scholarly journals A Comparison of Injuries in Different Non-Professional Soccer Settings: Incidence Rates, Causes and Characteristics

2019 ◽  
Vol 12 (1) ◽  
pp. 28-34
Author(s):  
Angela Gebert ◽  
Markus Gerber ◽  
Uwe Pühse ◽  
Philippe Gassmann ◽  
Hanspeter Stamm ◽  
...  
Keyword(s):  
Random Sample ◽  
Head Injuries ◽  
Knee Injuries ◽  
Incidence Rates ◽  
Insurance Fund ◽  
Injury Incidence ◽  
Specific Approach ◽  
Positive Effects ◽  
Professional Soccer ◽  
Soccer Training

Background: There is a lack of data regarding the epidemiology of soccer injuries and the particular accidents in specific non-professional soccer populations. The aim of this study was to analyse incidence, causes and characteristics of soccer injuries, taking into account different settings of organised (amateur) and non-organised soccer. Methods: A random sample of persons who had sustained an injury while playing soccer and reported this injury to the Swiss National Accident Insurance Fund (Suva) was retrospectively consulted. 705 injuries were analysed involving three main settings (soccer games, soccer training, non-organised soccer) and different amateur soccer leagues. Results: Knee injuries (p=0.01) and head injuries (p=0.005) were observed more frequently in games than in non-organised soccer. Injuries caused by contact with an opponent and foul play occurred more frequently in games than in training (p<0.001) or non-organised soccer (p≤0.001). Injury incidence was substantially higher for players of 30+/40+ leagues (18.7 injuries per 1000 hours) than for players of other leagues (1st-3rd amateur leagues: 8.5, p=0.002; 4th-5th amateur leagues: 9.4, p=0.007; female leagues: 8.2, p=0.006; junior leagues: 6.7, p<0.001). Conclusion: With respect to injury characteristics, causes and injury incidence, essential differences between various non-professional soccer settings exist suggesting that a more specific approach in injury prevention may generate positive effects.

scholarly journals Hospital-treated injuries from horse riding in Victoria, Australia: time to refocus on injury prevention?

2018 ◽  
Vol 4 (1) ◽  
pp. e000321 ◽  
Author(s):  
Siobhán O’Connor ◽  
Peta L Hitchens ◽  
Lauren V Fortington
Keyword(s):  
Injury Prevention ◽  
New Technology ◽  
Head Injuries ◽  
Incidence Rates ◽  
Hospital Treatment ◽  
Injury Incidence ◽  
Public And Private ◽  
Horse Riding ◽  
Public And Private Hospitals ◽  
Mean Cost

BackgroundThe most recent report on hospital-treated horse-riding injuries in Victoria was published 20 years ago. Since then, injury countermeasures and new technology have aimed to make horse riding safer for participants. This study provides an update of horse-riding injuries that required hospital treatment in Victoria and examines changes in injury patterns compared with the earlier study.MethodsHorse-riding injuries that required hospital treatment (hospital admission (HA) or emergency department (ED) presentations) were extracted from routinely collected data from public and private hospitals in Victoria from 2002–2003 to 2015–2016. Injury incidence rates per 100 000 Victorian population per financial year and age-stratified and sex-stratified injury incidence rates are presented. Poisson regression was used to examine trends in injury rates over the study period.ResultsED presentation and HA rates were 31.1 and 6.6 per 100 000 person-years, increasing by 28.8% and 47.6% from 2002 to 2016, respectively. Female riders (47.3 ED and 10.1 HA per 100 000 person-years) and those aged between 10 and 14 years (87.8 ED and 15.7 HA per 100 000 person-years) had the highest incidence rates. Fractures (ED 29.4%; HA 56.5%) and head injuries (ED 15.4%; HA 18.9%) were the most common injuries. HA had a mean stay of 2.6±4.1 days, and the mean cost per HA was $A5096±8345.ConclusionHorse-riding injuries have remained similar in their pattern (eg, types of injuries) since last reported in Victoria. HA and ED incidence rates have increased over the last 14 years. Refocusing on injury prevention countermeasures is recommended along with a clear plan for implementation and evaluation of their effectiveness in reducing injury.

scholarly journals Injuries in Professional Male Soccer Players in the Netherlands: A Prospective Cohort Study

