Athletes with Disabilities Injury Registry

1996 ◽  
Vol 13 (1) ◽  
pp. 50-60 ◽  
Author(s):  
Michael S. Ferrara ◽  
William E. Buckley

The Athletes With Disabilities Injury Registry (ADIR) was designed to collect and analyze injury data from 1990 to 1992. Three hundred nineteen athletes from different disability organizations participated, and 128 reportable injuries were recorded. The injury rate during the study period was 9.45/1,000 athlete-exposures. Overall, 52% of the reported injuries were minor (0–7 days missed), 29% were moderate (8–21 days missed), and 19% were major (22 or more days missed). The shoulder and forearm/wrist accounted for the most days lost, followed by the hand/fingers and the upper arm/elbow. Musculoskeletal injuries accounted for 81 % of the reported injuries, and illness or disability-related problems accounted for 19%. Fifteen percent of the moderate and major injuries were not medically evaluated. This raises questions about access to medical care and the appropriate recognition of an injury. Injury prevention programs should focus on reducing the number of major injuries and educating athletes and coaches about appropriate medical referrals.

2013 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Hrvoje Lalić ◽  
Iva Kruljac

Firefighters and emergency workers are exposed to increased injury risks. The objective of the paper was to find out if such activities cause injuries that require long hospitalization. The files of 137 firefighters in Littoral Mountainous County, Croatia, were examined as well as those of 120 emergency workers in the last decade. The results have shown that on average firefighters were treated in hospitals 1.33 days, and emergency workers 0.018 days, p = .019, p < .05. The firefighters’ sick leave was longer, with a mean 63.91 days compared to emergency workers sick leave mean 22.90 days, but if two firefighters on long sick leave were excluded, the difference between two groups was not significant, p = .256, p > .05. While these injuries result in short hospitalizations time the sick leave time takes longer and requires extensive outpatient physical therapy that burden hospital system. Overall, the amount of medical care time to return these injured workers to duty is large, there is necessity of implementing innovative injury prevention programs. 


2021 ◽  
Vol 9 (10) ◽  
pp. 232596712110357
Author(s):  
Samuel D. Stephenson ◽  
Joseph W. Kocan ◽  
Amrit V. Vinod ◽  
Melissa A. Kluczynski ◽  
Leslie J. Bisson

Background: A large volume of systematic reviews and meta-analyses has been published on the effectiveness of sports injury prevention programs. Purpose: To provide a qualitative summary of published systematic reviews and meta-analyses that have examined the effectiveness of sports injury prevention programs on reducing musculoskeletal injuries. Study Design: Systematic review; Level of evidence, 4. Methods: We searched the PubMed, CINAHL, EMBASE, and the Cochrane databases for systematic reviews and meta-analyses that evaluated the effectiveness of sports injury prevention programs. We excluded published abstracts, narrative reviews, articles not published in English, commentaries, studies that described sports injury prevention strategies but did not assess their effectiveness, studies that did not assess musculoskeletal injuries, and studies that did not assess sports-related injuries. The most relevant results were extracted and summarized. Levels of evidence were determined per the Oxford Centre for Evidence-Based Medicine, and methodological quality was assessed using the AMSTAR-2 (A MeaSurement Tool to Assess systematic Reviews, revised version). Results: A total of 507 articles were retrieved, and 129 were included. Articles pertaining to all injuries were divided into 9 topics: sports and exercise in general (n = 20), soccer (n = 13), ice hockey (n = 1), dance (n = 1), volleyball (n = 1), basketball (n = 1), tackle collision sports (n = 1), climbing (n = 1), and youth athletes (n = 4). Articles on injuries by anatomic site were divided into 11 topics: general knee (n = 8), anterior cruciate ligament (n = 34), ankle (n = 14), hamstring (n = 11), lower extremity (n = 10), foot (n = 6), groin (n = 2), shoulder (n = 1), wrist (n = 2), and elbow (n = 1). Of the 129 studies, 45.7% were ranked as evidence level 1, and 55.0% were evidence level 2. Based on the AMSTAR-2, 58.9% of the reviews reported a priori review methods, 96.1% performed a comprehensive literature search, 47.3% thoroughly described excluded articles, 79.1% assessed risk of bias for individual studies, 48.8% reported a valid method for statistical combination of data (ie, meta-analysis), 45.0% examined the effect of risk of bias on pooled study results, and 19.4% examined the risk for publication bias. Conclusion: This comprehensive review provides sports medicine providers with a single source of the most up-to-date publications in the literature on sports injury prevention.


2012 ◽  
Vol 20 (3-4) ◽  
pp. 198-222 ◽  
Author(s):  
Boyi Dai ◽  
Daniel Herman ◽  
Hui Liu ◽  
William E. Garrett ◽  
Bing Yu

2017 ◽  
Vol 45 (10) ◽  
pp. 2372-2378 ◽  
Author(s):  
Christopher L. Camp ◽  
Frank C. Curriero ◽  
Keshia M. Pollack ◽  
Stephanie W. Mayer ◽  
Andrea M. Spiker ◽  
...  

