Change in health-related quality of life in the first 18 months after lower limb amputation: A prospective, longitudinal study
- Fortington, Lauren, Dijkstra, Pieter, Bosmans, Joline, Post, Wendy, Geertzen, Jan
- Authors: Fortington, Lauren , Dijkstra, Pieter , Bosmans, Joline , Post, Wendy , Geertzen, Jan
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Rehabilitation Medicine Vol. 45, no. 6 (2013), p. 587-594
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- Description: Objective: To describe changes in health-related quality of life in people with lower limb amputation, from time of amputation to 18 months, taking into consideration the influence of age and walking distance. In addition, quality of life for people with amputation is compared with the Dutch population norm values. Design: Multicentre, longitudinal study. Subjects: All people undergoing first amputation: 106 were referred, of whom 82 were included, mean age 67.8 years (standard deviation; SD 13.0), 67% men. A total of 35 remained in the study at 18 months. Methods: Dutch language RAND-36 questionnaire (Research and Development Corporation measure of Quality of Life) was completed at time of amputation, 6 and 18 months after amputation. Results: Over time, a significant improvement was seen in physical function, social function, pain, vitality, and perceived change in health (all p < 0.001). Subjects over 65 years of age had a poorer outcome compared with people < 65 years for physical function only (p < 0.001). Walking distance was associated with improved scores in social function (p = 0.047). Conclusion: Quality of life improved significantly in 5 of 7 domains investigated; most change occurred in the first 6 months. Physical function remained well below population norm values. Different domains may be affected in different ways for older and younger age groups, but this requires further research. © 2013 Foundation of Rehabilitation Information.
- Description: C1
- Authors: Fortington, Lauren , Dijkstra, Pieter , Bosmans, Joline , Post, Wendy , Geertzen, Jan
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Rehabilitation Medicine Vol. 45, no. 6 (2013), p. 587-594
- Full Text:
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- Description: Objective: To describe changes in health-related quality of life in people with lower limb amputation, from time of amputation to 18 months, taking into consideration the influence of age and walking distance. In addition, quality of life for people with amputation is compared with the Dutch population norm values. Design: Multicentre, longitudinal study. Subjects: All people undergoing first amputation: 106 were referred, of whom 82 were included, mean age 67.8 years (standard deviation; SD 13.0), 67% men. A total of 35 remained in the study at 18 months. Methods: Dutch language RAND-36 questionnaire (Research and Development Corporation measure of Quality of Life) was completed at time of amputation, 6 and 18 months after amputation. Results: Over time, a significant improvement was seen in physical function, social function, pain, vitality, and perceived change in health (all p < 0.001). Subjects over 65 years of age had a poorer outcome compared with people < 65 years for physical function only (p < 0.001). Walking distance was associated with improved scores in social function (p = 0.047). Conclusion: Quality of life improved significantly in 5 of 7 domains investigated; most change occurred in the first 6 months. Physical function remained well below population norm values. Different domains may be affected in different ways for older and younger age groups, but this requires further research. © 2013 Foundation of Rehabilitation Information.
- Description: C1
Rehabilitation in skilled nursing centres for elderly people with lower limb amputations: A mixed-methods, descriptive study
- Fortington, Lauren, Rommers, Gerardus, Wind-Kral, Anne, Dijkstra, Pieter, Geertzen, Jan
- Authors: Fortington, Lauren , Rommers, Gerardus , Wind-Kral, Anne , Dijkstra, Pieter , Geertzen, Jan
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Rehabilitation Medicine Vol. 45, no. 10 (2013), p. 1065-1070
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- Description: Objectives: To describe the current set-up, barriers and potential for providing rehabilitation to people with lower limb amputation in skilled nursing centres. Design: Survey and interviews. Subjects/participants: Elderly care physicians, physiotherapists. Methods: In 2011, clinicians from 34 skilled nursing centres participated in a semi-structured interview covering rehabilitation and daily care, personal skills and training, team work and communication, and discharge processes. Results: Each centre sees only a small proportion of people with amputation (a maximum of 3.6% of all admissions). This limited number of patients appears to be the main barrier in providing care, as it is difficult for clinicians to maintain knowledge, and resources are spread widely. Two main areas of improvement were suggested by participants: (i) use of guidelines in care; and (ii) collaboration with specialized team members. Conclusion: The spread of patients across many centres makes it difficult for professionals working in skilled nursing centres to obtain the necessary skills and knowledge for care of people with amputation. A designated skilled nursing centre for amputation rehabilitation is presented as a solution, but smaller clinical changes are also suggested, including improvements in communication and training.
