Risk Factors for Injury in Subelite Rugby League Players

2005 ◽  
Vol 33 (3) ◽  
pp. 428-434 ◽  
Author(s):  
Tim J. Gabbett ◽  
Nathan Domrow
Keyword(s):  
Risk Factors ◽  
Physical Fitness ◽  
Aerobic Power ◽  
Vertical Jump ◽  
Rugby League ◽  
Maximal Aerobic Power ◽  
Level Of Evidence ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Subsequent Injury

Background Although player fatigue and playing intensity have been suggested to contribute to injuries in rugby league players, no study has confirmed if the level of physical fitness is a risk factor for injury in rugby league players. The aim of this study was to identify risk factors for injury in subelite rugby league players. Hypothesis Low physical fitness levels are risk factors for injury in subelite rugby league players. Study Design Cohort study; Level of evidence, 2. Methods One hundred fifty-three players from a subelite rugby league club underwent preseason measurements of muscular power (vertical jump), speed (10- and 40-m sprint), and maximal aerobic power (multistage fitness test) over 4 competitive seasons. All injuries sustained by players were prospectively recorded over the 4 competitive seasons. Results The risk of injury was greater in players with low 10- and 40-m speed. Players with a low maximal aerobic power had a greater risk of sustaining a contact injury. In addition, players who completed less than 18 weeks of training before sustaining their initial injuries were at greater risk of sustaining a subsequent injury. Conclusions Subelite rugby league players with low speed and maximal aerobic power are at an increased risk of injury. In addition, players who complete less than 18 weeks of training before sustaining an initial injury are at greater risk of sustaining a subsequent injury. These findings highlight the importance of speed and endurance training to reduce the incidence of injury in subelite rugby league players.

Post-Bariatric Abdominoplasty: Analysis of 406 Cases With Focus on Risk Factors and Complications

2020 ◽  
Vol 41 (1) ◽  
pp. 59-71 ◽  
Author(s):  
Torsten Schlosshauer ◽  
Marcus Kiehlmann ◽  
Diana Jung ◽  
Robert Sader ◽  
Ulrich M Rieger
Keyword(s):  
Risk Factors ◽  
Wound Healing ◽  
Surgical Technique ◽  
Significant Risk ◽  
Level Of Evidence ◽  
Increased Risk ◽  
Potential Risk Factors ◽  
Wound Healing Problems ◽  
Bariatric Patients

Abstract Background Post-bariatric patients present a surgical challenge within abdominoplasty because of residual obesity and major comorbidities. In this study, we analyzed complications following abdominoplasty in post-bariatric patients and evaluated potential risk factors associated with these complications. Objectives The authors sought to determine the complications and risk factors following abdominoplasty in post-bariatric patients. Methods A retrospective study of patients who underwent abdominoplasty was performed from January 2009 to December 2018 at our institution. Variables analyzed were sex, age, body mass index (BMI), smoking, surgical technique, operative time, resection weight, drain output, and complications. Results A total of 406 patients were included in this study (320 female and 86 male) with a mean age of 44.4 years and a BMI of 30.6 kg/m2. Abdominoplasty techniques consisted of traditional (64.3%), fleur-de-lis technique (27.3%), and panniculectomy without umbilical displacement (8.4%). Overall complications recorded were 41.9%, the majority of these being wound-healing problems (32%). Minor and major complications were found in 29.1% and 12.8% of patients, respectively. A BMI value of ≥30 kg/m2 was associated with an increased risk for wound-healing problems (P = 0.001). The frequency of total complications was significantly related to age (P = 0.007), BMI (P = 0.004), and resection weight (P = 0.001). Abdominoplasty technique tended to influence total complications. Conclusions This study demonstrates in a fairly large sample of post-bariatric patients (n = 406) that abdominoplasty alone can be performed safely, with an acceptable complication rate. Age, BMI, and resection weight are shown to be significant risk factors for total complications. The role of surgical technique needs to be evaluated further. Level of Evidence: 4

scholarly journals Injury Risk Associated With Sports Specialization and Activity Volume in Youth

