scholarly journals High incidence of injuries at the Pyeongchang 2018 Paralympic Winter Games: a prospective cohort study of 6804 athlete days

2019 ◽  
Vol 54 (1) ◽  
pp. 38-43 ◽  
Author(s):  
Wayne Derman ◽  
Phoebe Runciman ◽  
Esme Jordaan ◽  
Martin Schwellnus ◽  
Cheri Blauwet ◽  
...  
Keyword(s):  
Injury Risk ◽  
Sports Injury ◽  
Injury Incidence ◽  
Medical Support ◽  
Time Loss ◽  
Consistent Finding ◽  
Traumatic Injuries ◽  
Require Time ◽  
High Incidence ◽  
Data Capturing

ObjectiveTo describe the epidemiology of sports injury at the Pyeongchang 2018 Paralympic Winter Games.Methods567 athletes from 49 countries were monitored daily for 12 days over the Pyeongchang 2018 Paralympic Winter Games (6804 athlete days). Injury data were obtained daily from teams with their own medical support (41 teams and 557 athletes) and teams without their own medical support (8 teams and 10 athletes) through two electronic data capturing systems.Results112 of 567 athletes (19.8%) reported a total of 142 injuries, with an injury incidence rate (IR) of 20.9 per 1000 athlete days (95% CI 17.4 to 25.0). The highest IR was reported for para snowboard (IR of 40.5 per 1000 athlete days [95% CI 28.5 to 57.5]; p<0.02), particularly in the lower limb and head/face/neck anatomical areas. Across all sports at the Games, acute traumatic injuries (IR of 16.2 per 1000 athlete days [95% CI 13.2 to 19.8]) and injuries to the shoulder/arm/elbow complex (IR of 5.7 per 1000 athlete days [95% CI 4.2 to 7.8]) were most common. However, most injuries (78.9%) did not require time loss.ConclusionThe new Paralympic Winter Games sport of Para snowboard requires attention to implement actions that will reduce injury risk. The shoulder was the most injured single joint—a consistent finding in elite para sport.

scholarly journals High Incidence of Hand Injuries From Blocking in Elite Taekwondo Despite the Use of Protective Gear: A 5-Year Descriptive Epidemiology Study

2021 ◽  
Vol 9 (1) ◽  
pp. 232596712097399
Author(s):  
Markus Geßlein ◽  
Johannes Rüther ◽  
Michael Millrose ◽  
Hermann Josef Bail ◽  
Robin Martin ◽  
...  
Keyword(s):  
Injury Risk ◽  
Injury Incidence ◽  
Dominant Hand ◽  
Wrist Injuries ◽  
Descriptive Epidemiology ◽  
Epidemiology Study ◽  
Time Loss ◽  
Data Set ◽  
Injury Site ◽  
Protective Gear

Background: Hand and wrist injuries are a common but underestimated issue in taekwondo. Detailed data on injury risk, patterns, and mechanism are missing. Purpose: To evaluate (1) the fight time exposure-adjusted injury incidence rate (IIR) and clinical incidence and (2) injury site, type, sport-specific mechanism, and time loss in taekwondo. Study Design: Descriptive epidemiology study. Methods: Athletes from a single national Olympic taekwondo training center were investigated prospectively for hand and wrist injuries during training and competition over 5 years. The Orchard Sports Injury Classification System Version 10 was used to classify injury type, and analysis of the anatomic injury site was performed. The mechanism of injury was classified as due to either striking or blocking techniques. Results: From a total of 107 athletes, 79 athletes (73.8%) with a total exposure time of 8495 hours were included in the final data set. During the study period, 75 injuries of the hand and wrist region were recorded despite the athletes using protective hand gear. The IIR was 13.9 (95% CI, 10.5-17.5) and was significantly higher during competition. The clinical incidence as an indicator for risk of injury was 60.7% (95% CI, 50.9-70.5). Finger rays were the most affected location (68%), and fractures (43%) and joint ligament injuries (35%) were the most common type of injury. Significantly more injuries were found on the dominant hand side ( P < .001). Comparison of injury mechanisms demonstrated significantly more injuries at the finger rays deriving from blocking techniques ( P = .0104). The mean time loss for all hand and wrist injuries was 15.7 ± 13.5 days (range, 3-45 days) and was highest for distal radial fractures, with a mean of 39.7 ± 4.8 days (range, 32-45 days). Conclusion: There was a significantly higher IIR for acute hand and wrist injuries in elite taekwondo athletes during competition, which resulted in considerable time loss, especially when fractures or dislocations occurred. Significantly more injuries to the finger rays were found during blocking despite the use of protective hand gear. Improvement of tactical skills and blocking techniques during training and improved protective gear appear to be essential for injury prevention.

