An evaluation of the presentation and severity of Australian football injury in children

Trauma ◽  
2020 ◽  
pp. 146040862094133
Author(s):  
Leopold Simma ◽  
Cameron S Palmer ◽  
Alan Ngo ◽  
Helen E Jowett ◽  
Warwick J Teague
Keyword(s):  
Injury Risk ◽  
Football Players ◽  
Psychosocial Wellbeing ◽  
Risk Of Injury ◽  
Trauma Service ◽  
Australian Rules Football ◽  
High Participation ◽  
Australian Football ◽  
Active Research ◽  
Substantial Morbidity

Introduction Child participation in sport is important for physical, cognitive and psychosocial wellbeing. Australian rules football has high participation, but also carries a high risk of injury due to the contact nature of the sport. This study aimed to evaluate changes in the presentation and hospital admission of paediatric Australian rules football-related injuries, and to compare the severity of these injuries with those from other team ball sports. Materials and methods At an Australian paediatric major trauma service, ED and hospital trauma registry data relating to Australian rules football injury between 2009 and 2015 were obtained. Data from other common team ball sports with a shared field of play were also identified. Results During the study period, there were 10,003 ED presentations, and 1110 admissions resulting from team ball sports. With 4751 ED presentations and 616 admissions, Australian rules football accounted for almost one-third of all sports-related presentations and admissions, and around half of the team ball sports cohort. Compared to other team ball sports patients, Australian rules football-related patients were 40% more likely to be admitted, and nearly twice as likely to be classified as severe injury. Australian rules football players presented with different injury patterns were compared to other team ball sports players; admitted players were significantly more likely to have sustained head or neck injuries, and were more than twice as likely to sustain truncal injury. Conclusions Australian rules football is a common cause of ED presentations and results in substantial morbidity, both overall and when compared with other team ball sports. Australian rules football should remain a focus for ongoing and active research into strategies which reduce injury risk.

Absolute and Relative Load and Injury in Elite Junior Australian Football Players Over 1 Season

2020 ◽  
Vol 15 (4) ◽  
pp. 511-519 ◽  
Author(s):  
Timothy J.H. Lathlean ◽  
Paul B. Gastin ◽  
Stuart V. Newstead ◽  
Caroline F. Finch
Keyword(s):  
Injury Risk ◽  
Perceived Exertion ◽  
Fold Increase ◽  
Estimating Equation ◽  
Rating Of Perceived Exertion ◽  
Football Players ◽  
Injury Surveillance System ◽  
Relative Load ◽  
Risk Of Injury ◽  
Australian Football

Purpose: To investigate the association between training and match loads and injury in elite junior Australian football players over 1 competitive season. Methods: Elite junior Australian football players (n = 290, age 17.7 [0.3] y, range 16–18 y) were recruited from the under-18 state league competition in Victoria to report load and injury information. One-week load (session rating of perceived exertion multiplied by duration) and all time-loss injuries were reported using an online sport-injury surveillance system. Absolute load measures (weekly sums) enabled the calculation of relative measures such as the acute:chronic workload ratio. Load measures were modeled against injury outcome (yes/no) using a generalized estimating equation approach, with a 1-wk lag for injury. Results: Low (<300 arbitrary units [au]) and high (>4650 au) 1-wk loads were associated with significantly higher risk of injury. Furthermore, low (<100 au) and high (>850 au) session loads were associated with a higher risk of injury. High strain values (>13,000) were associated with up to a 5-fold increase in the odds of injury. There was a relatively flat-line association between the acute:chronic workload ratio and injury. Conclusions: This study is the first investigation of elite junior athletes demonstrating linear and nonlinear relationships between absolute and relative load measures and injury. Coaches should focus player loads on, or at least close to, the point at which injury risk starts to increase again (2214 au for 1-wk load and 458 au for session load) and use evidence-based strategies across the week and month to help reduce the risk of injury.

scholarly journals Protection Against Spikes in Workload With Aerobic Fitness and Playing Experience: The Role of the Acute:Chronic Workload Ratio on Injury Risk in Elite Gaelic Football

