-loss injury rates were lower. Conclusions In this study of collegiate men's ice hockey players, athlete health outcomes were directly related to the number and types of clinicians available. Future researchers should evaluate whether this finding extends beyond men's ice hockey.

scholarly journals Time to get our four priorities right: an 8-year prospective investigation of 1326 player-seasons to identify the frequency, nature, and burden of time-loss injuries in elite Gaelic football

PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e4895 ◽  
Author(s):  
Mark Roe ◽  
John C. Murphy ◽  
Conor Gissane ◽  
Catherine Blake
Keyword(s):  
Lower Limb ◽  
Injury Risk ◽  
Sports Injuries ◽  
Acute Injury ◽  
Time Loss ◽  
Match Play ◽  
Injury Rates ◽  
National Databases ◽  
The Impact ◽  
And Training

Managing injury risk requires an understanding of how and when athletes sustain certain injuries. Such information guides organisations in establishing evidence-based priorities and expectations for managing injury risk. In order to minimise the impact of sports injuries, attention should be directed towards injuries that occur frequently, induce substantial time-loss, and elevate future risk. Thus, the current study aimed to investigate the rate at which elite Gaelic football players sustain different time-loss injuries during match-play and training activities. Datasets (n = 38) from elite Gaelic football teams (n = 17) were received by the National Gaelic Athletic Association Injury Surveillance Database from 2008 to 2016. A total of 1,614 time-loss injuries were analysed. Each season teams sustained 24.0 (interquartile ranges) (IQR 16.0–32.0) and 15.0 (IQR 10.0–19.0) match-play and training injuries, respectively. When exposure was standardised to 1,000 h, greater rates of injury (12.9, 95% CI [11.7–14.3]) and time-loss days (13.4, 95% CI [12.3–14.9]) were sustained in match-play than in training. Acute injury rates were 3.1-times (95% CI [2.7–3.4]) greater than chronic/overuse injuries. Similarly, non-contact injury rates were 2.8-times (95% CI [2.5–3.2]) greater than contact injuries. A total of 71% of injuries in elite Gaelic football affected five lower limb sites. Four lower limb-related clinical entities accounted for 40% of all time-loss injuries (hamstring, 23%; ankle sprain, 7%; adductor-related, 6%; quadriceps strain, 5%). Thus, most risk management and rehabilitation strategies need to be centred around five lower limb sites—and just four clinical entities. Beyond these, it may be highly unlikely that reductions in injury susceptibility can be attributed to specific team interventions. Thus, compliance with national databases is necessary to monitor injury-related metrics and future endeavours to minimise injury risk.

scholarly journals Incidence and prediction of ankle injury risk: a prospective cohort study on 91 contemporary preprofessional dancers

2021 ◽  
Vol 7 (2) ◽  
pp. e001060
Author(s):  
Adinda K E Mailuhu ◽  
Rogier M van Rijn ◽  
Janine H Stubbe ◽  
Sita M A Bierma-Zeinstra ◽  
Marienke van Middelkoop
Keyword(s):  
Lower Risk ◽  
Injury Risk ◽  
Ankle Injury ◽  
Ankle Injuries ◽  
Research Centre ◽  
Medical Attention ◽  
First Year ◽  
Injury Incidence ◽  
Time Loss ◽  
The Impact

ObjectivesThis study examines the incidence of ankle injuries and identifies ankle injury risk among contemporary preprofessional dancers.MethodsA total of 91 first-year contemporary preprofessional dancers were prospectively followed during one academic year. Self-reported ankle injuries, assessed with the Oslo Sports Trauma Research Centre questionnaire, were categorised as all complaint ankle injuries, substantial ankle injuries or time-loss ankle injuries. In addition, ankle injuries leading to medical attention were included. Regression analyses were used to determine the association between potential risk factors (dancer characteristics, history of ankle injury in the previous year, ankle range of motion and dorsiflexion) and ankle injuries.ResultsThe 1-year ankle injury incidence proportion was 18.7% (n=17), 8.8% (n=8), 15.4% (n=14) and 7.7% (n=7), respectively, for all complaint ankle injuries, ankle injuries requiring medical attention, time-loss injuries and substantial injuries. Being male (OR=0.27; 95% CI 0.09 to 0.75) and being a student of the Bachelors in Dance and Education (OR=0.27; 95% CI 0.08 to 0.97) were univariately associated with a lower risk of an ankle injury.ConclusionAlmost 20% of first-year preprofessional dancers reported an ankle injury, with more than 80% of the dancers reporting that their injury leads to dance time loss. Males and students of the bachelors in dance and education were at lower risk of ankle injuries. As ankle injuries are common among dancers, studies with larger sample sizes, a more heterogeneous population (eg, different dance styles) and longer follow-up periods are necessary to evaluate the impact of ankle injuries in further detail.

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