National Strategy for Preventing Injuries from Skiing and Snowboarding in Switzerland

2015 ◽  
Vol 63 (2) ◽  
Keyword(s):  
Risk Factors ◽  
Medical Treatment ◽  
Injury Prevention ◽  
Prevention Programs ◽  
Accident Prevention ◽  
Occupational Accidents ◽  
Evidence Based ◽  
National Strategy ◽  
Prevention Measures ◽  
Snow Sports

Skiing and snowboarding are very popular sports in Switzerland. However, every year, around 67,000 skiers and 18,000 snowboarders are injured so seriously that they need medical treatment. Moreover around 8 people die on the slopes in Switzerland. Therefore, there is a need to reduce the burden of injuries in snow sports. The Swiss Council for Accident Prevention (bfu) developed a strategy that utilized scientifically-based injury prevention, using an effect-oriented prevention cycle. The aim of this study is to present this systematic and evidence-based strategy for snow sports. Throughout the prevention cycle, the incidence and severity of injuries are established, risk factors and possible prevention measures are identified and rated, prevention goals are set, prevention programs are developed and implemented, and the success of the measures and processes are monitored. In addition, the effect-oriented prevention cycle involves collaboration with other prevention-minded partners. This strategy allows the bfu to carry out its legal mandate to prevent non-occupational accidents and to coordinate prevention measures throughout Switzerland that are effective, efficient, and practical. Furthermore, the collaboration with other prevention-minded agencies greatly improves the implementation.

scholarly journals Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review with best-evidence synthesis

2018 ◽  
Vol 52 (20) ◽  
pp. 1312-1319 ◽  
Author(s):  
Martin Asker ◽  
Hannah L Brooke ◽  
Markus Waldén ◽  
Ulrika Tranaeus ◽  
Fredrik Johansson ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Injury Prevention ◽  
Evidence Synthesis ◽  
Shoulder Injuries ◽  
Prevention Measures ◽  
Shoulder Injury ◽  
Limited Evidence ◽  
Best Evidence Synthesis ◽  
Overhead Sports

ObjectiveTo assess the evidence for risk factors and prevention measures for shoulder injuries in overhead sports.DesignSystematic review with best-evidence synthesis.Data sourcesMedline (Ovid), PubMed (complementary search), Embase (Elsevier), Cochrane (Wiley), SPORTDiscus (Ebsco) and Web of Science Core Collection (Thomson Reuters), from 1 January 1990 to 15 May 2017.Eligibility criteria for selecting studiesRandomised controlled trials, cohort studies and case-control studies on risk factors or prevention measures for shoulder injuries in overhead sports. The eligible studies were quality assessed using the Scottish Intercollegiate Guidelines Network criteria.ResultsOf 4778 studies identified, 38 were eligible for quality review and 17 met the quality criteria to be included in the evidence synthesis. One additional quality study presented a shoulder injury prevention programme. Most studies focused on baseball, lacrosse or volleyball (n=13). The risk factors examined included participation level (competition vs training) (n=10), sex (n=4), biomechanics (n=2) and external workload (n=2). The evidence for all risk factors was limited or conflicting. The effect of the prevention programme within the subgroup of uninjured players at baseline was modest and possibly lacked statistical power.ConclusionsAll investigated potential risk factors for shoulder injury in overhead sports had limited evidence, and most were non-modifiable (eg, sex). There is also limited evidence for the effect of shoulder injury prevention measures in overhead sports.PROSPERO trial registration numberCRD42015026850.

scholarly journals Preventing Crime and Poor Health Among Aboriginal People: The Potential for Preventative Programming

2020 ◽  
Vol 7 (2) ◽  
pp. 112-129 ◽  
Author(s):  
Lisa Monchalin ◽  
Olga Marques
Keyword(s):  
Risk Factors ◽  
Substance Use ◽  
Health Outcomes ◽  
Crime Prevention ◽  
Aboriginal People ◽  
Historical Context ◽  
Prevention Programs ◽  
Poor Health ◽  
Health Costs ◽  
Evidence Based

The purpose of this paper is to examine prevention programs, and discuss their potential for having an impact on reducing crime and poor health outcomes for Aboriginal people. A historical context is first outlined in order to provide a context for understanding the disproportionate amount of crime and related poor health outcomes affecting Aboriginal people. Risk factors for crime and health are identified, demonstrating their interrelatedness and overlapping nature, indicating that risk factors do not existing in isolation from each other. Existing crime prevention programs are subsequently discussed, paying particular attention to the intersection between evidence-based outcomes and programs offered at Aboriginal Friendship Centres. The use of prevention programs for preventing/reducing crime and related health costs (i.e. substance use/abuse, smoking, and/or addictions) has been positively established by existing research. Thus, it is suggested that these programs offered in Aboriginal centres, such as Aboriginal Friendship Centres, should be furtherexpanded and supported.