2015 ◽  
Vol 50 (2) ◽  
pp. 211-216 ◽  
Author(s):  
Janine H. Stubbe ◽  
Anne-Marie M. C. van Beijsterveldt ◽  
Sissi van der Knaap ◽  
Jasper Stege ◽  
Evert A. Verhagen ◽  
...  
Keyword(s):  
Cohort Study ◽  
Injury Risk ◽  
Knee Injuries ◽  
Lower Extremities ◽  
Body Part ◽  
Soccer Players ◽  
Injury Incidence ◽  
Time Loss ◽  
Professional Soccer ◽  
Common Diagnosis

Context: Injuries are a major adverse event in a soccer player's career. Reducing injury incidence requires a thorough knowledge of the epidemiology of soccer injuries. Objective: To investigate the incidence and characteristics of injuries in the Dutch premier soccer league. Design: Cohort study. Setting: The Dutch premier soccer league. Patients or Other Participants: During the 2009–2010 soccer season, a total of 217 professional soccer players from 8 teams were prospectively followed. Main Outcome Measure(s): The medical staff recorded time-loss injuries, including information on injuries (ie, type, body part, duration) and exposure data for training sessions and matches. Results: A total of 286 injuries were recorded, affecting 62.7% of the players. The overall injury incidence was 6.2 injuries per 1000 player-hours, 2.8 in training sessions and 32.8 in matches. Most of the recorded injuries were acute (68.5%). Eight percent of the injuries were classified as recurrent. Injuries were most likely to be located in the lower extremities (82.9%). Injury time loss ranged from 1 to 752 days, with a median of 8 days. Knee injuries had the greatest consequences in terms of days of absence from soccer play (on average, 45 days). The most common diagnosis was muscle/tendon injury of the lower extremities (32.9%). Conclusions: Injury risk in the Dutch premier soccer league is high, especially during matches. Preventive measures should focus on the most common diagnoses, namely, muscle/tendon injuries of the lower extremities.

Head injuries in professional male football (soccer) over 13 years: 29% lower incidence rates after a rule change (red card)

2017 ◽  
Vol 53 (15) ◽  
pp. 948-952 ◽  
Author(s):  
Florian Beaudouin ◽  
Karen aus der Fünten ◽  
Tobias Tröß ◽  
Claus Reinsberger ◽  
Tim Meyer
Keyword(s):  
Head Injuries ◽  
Incidence Rates ◽  
Injury Incidence ◽  
Facial Fractures ◽  
Video Recordings ◽  
Rule Change ◽  
Injury Mechanisms ◽  
Before And After ◽  
Recorded Data ◽  
Rate Ratios

BackgroundAbsolute numbers of head injuries in football (soccer) are considerable because of its high popularity and the large number of players. In 2006 a rule was changed to reduce head injuries. Players were given a red card (sent off) for intentional elbow-head contact.AimsTo describe the head injury mechanism and examine the effect of the rule change.MethodsBased on continuously recorded data from the German football magazine “kicker”, a database of all head injuries in the 1st German Male Bundesliga was generated comprising seasons 2000/01-2012/13. Injury mechanisms were analysed from video recordings. Injury incidence rates (IR) and 95% confidence intervals (95% CI) as well as incidence rate ratios (IRR) to assess differences before and after the rule change were calculated.Results356 head injuries were recorded (IR 2.22, 95% CI 2.00 to 2.46 per 1000 match hours). Contact with another player caused most head injuries, more specifically because of head-head (34%) or elbow-head (17%) contacts. After the rule change, head injuries were reduced by 29% (IRR 0.71, 95% CI 0.57 to 0.86, p=0.002). Lacerations/abrasions declined by 42% (95% CI 0.39 to 0.85), concussions by 29% (95% CI 0.46 to 1.09), contusions by 18% (95% CI 0.43 to 1.55) and facial fractures by 16% (95% CI 0.55 to 1.28).ConclusionsThis rule change appeared to reduce the risk of head injuries in men’s professional football.

scholarly journals Age and nationality in relation to injuries at sea among officers and non-officers: a study based on contacts from ships to Telemedical Assistance Service in Denmark

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e034502 ◽  
Author(s):  
Kimmo Herttua ◽  
Stine Gerdøe-Kristensen ◽  
Jan C Vork ◽  
Jesper Bo Nielsen
Keyword(s):  
Head Injuries ◽  
Age Groups ◽  
Incidence Rates ◽  
Injury Incidence ◽  
The European Union ◽  
Increased Risk ◽  
Assistance Service ◽  
Adjusted Incidence ◽  
Type Of Injury ◽  
Observation Period