The Theatrical Stage as Accident Site in Professional Dance

2014 ◽  
Vol 29 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Eileen M Wanke ◽  
Michael Arendt ◽  
Helmgard Mill ◽  
Franziska Koch ◽  
Jacqueline Davenport ◽  
...  
Keyword(s):  
Quantitative Research ◽  
Injury Risk ◽  
Body Region ◽  
Time Loss ◽  
Traumatic Injuries ◽  
Intrinsic Factors ◽  
Qualitative And Quantitative ◽  
Work Related ◽  
Professional Dance ◽  
Accident Site

OBJECTIVE: Reducing work-related health hazards at the different theatre workplaces is one aspect of preventive options in professional dance. This also applies to hazards on the highly variable theatrical stage areas. However, detailed information on these stages and their risks is not available. The aim of this study was to analyze and evaluate work-related traumatic injuries in the stage area. METHODS: The basis for the evaluation was accident reports, from the German National Statutory Insurance, of work-related traumatic injuries occurring on stage in professional dancers (n=790: 407 males, 383 females) over a 17-year period (1995-2011). RESULTS: Most (79.4%) of the accidents on stage occurred during an ongoing performance (frequency: 10.1/100 performances), with only 19.7% occurring during rehearsals on stage (p<0.001). Due to the sustained injury, 30.2% of the dancers sustained a time-loss injury. Most (57.7%) of the injured dancers were older than 25 years. Of the accidents, 59.3% were initiated by a definably extrinsic cause, with 40.7% caused by intrinsic factors (p<0.001). Injuries were most commonly caused by the “partner” (21.7%) or “floor” (21.0%). The lower extremity was the most commonly affected body region (63.6%) (p<0.001). CONCLUSION: Stage performances seem to carry an increased injury risk compared to rehearsals. The “risk” of on-stage work is spread across various factors that seem to be stage-specific. There is a need for further qualitative and quantitative research to be able to classify the stage as workplace more precisely.

Social inequalities in unintentional childhood injury incidence suggest subgroup identification and differentiation in the municipal planning of preventive efforts

2019 ◽  
Vol 48 (2) ◽  
pp. 200-206 ◽  
Author(s):  
Iben Kryger Andersen ◽  
Jens Lauritsen
Keyword(s):  
Lower Risk ◽  
Injury Risk ◽  
Social Inequalities ◽  
Tertiary Education ◽  
Sports Injury ◽  
Personal Identification ◽  
Economic Factors ◽  
Injury Incidence ◽  
Traffic Injury ◽  
Socio Economic Factors

Aims: This registry-based study examined differences according to socio-economic factors in the incidence of unintentional childhood injuries involving main injury types. Methods: All children aged 0–15 years living in the municipality of Odense were followed from January 1 2006 to December 31 2010 ( n=176,585). Injury outcome ( n=27,745) was defined as visits to the local emergency department. Cohort data were transferred to Statistics Denmark and linked with socio-economic registry data based on unique personal identification numbers. Results: Children aged 10–15 years were at the highest risk for any injury (incidence rate ratio (IRR)=1.14), traffic injury (IRR=5.89) and sports injury (IRR=49.58) compared to children aged 0–4 years. Girls were at lower risk for any injury (IRR=0.85) and higher risk for sports injury (IRR=1.11) and home injuries (IRR=1.12) compared to boys. Children of parents with the lowest household income were at the highest risk for any injury (IRR=1.19) and traffic injury (IRR=2.16) compared to children of parents with the highest group. Children of parents with primary education were at the highest risk of any injury (IRR=1.22) and the lowest risk of traffic injury (IRR=0.80) and sports injury (IRR=0.75) compared to children of parents with tertiary education. Immigrants and descendants were at lower risk for any injury (IRR=0.75 and 0.79, respectively) and sports injury (IRR=0.81 and 0.68, respectively) compared to Danish children. Conclusions: Injury risk varied with socio-economic factors in a Danish municipal setting. The effect varied between specific injury types. Social and ethnic background is important in establishing targeted preventive efforts, but some aspects of selection bias may occur.

scholarly journals Injuries in Professional Male Soccer Players in the Netherlands: A Prospective Cohort Study