2019 ◽  
Vol 7 (9) ◽  
pp. 232596711987012 ◽  
Author(s):  
Alison E. Field ◽  
Frances A. Tepolt ◽  
Daniel S. Yang ◽  
Mininder S. Kocher
Keyword(s):  
Physical Activity ◽  
Cohort Study ◽  
Injury Risk ◽  
Cruciate Ligament ◽  
The United States ◽  
Level Of Evidence ◽  
Sports Activity ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Anterior Cruciate

Background: Sports specialization has become increasingly common among youth. Purpose/Hypothesis: To investigate the relative importance of specialization vs volume of activity in increasing risk of injury. Hypotheses were that specialization increases the risk of injury and that risk varies by sport. Study Design: Cohort study; Level of evidence, 2. Methods: A prospective analysis was conducted with data collected from 10,138 youth in the Growing Up Today Study—a prospective cohort study of youth throughout the United States—and their mothers. Activity was assessed via questionnaires in 1997, 1998, 1999, and 2001. Sports specialization was defined as engaging in a single sport in the fall, winter, and spring. Injury history was provided by participants’ mothers via questionnaire in 2004. The outcome was incident stress fracture, tendinitis, chondromalacia patella, anterior cruciate ligament tear, or osteochondritis dissecans or osteochondral defect. Results: Females who engaged in sports specialization were at increased risk of injury (hazard ratio [HR], 1.31; 95% CI, 1.07-1.61), but risk varied by sport. Sports specialization was associated with greater volume of physical activity in both sexes ( P < .0001). Total hours per week of vigorous activity was predictive of developing injury, regardless of what other variables were included in the statistical model (males: HR, 1.04; 95% CI, 1.02-1.06; females: HR, 1.06; 95% CI, 1.05-1.08). Among females, even those engaging in 3 to 3.9 hours per week less than their age were at a significantly increased risk of injury (HR, 1.93; 95% CI, 1.34-2.77). In males, there was no clear pattern of risk. Conclusion: Sports specialization is associated with a greater volume of vigorous sports activity and increased risk of injury. Parents, coaches, and medical providers need to be made aware of the volume threshold above which physical activity is excessive.

Bone

2013 ◽  
Author(s):  
Leanne Saxon
Keyword(s):  
Risk Factors ◽  
Health Benefits ◽  
Sports Participation ◽  
Stress Fractures ◽  
Bone Biology ◽  
Positive Health ◽  
Factors Associated ◽  
Risk Of Injury ◽  
Increased Risk

Sports participation has numerous positive health benefits; however, it is also associated with an increased risk of injury. While bone injuries in sport are less frequent than ligament tears, contusions, or surface wounds, they can be debilitating for an athlete because of the time needed for recovery. In this chapter I describe the incidence and cost of bone injuries in sport, fundamentals of bone biology and repair, risk factors associated with fractures, stress fractures, and periostitis, and review both current and possible future recommendations for the treatment of bone-related injuries....

scholarly journals Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review

2019 ◽  
Vol 54 (10) ◽  
pp. 1030-1039 ◽  
Author(s):  
Jason L. Zaremski ◽  
Giorgio Zeppieri ◽  
Brady L. Tripp
Keyword(s):  
Risk Factors ◽  
International Organizations ◽  
Track And Field ◽  
Overuse Injuries ◽  
Evidence Based ◽  
Entire Body ◽  
Water Polo ◽  
Risk Of Injury ◽  
Increased Risk ◽  
The World

A significant number of adolescent athletes throughout the world participate in various throwing-dominant sports, including but not limited to baseball, cricket, handball, softball, track and field throwing events, and water polo. Due to the unique stresses placed on the throwing arm and entire body in these sports, a robust volume of literature has highlighted concerns about sport specialization in these athletes and an associated increased risk of injury, particularly to the dominant shoulder and elbow, with sport specialization. This review will highlight the evidence-based literature for this athletic niche, focusing on risk factors for injury, national and international organizations' recommendations for limiting overuse injuries, principles of conditioning and rehabilitative programs, and potential future areas of research to curb the growing incidence of throwing-related injuries among adolescent throwing athletes.