- Description: C1
- Authors: Fortington, Lauren , Rommers, Gerardus , Wind-Kral, Anne , Dijkstra, Pieter , Geertzen, Jan
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Rehabilitation Medicine Vol. 45, no. 10 (2013), p. 1065-1070
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- Description: Objectives: To describe the current set-up, barriers and potential for providing rehabilitation to people with lower limb amputation in skilled nursing centres. Design: Survey and interviews. Subjects/participants: Elderly care physicians, physiotherapists. Methods: In 2011, clinicians from 34 skilled nursing centres participated in a semi-structured interview covering rehabilitation and daily care, personal skills and training, team work and communication, and discharge processes. Results: Each centre sees only a small proportion of people with amputation (a maximum of 3.6% of all admissions). This limited number of patients appears to be the main barrier in providing care, as it is difficult for clinicians to maintain knowledge, and resources are spread widely. Two main areas of improvement were suggested by participants: (i) use of guidelines in care; and (ii) collaboration with specialized team members. Conclusion: The spread of patients across many centres makes it difficult for professionals working in skilled nursing centres to obtain the necessary skills and knowledge for care of people with amputation. A designated skilled nursing centre for amputation rehabilitation is presented as a solution, but smaller clinical changes are also suggested, including improvements in communication and training.
- Description: C1
Reporting multiple individual injuries in studies of team ball sports : A systematic review of current practice
- Fortington, Lauren, van der Worp, Henk, van den Akker-Scheek, Inge, Finch, Caroline
- Authors: Fortington, Lauren , van der Worp, Henk , van den Akker-Scheek, Inge , Finch, Caroline
- Date: 2016
- Type: Text , Journal article
- Relation: Sports Medicine Vol. 47, no. 6 (2016), p. 1103-1122
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- Description: BACKGROUND: To identify and prioritise targets for injury prevention efforts, injury incidence studies are widely reported. The accuracy and consistency in calculation and reporting of injury incidence is crucial. Many individuals experience more than one injury but multiple injuries are not consistently reported in sport injury incidence studies. OBJECTIVE: The aim of this systematic review was to evaluate current practice of how multiple injuries within individuals have been defined and reported in prospective, long-term, injury studies in team ball sports. DATA SOURCES: A systematic search of three online databases for articles published before 2016. STUDY SELECTION: Publications were included if (1) they collected prospective data on musculoskeletal injuries in individual participants; (2) the study duration was >1 consecutive calendar year/season; and (3) individuals were the unit of analysis. DATA EXTRACTION: Key study features were summarised, including definitions of injury, how multiple individual injuries were reported and results relating to multiple injuries. RESULTS: Of the 71 publications included, half did not specifically indicate multiple individual injuries; those that did were largely limited to reporting recurrent injuries. Eight studies reported the number/proportion of athletes with more than one injury, and 11 studies presented the mean/number of injuries per athlete. CONCLUSIONS: Despite it being relatively common to collect data on individuals across more than one season, the reporting of multiple injuries within individuals is much more limited. Ultimately, better addressing of multiple injuries will improve the accuracy of injury incidence studies and enable more precise targeting and monitoring of the effectiveness of preventive interventions.