2015 ◽  
Vol 50 (2) ◽  
pp. 211-216 ◽  
Author(s):  
Janine H. Stubbe ◽  
Anne-Marie M. C. van Beijsterveldt ◽  
Sissi van der Knaap ◽  
Jasper Stege ◽  
Evert A. Verhagen ◽  
...  
Keyword(s):  
Cohort Study ◽  
Injury Risk ◽  
Knee Injuries ◽  
Lower Extremities ◽  
Body Part ◽  
Soccer Players ◽  
Injury Incidence ◽  
Time Loss ◽  
Professional Soccer ◽  
Common Diagnosis

Context: Injuries are a major adverse event in a soccer player's career. Reducing injury incidence requires a thorough knowledge of the epidemiology of soccer injuries. Objective: To investigate the incidence and characteristics of injuries in the Dutch premier soccer league. Design: Cohort study. Setting: The Dutch premier soccer league. Patients or Other Participants: During the 2009–2010 soccer season, a total of 217 professional soccer players from 8 teams were prospectively followed. Main Outcome Measure(s): The medical staff recorded time-loss injuries, including information on injuries (ie, type, body part, duration) and exposure data for training sessions and matches. Results: A total of 286 injuries were recorded, affecting 62.7% of the players. The overall injury incidence was 6.2 injuries per 1000 player-hours, 2.8 in training sessions and 32.8 in matches. Most of the recorded injuries were acute (68.5%). Eight percent of the injuries were classified as recurrent. Injuries were most likely to be located in the lower extremities (82.9%). Injury time loss ranged from 1 to 752 days, with a median of 8 days. Knee injuries had the greatest consequences in terms of days of absence from soccer play (on average, 45 days). The most common diagnosis was muscle/tendon injury of the lower extremities (32.9%). Conclusions: Injury risk in the Dutch premier soccer league is high, especially during matches. Preventive measures should focus on the most common diagnoses, namely, muscle/tendon injuries of the lower extremities.

scholarly journals Preseason Y Balance Test Scores are Not Associated With a Lower Quadrant Sports Injury in a Heterogeneous Population of Division III Collegiate Athletes

2020 ◽  
Vol 25 (2) ◽  
pp. 68-75
Author(s):  
Jason Brumitt ◽  
Jill Sikkema ◽  
Saiko Mair ◽  
CJ Zita ◽  
Victor Wilson ◽  
...  
Keyword(s):  
Injury Risk ◽  
Functional Performance ◽  
Collegiate Athletes ◽  
Sports Injury ◽  
Heterogeneous Population ◽  
Screening Tools ◽  
Time Loss ◽  
Division Iii ◽  
Balance Test ◽  
Lower Quadrant

Functional performance tests, such as the Y Balance Test–Lower Quarter (YBT-LQ), hold promise as screening tools to identify athletes at risk for injury. The ability of the YBT-LQ to discriminate injury risk in Division III collegiate athletes is unknown. The purpose of this study was to determine if preseason YBT-LQ scores are associated with noncontact time-loss lower-quadrant (low back or lower extremities) injury in a heterogeneous population of Division III collegiate athletes. Two hundred and fourteen athletes (females = 104) performed the YBT-LQ test. Preseason YBT-LQ scores, analyzed by the total population, were not associated with noncontact time-loss lower-quadrant injury. Females with greater reach scores in some directions did have a significantly greater risk of injury. This study adds to a growing body of research demonstrating that the YBT-LQ should not be used as a preseason screening tool.

Epidemiology and prevention of sports injuries

2017 ◽  
Author(s):  
Joske Nauta ◽  
Willem van Mechelen ◽  
Evert ALM Verhagen
Keyword(s):  
Sports Injuries ◽  
Preventive Measure ◽  
Sports Participation ◽  
Sports Injury ◽  
Epidemiological Studies ◽  
Injury Incidence ◽  
Time Loss ◽  
Effective Prevention ◽  
School Time ◽  
Prevention Programmes

Although sports injuries in children are common, prevention of these injuries is paramount. In order to set out effective prevention programmes, epidemiological studies need to be conducted on incidence, severity, and aetiology of sports injuries. Furthermore, the effectiveness of a preventive measure must be assessed, and the eventual implementation of a programme closely evaluated. When conducting epidemiological studies in sports injuries the injury definition used can have a large impact on the outcome, especially as the aetiology of sports injuries is highly multi-causal and recursive. In addition to distinguishing between ‘sports injury’, ‘sports injury incidence’ and ‘sports participation’, the severity of the injury must be defined by taking six indices into consideration: nature of sports injuries, duration and nature of treatment, sports time loss, working/school time loss, permanent damage, and costs of sports injuries.