ObjectivesCharacterisation of worker injuries on board merchant ships is modest. Using telemedical service contacts in Denmark, we describe the worker injuries patterns and factors related to injury incidence.MethodsThe data for this study were based on contacts (n=1401) from ships to Telemedical Assistance Service (TMAS) in Denmark in 2004–2014, which were supplemented with data on the annual estimation of all seafarers from the Danish Maritime Authority (n=73 336). The final data included information on broad age groups, occupation and nationality. The outcomes were injuries from any cause and six broad categories of injuries characterised by anatomic location or type of injury.ResultsDuring the observation period of 11 years, there were 1401 contacts to TMAS due to injuries, of which 36% were in upper limb, 18% in lower limb and 13% in the head. Age-adjusted incidence rates for all injuries varied between 13.6 and 26.8 incidences per 1000 person-years in 2004–2014. In most types of injuries, younger and older seafarers had higher risk for injuries than seafarers aged 30–49 years. Depending on the type of injury, non-officers had threefold to fivefold increased odds of injuries compared with officers, the risk being highest for head injuries with an OR of 5.00 (95% CI 3.19 to 7.83). Non-officers from the European Union (EU) had higher risk in most types of injuries than non-officers from outside the EU, whereas the pattern of this risk was inverse among officers.ConclusionsThese findings suggest that non-officers and European seafarers have an increased risk for several types of injuries on board Danish-flagged merchant ships. Additionally, age affected risk with the younger (<30 years) and older (>50 years) seafarers having increased risk.

scholarly journals Time Trends of Head Injuries Over Multiple Seasons in Professional Male Football (Soccer)

2019 ◽  
Vol 03 (01) ◽  
pp. E6-E11 ◽  
Author(s):  
Florian Beaudouin ◽  
Karen der Fünten ◽  
Tobias Tröß ◽  
Claus Reinsberger ◽  
Tim Meyer
Keyword(s):  
Head Injury ◽  
Seasonal Changes ◽  
Time Trends ◽  
Head Injuries ◽  
Incidence Rates ◽  
Injury Incidence ◽  
Annual Average ◽  
Rule Change ◽  
Total Head ◽  
Injury Mechanisms

AbstractThe present study aimed to investigate time trends of head injuries and their injury mechanisms since a rule change as monitoring may help to identify causes of head injuries and may advance head injury prevention efforts. Based on continuously recorded data from the German football magazine “kicker Sportmagazin®” as well as other media sources, a database of head injuries in the 1st German male Bundesliga was generated comprising 11 seasons (2006/07–2016/17). Injury mechanisms were analysed from video recordings. Injury incidence rates (IR) and 95% confidence intervals (95% CI) were calculated. Time trends were analysed via linear regression. Two hundred thirty-eight match head injuries occurred (IR 1.77/1000 match hours, 95% CI 1.56–2.01). There were no significant seasonal changes, expressed as annual average year-on-year change, in IRs over the 11-year period for total head injuries (p=0.693), facial/head fractures (p=0.455), lacerations/abrasions (p=0.162), and head contusions (p=0.106). The annual average year-on-year increase for concussion was 6.4% (p=0.004). Five head injury mechanisms were identified. There were no seasonal changes in injury mechanisms over the study period. The concussion subcategory increased slightly over the seasons, which may either be a result of increasing match dynamics or raised awareness among team physicians and players.

scholarly journals Head Impact Situations in Professional Football (Soccer)

2021 ◽  
Vol 5 (02) ◽  
pp. E37-E44
Author(s):  
Florian Beaudouin ◽  
Daniel Demmerle ◽  
Christoph Fuhr ◽  
Tobias Tröß ◽  
Tim Meyer
Keyword(s):  
Head Injury ◽  
Brain Injuries ◽  
Injury Severity ◽  
Head Injuries ◽  
Severe Trauma ◽  
Incidence Rates ◽  
Head Impact ◽  
Video Observation ◽  
Injury Incidence ◽  
Video Recordings

