A Literature Review of Factors Influencing Injurious Falls

2018 ◽  
Vol 29 (3) ◽  
pp. 141-148
Author(s):  
Faithe J. X. Poh ◽  
Shefaly Shorey

Falls pose substantial challenges to health care institutions. This review aims to provide a synthesis and critique of studies that investigated fall injury risk factors and to identify significant risk factors that predispose patients to injurious falls. A comprehensive literature search was conducted in PubMed, COCHRANE, Embase, Cumulative Index to Nursing and Allied Heath Literature, and Scopus. Additional records were searched through Google Scholar and bibliographies of the retrieved articles. Twenty-three primary research studies were included. Demographic, intrinsic, and extrinsic factors have been identified. Demographics include age, gender, and marital status. Intrinsic factors include body mass index, medication, and preexisting conditions, and extrinsic factors include environmental factors. Several factors were found to be inconclusive. These factors should be considered and examined further. Future research may evaluate interventions focusing on targeted risk factors of injurious falls. Clinical guidelines addressing the factors in this review may be considered after further testing and research.

2022 ◽  
pp. bjsports-2021-104858
Author(s):  
Carel Viljoen ◽  
Dina C (Christa) Janse van Rensburg ◽  
Willem van Mechelen ◽  
Evert Verhagen ◽  
Bruno Silva ◽  
...  

ObjectiveTo review and frequently update the available evidence on injury risk factors and epidemiology of injury in trail running.DesignLiving systematic review. Updated searches will be done every 6 months for a minimum period of 5 years.Data sourcesEight electronic databases were searched from inception to 18 March 2021.Eligibility criteriaStudies that investigated injury risk factors and/or reported the epidemiology of injury in trail running.ResultsNineteen eligible studies were included, of which 10 studies investigated injury risk factors among 2 785 participants. Significant intrinsic factors associated with injury are: more running experience, level A runner and higher total propensity to sports accident questionnaire (PAD-22) score. Previous history of cramping and postrace biomarkers of muscle damage is associated with cramping. Younger age and low skin phototypes are associated with sunburn. Significant extrinsic factors associated with injury are neglecting warm-up, no specialised running plan, training on asphalt, double training sessions per day and physical labour occupations. A slower race finishing time is associated with cramping, while more than 3 hours of training per day, shade as the primary mode of sun protection and being single are associated with sunburn. An injury incidence range 0.7–61.2 injuries/1000 hours of running and prevalence range 1.3% to 90% were reported. The lower limb was the most reported region of injury, specifically involving blisters of the foot/toe.ConclusionLimited studies investigated injury risk factors in trail running. Our review found eight intrinsic and nine extrinsic injury risk factors. This review highlighted areas for future research that may aid in designing injury risk management strategies for safer trail running participation.PROSPERO registration numberCRD42021240832.


2018 ◽  
Vol 7 (4.15) ◽  
pp. 173
Author(s):  
Lee Ai Choo ◽  
Mohd Yusof Baharudin ◽  
Fairus Fariza Zainudin ◽  
Mohansundar Sankaravel

The objective of this study is to identify the injury risk factors of Perak male and female athletes who participating in contact and non-contact sports, meanwhile to suggest preventive strategies to all the sports personnel. The research design chosen was retrospective descriptive epidemiological study. The data from this study is examined based on intrinsic risk factors (Self Induce and Attire) and extrinsic risk factors (Third Party, Environment and Equipment). The descriptive statistics was utilized to analyze the research variables. The data collected for self status in self induce factor, finding revealed that body composition (51.1%) as highest risk followed by body status to play (41.7%), self-attitude (5.8%) and age difference (1.4%). Whereby, for factor of attire, more injuries occurred due to not wearing appropriate protective gear (47.5%) compared to inappropriate footwear (34.5%) and inappropriate clothing (18.0%). The extrinsic factors of third party that lead to injuries were mostly due to opponent (89.2%), contrary to referee (10.8%) and none from audiences. There was no injury reported due to playing equipment. This study finding revealed that playing surface was reported highest (75.5%) in environment factors followed by weather (24.5%). In the nutshell, injury rates can be reduced by identifying the injury risk factors and thus the life span of high performance athletes will be prolonged.  


2018 ◽  
Vol 11 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Annabelle Davey ◽  
Nathan K. Endres ◽  
Robert J. Johnson ◽  
Jasper E. Shealy

Context: Alpine skiing is a popular sport worldwide but has significant risk for injury. The epidemiology of skiing-related injuries has been described, which has led to the identification of risk factors for specific types of injuries. Evidence Acquisition: Pertinent literature from peer-reviewed publications was reviewed. Study Design: Clinical review. Level of Evidence: Level 5. Results: The adoption of international standards for ski-boot-binding systems has changed the profile of skiing-related injuries over time, as has the widespread use of helmets. An understanding of mechanisms of injury, risk factors, and preventative measures may decrease the incidence of skiing-related injuries. Conclusion: Advances in standards for skiing equipment have been effective at decreasing both the frequency and severity of skiing-related injuries, but additional efforts are required to improve the safety of the sport.