scholarly journals Injury Prevention Programs for Throwing Injuries in Softball Players: A Systematic Review

2021 ◽  
pp. 194173812097816
Author(s):  
Jonathan Paul ◽  
Symone M. Brown ◽  
Mary K. Mulcahey
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Range Of Motion ◽  
Injury Prevention ◽  
Prevention Program ◽  
Dynamic Range ◽  
Lower Extremities ◽  
Prevention Programs ◽  
Level Of Evidence ◽  
Injury Prevention Program

Context: Throwing-related injuries occur commonly in softball players. Preventative programs can be implemented to assist in identifying and correcting risk factors that could potentially lead to injury and therefore time missed from both practice and games. Objective: The purpose of this study was to determine if position-specific injury prevention programs have been developed to decrease the risk of throwing-related injuries in softball players. Data Sources: A systematic review was performed using the PRISMA (Preferred Reporting Items of Systematic Reviews and Meta-Analyses) guidelines. PubMed, PMC, and EBSCO were searched for articles on injury prevention programs using the following key terms: softball, injury prevention, throwing injuries, pitcher, and shoulder. Study Selection: Studies that involved fast-pitch softball and included female participants as well as rehabilitation programs were included. Articles that highlighted slow-pitch softball or did not include female participants were excluded. Level of Evidence: Level 1. Data Extraction: The initial search identified 1605 articles. After implementing a filter, 131 articles remained. Thirteen articles were screened out as duplicates. After screening for inclusion criteria, 7 articles remained and were included in the systematic review. Results: Decreased range of motion (ROM) in both the upper and the lower extremities, unbalanced muscular strength, and fatigue were identified as risk factors for throwing injuries in softball players. Within the upper extremity, strength and ROM of the rotator cuff muscles, biceps, and extensors of the forearm were emphasized. The main focus of the lower extremity was the strength of the gluteal muscles and ROM of the lumbopelvic-hip complex. Only 1 study detailed an injury prevention program for softball players. The prevention program outlined was generalized for all softball players and was not position specific. Conclusion: There is a paucity of information about injury prevention programs for softball players. Of the evidence analyzed, balanced strengthening of the upper and lower extremities while maintaining dynamic range of motion was frequently utilized in developing an injury prevention program.

scholarly journals Effect of Injury Prevention Programs on Lower Extremity Performance in Youth Athletes: A Systematic Review

2019 ◽  
Vol 12 (1) ◽  
pp. 12-22 ◽  
Author(s):  
Colleen Hanlon ◽  
Joseph J. Krzak ◽  
Janey Prodoehl ◽  
Kathy D. Hall
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Lower Extremity ◽  
Injury Prevention ◽  
Injury Risk ◽  
Prevention Programs ◽  
Force Generation ◽  
Level Of Evidence ◽  
Youth Athletes ◽  
Lower Extremity Performance

Background: Understanding how existing youth injury prevention programs affect specific modifiable injury risk factors will inform future program development for youth athletes. Objective: To comprehensively evaluate the effects of injury prevention programs on the modifiable intrinsic risk factors associated with lower extremity performance in youth athletes. Data Sources: This systematic review followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A systematic search of the literature was performed using multiple databases (PubMed, EBSCOhost [including CINAHL, Medline, and SPORTDiscus], and PEDro). Secondary references were appraised for relevant articles. Article types included randomized or cluster randomized controlled trials and randomized cohort designs with youth athletes engaged in organized sports, along with outcomes that included at least 1 physical performance outcome measure. Study Selection: Eight studies met inclusion and exclusion criteria and were reviewed by 2 independent reviewers, with a third consulted in the case of disagreement, which was not needed. Study Design: Systematic review. Level of Evidence: Level 3. Data Extraction: Included studies underwent review of methodological quality using the Physiotherapy Evidence Database scale. Results: Studies included mixed-sex samples of youth athletes who predominantly participated in soccer at different skill levels. The FIFA 11+ series was the most commonly used injury prevention program. Among studies, the mean percentage of improvement identified was 11.3% for force generation, 5.7% for coordination, 5.2% for posture, and 5.2% for balance. The lowest mean percentage improvement was in speed (2.2%). Endurance was not significantly affected by any of the programs. Conclusion: This systematic review shows that injury prevention programs improve several modifiable intrinsic risk factors of lower extremity performance among youth athletes, particularly force generation. However, several intrinsic risk factors were either not significantly affected or specifically addressed by existing programs.

