scholarly journals Shoulder injuries in competitive swimmers in KwaZulu-

2006 ◽  
Vol 18 (1) ◽  
pp. 10
Author(s):  
T Puckree ◽  
KJ Thomas
Keyword(s):  
South Africa ◽  
Shoulder Pain ◽  
Sports Medicine ◽  
Shoulder Injuries ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Voluntary Consent ◽  
Kwazulu Natal ◽  
Competitive Swimmers

Objective. To determine the incidence of shoulder injuries in competitive swimmers in KwaZulu-Natal, a province in South Africa. Design. A cross-sectional survey was conducted. A random sample of 96 swimmers from a pool of 300 swimmers registered with first-division clubs affiliated to the KwaZulu-Natal Aquatics Association participated in the study by informed voluntary consent. Data were gathered using a validated questionnaire. Setting. Data were gathered at time trials, races and club meetings. Main measures. Variables monitored included the incidence of shoulder injuries, shoulder pain and proportion of overuse injury. Results. Seventy-one per cent of the swimmers had shoulder pain and 64% reported injury to the shoulder. Forty-six per cent of the swimmers with pain complained of anterior shoulder pain, while 65% of all injuries were due to overuse. The commonest diagnoses included tendonitis (35%), muscle imbalance (29%), impingement (19%) and other (17%). Sixty-nine per cent of the swimmers swam freestyle which was related to 70% of the injuries. Eighty-one per cent of the injured swimmers sought physiotherapy for the shoulder pain. Conclusion. The incidence of shoulder injuries in competitive swimmers is high. This study shows the need for more research into swimming injuries, and the conditioning and rehabilitation of athletes in South Africa. South African Journal of Sports Medicine Vol. 18 (1) 2006: pp. 10-12

scholarly journals Shoulder injuries in competitive swimmers in KwaZulu-

2009 ◽  
Vol 18 (1) ◽  
pp. 10 ◽  
Author(s):  
T Puckree ◽  
KJ Thomas
Keyword(s):  
South Africa ◽  
Shoulder Pain ◽  
Sports Medicine ◽  
Shoulder Injuries ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Voluntary Consent ◽  
Kwazulu Natal ◽  
Competitive Swimmers

Objective. To determine the incidence of shoulder injuries in competitive swimmers in KwaZulu-Natal, a province in South Africa. Design. A cross-sectional survey was conducted. A random sample of 96 swimmers from a pool of 300 swimmers registered with first-division clubs affiliated to the KwaZulu-Natal Aquatics Association participated in the study by informed voluntary consent. Data were gathered using a validated questionnaire. Setting. Data were gathered at time trials, races and club meetings. Main measures. Variables monitored included the incidence of shoulder injuries, shoulder pain and proportion of overuse injury. Results. Seventy-one per cent of the swimmers had shoulder pain and 64% reported injury to the shoulder. Forty-six per cent of the swimmers with pain complained of anterior shoulder pain, while 65% of all injuries were due to overuse. The commonest diagnoses included tendonitis (35%), muscle imbalance (29%), impingement (19%) and other (17%). Sixty-nine per cent of the swimmers swam freestyle which was related to 70% of the injuries. Eighty-one per cent of the injured swimmers sought physiotherapy for the shoulder pain. Conclusion. The incidence of shoulder injuries in competitive swimmers is high. This study shows the need for more research into swimming injuries, and the conditioning and rehabilitation of athletes in South Africa. South African Journal of Sports Medicine Vol. 18 (1) 2006: pp. 10-12

scholarly journals Risk Factors Associated With Shoulder Pain and Disability Across the Lifespan of Competitive Swimmers

2012 ◽  
Vol 47 (2) ◽  
pp. 149-158 ◽  
Author(s):  
Angela Tate ◽  
Gregory N. Turner ◽  
Sarah E. Knab ◽  
Colbie Jorgensen ◽  
Andrew Strittmatter ◽  
...  
Keyword(s):  
High School ◽  
Shoulder Pain ◽  
Age Groups ◽  
Muscle Length ◽  
Scapular Dyskinesis ◽  
Shoulder Injuries ◽  
Shoulder Injury ◽  
Cross Sectional ◽  
Pectoralis Minor ◽  
Competitive Swimmers

