scholarly journals Systematic development of a tennis injury prevention programme

2018 ◽  
Vol 4 (1) ◽  
pp. e000350 ◽  
Author(s):  
Haiko I M F L Pas ◽  
Stefan Bodde ◽  
Gino M M J Kerkhoffs ◽  
Babette Pluim ◽  
Ivo J H Tiemessen ◽  
...  

IntroductionDespite an injury incidence of up to 3.0/1000 hours of play, there are no published tennis injury prevention programmes. This article aims to describe the developmental process of TennisReady, an e-health tennis-specific injury programme for adult recreational tennis players.Five-step approachA bottom-up, five-step approach was used with the Knowledge Transfer Scheme as a guideline. During the first step, a problem statement among targeted users was carried out. 475 (partially) completed surveys and group interviews (n=8) revealed a preference for an app-based prevention intervention of 10–15 min. As a second step, a systematic review was performed to identify prevention strategies in tennis. None were found. In step 3, during two expert group meetings (n=18), the findings of the first two steps were discussed and goals were formulated. Relevant and potential exercises for the programme were discussed. A subgroup of a total of six physical therapists, physicians and trainers developed the content of the programme in step 4. Step 5 included an evaluation of the exercises in 33 recreational tennis players. Participants evaluated the exercises during training sessions with trainers involved in the programme’s development or their colleagues. Participants evaluated the programme through standardised surveys or group interviews. Based on this evaluation, the programme was adjusted by altering exercises and frequencies, and it was evaluated in a second target group (n=27). The second evaluation did not result in any major changes to the final prevention programme.ConclusionThrough a five-step approach guided by the Knowledge Transfer Scheme, we developed an e-health tennis-specific prevention programme for adult tennis players. This 10 min intervention will require testing in a randomised controlled setting.

Author(s):  
Angela Gebert ◽  
Markus Gerber ◽  
Uwe Pühse ◽  
Hanspeter Stamm ◽  
Markus Lamprecht

Prevention programmes can reduce injury risk in amateur soccer. Hence, we examined the implementation of injury prevention in the real-world context of Swiss amateur soccer. In 2004 (n = 1029), 2008 (n = 705) and 2015 (n = 1008), a representative sample of Swiss amateur soccer coaches was interviewed by telephone about the frequency of injuries in their teams, the implementation of preventive measures and the use of injury prevention programmes. In the 2015 survey, 86.1% of amateur coaches stated that injury prevention is important and 85.3% of amateur coaches reported that they would implement some kind of preventive measures. The proportion of teams which performed a prevention programme according to minimal standards remained unchanged between 2008 (21.7%) and 2015 (21.9%), although a second prevention programme was made available in 2011. Only 8.6% of the 30+/40+ league teams, which are composed as a function of age, implemented a programme. Overall, the level of implementation of prevention programmes in this real-world context is still unsatisfactory. Offering an additional programme did not lead to a higher willingness to implement such programmes among the coaches. Concerted efforts are needed to remove barriers that hinder the use of such programmes, particularly among coaches of 30+/40+ league teams.


2017 ◽  
Vol 52 (11) ◽  
pp. 723-729 ◽  
Author(s):  
Jodie G Dakic ◽  
Belinda Smith ◽  
Cameron M Gosling ◽  
Luke G Perraton