- Authors: Fortington, Lauren , van der Worp, Henk , van den Akker-Scheek, Inge , Finch, Caroline
- Date: 2016
- Type: Text , Journal article
- Relation: Sports Medicine Vol. 47, no. 6 (2016), p. 1103-1122
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- Description: BACKGROUND: To identify and prioritise targets for injury prevention efforts, injury incidence studies are widely reported. The accuracy and consistency in calculation and reporting of injury incidence is crucial. Many individuals experience more than one injury but multiple injuries are not consistently reported in sport injury incidence studies. OBJECTIVE: The aim of this systematic review was to evaluate current practice of how multiple injuries within individuals have been defined and reported in prospective, long-term, injury studies in team ball sports. DATA SOURCES: A systematic search of three online databases for articles published before 2016. STUDY SELECTION: Publications were included if (1) they collected prospective data on musculoskeletal injuries in individual participants; (2) the study duration was >1 consecutive calendar year/season; and (3) individuals were the unit of analysis. DATA EXTRACTION: Key study features were summarised, including definitions of injury, how multiple individual injuries were reported and results relating to multiple injuries. RESULTS: Of the 71 publications included, half did not specifically indicate multiple individual injuries; those that did were largely limited to reporting recurrent injuries. Eight studies reported the number/proportion of athletes with more than one injury, and 11 studies presented the mean/number of injuries per athlete. CONCLUSIONS: Despite it being relatively common to collect data on individuals across more than one season, the reporting of multiple injuries within individuals is much more limited. Ultimately, better addressing of multiple injuries will improve the accuracy of injury incidence studies and enable more precise targeting and monitoring of the effectiveness of preventive interventions.
Implementing automated external defibrillators into community sports clubs/facilities : A cross-sectional survey of community club member preparedness for medical emergencies
- Fortington, Lauren, West, Liam, Morgan, Damian, Finch, Caroline
- Authors: Fortington, Lauren , West, Liam , Morgan, Damian , Finch, Caroline
- Date: 2019
- Type: Text , Journal article
- Relation: BMJ Open Sport and Exercise Medicine Vol. 5, no. 1 (2019), p. 1-8
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- Description: Objective There is a growing focus on ensuring the availability of automated external defibrillators (AED) in sport settings to assist in preventing sudden cardiac death. For the AED to be most effective, understanding how best to integrate it with wider risk management and emergency action plans (EAP) is needed. The aim of this survey was to identify sports club/facility member knowledge of AED use and club EAPs, 6 months following participation in a government-funded AED provision and cardiopulmonary resuscitation training programme. Methods Cross-sectional survey of community sports clubs and facilities in Victoria, Australia. Included participants were members of sports club/facilities that had been provided with an AED and basic first aid training as part of a government programme to increase access to, and awareness of, AEDs. A descriptive analysis of availability of EAPs and AEDs, together with practical scenarios on AED use and maintenance, is presented. Results From 191 respondents, more than half (56%) had no previous training in AED use. Knowledge on availability of an EAP at the club/facility was varied: 53% said yes and knew where it was located, while 41% did not have, or did not know if they had, an EAP. Responses to clinical scenarios for use of AED were mostly accurate, with the exception of being unsure how to respond when 'participant falls to the ground and is making shaking movements.' Conclusions While there were positive outcomes from this programme, such as half of the respondents being newly trained in emergency first aid response, further improvements are required to assist members with embedding their AED into their club/facility EAP and practices.
- Authors: Fortington, Lauren , West, Liam , Morgan, Damian , Finch, Caroline
- Date: 2019
- Type: Text , Journal article
- Relation: BMJ Open Sport and Exercise Medicine Vol. 5, no. 1 (2019), p. 1-8
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- Description: Objective There is a growing focus on ensuring the availability of automated external defibrillators (AED) in sport settings to assist in preventing sudden cardiac death. For the AED to be most effective, understanding how best to integrate it with wider risk management and emergency action plans (EAP) is needed. The aim of this survey was to identify sports club/facility member knowledge of AED use and club EAPs, 6 months following participation in a government-funded AED provision and cardiopulmonary resuscitation training programme. Methods Cross-sectional survey of community sports clubs and facilities in Victoria, Australia. Included participants were members of sports club/facilities that had been provided with an AED and basic first aid training as part of a government programme to increase access to, and awareness of, AEDs. A descriptive analysis of availability of EAPs and AEDs, together with practical scenarios on AED use and maintenance, is presented. Results From 191 respondents, more than half (56%) had no previous training in AED use. Knowledge on availability of an EAP at the club/facility was varied: 53% said yes and knew where it was located, while 41% did not have, or did not know if they had, an EAP. Responses to clinical scenarios for use of AED were mostly accurate, with the exception of being unsure how to respond when 'participant falls to the ground and is making shaking movements.' Conclusions While there were positive outcomes from this programme, such as half of the respondents being newly trained in emergency first aid response, further improvements are required to assist members with embedding their AED into their club/facility EAP and practices.