Background: Although sliding occurs frequently in professional baseball, little is known about the epidemiology and effect of injuries that occur during sliding in this population of elite athletes. Purpose: To describe the incidence and characteristics of sliding injuries, determine their effect in terms of time out of play, and identify common injury patterns that may represent appropriate targets for injury prevention programs in the future. Study Design: Descriptive epidemiologic study. Methods: All offensive sliding injuries occurring in Major League Baseball (MLB) and Minor League Baseball (MLB) that resulted in time out of play during a span of 5 seasons (2011-2015) were identified. In addition to player demographics, data extracted included time out of play, location on field where injury occurred, level of play, treatment (surgical vs nonsurgical), direction of slide (head vs feet first), body region injured, and diagnosis. Descriptive statistics were used to describe the distribution of these injuries, and injury rates were calculated per slide. Results: From 2011 to 2015, 1633 injuries occurred as a result of a slide. The total number of days missed per season was 4263. Surgical intervention was required for 134 (8.2%) injuries, and the mean days missed was 66.5 for players treated surgically and 12.3 days for players treated nonoperatively ( P < .001). MLB players were more likely than MiLB players to require surgical intervention (12.3% vs 7.5%, P = .019). Injuries to the hands/fingers represented 25.3% of all injuries and 31.3% of those requiring surgery. Although the majority of injuries occurred at second base (57%), the per-slide injury rate was similar across all bases ( P = .991). The estimated overall frequency of injury in MLB was once per every 336 slides, and the rate of injury for head- and feet-first slides was 1 in 249 and 413 slides, respectively ( P = .119). Conclusion: Injuries occurring while sliding in professional baseball result in a significant amount of time out of play for these elite athletes. Injuries occurring at second base and those occurring to the hands and fingers were most prevalent and may be an appropriate target for future injury prevention programs.


2020 ◽  
Vol 32 (5) ◽  
pp. 276-284
Author(s):  
William J. Jefferson

The United States Supreme Court declared in 1976 that deliberate indifference to the serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain…proscribed by the Eighth Amendment. It matters not whether the indifference is manifested by prison doctors in their response to the prisoner’s needs or by prison guards intentionally denying or delaying access to medical care or intentionally interfering with treatment once prescribed—adequate prisoner medical care is required by the United States Constitution. My incarceration for four years at the Oakdale Satellite Prison Camp, a chronic health care level camp, gives me the perspective to challenge the generally promoted claim of the Bureau of Federal Prisons that it provides decent medical care by competent and caring medical practitioners to chronically unhealthy elderly prisoners. The same observation, to a slightly lesser extent, could be made with respect to deficiencies in the delivery of health care to prisoners of all ages, as it is all significantly deficient in access, competencies, courtesies and treatments extended by prison health care providers at every level of care, without regard to age. However, the frailer the prisoner, the more dangerous these health care deficiencies are to his health and, therefore, I believe, warrant separate attention. This paper uses first-hand experiences of elderly prisoners to dismantle the tale that prisoner healthcare meets constitutional standards.


1993 ◽  
Vol 16 (3) ◽  
pp. 251-277 ◽  
Author(s):  
David G. Gil

Medical Care ◽  
1981 ◽  
Vol 19 (Supplement) ◽  
pp. 4-27 ◽  
Author(s):  
Lu Ann Aday ◽  
Ronald M. Andersen

2020 ◽  
Vol 6 (1) ◽  
pp. e000908
Author(s):  
Anna Levi ◽  
Till-Martin Theilen ◽  
Udo Rolle

ObjectiveIn field hockey, injuries are assessed by various recording techniques leading to a heterogenic collection of poorly comparable injury data.MethodsInjury data were prospectively collected at the 2016 Men’s Hockey Junior World Cup using the match injury reports (MIRs), video injury clips provided by the Fédération Internationale de Hockey, and daily medical reports (DMRs). A pilot study comparing injury type, mechanism, location on the field, injured body part and overall injury incidence among the different injury recording techniques was performed.ResultsMIRs and video injury clips were completely available for analysis. DMRs were returned from 11 out of 16 teams (69%). In total, MIRs yielded 28, video analysis 36, and DMRs 56 injuries. Overall injury rate varied between 24.8 and 57.9 injuries per 1000 player match hours. The majority of injuries affected the lower limbs by all three methods (41.7–61.2%) and were mainly caused by having been hit by the ball (20.4–50%) or stick (11.1–28.6%). Reports of concussions during competition were incoherent between MIR (2 cases) and DMR (no cases). The DMR was the only method to record overuse injuries (16.1%), injuries in training (12.5%), and time-loss injuries of one or two days (12.5%) or of three or more days (14.3%).ConclusionInjury data vary substantially between the MIR, DMR and injury video recording technique. Each recording technique revealed specific strengths and limitations. To further advance injury research in field hockey, the strengths of each recording technique should be brought together for a synergistic injury assessment model.


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