2017 ◽  
Vol 12 (3) ◽  
pp. 393-401 ◽  
Author(s):  
Shane Malone ◽  
Mark Roe ◽  
Dominic A. Doran ◽  
Tim J. Gabbett ◽  
Kieran D. Collins
Keyword(s):  
Aerobic Fitness ◽  
Injury Risk ◽  
Perceived Exertion ◽  
Reference Group ◽  
Time Trial ◽  
Rating Of Perceived Exertion ◽  
Football Players ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Injury Protection

Purpose:To examine the association between combined session rating of perceived exertion (RPE) workload measures and injury risk in elite Gaelic footballers.Methods:Thirty-seven elite Gaelic footballers (mean ± SD age 24.2 ± 2.9 y) from 1 elite squad were involved in a single-season study. Weekly workload (session RPE multiplied by duration) and all time-loss injuries (including subsequent-wk injuries) were recorded during the period. Rolling weekly sums and wk-to-wk changes in workload were measured, enabling the calculation of the acute:chronic workload ratio by dividing acute workload (ie, 1-weekly workload) by chronic workload (ie, rolling-average 4-weekly workload). Workload measures were then modeled against data for all injuries sustained using a logistic-regression model. Odds ratios (ORs) were reported against a reference group.Results:High 1-weekly workloads (≥2770 arbitrary units [AU], OR = 1.63–6.75) were associated with significantly higher risk of injury than in a low-training-load reference group (<1250 AU). When exposed to spikes in workload (acute:chronic workload ratio >1.5), players with 1 y experience had a higher risk of injury (OR = 2.22) and players with 2–3 (OR = 0.20) and 4–6 y (OR = 0.24) of experience had a lower risk of injury. Players with poorer aerobic fitness (estimated from a 1-km time trial) had a higher injury risk than those with higher aerobic fitness (OR = 1.50–2.50). An acute:chronic workload ratio of (≥2.0) demonstrated the greatest risk of injury.Conclusions:These findings highlight an increased risk of injury for elite Gaelic football players with high (>2.0) acute:chronic workload ratios and high weekly workloads. A high aerobic capacity and playing experience appears to offer injury protection against rapid changes in workload and high acute:chronic workload ratios. Moderate workloads, coupled with moderate to high changes in the acute:chronic workload ratio, appear to be protective for Gaelic football players.

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.

scholarly journals Relationship Between a Modified Thomas Test and Leg Range of Motion in Australian-Rules Football Kicking

2003 ◽  
Vol 12 (4) ◽  
pp. 343-350 ◽  
Author(s):  
Warren Young ◽  
Peter Clothier ◽  
Leonie Otago ◽  
Lyndell Bruce ◽  
David Liddell
Keyword(s):  
Range Of Motion ◽  
Outcome Measures ◽  
Knee Flexion ◽  
Flexion Angle ◽  
Football Players ◽  
Knee Flexion Angle ◽  
Australian Rules Football ◽  
Maximum Effort ◽  
Australian Football ◽  
Hip Extension

Context:Flexibility tests are sometimes thought to be related to range of motion in dynamic activities, but such a relationship remains to be determined.Objective:To determine the correlation between flexibility and hip and knee angles in Australian football kicking.Design:Correlation.Setting:Biomechanics laboratory.Participants:16 Australian Rules football players.Main Outcome Measures:Hip and knee angles of the preferred kicking leg in a relaxed position were determined with a modified Thomas test. Maximum hip extension, the knee-flexion angle in this position, the maximum knee-flexion angle, and the hip angle at this position during the swing phase of maximum-effort drop-punt kicks were determined.Results:Significant correlations were found between hip flexibility and maximum hip extension (r = .65, P < .01) and hip angle at the maximum knee-flexion angle (r = .70, P < .01).Conclusions:The data indicate a moderate association between hip flexibility and hip angles during kicking.

scholarly journals Relationship Between Preseason Training Load and In-Season Availability in Elite Australian Football Players