The effects of sprint training and the Nordic hamstring exercise on eccentric hamstring strength and sprint performance in adolescent athletes
- Freeman, Brock, Young, Warren, Talpey, Scott, Smyth, Andrew, Pane, Calvin, Carlon, Todd
- Authors: Freeman, Brock , Young, Warren , Talpey, Scott , Smyth, Andrew , Pane, Calvin , Carlon, Todd
- Date: 2019
- Type: Text , Journal article
- Relation: Journal of Sports Medicine and Physical Fitness Vol. 59, no. 7 (2019), p. 1119-1125
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- Description: BACKGROUND. Hamstring strain injuries (HSI) are among the most common injuries in field-based team sports with a high-speed running component. The implementation of the Nordic hamstring exercise (NHE) is a well-documented method of improving eccentric hamstring strength to mitigate the risk of HSI occurrence. Sprint training is specific to the injury mechanism and is thought to activate the hamstrings through maximal eccentric contractions. The purpose of this study was to compare the effects of sprint training and the NHE on eccentric hamstring strength and sprint performance. METHODS. Twenty-eight participants (mean +/- SD age=16.21 +/- 1.34 years; height=1.75m +/- 0.10m; body mass=68.5kg +/- 12.1kg) completed an eccentric hamstring strength assessment and 40m sprint to assess acceleration and maximum speed. Participants were randomly allocated to either a NHE training or sprint training group. Two sessions per week for four-weeks of training was performed with baseline testing procedures repeated in the week following the intervention. Perceptions of soreness were recorded following the warm-up in each training session. RESULTS. Both the NHE (effect size=0.39, P<0.05) and sprint training (effect size=0.29, P<0.05) groups displayed significant gains in eccentric hamstring strength. The NHE group reported trivial improvements in sprint performance, whilst the sprint training group experienced a moderate improvement, specifically in maximum speed (ES=0.83 Moderate). Sprint training also produced greater perceptions of soreness than the NHE following a four-week training intervention, specifically before the start of the last session (P<0.05). CONCLUSIONS. These findings indicate that sprint training had a beneficial effect for both eccentric hamstring strength and sprint performance, whilst also producing greater soreness than the NHE following the final training session. It was concluded that a four-week block of maximum speed training may have both an injury prevention and performance enhancement benefit.
- Authors: Freeman, Brock , Young, Warren , Talpey, Scott , Smyth, Andrew , Pane, Calvin , Carlon, Todd
- Date: 2019
- Type: Text , Journal article
- Relation: Journal of Sports Medicine and Physical Fitness Vol. 59, no. 7 (2019), p. 1119-1125
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- Description: BACKGROUND. Hamstring strain injuries (HSI) are among the most common injuries in field-based team sports with a high-speed running component. The implementation of the Nordic hamstring exercise (NHE) is a well-documented method of improving eccentric hamstring strength to mitigate the risk of HSI occurrence. Sprint training is specific to the injury mechanism and is thought to activate the hamstrings through maximal eccentric contractions. The purpose of this study was to compare the effects of sprint training and the NHE on eccentric hamstring strength and sprint performance. METHODS. Twenty-eight participants (mean +/- SD age=16.21 +/- 1.34 years; height=1.75m +/- 0.10m; body mass=68.5kg +/- 12.1kg) completed an eccentric hamstring strength assessment and 40m sprint to assess acceleration and maximum speed. Participants were randomly allocated to either a NHE training or sprint training group. Two sessions per week for four-weeks of training was performed with baseline testing procedures repeated in the week following the intervention. Perceptions of soreness were recorded following the warm-up in each training session. RESULTS. Both the NHE (effect size=0.39, P<0.05) and sprint training (effect size=0.29, P<0.05) groups displayed significant gains in eccentric hamstring strength. The NHE group reported trivial improvements in sprint performance, whilst the sprint training group experienced a moderate improvement, specifically in maximum speed (ES=0.83 Moderate). Sprint training also produced greater perceptions of soreness than the NHE following a four-week training intervention, specifically before the start of the last session (P<0.05). CONCLUSIONS. These findings indicate that sprint training had a beneficial effect for both eccentric hamstring strength and sprint performance, whilst also producing greater soreness than the NHE following the final training session. It was concluded that a four-week block of maximum speed training may have both an injury prevention and performance enhancement benefit.