scholarly journals Injury Trends in Irish Amateur Rugby: An Epidemiological Comparison of Men and Women

2021 ◽  
pp. 194173812199714
Author(s):  
Caithriona Yeomans ◽  
Ian C. Kenny ◽  
Roisin Cahalan ◽  
Giles D. Warrington ◽  
Andrew J. Harrison ◽  
...  
Keyword(s):  
Injury Risk ◽  
Cruciate Ligament ◽  
Rugby Union ◽  
High Rate ◽  
Injury Incidence ◽  
Ligament Injuries ◽  
Time Loss ◽  
Strength And Conditioning ◽  
Male And Female ◽  
Ankle Ligament

Background: Rugby union is a physically demanding sport that carries an inherent risk of injury. Despite being a popular and widely played team sport, little is known about injuries occurring across the male and female amateur game. Purpose: To establish and compare injury incidence, nature, and severity in male and female Irish amateur rugby union. Study Design: Prospective cohort study. Level of Evidence: Level 3. Methods: Data were collected prospectively from 25 male teams (959 players) and 8 female teams (234 players) over 2 full seasons. Both time-loss (24-hour time-loss injury definition) and non-time-loss match injury reports were collected, alongside match exposure data. Results: Time-loss match injury incidence rates were 49.1/1000 and 35.6/1000 player-hours for male and female players, respectively. Concussion and ankle ligament sprains were the most common diagnoses for male (5.6/1000 and 4.4/1000 player-hours, respectively) and female players (5.5/1000 and 3.9/1000 player-hours, respectively). Anterior cruciate ligament injuries presented the highest injury burden for male and female players with 200.3 and 307.2 days of absence per 1000 player-hours, respectively. In female players, 83% of noncontact injuries occurred in the fourth quarter of match play. Conclusion: While female players had a lower overall injury incidence rate compared with male players, concussion and ankle ligament injuries were the most common injuries in both cohorts. In female players, a high rate of noncontact injuries in the second half points to the need for strength and conditioning training programs to reduce fatigue-related injuries. Clinical Relevance: Establishing the incidence and burden of rugby-related injuries is an essential step in minimizing injury risk. This epidemiological information will aid the development of future reduction strategies, including education and coaching strategies and strength and conditioning programs, informed by the most common injuries observed and the mechanism of injury.

scholarly journals High incidence of injury at the Sochi 2014 Winter Paralympic Games: a prospective cohort study of 6564 athlete days

2016 ◽  
Vol 50 (17) ◽  
pp. 1069-1074 ◽  
Author(s):  
W Derman ◽  
M P Schwellnus ◽  
E Jordaan ◽  
P Runciman ◽  
P Van de Vliet ◽  
...  
Keyword(s):  
Lower Limbs ◽  
Injury Incidence ◽  
Alpine Skiing ◽  
Medical Support ◽  
Acute Injuries ◽  
Prevention Programmes ◽  
Shoulder Region ◽  
Data Capturing ◽  
Cross Country Skiing ◽  
Paralympic Games

ObjectiveTo describe the epidemiology of injuries at the Sochi 2014 Winter Paralympic Games.MethodsA total of 547 athletes from 45 countries were monitored daily for 12 days during the Sochi 2014 Winter Paralympic Games (6564 athlete days). Daily injury data were obtained from teams with their own medical support (32 teams, 510 athletes) and teams without their own medical support (13 teams, 37 athletes) through electronic data capturing systems.ResultsThere were 174 total injuries reported, with an injury incidence rate (IR) of 26.5 per 1000 athlete days (95% CI 22.7% to 30.8%). There was a significantly higher IR recorded in alpine skiing/snowboarding (IR of 41.1 (95% CI 33.7% to 49.6%) p=0.0001) compared to cross-country skiing/biathlon, ice sledge hockey or wheelchair curling. Injuries in the shoulder region were the highest single-joint IR (IR of 6.4 (95% CI 4.6% to 8.6%)), although total upper and lower body IR were similar (IR 8.5 vs 8.4 (95% CI 6.4% to 11.1%)). Furthermore, the IR of acute injuries was significantly higher than other types of injury onset (IR of 17.8 (95% CI 14.7% to 21.4%)).ConclusionsIn a Winter Paralympic Games setting, athletes report higher injury incidence than do Olympic athletes or athletes in a Summer Paralympic Games setting. The highest incidence of injury was reported in the alpine skiing/snowboarding sporting category. There was a similar incidence of injury in the upper and lower limbs. The joint with the greatest rate of injury reported was the shoulder joint. Our data can inform injury prevention programmes and policy considerations regarding athlete safety in future Winter Paralympic Games.