Context: The prevalence of shoulder pain among competitive swimmers is high, but no guidelines exist to reduce shoulder injuries. Elucidating differences between swimmers with and without shoulder pain can serve as a basis for the development of a program to prevent shoulder injury that might lead to pain and dysfunction. Objective: To determine whether physical characteristics, exposure, or training variables differ between swimmers with and without shoulder pain or disability. Design: Cross-sectional study. Setting: Multisite swimming centers. Patients or Other Participants: A total of 236 competitive female swimmers aged 8 to 77 years. Data Collection and Analysis: Participants completed the Penn Shoulder Score and underwent testing of core endurance, range of motion, muscle force production, and pectoralis minor muscle length and the Scapular Dyskinesis Test. Swimmers were grouped by age for analysis: ages 8 to 11 years (n = 42), 12 to 14 years (n = 43), 15 to 19 years (high school, n = 84), and 23 to 77 years (masters, n = 67). Comparisons were made between groups with and without pain and disability using independent t tests for continuous data and χ2 analyses and Fisher exact tests for categorical data. Results: Nine (21.4%) swimmers aged 8 to 11 years, 8 (18.6%) swimmers aged 12 to 14 years, 19 (22.6%) high school swimmers, and 13 (19.4%) masters swimmers had shoulder pain and disability. Differences that were found in 2 or more age groups between athletes with and without shoulder pain and disability included greater swimming exposure, a higher incidence of previous traumatic injury and patient-rated shoulder instability, and reduced participation in another sport in the symptomatic groups (P < .05). Reduced shoulder flexion motion, weakness of the middle trapezius and internal rotation, shorter pectoralis minor and latissimus, participation in water polo, and decreased core endurance were found in symptomatic females in single varying age groups (P < .05). Conclusions: Female competitive swimmers have shoulder pain and disability throughout their lives. Given that exposure and physical examination findings varied between athletes with and without substantial pain and disability, a program to prevent shoulder injury that might lead to pain and dysfunction appears warranted and might include exposure reduction, cross-training, pectoral and posterior shoulder stretching, strengthening, and core endurance training.

scholarly journals Risk factors for undernutrition of young children in a rural area of South Africa

2003 ◽  
Vol 6 (7) ◽  
pp. 645-652 ◽  
Author(s):  
Mickey Chopra
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
Health District ◽  
Full Potential ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Social ◽  
Kwazulu Natal ◽  
Z Scores ◽  
Height For Age

AbstractObjective:To identify the factors associated with childhood undernutrition.Design:Cross-sectional survey.Setting:Hlabisa health district in KwaZulu/Natal, South Africa.Subjects:Eight hundred and sixty-eight children aged 3–59 months.Methods:Questionnaire survey and anthropometric survey of 516 random house-holds with children in the health district. Multivariate analysis took into account the hierarchical relationships between the proposed risk factors. This conceptual model was built up during qualitative studies and with reference to international research in this area.Results:The mean Z-scores for weight-for-age and height-for-age were −0.52 (95% confidence interval (CI)−0.44 to −0.60) and −1.25 (95% CI −1.15 to −1.35), respectively. Of the children, 26.3% (95% CI 23.3–29.3%) were stunted, 12.0% (95% CI 9.8–4.2%) were underweight-for-age (UWFA) and only 1.3% were wasted. Migrant father, mother's education, literate mother, whether the house was made of traditional materials, the presence of a toilet, whether the last child was breast-fed, duration of breast-feeding and birth weight were found to be significantly related to UWFA, the latter with an odds ratio of more than eight.Conclusion:While there are individual health and feeding behaviours that need to be addressed, this study has also uncovered the maternal and socio-economic factors which present an array of constraints in the social environment shaping the infant feeding and caring practices employed by women. For the full potential of nutrition promotion activities to be realised, there is a need to address some of these ‘deeper’ constraints.

scholarly journals Market Awareness and Participation for Cattle Farmers in the Kaonafatso ya Dikgomo (KyD) Scheme in KwaZulu-Natal Province, South Africa

Agriculture ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. 215
Author(s):  
Ngarava ◽  
Mushunje
Keyword(s):  
South Africa ◽  
Smallholder Farmers ◽  
Herd Size ◽  
Marketing Channels ◽  
Farm Income ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Income Source ◽  
Auction Market ◽  
Kwazulu Natal