Sprinting and hamstring strain injury : beliefs and practices of professional physical performance coaches in Australian football
- Freeman, Brock, Talpey, Scott, James, Lachlan, Young, Warren
- Authors: Freeman, Brock , Talpey, Scott , James, Lachlan , Young, Warren
- Date: 2021
- Type: Text , Journal article
- Relation: Physical Therapy in Sport Vol. 48, no. (2021), p. 12-19
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- Description: Objectives: The purpose of this study was to establish beliefs and practices of physical performance coaches regarding sprinting and Hamstring Strain Injury (HSI) in Australian Rules football. Designs: Delphi-validated questionnaire. Setting: Online. Participants: Eighteen high-performance managers of the Australian Football League. Main outcome measures: Descriptive statistics were collected to establish experience; central themes were established for the analyses of the beliefs and practices. Results: Nine (50%) physical performance coaches responded to an invitation to complete the questionnaire. Participants held an undergraduate degree and had 9.2 ± 4.3 years of experience. Accelerations (n = 9), maximum speed sprints (n = 9) and running with hip flexion (n = 7) were the most common activities associated with HSI. Coaches believed sprinting, eccentric strength training and proper periodisation were effective strategies to reduce HSI risk. There's a disparity between beliefs and practices when using GPS to monitor sprinting, however, all coaches reported regular exposure to sprint training across both pre and in-season. Overstriding (n = 9) and pelvic instability (n = 6) were identified as key flaws in running mechanics. Conclusions: This information can be used to improve training strategies, whilst these findings indicate further investigations into sprint training and running mechanics for HSI risk reduction. © 2020 Elsevier Ltd
- Authors: Freeman, Brock , Talpey, Scott , James, Lachlan , Young, Warren
- Date: 2021
- Type: Text , Journal article
- Relation: Physical Therapy in Sport Vol. 48, no. (2021), p. 12-19
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- Description: Objectives: The purpose of this study was to establish beliefs and practices of physical performance coaches regarding sprinting and Hamstring Strain Injury (HSI) in Australian Rules football. Designs: Delphi-validated questionnaire. Setting: Online. Participants: Eighteen high-performance managers of the Australian Football League. Main outcome measures: Descriptive statistics were collected to establish experience; central themes were established for the analyses of the beliefs and practices. Results: Nine (50%) physical performance coaches responded to an invitation to complete the questionnaire. Participants held an undergraduate degree and had 9.2 ± 4.3 years of experience. Accelerations (n = 9), maximum speed sprints (n = 9) and running with hip flexion (n = 7) were the most common activities associated with HSI. Coaches believed sprinting, eccentric strength training and proper periodisation were effective strategies to reduce HSI risk. There's a disparity between beliefs and practices when using GPS to monitor sprinting, however, all coaches reported regular exposure to sprint training across both pre and in-season. Overstriding (n = 9) and pelvic instability (n = 6) were identified as key flaws in running mechanics. Conclusions: This information can be used to improve training strategies, whilst these findings indicate further investigations into sprint training and running mechanics for HSI risk reduction. © 2020 Elsevier Ltd
Adaptation, translation and reliability of the Australian 'Juniors Enjoying Cricket Safely' injury risk perception questionnaire for Sri Lanka
- Gamage, Prasanna, Fortington, Lauren, Finch, Caroline
- Authors: Gamage, Prasanna , Fortington, Lauren , Finch, Caroline
- Date: 2018
- Type: Text , Journal article
- Relation: BMJ Open Sport and Exercise Medicine Vol. 4, no. 1 (2018), p. 1-9
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- Description: Objectives Cricket is a very popular sport in Sri Lanka. In this setting there has been limited research; specifically, there is little knowledge of cricket injuries. To support future research possibilities, the aim of this study was to cross-culturally adapt, translate and test the reliability of an Australian-developed questionnaire for the Sri Lankan context. Methods The Australian 'Juniors Enjoying Cricket Safely' (JECS-Aus) injury risk perception questionnaire was cross-culturally adapted to suit the Sri Lankan context and subsequently translated into the two main languages (Sinhala and Tamil) based on standard forward-back translation. The translated questionnaires were examined for content validity by two language schoolteachers. The questionnaires were completed twice, 2 weeks apart, by two groups of school cricketers (males) aged 11-15 years (Sinhala (n=24), Tamil (n=30)) to assess reliability. Test-retest scores were evaluated for agreement. Where responses were <100% agreement, Cohen's kappa (κ) statistics were calculated. Questions with moderate-to-poor test-retest reliability (κ <0.6) were reconsidered for modification. Results Both the Sinhala and Tamil questionnaires had 100% agreement for questions on demographic data, and 88%-100% agreement for questions on participation in cricket and injury history. Of the injury risk perception questions, 72% (Sinhala) and 90% (Tamil) questions showed a substantial (κ =0.61-0.8) and almost perfect (κ =0.81-1.0) test-retest agreement. Conclusion The adapted and translated JECS-SL questionnaire demonstrated strong reliability. This is the first study to adapt the JECS-Aus questionnaire for use in a different population, providing an outcome measure for assessing injury risk perceptions in Sri Lankan junior cricketers.