scholarly journals Epidemiology of Injury in Elite English Schoolboy Rugby Union: A 3-Year Study Comparing Different Competitions

2018 ◽  
Vol 53 (5) ◽  
pp. 514-520 ◽  
Author(s):  
Craig Barden ◽  
Keith Stokes
Keyword(s):  
Injury Risk ◽  
Rugby Union ◽  
Injury Incidence ◽  
Shoulder Injuries ◽  
High Incidence ◽  
Shoulder Region ◽  
Body Location ◽  
Injury Burden ◽  
Rate Ratios ◽  
Elite Sports

Context:  Injury risks in professional and community rugby union have been extensively described; however, less is known about injury epidemiology at the schoolboy level. Objective:  To investigate the injury risk in English schoolboy rugby union matches, comparing an elite competition (Achieving Academic and Sporting Excellence [AASE]) with subelite matches (non-AASE). Design:  Retrospective cohort study. Setting:  Rugby union academy, consisting of 16- to 19-year-old males, based at an elite sports college in England. Patients or Other Participants:  A total of 132 participants (mean age = 17.5 years) were included in the study; 64 athletes experienced a total of 103 time-loss injuries over a 3-season period (2012–2015). All injuries were assessed and recorded by the team therapist using consensus statement definitions. Main Outcome Measure(s):  Injury characteristics were recorded and compared between groups. Primary outcome measures were injury incidence (per 1000 h match exposure) and injury burden (days absent/1000 h), and rate ratios and 95% confidence intervals are presented throughout. Results:  A total of 131 matches were played (34 AASE, 97 non-AASE) and a total of 103 injuries were recorded (47 AASE, 56 non-AASE). The injury incidence in AASE matches (77/1000 h) was greater than in non-AASE matches (34/1000 h). The concussion incidence in AASE matches (20/1000 h) was 5 times that of non-AASE matches (4/1000 h). The head/face had the highest injury incidence for a specific location, followed by the shoulder region (AASE = 19/1000 h, non-AASE = 5/1000 h), which had the greatest injury burden (553/1000 h and 105/1000 h, respectively) for any specific body location. More than 50% of all injuries were associated with tackles. Conclusions:  A much greater incidence of all injuries occurred at the highest level of competition, and the concussion incidence was greater than that reported in any previously published study of youth rugby. Given the high incidence and burden of concussions and shoulder injuries, prevention and management deserve specific focus.

scholarly journals Epidemiology of Traumatic and Overuse Injuries in Swiss Professional Male Ice Hockey Players

2020 ◽  
Vol 8 (10) ◽  
pp. 232596712096472
Author(s):  
Romana Brunner ◽  
Mario Bizzini ◽  
Karin Niedermann ◽  
Nicola A. Maffiuletti
Keyword(s):  
Relative Effect ◽  
Ice Hockey ◽  
Research Centre ◽  
Overuse Injuries ◽  
Injury Incidence ◽  
Time Loss ◽  
Traumatic Injuries ◽  
Trauma Research ◽  
Hockey Players ◽  
National League

Background: Ice hockey injury patterns in Europe were last evaluated in the 1990s. Purpose: The aim of this study was to assess the frequency, type, location, and incidence of traumatic injuries, as well as the prevalence and relative effect of overuse injuries in professional male ice hockey players. Study Design: Descriptive epidemiology study. Methods: Traumatic injuries were assessed using a standardized injury report form over a 1-year period (including the preparatory phase and season). The Oslo Sports Trauma Research Centre Overuse Injury Questionnaire was used to determine overall and substantial overuse injuries and their relative effect on ice hockey players. Results: Five Swiss National League teams participated in the study. From a total of 321 recorded injuries, 179 led to time loss from sport. The game-related time-loss injury incidence during the season was 88.6/1000 player-game hours.Time-loss injuries affected mainly the hip/groin/thigh region (23%), followed by the head (17%). Most time-loss injuries were classified as muscle strains (24%), followed by concussions (18%). The most common injury mechanism involved collision with an opponent’s body (31%), and right forward players (23%) were most likely to report a game-related injury. Most injuries (27%) occurred within the defending zone along the boards. The average prevalence rates of all overuse and substantial overuse injuries were 49% and 13%, respectively. The hip/groin displayed the highest average prevalence for all overuse problems (16%), translating to the highest relative effect. Conclusion: Muscle strains and concussions were the most frequent time-loss injuries in Swiss professional ice hockey players. The hip/groin was the most affected region for both traumatic and overuse injuries.

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