ObjectiveThe physical demands of professional tennis combined with high training/match loads can contribute to musculoskeletal injury. The objectives of this study were to (1) describe the type, location and severity of injuries sustained during a 12-month tennis season in a cohort of professional female tennis players on the Women’s Tennis Association (WTA) tour and (2) prospectively investigate associations between training/match loads and injury.Methods52 WTA players competing at the Australian Open (2015) consented to participate. Injuries reported to WTA medical staff were classified using tennis-specific guidelines. Individual match exposure data were collected for all matches played at international level in 2015 and expressed per 1000 hours of WTA competition matchplay (MP) and 1000 match exposures (MEs). Variables associated with the number of injuries in the season and loss of time from competition were identified with regression analysis.ResultsThe injury incidence rate (IR) was 56.6 (95% CI: 49.5 to 64.6) per 1000 hours of MP or 62.7 (95% CI: 54.8 to 71.6) per 1000 MEs, although the IR of injuries resulting in loss of time from competition was lower (12.8 per 1000 hours of MP, 92 injuries/100 players). Lower limb (51%) and muscle/tendon (50%) injuries were the most common site and type of injury. Common specific injury site subcategories were the thigh, shoulder/clavicle, ankle and knee in order of frequency. Various measures of match load were significantly associated with injury.ConclusionThis study prospectively analysed injury profiles, including severity across an entire season of professional tennis, and investigated the relationship between training/match loads and injury. These data may help medical professionals develop injury risk identification and prevention programmes.


2007 ◽  
Vol 19 (2) ◽  
pp. 46
Author(s):  
H Erasmus ◽  
EJ Spamer

Objective. The primary aim of this study was to determine the effect of an injury prevention programme on the incidence of rugby injuries (overall, intrinsic and extrinsic injuries) among 15- and 16-year-old schoolboys, over a 2- year period. A secondary aim was to identify the percentage of intrinsic rugby injuries associated with a previous injury history. Design. A non-equivalent experimental-control group design with multiple post-tests. Subjects. A- and B-team rugby players (N =120) from 2 secondary schools in the North West province of South Africa. Intervention. The injury prevention programme was planned according to the physical, motor, biomechanical and postural status of all players. Players in the experimental group received exercises to improve biomechanical and postural deficits identified, as well as drills to address shortcomings in speed, agility, and explosive power. Main outcome measures. Rugby injuries were screened and injury data collected through the use of weekly sportsmedicine clinics. Results. Differences and changes in extrinsic injury incidence in this study could not be attributed to the effect of the prevention programme, and as a result injury trends related to overall injury incidence were inconsistent when the matching experimental and control groups were compared. However, the prevention programme did have a positive effect on the intrinsic injury incidence of both the 15- (d = 1.61) and 16-year-old (d = 0.83) groups during the study period. During the second season there were no intrinsic injuries of a previous nature among both the experimental groups (0%), while in contrast intrinsic injuries of a previous nature still amounted to a significant fraction in both the control groups. Conclusion. The present intervention programme did not have a practically significant effect on the incidence of overall rugby injuries and extrinsic rugby injuries in 15- and 16-year-old schoolboys over a 2-year period. However, in practice the prevention programme did have a significantly positive effect on the incidence of intrinsic rugby injuries among 15- and 16-year-old schoolboys over a period of 2 years. Timely introduction of this programme during the off-season is advised. South African Journal of Sports Medicine Vol. 19 (2) 2007: pp. 46-51


2018 ◽  
Vol 53 (22) ◽  
pp. 1418-1423 ◽  
Author(s):  
Florian Beaudouin ◽  
Roland Rössler ◽  
Karen aus der Fünten ◽  
Mario Bizzini ◽  
Jiri Chomiak ◽  
...  

BackgroundTo assess the effects of the injury prevention programme ‘11+ Kids’ on reducing severe injuries in 7 to 13 year old football (soccer) players.MethodsFootball clubs (under-9, under-11 and under-13 age groups) from the Czech Republic, Germany, the Netherlands and Switzerland were cluster-randomised (clubs) into an intervention (INT) and a control group (CON). INT replaced their usual warm-up by ‘11+ Kids’ two times a week. CON followed their regular training regime. Match and training exposure and injury characteristics were recorded and injury incidence rates (IRs) and 95% CIs calculated. For the present analysis, only severe injuries (absence from training/match ≥28 days) were considered. Hazard ratios (HR) were calculated using extended Cox models.ResultsThe overall IR of severe injuries per 1000 football hours was 0.33 (95% CI 0.25 to 0.43) in CON and 0.15 (95% CI 0.10 to 0.23) in INT. There was a reduction of severe overall (HR 0.42, 95% CI 0.24 to 0.72), match (0.41, 0.17 to 0.95) and training injuries (0.42, 0.21 to 0.86) in INT. The injury types that were prevented the most were: other bone injuries 66%, fractures 49% and sprains and ligament injuries 37%. Severe injuries located at the knee (82%), hip/groin (81%), the foot/toe (80%) and the ankle (65%) were reduced tremendously.Conclusions‘11+ Kids’ has a large preventive effect on severe injuries by investing only 15 to 20 min per training session. The present results should motivate coaches to implement effective injury prevention programmes such as the ‘11+ Kids’ in children’s football.Trial registration numberNCT02222025.