- Authors: Gamage, Prasanna , Fortington, Lauren , Finch, Caroline
- Date: 2018
- Type: Text , Journal article
- Relation: BMJ Open Sport and Exercise Medicine Vol. 4, no. 1 (2018), p. 1-9
- Full Text:
- Reviewed:
- Description: Objectives Cricket is a very popular sport in Sri Lanka. In this setting there has been limited research; specifically, there is little knowledge of cricket injuries. To support future research possibilities, the aim of this study was to cross-culturally adapt, translate and test the reliability of an Australian-developed questionnaire for the Sri Lankan context. Methods The Australian 'Juniors Enjoying Cricket Safely' (JECS-Aus) injury risk perception questionnaire was cross-culturally adapted to suit the Sri Lankan context and subsequently translated into the two main languages (Sinhala and Tamil) based on standard forward-back translation. The translated questionnaires were examined for content validity by two language schoolteachers. The questionnaires were completed twice, 2 weeks apart, by two groups of school cricketers (males) aged 11-15 years (Sinhala (n=24), Tamil (n=30)) to assess reliability. Test-retest scores were evaluated for agreement. Where responses were <100% agreement, Cohen's kappa (κ) statistics were calculated. Questions with moderate-to-poor test-retest reliability (κ <0.6) were reconsidered for modification. Results Both the Sinhala and Tamil questionnaires had 100% agreement for questions on demographic data, and 88%-100% agreement for questions on participation in cricket and injury history. Of the injury risk perception questions, 72% (Sinhala) and 90% (Tamil) questions showed a substantial (κ =0.61-0.8) and almost perfect (κ =0.81-1.0) test-retest agreement. Conclusion The adapted and translated JECS-SL questionnaire demonstrated strong reliability. This is the first study to adapt the JECS-Aus questionnaire for use in a different population, providing an outcome measure for assessing injury risk perceptions in Sri Lankan junior cricketers.
Risk perceptions for exertional heat illnesses in junior cricket in Sri Lanka
- Gamage, Prasanna, Fortington, Lauren, Finch, Caroline
- Authors: Gamage, Prasanna , Fortington, Lauren , Finch, Caroline
- Date: 2019
- Type: Text , Journal article
- Relation: BMJ Open Sport and Exercise Medicine Vol. 5, no. 1 (2019), p. 1-7
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- Description: Objectives Exertional heat illnesses (EHI) can occur when sport is played in hot and humid environments, such as those common across Asia. Measures to reduce the risk of EHI are important; however, causal data on EHI occurrence are limited and challenging to capture. To gain an initial understanding of EHI risks, we aimed to assess the risk perceptions of EHI of youth cricketers. Methods A descriptive cross-sectional survey, comprised of 14 questions on EHI risks, was conducted with 365 Sri Lankan junior male cricketers (age=12.9±0.9 years) who typically play in hot and humid conditions. Results For climate related risks, relative humidity was perceived as having a low risk of EHI compared with ambient temperature. The EHI risk associated with wearing protective gear, as commonly used in cricket, was perceived as low. Most junior cricketers perceived a low level of risk associated with recommended preventive measures such as body cooling and heat-acclimatisation. Conclusion This is the first study to explore EHI risk perceptions in any sporting context. Young players may not be mindful of all risks. Therefore, leadership and initiative from competition organisers and parents is required to promote countermeasures.