Subsequent Injury Risk Is Elevated Above Baseline After Return to Play: A 5-Year Prospective Study in Elite Australian Football

2019 ◽  
Vol 47 (9) ◽  
pp. 2225-2231 ◽  
Author(s):  
Jordan J. Stares ◽  
Brian Dawson ◽  
Peter Peeling ◽  
Jarryd Heasman ◽  
Brent Rogalski ◽  
...  
Keyword(s):  
Injury Risk ◽  
The Body ◽  
Return To Play ◽  
Time Loss ◽  
Data Set ◽  
Mixed Effect ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Australian Football ◽  
Subsequent Injury

Background: The risk of sustaining a subsequent injury is elevated in the weeks after return to play (RTP) from an index injury. However, little is known about the magnitude, duration, and nature by which subsequent injury risk is increased. Purpose: To quantify and describe the risk of injury in a 12-week period after RTP from an index injury in Australian football players. Study Design: Cohort study; Level of evidence, 2. Methods: Injury data were collected from 79 players over 5 years at 1 Australian Football League club. Injuries were classified with the Orchard Sports Injury Classification System and by side of the body. Furthermore, injury severity was classified as time loss (resulting in ≥1 matches being missed) or non–time loss (no matches missed). Subsequent injury was categorized with the SIC-2.0 model and applied to the data set via an automated script. The probability of a time loss subsequent injury was calculated for in-season index injuries for each week of a 12-week period after RTP via a mixed effect logistic regression model. Results: Subsequent injury risk was found to be highest in the week of RTP for both time loss injuries (9.4%) and non–time loss injuries (6.9%). Risk decreased with each week survived after RTP; however, it did not return to baseline risk of participation (3.6%). Conclusion: These findings demonstrate that athletes returning to play are at an increased risk of injury for a number of weeks, thus indicating the requirement for tertiary prevention strategies to ensure that they survive this period.

Physical fitness, muscle morphology, and insulin-stimulated limb blood flow in normal subjects

1996 ◽  
Vol 270 (5) ◽  
pp. E905-E911 ◽  
Author(s):  
T. Utriainen ◽  
A. Holmang ◽  
P. Bjorntorp ◽  
S. Makimattila ◽  
A. Sovijarvi ◽  
...  
Keyword(s):  
Blood Flow ◽  
Physical Fitness ◽  
Muscle Fiber ◽  
Aerobic Power ◽  
Normal Subjects ◽  
Maximal Aerobic Power ◽  
Whole Body ◽  
Limb Blood Flow ◽  
Muscle Morphology ◽  
Fiber Composition

The response of limb blood flow to insulin is highly variable even in normal subjects. We examined whether physical fitness or differences in muscle morphology contribute to this variation. Maximal aerobic power, muscle fiber composition and capillarization, and the response of forearm glucose extraction and blood flow to a sequential hyperinsulinemic euglycemic clamp (serum insulin 374 +/- 10, 816 +/- 23, and 2,768 +/- 78 pmol/l) were determined in 16 normal males (age 25 +/- 1 yr, body mass index 24 +/- 1 kg/m2). Maximal aerobic power correlated positively with the proportion of type I fibers (r = 0.67, P < 0.01) and negatively with the proportion of type IIb fibers (r = -0.73, P < 0.01). Fiber composition but not blood flow correlated significantly with forearm and whole body glucose uptake. All doses of insulin significantly increased forearm blood flow, maximally by 123 +/- 21%. The ratio of capillaries per fiber was significantly correlated with basal and insulin-stimulated blood flow (0.58∑ 0.76, P < 0.05∑0.01). Mean arterial blood pressure and the insulin∑induced increase in blood flow were inversely correlated (r = ∑0.59, P < 0.05). We conclude that variation in glucose extraction is significantly determined by muscle fiber composition, whereas variation in insulin-stimulated blood flow is closely associated with muscle capillarization.