2017 ◽  
Vol 12 (6) ◽  
pp. 749-755 ◽  
Author(s):  
Nick B. Murray ◽  
Tim J. Gabbett ◽  
Andrew D. Townshend
Keyword(s):  
Global Positioning System ◽  
Repeated Measures ◽  
Football Players ◽  
Injury Incidence ◽  
Gps Technology ◽  
Risk Of Injury ◽  
Australian Football League ◽  
Global Positioning ◽  
Australian Football ◽  
The Relationship

Objectives:To investigate the relationship between the proportion of preseason training sessions completed and load and injury during the ensuing Australian Football League season.Design:Single-cohort, observational study.Methods:Forty-six elite male Australian football players from 1 club participated. Players were divided into 3 equal groups based on the amount of preseason training completed (high [HTL], >85% sessions completed; medium [MTL], 50–85% sessions completed; and low [LTL], <50% sessions completed). Global positioning system (GPS) technology was used to record training and game loads, with all injuries recorded and classified by club medical staff. Differences between groups were analyzed using a 2-way (group × training/competition phase) repeated-measures ANOVA, along with magnitude-based inferences. Injury incidence was expressed as injuries per 1000 h.Results:The HTL and MTL groups completed a greater proportion of in-season training sessions (81.1% and 74.2%) and matches (76.7% and 76.1%) than the LTL (56.9% and 52.7%) group. Total distance and player load were significantly greater during the first half of the in-season period for the HTL (P = .03, ES = 0.88) and MTL (P = .02, ES = 0.93) groups than the LTL group. The relative risk of injury for the LTL group (26.8/1000 h) was 1.9 times greater than that for the HTL group (14.2/1000 h) (χ2 = 3.48, df = 2, P = .17).Conclusions:Completing a greater proportion of preseason training resulted in higher training loads and greater participation in training and competition during the competitive phase of the season.

Evening Whey Protein Intake, Rich in Tryptophan, and Sleep in Elite Male Australian Rules Football Players on Training and Nontraining Days

2021 ◽  
pp. 1-7
Author(s):  
Cassandra Ferguson ◽  
Brad Aisbett ◽  
Michele Lastella ◽  
Spencer Roberts ◽  
Dominique Condo
Keyword(s):  
Whey Protein ◽  
Sleep Duration ◽  
Protein Intake ◽  
Sleep Onset ◽  
Protein Supplementation ◽  
Football Players ◽  
Protein Supplement ◽  
Australian Football League ◽  
Australian Rules Football ◽  
Australian Football

Objectives: To investigate the effect of evening whey protein supplementation, rich in tryptophan, on sleep in elite male Australian Rules Football players. Design: Double-blinded, counterbalanced, randomized, cross-over study. Methods: Sleep was assessed using wrist activity monitors and sleep diaries in 15 elite male Australian Football League players on two training and nontraining days following evening consumption of an isocaloric whey protein supplement or placebo in preseason. A 5-day preintervention period was implemented to determine habitual dietary intake and baseline sleep measures. These habitual data were used to inform the daily dietary intake and timing of ingestion of the evening whey protein supplement or placebo on the intervention days. The whey protein supplement or placebo was consumed 3 hr prior to habitual bedtime. Results: Separate one-way repeated-measures analyses of covariance revealed no differences between the whey protein supplement and the placebo on sleep duration, sleep onset latency, sleep efficiency, or wake after sleep onset on either training or nontraining days. Conclusions: Evening whey protein supplementation, rich in tryptophan, does not improve acute sleep duration or quality in elite male Australian Football League players. However, elite athletes may be able to ingest a high protein/energy intake close to bedtime without impairing sleep, which is important for athlete recovery. Future research should investigate the effect of evening protein intake, high in tryptophan, on sleep duration and quality, including sleep staging during periods of restricted sleep and in poor-sleeping athletes.

scholarly journals Injuries in Australian Rules Football: An Overview of Injury Rates, Patterns, and Mechanisms Across All Levels of Play