scholarly journals Injury Risk Factors Integrated Into Self-Guided Real-Time Biofeedback Improves High-Risk Biomechanics

2019 ◽  
Vol 28 (8) ◽  
pp. 831-839 ◽  
Author(s):  
Scott Bonnette ◽  
Christopher A. DiCesare ◽  
Adam W. Kiefer ◽  
Michael A. Riley ◽  
Kim D. Barber Foss ◽  
...  
Keyword(s):  
Risk Factors ◽  
Injury Prevention ◽  
Real Time ◽  
Injury Risk ◽  
Female Athletes ◽  
Acl Injury ◽  
Feedback System ◽  
Prevention Programs ◽  
Acl Injuries ◽  
The Real

Context:Existing anterior cruciate ligament (ACL) injury prevention programs have failed to reverse the high rate of ACL injuries in adolescent female athletes.Objective:This investigation attempts to overcome factors that limit efficacy with existing injury prevention programs through the use of a novel, objective, and real-time interactive visual feedback system designed to reduce the biomechanical risk factors associated with ACL injuries.Design:Cross-over study.Setting:Medical center laboratory.Participants:A total of 20 females (age = 19.7 [1.34] y; height = 1.74 [0.09] m; weight = 72.16 [12.45] kg) participated in this study.Methods:Participants performed sets of 10 bodyweight squats in each of 8 training blocks (ie, 4 real-time and 4 control blocks) and 3 testing blocks for a total of 110 squats. Feedback conditions were blocked and counterbalanced with half of participants randomly assigned to receive the real-time feedback block first and half receiving the control (sham) feedback first.Results:Heat map analysis revealed that during interaction with the real-time feedback, squat performance measured in terms of key biomechanical parameters was improved compared with performance when participants squatted with the sham stimulus.Conclusions:This study demonstrates that the interactive feedback system guided participants to significantly improve movement biomechanics during performance of a body weight squat, which is a fundamental exercise for a longer term ACL injury risk reduction intervention. A longer training and testing period is necessary to investigate the efficacy of this feedback approach to effect long-term adaptations in the biomechanical risk profile of athletes.

scholarly journals Prevention of sports injuries in children at school: a systematic review of policies

2018 ◽  
Vol 4 (1) ◽  
pp. e000346 ◽  
Author(s):  
Anya Göpfert ◽  
Maria Van Hove ◽  
Alan Emond ◽  
Julie Mytton
Keyword(s):  
Injury Prevention ◽  
Psychological Health ◽  
Injury Risk ◽  
Grey Literature ◽  
National Level ◽  
Evidence Base ◽  
Evidence Based ◽  
Prevention Measures ◽  
Framework Analysis ◽  
School Sports

BackgroundParticipation in sports as a child improves physical and psychological health. Schools need to promote sport while protecting against injury. It is not clear whether increasing evidence on injury prevention generated from professional sport is influencing school sports practices. This study reviewed policies promoting sport safety in schools to determine whether exposure to injury risk is recognised and whether evidence based prevention and management are included.MethodsA search strategy to identify policies for children aged 4–18 years was applied to electronic databases and grey literature sources. Safeguarding policies were excluded. Included policies were critically appraised and synthesised using modified framework analysis.ResultsTwenty-six policies were analysed. Most (57.7%) were from the USA. Ten (38.5%) focused solely on concussion. Synthesis identified primary, secondary and tertiary injury prevention measures relating to people (staff, students and parents), systems, school physical environment and national-level factors.ConclusionsRobust, evidence-based policies for reducing injury risk in school sports are limited. Guidelines with the largest evidence base were focused on concussion, with other school sport guidelines showing limited inclusion of evidence. Where included, evidence focused on injury management rather than prevention and frequently applied evidence from adult to children. Guidance was not specific to the child’s age, gender or developmental stage.