Weak Hip Strength Increases Dynamic Knee Valgus in Single-Leg Tasks of Collegiate Female Athletes

2021 ◽  
pp. 1-4
Author(s):  
Kyndell R. Crowell ◽  
Ryan D. Nokes ◽  
Nicole L. Cosby
Keyword(s):  
Female Athletes ◽  
External Rotation ◽  
Common Factor ◽  
Knee Valgus ◽  
Bottom Line ◽  
Level Of Evidence ◽  
Hip Strength ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Collegiate Female Athletes

Clinical Scenario: Dynamic knee valgus (DKV) is a mechanical alteration in the knee that leads to increased risk of injury. Weakness of hip musculature in hip abduction (HABD), extension (HEXT), and external rotation (HER) may contribute to increased DKV in single-leg landing tasks. Focused Clinical Question: Is decreased hip strength associated with an increase in DKV during a single-leg landing task in collegiate female athletes? Summary of Key Findings: Three studies were included: One randomized control trial (RCT), one cohort study, and one case-control. All three studies found that decreases in HABD and HER strength contributed to increased DKV during single-leg landing tasks. One study also found that the hip extensors contribute to controlling hip adduction, a common factor in many mechanisms of injuries. These three studies recommended strengthening HABD, HEXT, and HER to decrease DKV and reduce the risk of injury at the knee. Clinical Bottom Line: Weak HABD, HEXT, and HER contribute to increased DKV in college female athletes, but strengthening HABD, HEXT, and HER can lead to decreases in DKV and, overall, reduce the risk of injury at the knee. Strength of Recommendation: These articles were graded with a level of evidence of III or higher, giving a grade of B strength of recommendation that weak HABD, HEXT, and HER are associated with increased DKV in collegiate female athletes.

scholarly journals The Effect of the Number of Carries on Injury Risk and Subsequent Season’s Performance Among Running Backs in the National Football League

2017 ◽  
Vol 5 (2) ◽  
pp. 232596711769194 ◽  
Author(s):  
Matthew J. Kraeutler ◽  
John W. Belk ◽  
Eric C. McCarty
Keyword(s):  
Injury Risk ◽  
National Football League ◽  
Matched Pair ◽  
Level Of Evidence ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Group A ◽  
Preceding Season ◽  
Playing Time ◽  
Group B

Background: In recent years, several studies have correlated pitch count with an increased risk for injury among baseball pitchers. However, no studies have attempted to draw a similar conclusion based on number of carries by running backs (RBs) in football. Purpose: To determine whether there is a correlation between number of carries by RBs in the National Football League (NFL) and risk of injury or worsened performance in the subsequent season. Study Design: Cohort study; Level of evidence, 3. Methods: The ESPN NFL statistics archives were searched from the 2004 through 2014 regular seasons. During each season, data were collected on RBs with 150 to 250 carries (group A) and 300+ carries (group B). The following data were collected for each player and compared between groups: number of carries and mean yards per carry during the regular season of interest and the subsequent season, number of games missed due to injury during the season of interest and the subsequent season, and the specific injuries resulting in missed playing time during the subsequent season. Matched-pair t tests were used to compare changes within each group from one season to the next in terms of number of carries, mean yards per carry, and games missed due to injury. Results: During the seasons studied, a total of 275 RBs were included (group A, 212; group B, 63). In group A, 140 RBs (66%) missed at least 1 game the subsequent season due to injury, compared with 31 RBs (49%) in group B ( P = .016). In fact, players in group B missed significantly fewer games due to injury during the season of interest ( P < .0001) as well as the subsequent season ( P < .01). Mean yards per carry was not significantly different between groups in the preceding season ( P = .073) or the subsequent season ( P = .24). Conclusion: NFL RBs with a high number of carries are not placed at greater risk of injury or worsened performance during the subsequent season. These RBs may be generally less injury prone compared with other NFL RBs.