2021 ◽  
Vol 2021 ◽  
pp. 1-19
Author(s):  
Guozhu Cheng ◽  
Rui Cheng ◽  
Yulong Pei ◽  
Juan Han

Frequent and serious traffic accidents have become a focal issue because they hinder the sustainable development of society. In China, roadside accidents account for 40% of fatalities resulting from traffic accidents. Roadside safety has become an important issue of traffic management departments worldwide, and performing research on roadside safety contributes to improving the level of road safety and reducing the number of traffic accidents and fatalities. By systematically sorting a large number of relevant studies, this paper analyzed the current development trends of roadside safety in terms of three aspects (i.e., the year of publication, the country of publication, and the source of publication) and then summarized the research status, existing gaps, and future development directions of roadside safety in terms of three aspects: the frequency of roadside accidents, the severity of roadside accidents, and the practice of roadside safety design. This paper reviewed the different prediction methods and evaluation models for the frequency and severity of roadside accidents. According to the number of times mentioned in the literature, the first five significant risk factors that cause frequent roadside accidents are small-radius curves, heavy traffic, objects adjacent to the lane (such as poles and trees), narrow lanes, and narrow shoulders, and the first five significant risk factors that cause fatal roadside accidents are driver age ≤25 or ≥65, alcohol, speeding, failure to use seat belts, and heavy trucks. Future research on the frequency and severity of roadside accidents should focus on quantitatively analyzing the probability of roadside accidents and occupant injury risk and developing methods for identifying roadside accident blackspots. For roadside safety design, roadside clear zones and safety slopes should be precisely quantified based on a cost-benefit analysis in future studies.


2021 ◽  
Vol 1 (1) ◽  
pp. 20-29
Author(s):  
Lucy O'Sullivan ◽  
Miho J. Tanaka

Hamstring injuries (HSI) are common in a number of different sports and can confer a significant burden to both male and female athletes. Though research on HSIs in the female athlete population is lacking, current literature suggests male athletes are between two to four times more likely than female athletes to sustain an HSI. Despite this discrepancy, the role of intrinsic sex differences in HSI risk factors has not been previously explored. This review aims to summarize these sex-based differences in HSI risk factors and their influence on the lower rate of HSIs seen in female athletes as compared to male athletes. Women exhibit increased hamstring flexibility and decreased hamstring musculotendinous stiffness as compared to men; women are also shown to be more resistant to skeletal muscle fatigue. Sex differences in the hamstring to quadriceps ratio and certain lower limb morphologies may also contribute to the sex discrepancy in HSI rates. This remains an area for future research in order to understand the multifaceted nature of HSI injury risk factors and optimize HSI rehabilitation and prevention programs for both male and female athletes.


Author(s):  
Gian Nicola Bisciotti ◽  
Karim Chamari ◽  
Emanuele Cena ◽  
Andrea Bisciotti ◽  
Alessandro Bisciotti ◽  
...  

2018 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lucas Severo-Silveira ◽  
Maurício P. Dornelles ◽  
Felipe X. Lima-e-Silva ◽  
César L. Marchiori ◽  
Thales M. Medeiros ◽  
...  

2009 ◽  
Vol 44 (1) ◽  
pp. 101-109 ◽  
Author(s):  
Gregory D. Myer ◽  
Kevin R. Ford ◽  
Jon G. Divine ◽  
Eric J. Wall ◽  
Leamor Kahanov ◽  
...  

Abstract Objective: To present a unique case of a young pubertal female athlete who was prospectively monitored for previously identified anterior cruciate ligament (ACL) injury risk factors for 3 years before sustaining an ACL injury. Background: In prospective studies, previous investigators have examined cross-sectional measures of anatomic, hormonal, and biomechanical risk factors for ACL injury in young female athletes. In this report, we offer a longitudinal example of measured risk factors as the participant matured. Differential Diagnosis: Partial or complete tear of the ACL. Measurements: The participant was identified from a cohort monitored from 2002 until 2007. No injury prevention training or intervention was included during this time in the study cohort. Findings: The injury occurred in the year after the third assessment during the athlete's club basketball season. Knee examination, magnetic resonance imaging findings, and arthroscopic evaluation confirmed a complete ACL rupture. The athlete was early pubertal in year 1 of the study and pubertal during the next 2 years; menarche occurred at age 12 years. At the time of injury, she was 14.25 years old and postpubertal, with closing femoral and tibial physes. For each of the 3 years before injury, she demonstrated incremental increases in height, body mass index, and anterior knee laxity. She also displayed decreased hip abduction and knee flexor strength, concomitant with increased knee abduction loads, after each year of growth. Conclusions: During puberty, the participant increased body mass and height of the center of mass without matching increases in hip and knee strength. The lack of strength and neuromuscular adaptation to match the increased demands of her pubertal stature may underlie the increased knee abduction loads measured at each annual visit and may have predisposed her to increased risk of ACL injury.


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