2018 ◽  
Vol 25 (4) ◽  
pp. 244-251 ◽  
Author(s):  
Alex Donaldson ◽  
Aisling Callaghan ◽  
Mario Bizzini ◽  
Andrew Jowett ◽  
Patrick Keyzer ◽  
...  

Background and aimUnderstanding the barriers to programme use is important to facilitate implementation of injury prevention programmes in real-word settings. This study investigated the barriers to coaches of adolescent female soccer teams, in Victoria, Australia, implementing the evidence-based FIFA 11+ injury prevention programme.MethodsConcept mapping with data collected from 19 soccer coaches and administrators.ResultsBrainstorming generated 65 statements as barriers to 11+ implementation. After the statements were synthesised and edited, participants sorted 59 statements into groups (mean, 6.2 groups; range, 3–10 groups). Multidimensional scaling and hierarchical cluster analysis identified a six-cluster solution: Lack of 11+ knowledge among coaches (15 statements), Lack of player enjoyment and engagement (14), Lack of link to football-related goals (11), Lack of facilities and resources (8), Lack of leadership (6) and Lack of time at training (5). Statements in the ‘Lack of 11+ knowledge among coaches’ cluster received the highest mean importance (3.67 out of 5) and feasibility for the Football Federation to address (3.20) rating. Statements in the ‘Lack of facilities and resources’ cluster received the lowest mean importance rating (2.23), while statements in the ‘Lack of time at training’ cluster received the lowest mean feasibility rating (2.19).ConclusionsA multistrategy, ecological approach to implementing the 11+—with specific attention paid to improving coach knowledge about the 11+ and how to implement it, linking the 11+ to the primary goal of soccer training, and organisational leadership—is required to improve the uptake of the 11+ among the targeted coaches.


2020 ◽  
Vol 6 (1) ◽  
pp. e000791
Author(s):  
Amber L von Gerhardt ◽  
Ingrid Vriend ◽  
Evert Verhagen ◽  
Johannes L Tol ◽  
Gino M M J Kerkhoffs ◽  
...  

ObjectivesTo systematically develop an injury prevention programme in judo and test its feasibility: Injury Prevention and Performance Optimization Netherlands (IPPON) intervention.MethodsWe used the five-step Knowledge Transfer Scheme (KTS) guidelines. In the first two steps, we described the injury problem in judo and showed possibilities to reduce the injury rates. In the third step, the Knowledge Transfer Group (KTG) translated this information into actions in judo practice. Expert meetings and practical sessions were held. In the fourth step, we developed the injury prevention programme and evaluated its feasibility in judo practice in a pilot study. As a final step, we will evaluate the injury prevention programme on its effectiveness to reduce injuries.ResultsIn the first two steps, information collected indicated the need for reducing judo injuries due to high incidence rates. Injury prevention programmes have shown to be effective in reducing injuries in other sports. For judo, no injury prevention programme has yet been systematically developed. In the third step, the KTG reached consensus about the content: a trainer-based warm-up programme with dynamic exercises focusing on the shoulder, knee and ankle. In the fourth step, the intervention was developed. All exercises were approved in the pilot study. Based on the pilot study’s results, the IPPON intervention was extended and has become suitable for the final step.ConclusionWe developed the IPPON intervention using the systematic guidance of the KTS. This trainer-based programme focuses on the prevention of shoulder, knee and ankle injuries in judo and consists of 36 exercises classified in three categories: (1) flexibility and agility, (2) balance and coordination and (3) strength and stability. The effectiveness and feasibility of the intervention on injury reduction among judo athletes will be conducted in a randomised controlled trial.