2017 ◽  
Vol 10 (3) ◽  
pp. 208-216 ◽  
Author(s):  
Richard Saw ◽  
Caroline F. Finch ◽  
David Samra ◽  
Peter Baquie ◽  
Tanusha Cardoso ◽  
...  
Keyword(s):  
High Speed ◽  
Injury Risk ◽  
Cruciate Ligament ◽  
Knee Extension ◽  
Injury Surveillance ◽  
Injury Incidence ◽  
Injury Rates ◽  
Limb Injuries ◽  
Australian Rules Football ◽  
Australian Football

Context: The nature of Australian rules football (Australian football) predisposes both unique and common injuries compared with those sustained in other football codes. The game involves a combination of tackling, kicking, high-speed running (more than other football codes), and jumping. Two decades of injury surveillance has identified common injuries at the professional level (Australian Football League [AFL]). Objective: To provide an overview of injuries in Australian rules football, including injury rates, patterns, and mechanisms across all levels of play. Study Design: A narrative review of AFL injuries, football injury epidemiology, and biomechanical and physiological attributes of relevant injuries. Results: The overall injury incidence in the 2015 season was 41.7 injuries per club per season, with a prevalence of 156.2 missed games per club per season. Lower limb injuries are most prevalent, with hamstring strains accounting for 19.1 missed games per club per season. Hamstring strains relate to the volume of high-speed running required in addition to at times having to collect the ball while running in a position of hip flexion and knee extension. Anterior cruciate ligament injuries are also prevalent and can result from contact and noncontact incidents. In the upper limb, shoulder sprains and dislocations account for 11.5 missed games per club per season and largely resulted from tackling and contact. Concussion is less common in AFL than other tackling sports but remains an important injury, which has notably become more prevalent in recent years, theorized to be due to a more conservative approach to management. Although there are less injury surveillance data for non-AFL players (women, community-level, children), many of these injuries appear to also be common across all levels of play. Clinical Relevance: An understanding of injury profiles and mechanisms in Australian football is crucial in identifying methods to reduce injury risk and prepare players for the demands of the game.

Player Wellness (Soreness and Stress) and Injury in Elite Junior Australian Football Players Over 1 Season

2020 ◽  
Vol 15 (10) ◽  
pp. 1422-1429
Author(s):  
Timothy J.H. Lathlean ◽  
Paul B. Gastin ◽  
Stuart V. Newstead ◽  
Caroline F. Finch
Keyword(s):  
Injury Risk ◽  
Training Session ◽  
Estimating Equation ◽  
Decision Makers ◽  
Football Players ◽  
Injury Surveillance System ◽  
System A ◽  
Monitoring Strategies ◽  
Australian Football ◽  
Stress Fatigue

Purpose: To investigate the association between player wellness and injury in elite junior Australian football players over 1 competitive season. Methods: Prospective cohort study. Elite junior Australian football players (N = 196, average age = 17.7 y, range = 16–18 y) were recruited in the under-18 state league competition in Victoria, Australia. They recorded their wellness (sleep, fatigue, soreness, stress, and mood) according to a 5-point Likert scale 3 times weekly, with injuries (missed match/training session) entered into an online sport-injury surveillance system. A logistic generalized estimating equation was used to examine the association (expressed as odds ratio [OR]) between wellness and injury (yes/no). Results: Soreness was associated with injury at each time point across the week, with the strongest association evident for soreness reported 6 d postmatch (OR = 1.30; 95% confidence interval [CI], 1.17–1.44; P < .001). Stress and injury were associated with injury for average stress values across the week, as well as specifically on day 1 postmatch (OR = 1.10; 95% CI, 1.01–1.21; P = .038). Mood reported in the middle of the week (3 d postmatch) was associated with injury (OR = 0.87; 95% CI, 0.78–0.97; P = .014), as was fatigue (OR = 1.10; 95% CI, 1.00–1.22; P = .044). Conclusions: This study demonstrates key associations between wellness and injury in elite junior Australian football, specifically soreness, stress, fatigue, and mood. Monitoring strategies help identify injury-risk profiles, which can help decision makers (coaches or medical staff) intervene when relevant to reduce injury risk.

Sign in / Sign up

Export Citation Format

Share Document