AbstractTo assess head impact incidents (HIIs) and to distinguish diagnosed head injuries from other incidents, a video observation analysis of match HIIs was conducted in the German Bundesliga (2017/18 season). Video recordings of each match were screened to identify the respective events. Head injury data were identified by a prospective injury registry. HII and head injury incidence rates (IR) were calculated with 95% CIs. The total number of HIIs was 1,362 corresponding to an IR of 134.9/1000 match hours (95% CI 127.9–142.2). In 123 HII (IR 12.2, 95% CI 10.2–14.5) the contact was classified as severe. Head contact with the opponent was the most frequent cause (85%). The most frequent mechanism was in 44% (combined) the arm and elbow-to-head, followed by head-to-head and hand-to-head contacts (each 13%). In 58%, the HIIs occurred during header duels. Twenty-nine head injuries were recorded (IR 2.9, 95% CI 2.0–4.1). Concussions/traumatic brain injuries accounted for 48%, head/facial fractures 24%, head/facial contusions 21%, and lacerations/abrasions 7%. The number of HIIs not classified as concussions/more severe trauma was high. Identification of HIIs and head injury severity should be improved during on-field assessment as many head injuries might go unrecognised based on the large number of HIIs.

scholarly journals Padded Headgear does not Reduce the Incidence of Match Concussions in Professional Men’s Rugby Union: A Case-control Study of 417 Cases

2021 ◽  
Author(s):  
Keith A. Stokes ◽  
Matthew Cross ◽  
Sean Williams ◽  
Carly McKay ◽  
Brent E. Hagel ◽  
...  
Keyword(s):  
Odds Ratio ◽  
Head Injuries ◽  
Median Number ◽  
Case Control ◽  
Rugby Union ◽  
Return To Play ◽  
Injury Incidence ◽  
Video Footage ◽  
Four Seasons ◽  
Nested Case Control

AbstractConcussion is the most common match injury in rugby union. Some players wear padded headgear, but whether this protects against concussion is unclear. In professional male rugby union players, we examined: (i) the association between the use of headgear and match concussion injury incidence, and (ii) whether wearing headgear influenced time to return to play following concussion. Using a nested case-control within a cohort study, four seasons (2013–2017) of injury data from 1117 players at the highest level of rugby union in England were included. Cases were physician-diagnosed concussion injuries. Controls were other contact injuries (excluding all head injuries). We determined headgear use by viewing video footage. Sixteen percent of cases and controls wore headgear. Headgear use had no significant effect on concussion injury incidence (adjusted odds ratio=1.05, 95% CI: 0.71–1.56). Median number of days absent for concussion whilst wearing headgear was 8 days, compared with 7 days without headgear. Having sustained a concussion in the current or previous season increased the odds of concussion more than four-fold (odds ratio=4.55, 95% CI: 3.77–5.49). Wearing headgear was not associated with lower odds of concussions or a reduced number of days' absence following a concussion.

scholarly journals SP7.1.2 DVT and Abdominoplasty: A Holistic 8-point protocol-based approach to prevent DVT

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Reyan Saghir ◽  
Noman Saghir ◽  
Renee Okhiria ◽  
Manu Sidhu ◽  
Terrell Okhiria ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Incidence Rate ◽  
Lower Incidence ◽  
Holistic Approach ◽  
Incidence Rates ◽  
Thromboembolic Events ◽  
Compression Stockings ◽  
Specific Approach ◽  
Vein Thrombosis ◽  
Deep Vein

Abstract Aim Plastic surgery as a speciality is afflicted with one of the highest incidence rates of thromboembolic events, with abdominoplasty procedures known to assimilate the greatest rates of Deep Vein Thrombosis (DVT). Methods A total of 1078 abdominoplasty patients were enrolled onto an 8-point prophylaxis protocol with an inclusive holistic approach over a 7- year period. A 4-week smoking, HRT and COC cessation period was imposed on all patients and a maximum BMI score of 40 was required of all preoperative patients. Participants were administered with compression stockings, flowtrons and enoxaparin. Individuals with a DVT history were also required to be 1-year treatment free prior to surgery. Furthermore, the protocol necessitated post-operative deambulation of fit patients within 4 hours. Results Between 2008 and 2013, no incidence of DVT was recorded in all 1078 abdominoplasty surgery patients, indicating the potential for this protocol to lead to a significantly lower incidence than any previously published methodology. Due to the zero-incidence rate of DVT, different hypotheses of DVT proportions were tested to find out the rates that could be statistically consistent with our sample, thereby providing conservative incidence rate estimates. Conclusion This 8-point DVT prophylaxis protocol is the first non-criteria based inclusive protocol aimed at preventing abdominoplasty-associated DVT. As a result, not a single incident of DVT was recorded over the seven-year period of this study. We therefore believe that a holistic and procedure-specific approach to prophylaxis can drastically reduce the occurrence of DVT in abdominoplasty surgery.