2017 ◽  
Vol 25 (3) ◽  
pp. 166-174 ◽  
Author(s):  
Najeebullah Soomro ◽  
Nina Chua ◽  
Jonathan Freeston ◽  
Rene E D Ferdinands ◽  
Ross Sanders

BackgroundInjury prevention programmes (IPPs) are effective in reducing injuries among adolescent team sports. However, there is no validated cricket-specific IPP despite the high incidence of musculoskeletal injuries among amateur cricketers.ObjectivesTo evaluate whether a cricket injury prevention programme (CIPP) as a pretraining warm-up or post-training cool-down can reduce injury rates in amateur cricket players.MethodsCIPP is a cluster randomised controlled trial which includes 36 male amateur club teams having cricket players aged 14–40 years to be randomly assigned to three study arms: warm-up, cool-down and control (n=12 teams, 136 players in each arm). The intervention groups will perform 15 min CIPP either as a pretraining warm-up or a post-training cool-down.Outcome measuresThe primary outcome measure will be injury incidence per 1000 player hours and the secondary outcome measures will be whether IPP as a warm-up is better than IPP as a cool-down, and the adherence to the intervention.Trial registration numberACTRN 1261700047039.


2020 ◽  
Vol 54 (18) ◽  
pp. 1089-1098 ◽  
Author(s):  
Kay M Crossley ◽  
Brooke E Patterson ◽  
Adam G Culvenor ◽  
Andrea M Bruder ◽  
Andrea B Mosler ◽  
...  

ObjectiveTo evaluate the effects of injury prevention programmes on injury incidence in any women’s football code; explore relationships between training components and injury risk; and report injury incidence for women’s football.DesignSystematic review and meta-analysis.Data sourcesNine databases searched in August 2019.Eligibility criteriaRandomised controlled trials evaluating any injury prevention programme (eg, exercise, education, braces) were included. Study inclusion criteria were: ≥20 female football players in each study arm (any age, football code or participation level) and injury incidence reporting.ResultsTwelve studies, all in soccer, met inclusion criteria, with nine involving adolescent teams (aged <18 years). All studies (except one) had a high risk of bias. Eleven studies examined exercise-based programmes, with most (9/11) including multiple (≥2) training components (eg, strength, plyometric, balance exercises). Multicomponent exercise programmes reduced overall (any reported) injuries (incidence rate ratio (IRR) 0.73, 95% CI 0.59 to 0.91) and ACL injuries (IRR 0.55, 95% CI 0.32 to 0.92). For exercise-based strategies (single-component and multicomponent), hamstring injuries were also reduced (IRR 0.40, 95% CI 0.17 to 0.95). While exercise-based strategies resulted in less knee, ankle and hip/groin injuries, and the use of multiple training components was associated with greater reductions in overall and knee injuries, further studies would be required to increase the precision of these results. The incidence of overall injuries in women’s football was 3.4 per 1000 exposure hours; with ankle injuries most common.ConclusionIn women’s football, there is low-level evidence that multicomponent, exercise-based programmes reduce overall and ACL injuries by 27% and 45%, respectively.PROSPERO registration numberCRD42018093527.


2013 ◽  
Vol 38 (3) ◽  
pp. 36-41
Author(s):  
Karen Di Franco

Since 2010, Book Works has been digitising material from its archive – whether finished works, ephemera, correspondence, photographs, or manuscripts – to give access to the working processes of the organisation (at www.bookworks.org.uk). The archive database is constructed around a chronological timeline and includes a search facility that allows visitors to filter and select material using a bespoke classification system. It currently comprises detailed content relating to two case studies from Book Works back catalogue: After the Freud Museum by Susan Hiller and Erasmus is late by Liam Gillick, as well as ephemera and material from other works. The project has been developed in collaboration with Ligatus Research Centre, University of the Arts London, with support from the AHRC Knowledge Transfer scheme.


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