The objective of the study was to outline the determinants of market awareness and participation in the Kaonafatso ya Dikgomo (KyD) scheme in South Africa. The study utilised a cross-sectional survey of a randomly selected sample of 116 KyD farmers in KwaZulu-Natal Province. A Logit model was used to analyse the data. The results show that more farmers are aware of farmgate market channels, but however, they tended to utilise auction market channels. Furthermore, gender, marital status, educational level, employment status, farm income, source of income, herd size, labour and training were significant variables in the awareness and use of butcheries, auctions and farm gate markets. The study concludes that the scheme is particularly effective in influencing commercialisation through utilisation of more lucrative market channels such as auctions. Furthermore, socio-economic factors had a bearing on the awareness and use of marketing channels for smallholder farmers in the KyD scheme. Labour was particularly significant across butchery, auction and farm gate market channels. The study recommends that the scheme needs to improve awareness and use of market channels through utilisation of information platforms such as radio, television and direct communication though mobile phones. Furthermore, extension should assist farmers not only in awareness of markets, but also in the utilisation of those markets.

scholarly journals Knowledge of diabetes mellitus and its ocular complications amongst diabetic patients attending private and public hospitals in eThekwini Municipality, KwaZulu-Natal province, South Africa

2015 ◽  
Vol 74 (1) ◽  
Author(s):  
Diane Van Staden ◽  
Luke P. Deutshmann ◽  
Sameer Ganas ◽  
Maxine Manickam ◽  
Amishka Manillal ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
South Africa ◽  
Public Hospitals ◽  
Survey Method ◽  
Diabetic Patients ◽  
Cross Sectional Survey ◽  
Ocular Complications ◽  
Cross Sectional ◽  
Kwazulu Natal ◽  
Private And Public

Background: The prevalence of Diabetes Mellitus (DM) is increasing in South Africa as a result of changes in lifestyles and rising levels of obesity. Knowledge of management protocols for DM may empower patients to better control the disease and prevent secondary complications.Aim: The aim of this study was to determine if there was a difference in the level of knowledge of DM and its ocular complications amongst public and private hospital diabetic patients.Setting: The study was conducted in four private and four public hospitals in the eThekwini Municipality, KwaZulu-Natal Province.Methods: A cross-sectional survey method was used to collect data from diabetic patients attending selected hospitals. Convenience sampling was used and analysis of descriptive and correlation statistics was done using Statistical Package for Social Sciences (SPSS) version 21.Results: Participants (N = 370) consisted of 44% males and 56% females with 41.6% being from private and 58.4% from public hospitals. The ages of participants ranged from 20 to 79 years. Although most of the participants (74.8%) were knowledgeable about DM and its management, private sector patients were more knowledgeable about DM management than were public sector patients (p = 0.000). Furthermore, private patients had better knowledge of ocular complications related to DM (p = 0.000). Those (74%) who had previously attended a diabetic seminar had significantly better knowledge than those who had not (p = 0.000).Conclusion: Patients with DM attending public hospitals will benefit from targeted education campaigns or seminars related to diabetes and its complications.

scholarly journals Awareness and uptake of layered HIV prevention programming for young women: analysis of population-based surveys in three DREAMS settings in Kenya and South Africa

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Annabelle Gourlay ◽  
Isolde Birdthistle ◽  
Nondumiso Thandiwe Mthiyane ◽  
Benedict O. Orindi ◽  
Sheru Muuo ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Prevention ◽  
Young Women ◽  
Population Based ◽  
Age Group ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Younger Women ◽  
School Based ◽  
Kwazulu Natal

Abstract Background The DREAMS Partnership is an ambitious effort to deliver combinations of biomedical, behavioural and structural interventions to reduce HIV incidence among adolescent girls and young women (AGYW). To inform multi-sectoral programming at scale, across diverse settings in Kenya and South Africa, we identified who the programme is reaching, with which interventions and in what combinations. Methods Randomly-selected cohorts of 606 AGYW aged 10–14 years and 1081 aged 15–22 years in Nairobi and 2184 AGYW aged 13–22 years in uMkhanyakude, KwaZulu-Natal, were enrolled in 2017, after ~ 1 year of DREAMS implementation. In Gem, western Kenya, population-wide cross-sectional survey data were collected during roll-out in 2016 (n = 1365 AGYW 15–22 years). We summarised awareness and invitation to participate in DREAMS, uptake of interventions categorised by the DREAMS core package, and uptake of a subset of ‘primary’ interventions. We stratified by age-group and setting, and compared across AGYW characteristics. Results Awareness of DREAMS was higher among younger women (Nairobi: 89%v78%, aged 15-17v18–22 years; uMkhanyakude: 56%v31%, aged 13-17v18–22; and Gem: 28%v25%, aged 15-17v18–22, respectively). HIV testing was the most accessed intervention in Nairobi and Gem (77% and 85%, respectively), and school-based HIV prevention in uMkhanyakude (60%). Among those invited, participation in social asset building was > 50%; > 60% accessed ≥2 core package categories, but few accessed all primary interventions intended for their age-group. Parenting programmes and community mobilisation, including those intended for male partners, were accessed infrequently. In Nairobi and uMkhanyakude, AGYW were more likely to be invited to participate and accessed more categories if they were: aged < 18 years, in school and experienced socio-economic vulnerabilities. Those who had had sex, or a pregnancy, were less likely to be invited to participate but accessed more categories. Conclusions In representative population-based samples, awareness and uptake of DREAMS were high after 1 year of implementation. Evidence of ‘layering’ (receiving multiple interventions from the DREAMS core package), particularly among more socio-economically vulnerable AGYW, indicate that intervention packages can be implemented at scale, for intended recipients, in real-world contexts. Challenges remain for higher coverage and greater ‘layering’, including among older, out-of-school AGYW, and community-based programmes for families and men.