scholarly journals Injury Incidence Across the Menstrual Cycle in International Footballers

2021 ◽  
Vol 3 ◽  
Author(s):  
Dan Martin ◽  
Kate Timmins ◽  
Charlotte Cowie ◽  
Jon Alty ◽  
Ritan Mehta ◽  
...  
Keyword(s):  
Menstrual Cycle ◽  
Incidence Rate ◽  
Luteal Phase ◽  
Incidence Rates ◽  
Follicular Phase ◽  
Tendon Injuries ◽  
Cycle Phase ◽  
Injury Incidence ◽  
Rate Ratios ◽  
Late Follicular Phase

Objectives: This study aimed to assess how menstrual cycle phase and extended menstrual cycle length influence the incidence of injuries in international footballers.Methods: Over a 4-year period, injuries from England international footballers at training camps or matches were recorded, alongside self-reported information on menstrual cycle characteristics at the point of injury. Injuries in eumenorrheic players were categorized into early follicular, late follicular, or luteal phase. Frequencies were also compared between injuries recorded during the typical cycle and those that occurred after the cycle would be expected to have finished. Injury incidence rates (per 1,000 person days) and injury incidence rate ratios were calculated for each phase for all injuries and injuries stratified by type.Results: One hundred fifty-six injuries from 113 players were eligible for analysis. Injury incidence rates per 1,000 person-days were 31.9 in the follicular, 46.8 in the late follicular, and 35.4 in the luteal phase, resulting in injury incidence rate ratios of 1.47 (Late follicular:Follicular), 1.11 (Luteal:Follicular), and 0.76 (Luteal:Late follicular). Injury incident rate ratios showed that muscle and tendon injury rates were 88% greater in the late follicular phase compared to the follicular phase, with muscle rupture/tear/strain/cramps and tendon injuries/ruptures occurring over twice as often during the late follicular phase compared to other phases 20% of injuries were reported as occurring when athletes were “overdue” menses.Conclusion: Muscle and tendon injuries occurred almost twice as often in the late follicular phase compared to the early follicular or luteal phase. Injury risk may be elevated in typically eumenorrheic women in the days after their next menstruation was expected to start.

A prospective Study of Cranial Injuries: A Review of Management Traumatic brain Injury

2018 ◽  
Vol 2 (4) ◽  
pp. 01-02
Author(s):  
Presnall Rabas ◽  
Polozar Norbert
Keyword(s):  
Risk Factors ◽  
Cranial Nerve ◽  
Traffic Accidents ◽  
Quantitative Estimation ◽  
Seat Belt ◽  
Head Injuries ◽  
Epidemiological Studies ◽  
Incidence Rates ◽  
Traumatic Amnesia ◽  
A Prospective Study

Head injuries (HI) are one of the most common causes of death, morbidity and disabilities in young adults. Epidemiological studies allow a quantitative estimation in terms of incidence and a qualitative estimate for the identification of risk factors in specific populations. These estimates may enable appropriate prevention programs. Estimates of annual incidence rates depend on territories, periods and methodological tools. Annual rates for hospitalized patients are found between 150 and 300/100,000 inhabitants. Severity of HI can be assessed by the Glasgow Coma Scale (GCS), the Abbreviated Injury Scale (AIS) or the Post-Traumatic Amnesia duration. Annual incidences of severe HI will depend on the selected score: around 25/100,000 inhabitants for cerebral trauma with intracranial injuries, around 9/100,000 for the most severe HI, with an AIS maximum of 5 with coma. The male:female ratio increases with degree of severity. Traffic accidents were the most frequent cause of HI. Many patients have associated injuries, worsening the outcome. Some risk factors are considered. Preventive measures are mainly conducted for traffic accidents, and include speed limit and regulations on helmet or seat belt use. Results of these measures are analysed Postoperative dysfunction affected one cranial nerve in 25 patients, two nerves in four and three nerves in one patient. Most cranial nerve injuries were asymptomatic or mild in severity, resolved in one to 12 months and probably were caused by intraoperative retraction.

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