scholarly journals Prevention of musculoskeletal injuries in recreational field hockey: the systematic development of an intervention and its feasibility

2018 ◽  
Vol 4 (1) ◽  
pp. e000425 ◽  
Author(s):  
Vincent Gouttebarge ◽  
Victor Zuidema

ObjectiveThis article describes the systematic development of an intervention for the prevention of lower extremity injuries in field hockey and the assessment of its feasibility.MethodsThe intervention was developed according to the first four steps of the intervention mapping and knowledge transfer scheme processes, mostly based on focus group interviews with experts in field hockey and injury prevention (needs assessment; objective and target groups; content selection; development). Subsequently, a quasi-experimental research (one-group post-test design) was conducted among 35 young field hockey players and 7 coaches. Participants were asked to use the intervention for 3 weeks, and the degrees of relevancy, suitability, satisfaction and usability of the intervention were assessed by means of a questionnaire and a group interview.ResultsFirst, the needs assessment conducted among the main actors within recreational field hockey revealed that an injury prevention intervention was needed, ideally delivered through videos via an application for smartphone/tablet or website. Second, the objective and target groups of the intervention were defined, namely to prevent or reduce the occurrence of lower extremity injuries among both young and adult recreational field hockey players. Third, warming-up exercises were selected as preventive measures and strategies (eg, core stability, strength, coordination). Last, the ‘Warming-Up Hockey’ intervention was developed, consisting of a warm-up programme (delivered by coaches including more than 50 unique exercises). The relevancy, satisfaction and usability of ‘Warming-Up Hockey’ were positively evaluated, but two main alterations were made: the duration of the ‘Warming-up Hockey’ was reduced from 16 to 12  min and a match-specific warm-up was added.ConclusionThe feasibility of ‘Warming-Up Hockey’ was positively assessed by players and coaches. Prior to its nationwide implementation, the effectiveness of the intervention on injury reduction among field hockey players should be conducted.

2017 ◽  
Author(s):  
Vincent Gouttebarge ◽  
Victor Zuidema

BACKGROUND Field hockey is associated with a risk for musculoskeletal injuries, especially in the lower extremities. At present time, no measures focussing on the prevention of lower extremity injuries exist in the Netherlands. Consequently, a scientific research project has been initiated in the Netherlands aimed at developing and implementing an evidence-based intervention to prevent the occurrence of lower extremity injuries among young and adult recreational field hockey players. OBJECTIVE This article describes: (i) the systematic development of the intervention; and (ii) the assessment of its feasibility in terms of relevancy, suitability, satisfaction and usability. METHODS The intervention was developed according to the first four steps of the Intervention Mapping and Knowledge Transfer Scheme processes, namely: needs assessment; objective and target groups; content selection; development. Subsequently, a quasi-experimental research (one-group post-test design) was conducted among 35 young field hockey players and seven coaches. Participants were asked to use the intervention for three weeks and the degrees of relevancy, suitability, satisfaction and usability of the intervention were assessed by means of a questionnaire and a group interview. RESULTS First, the needs assessment conducted among the main actors within recreational field hockey revealed that an injury prevention intervention was needed, ideally delivered through videos via an application for smartphone/tablet or website. Second, the objective and target groups of the intervention were defined, namely to prevent or reduce the occurrence of lower extremity injuries among both young and adult recreational field hockey players. Third, preventive measures and strategies (e.g. core stability, strength, coordination) were selected in order to accomplish a decrease in injury incidence. Last, the ‘Warming-Up Hockey’ intervention ‘was developed, consisting of a warm-up programme (16 minutes) delivered by coaches including more than 50 unique exercises. The relevancy, satisfaction and usability of ‘Warming-Up Hockey’ were positively evaluated. Group interviews revealed especially that the warm-up programme in its current form was not suitable as a pre-match warm-up. CONCLUSIONS The feasibility of ‘Warming-Up Hockey’ was positively assessed by players and coaches. In accordance with the feasibility study, the duration of the intervention was reduced to 12 minutes, while a match-specific warm-up was developed. ‘Warming-Up Hockey’ was made available through an application for smartphone/tablet and a website. Prior to its nationwide implementation, the effectiveness of the intervention on injury reduction among field hockey players should be conducted.


2019 ◽  
Vol 47 (12) ◽  
pp. 2844-2852 ◽  
Author(s):  
James R. Slauterbeck ◽  
Rebecca Choquette ◽  
Timothy W. Tourville ◽  
Mickey Krug ◽  
Bert R. Mandelbaum ◽  
...  

Background: Lower extremity injuries are common in high school sports and are costly, and some have poor outcomes. The FIFA 11+ injury prevention program has been shown to decrease injuries in elite athletes by up to 72%. Hypothesis: High schools in which coaches implement the FIFA 11+ injury prevention program in their athletic programs will have a decreased incidence of lower extremity injuries compared with schools using their usual prepractice warm-up. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: Fourteen high schools that employed an athletic trainer were randomly assigned to either the FIFA 11+ group or control group (usual warm-up routine). Exposure to sports and injuries were recorded and used to determine the incidence rates of lower extremity injuries per athlete-exposure (AE). The FIFA 11+ program was implemented by coaches and complicance with the program recorded. Results: There were 196 lower extremity injuries among 1825 athletes in the FIFA 11+ group and 172 injuries among 1786 athletes in the control group (1.59 and 1.47 injuries per 1000 AEs, respectively; P = .771). The distribution of the types of injury in the 2 groups did not differ, but the body locations where the injuries occurred differed somewhat ( P = .051). The FIFA 11+ group had larger proportions of thigh and foot injuries, while the control group had higher proportions of knee and ankle injuries. Group differences in injury rates varied with sport ( P = .041 for interaction), but there were no significant differences in injury rates between the FIFA 11+ and control groups by sport, level of play, and sex. In the FIFA 11+ group, 62% of the coaches reported that their teams completed the full FIFA 11+ program at least once a week, and 32% reported that they completed it at least twice a week. Conclusion: This study did not demonstrate a reduction in lower extremity injuries in schools randomized to use the FIFA 11+ program compared with schools using their usual prepractice warm-up program. Coach-reported compliance with performing the FIFA 11+ program at least twice a week was low.