Awareness and use of the 11+ injury prevention program among coaches of adolescent female football teams

2018 ◽  
Vol 13 (6) ◽  
pp. 929-938 ◽  
Author(s):  
Alex Donaldson ◽  
Aisling Callaghan ◽  
Mario Bizzini ◽  
Andrew Jowett ◽  
Patrick Keyzer ◽  
...  
Keyword(s):  
Injury Prevention ◽  
Real World ◽  
Prevention Program ◽  
Online Survey ◽  
Prevention Programs ◽  
Evidence Based ◽  
Adolescent Female ◽  
Implementation Barriers ◽  
Cross Sectional ◽  
Injury Prevention Program

Coaches are essential to participant safety, particularly by implementing injury prevention programs. The evidence-based injury prevention programs developed by sports scientists will not prevent injuries in real-world sports settings if they are not properly implemented. This study investigated the knowledge and use of the highly efficacious 11+ injury prevention program among coaches of adolescent, female football teams, in Victoria, Australia. A cross-sectional online survey based on the RE-AIM framework identified that nearly half (42%) of the 64 respondents (response rate = 36%) were not aware of the 11+, and only one-third (31%) reported using it. Three-quarters (74%) of the 19 respondents who reported on the 11+ components they used, did not use the entire program. Nearly half (44%) of the 18 respondents who reported the frequency with which they used the 11+, used it less than the recommended twice a week. Barriers to implementing the 11+ included: limited awareness of the 11+; lack of knowledge about how to implement it; not having time to implement it; and believing that the 11+ does not incorporate appropriate progression. This study suggests that it is unlikely that the 11+ prevents a significant number of injuries in real-world football settings due to the lack of awareness and use among coaches. Football-governing bodies should use evidence-based strategies to raise awareness of the 11+, build coach competency to implement it, and address time-related implementation barriers that coaches experience. Coaches should keep up-to-date with injury prevention research evidence and prioritize injury prevention at training, including allocating time to implement injury prevention programs properly.

scholarly journals Biomechanical Effects of an Injury Prevention Program in Preadolescent Female Soccer Athletes

2016 ◽  
Vol 45 (2) ◽  
pp. 294-301 ◽  
Author(s):  
Julie A. Thompson ◽  
Andrew A. Tran ◽  
Corey T. Gatewood ◽  
Rebecca Shultz ◽  
Amy Silder ◽  
...  
Keyword(s):  
Risk Factors ◽  
Injury Prevention ◽  
Injury Risk ◽  
Intervention Group ◽  
Acl Injury ◽  
Prevention Programs ◽  
Control Group ◽  
Knee Valgus ◽  
Acl Injuries ◽  
Peak Knee

Background: Anterior cruciate ligament (ACL) injuries are common, and children as young as 10 years of age exhibit movement patterns associated with an ACL injury risk. Prevention programs have been shown to reduce injury rates, but the mechanisms behind these programs are largely unknown. Few studies have investigated biomechanical changes after injury prevention programs in children. Purpose/Hypothesis: To investigate the effects of the F-MARC 11+ injury prevention warm-up program on changes to biomechanical risk factors for an ACL injury in preadolescent female soccer players. We hypothesized that the primary ACL injury risk factor of peak knee valgus moment would improve after training. In addition, we explored other kinematic and kinetic variables associated with ACL injuries. Study Design: Controlled laboratory study. Methods: A total of 51 female athletes aged 10 to 12 years were recruited from soccer clubs and were placed into an intervention group (n = 28; mean [±SD] age, 11.8 ± 0.8 years) and a control group (n = 23; mean age, 11.2 ± 0.6 years). The intervention group participated in 15 in-season sessions of the F-MARC 11+ program (2 times/wk). Pre- and postseason motion capture data were collected during preplanned cutting, unanticipated cutting, double-leg jump, and single-leg jump tasks. Lower extremity joint angles and moments were estimated using OpenSim, a biomechanical modeling system. Results: Athletes in the intervention group reduced their peak knee valgus moment compared with the control group during the double-leg jump (mean [±standard error of the mean] pre- to posttest change, –0.57 ± 0.27 %BW×HT vs 0.25 ± 0.25 %BW×HT, respectively; P = .034). No significant differences in the change in peak knee valgus moment were found between the groups for any other activity; however, the intervention group displayed a significant pre- to posttest increase in peak knee valgus moment during unanticipated cutting ( P = .044). Additional analyses revealed an improvement in peak ankle eversion moment after training during preplanned cutting ( P = .015), unanticipated cutting ( P = .004), and the double-leg jump ( P = .016) compared with the control group. Other secondary risk factors did not significantly improve after training, although the peak knee valgus angle improved in the control group compared with the intervention group during unanticipated cutting ( P = .018). Conclusion: The F-MARC 11+ program may be effective in improving some risk factors for an ACL injury during a double-leg jump in preadolescent athletes, most notably by reducing peak knee valgus moment. Clinical Relevance: This study provides motivation for enhancing injury prevention programs to produce improvement in other ACL risk factors, particularly during cutting and single-leg tasks.

Sign in / Sign up

Export Citation Format

Share Document