scholarly journals Seizure related accidents and injuries in childhood

2008 ◽  
Vol 66 (3a) ◽  
pp. 458-461 ◽  
Author(s):  
Thais Helena Buffo ◽  
Marilisa M. Guerreiro ◽  
Peter Tai ◽  
Maria Augusta Montenegro
Keyword(s):  
Risk Factors ◽  
Common Type ◽  
Pediatric Epilepsy ◽  
Medical Assistance ◽  
Factors Associated ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Symptomatic Epilepsy ◽  
Patients With Epilepsy ◽  
Structured Questionnaire

Several studies show that the risk of accidents involving patients with epilepsy is much higher compared to the general population. The objective of this study was to identify the frequency and type of seizure related injuries in children diagnosed with epilepsy. In addition we also assessed possible risk factors associated with this seizure related accidents in childhood. This study was conducted at the pediatric epilepsy clinic of Unicamp, from January 2005 to August 2006. We evaluated 100 consecutive children with epilepsy. Parents were interviewed by one of the authors using a structured questionnaire that included questions about seizure related accidents and related injuries. Forty-four patients reported seizure related accidents. Eighteen patients needed medical assistance at an emergency room due the severity of their seizure related accident. Forty patients reported having a seizure related accident prevented by a bystander. Another 14 patients reported avoiding a seizure related accident by luck alone. Contusions and lacerations were the most common type of lesion associated with seizures. Patients with symptomatic/probable symptomatic epilepsy and those using higher numbers of anti-epileptic drugs (AEDs) were at greater risk for seizure related accidents (p<0.05). We conclude that patients with symptomatic/probable symptomatic epilepsy and on multiple AEDs are at increased risk of seizure related accidents. Parents and caretakers should be even more cautious about risk of injury in such patients.

Epidemiology and Risk Factors of Humerus Fractures among Skiers and Snowboarders

2008 ◽  
Vol 36 (10) ◽  
pp. 1880-1888 ◽  
Author(s):  
Benjamin T. Bissell ◽  
Robert J. Johnson ◽  
Adam B. Shafritz ◽  
Derek C. Chase ◽  
Carl F. Ettlinger
Keyword(s):  
Risk Factors ◽  
Proximal Humerus ◽  
Similar Rate ◽  
Level Of Evidence ◽  
Helmet Use ◽  
Increased Risk ◽  
Humerus Fractures ◽  
And Gender ◽  
Left Humerus ◽  
Control Study

Background The incidence of humerus fractures while participating in snowboarding and skiing is undefined. Very little is known about the risk factors associated with these fractures. Hypothesis Snowboarders are at increased risk for sustaining humerus fractures when compared with skiers. In addition, the types of fractures, laterality, and risk factors differ between the 2 groups. Study Design Case-control study; Level of evidence, 3. Methods At a major ski area clinic, 318 humerus fractures were evaluated over 34 seasons. Radiographs were classified according to the AO and Neer systems. Patient data were analyzed and compared with that of a control population of uninjured skiers and snowboarders to determine incidence and risk factors. Results The incidence of humerus fractures among snowboarders (0.062 per 1000 snowboarder days) was significantly higher than that of skiers (0.041 per 1000, P < .05). Skiers were more likely to sustain proximal fractures, and snowboarders were relatively more likely to sustain diaphyseal and distal fractures ( P < .05). Of glenohumeral dislocations, 6.56% were associated with proximal humerus fractures among skiers (1.7% among snowboarders). Snowboarders who lead with their left foot were more likely to fracture their left humerus ( P = .023). Helmet use and gender were not risk factors for humerus fractures among either skiers or snowboarders. Jumping was involved in 28.3% of humerus fractures among snowboarders and in 5.4% among skiers. Skiers with humerus fractures were more skilled, older, and fell less frequently than controls. Snowboarders were less skilled, younger, and fell at a similar rate compared with controls. Conclusion Snowboarders are at significantly higher risk of sustaining humerus fractures than skiers. In skiers, humerus fractures show no laterality and most often involve the proximal humerus. In contrast, snowboarders more often fracture the left humerus at the diaphysis.

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