2020 ◽  
Vol 52 (7S) ◽  
pp. 1017-1018
Author(s):  
Corrine Munoz-Plaza ◽  
Dana Pounds ◽  
Anna Davis ◽  
Stacy Park ◽  
Robert Sallis ◽  
...  

2021 ◽  
Vol 30 (1) ◽  
pp. 158-160
Author(s):  
Scott Benson Street ◽  
Thomas Kaminski

Clinical Scenario: Hamstring injuries are the most prevalent lower-extremity injury among soccer players. The Fédération Internationale de Football Association (FIFA) has addressed this issue by developing the FIFA 11+ program, which is focused on improving strength and decreasing the incidence of lower-extremity injuries in the sport. This critically appraised topic focuses on this program as well as one of its components, the Nordic hamstring exercise, in the prevention of hamstring injuries. Clinical Question: Does the FIFA 11+ program prevent hamstring injuries in college-aged male soccer players? Summary of Key Findings: Four studies were selected to be critically appraised. The PEDro checklist was used to score the articles on methodology and consistency. All 4 articles demonstrated support for the clinical question. Clinical Bottom Line: There is moderate evidence to support the use of the FIFA 11+ program and Nordic hamstring exercise as part of a college soccer team’s warm-up routine. Strength of Recommendation: Grade B evidence exists in support of incorporating the FIFA 11+ program to reduce the incidence of hamstring injuries in male college soccer players.


2021 ◽  
Vol 53 (8S) ◽  
pp. 197-197
Author(s):  
Aliza K. Nedimyer ◽  
Avinash Chandran ◽  
Hannah J. Robison ◽  
Adrian J. Boltz ◽  
Sarah N. Morris ◽  
...  

2021 ◽  
Vol 11 (24) ◽  
pp. 11690
Author(s):  
Hyeri Oh ◽  
Hyosung Lim ◽  
Minsoo Jeon

Sports injuries frequently occur in athletes during competitive activities and practice routines, and the causes include cumulative fatigue from repetitive training, lack of warm-up exercises, and absence of motivation during competition. We aimed to determine the frequency and characteristics of lower extremity injuries in high school Taekwondo athletes. This study evaluated lower extremity sports injuries in 473 high school Taekwondo athletes. We conducted frequency and cross analyses. The questionnaire tools were developed to identify the characteristics of lower extremity injuries in Taekwondo athletes. Results: For injury by person, thigh injuries and re-injuries were most frequent. In non-contact injury, ankle injuries and re-injuries were most numerous. In the men’s lightweight category, thighs were injured the most in injury by person and ankles suffered the most non-contact injuries. In the men’s heavyweight category, the number of knee injuries was highest in injury by person, and the number of ankle injuries was highest in non-contact injury. In the women’s lightweight category, thighs suffered a higher number of injuries by person, whereas ankles had the highest number of non-contact injuries. In the women’s heavyweight category, thighs had the highest number of injuries by persons, whereas ankles had the highest number of non-contact injuries. The causes of ankle injury in weight classes were different in the two sexes. Conclusion: In this study, we confirmed that the sports damage suffered by student athletes mainly occurs as injuries in training situations without opponents. Our findings could help formulate basic guidelines for preventing sports injury in Taekwondo.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Corrine Munoz-Plaza ◽  
Dana Pounds ◽  
Anna Davis ◽  
Stacy Park ◽  
Robert Sallis ◽  
...  

Abstract Background While participation in sports-related activities results in improved health outcomes, high school athletes are at risk for lower extremity injuries, especially ankle, knee, and thigh injuries. Efforts to promote the adoption and implementation of evidence-driven approaches to reduce injury risk among school-aged athletes are needed. However, there is limited research regarding the perceived barriers, facilitators, and adherence factors that may influence the successful implementation of effective warm-up routines among this population. Methods We conducted a qualitative study using semi-structured interviews and focus groups to assess high school basketball coach and player current practices, knowledge, and perspectives about warm-ups and lower-extremity injuries (LEIs). We interviewed coaches (n = 12) and players (n = 30) from May to October 2019. Participants were recruited from public high schools in a joint school district in Southern California. Multiple coders employed thematic analysis of the data using validated methods. Results Coaches and players reported regular engagement (e.g., daily) in warm-up routines, but the time dedicated (range 5–45 min), types of exercises, and order varied substantially. Players often co-lead the warm-up practice with the coach or assistant coach. Despite regular engagement in warm-up, players and coaches report multiple challenges, including (1) limited time and space to warm-up effectively at games, (2) a perception that young players are not prone to injury, (3) competing demands for coaches’ time during practice, and (4) coaches’ lack of knowledge. Coaches and players perceive that warming up before practice will result in fewer injuries, and many players are motivated to warm up as a result of their personal injury experience; however, they desire guidance on the ideal exercises for preventing injury and training on the proper form for each exercise. Conclusions Regular involvement in basketball warm-up routines is common among high school teams, but the methods and time dedicated to these practices varied. Players and coaches are eager for more information on warm-up programs shown to reduce LEIs.


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