scholarly journals Dietary habits among health professionals working in a district hospital in KwaZulu-Natal, South Africa

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Siyabonga H. Kunene ◽  
Nomathemba P. Taukobong
Keyword(s):  
South Africa ◽  
Health Professionals ◽  
Dietary Habits ◽  
Eating Habits ◽  
District Hospital ◽  
Unhealthy Lifestyle ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Middle Income ◽  
Kwazulu Natal

Introduction: The burden of diseases associated with unhealthy lifestyle behaviours continues to increase in the low- and middle-income countries including South Africa. Among the affected population are the health professionals who are assumed to be knowledgeable about healthy eating.Aim: This study aimed to determine the dietary habits of health professionals in a public district hospital in KwaZulu-Natal, South Africa.Methods: A cross-sectional survey was conducted in 2012 among 109 randomly selected health professionals. Each received a questionnaire consisting of mostly closed and few open-ended questions. Its main focus was the dietary and eating habits of the professionals. An ethical clearance was granted by the Medunsa Research and Ethics committee at the University of Limpopo. Permission to conduct the study was sought and obtained from participants as well. Descriptive statistics and frequencies were used to analyse data.Results: A 100% (109) response rate was achieved. The majority skipped meals especially breakfast with a significant positive correlation between breakfast intake per week and age (r = 0.98, p = 0.048). The majority consumed a lot of unhealthy foods and carbonated beverages with sugar. Consumption of fruits, vegetables, high fibre and whole grain foods was less common.Conclusion: The study showed poor eating habits among participants. Urgent health interventions are therefore indicated to highlight the importance of healthy eating habits among the entire population.

scholarly journals Online appendix 1:Knowledge of diabetes mellitus and its ocular complications amongst diabetic patients attending private and public hospitals in eThekwini Municipality, KwaZulu-Natal province, South Africa

2015 ◽  
Vol 74 (1) ◽  
Author(s):  
Diane Van Staden ◽  
Luke P. Deutshmann ◽  
Sameer Ganas ◽  
Maxine Manickam ◽  
Amishka Manillal ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
South Africa ◽  
Public Hospitals ◽  
Survey Method ◽  
Diabetic Patients ◽  
Cross Sectional Survey ◽  
Ocular Complications ◽  
Cross Sectional ◽  
Online Appendix ◽  
Kwazulu Natal

Background: The prevalence of Diabetes Mellitus (DM) is increasing in South Africa as a result of changes in lifestyles and rising levels of obesity. Knowledge of management protocols for DM may empower patients to better control the disease and prevent secondary complications.Aim: The aim of this study was to determine if there was a difference in the level of knowledge of DM and its ocular complications amongst public and private hospital diabetic patients.Setting: The study was conducted in four private and four public hospitals in the eThekwini Municipality, KwaZulu-Natal Province.Methods: A cross-sectional survey method was used to collect data from diabetic patients attending selected hospitals. Convenience sampling was used and analysis of descriptive and correlation statistics was done using Statistical Package for Social Sciences (SPSS) version 21.Results: Participants (N = 370) consisted of 44% males and 56% females with 41.6% being from private and 58.4% from public hospitals. The ages of participants ranged from 20 to 79 years. Although most of the participants (74.8%) were knowledgeable about DM and its management, private sector patients were more knowledgeable about DM management than were public sector patients (p = 0.000). Furthermore, private patients had better knowledge of ocular complications related to DM (p = 0.000). Those (74%) who had previously attended a diabetic seminar had significantly better knowledge than those who had not (p = 0.000).Conclusion: Patients with DM attending public hospitals will benefit from targeted education campaigns or seminars related to diabetes and its complications.

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