- Authors: Gamage, Prasanna , Fortington, Lauren , Finch, Caroline
- Date: 2019
- Type: Text , Journal article
- Relation: BMJ Open Sport and Exercise Medicine Vol. 5, no. 1 (2019), p. 1-7
- Full Text:
- Reviewed:
- Description: Objectives Exertional heat illnesses (EHI) can occur when sport is played in hot and humid environments, such as those common across Asia. Measures to reduce the risk of EHI are important; however, causal data on EHI occurrence are limited and challenging to capture. To gain an initial understanding of EHI risks, we aimed to assess the risk perceptions of EHI of youth cricketers. Methods A descriptive cross-sectional survey, comprised of 14 questions on EHI risks, was conducted with 365 Sri Lankan junior male cricketers (age=12.9±0.9 years) who typically play in hot and humid conditions. Results For climate related risks, relative humidity was perceived as having a low risk of EHI compared with ambient temperature. The EHI risk associated with wearing protective gear, as commonly used in cricket, was perceived as low. Most junior cricketers perceived a low level of risk associated with recommended preventive measures such as body cooling and heat-acclimatisation. Conclusion This is the first study to explore EHI risk perceptions in any sporting context. Young players may not be mindful of all risks. Therefore, leadership and initiative from competition organisers and parents is required to promote countermeasures.
A prospective cohort study on symptoms of common mental disorders among Dutch elite athletes
- Gouttebarge, Vincent, Jonkers, Ruud, Moen, Maarten, Verhagen, Evert, Wylleman, Paul, Kerkhoffs, Gino
- Authors: Gouttebarge, Vincent , Jonkers, Ruud , Moen, Maarten , Verhagen, Evert , Wylleman, Paul , Kerkhoffs, Gino
- Date: 2017
- Type: Text , Journal article
- Relation: Physician and Sportsmedicine Vol. 45, no. 4 (2017), p. 426-432
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- Description: Objective: Scientific knowledge about symptoms of common mental disorders in elite sports is scarce. Consequently, the objectives of the study were to (i) establish the 12-month incidence of symptoms of common mental disorders (CMD; distress, anxiety/depression, sleep disturbance, adverse alcohol use, eating disorders) among Dutch elite athletes and (ii) explore their potential association with several stressors (being injured, recent life events, career dissatisfaction).Methods: A prospective cohort study with a 12-month follow-up period was conducted. The study used validated questionnaires to assess symptoms of common mental disorders (thus not clinically diagnosed) as well as several stressors; an electronic questionnaire was set up and repeatedly distributed.Results: A total of 203 elite athletes gave their written informed consent to participate in the study, from which 143 completed the 12-month follow-up period (follow-up rate of 70%). Incidence of symptoms of CMD ranged from 6% for adverse alcohol use to 57% for symptoms of anxiety/depression. Over the follow-up period, around 17% of the participants reported two simultaneous symptoms of CMD, and around 19% reported three simultaneous symptoms of CMD. Inferences between some stressors and symptoms of CMD were found but none of the associations were statistically significant.Conclusions: Substantial 12-month incidence rates of symptoms of CMD (self-reported and not clinically diagnosed) were found among Dutch elite athletes (especially for anxiety/depression), appearing similar to the ones found among athletes from other sports disciplines and the Dutch general population. Also, inferences between some stressors and symptoms of CMD were found but none of the associations were statistically significant. Supportive and preventive measures directed towards symptoms of CMD should be developed to improve awareness and psychological resilience of athletes, which would likely improve their performance and quality-of-life.
- Authors: Gouttebarge, Vincent , Jonkers, Ruud , Moen, Maarten , Verhagen, Evert , Wylleman, Paul , Kerkhoffs, Gino
- Date: 2017
- Type: Text , Journal article
- Relation: Physician and Sportsmedicine Vol. 45, no. 4 (2017), p. 426-432
- Full Text:
- Reviewed:
- Description: Objective: Scientific knowledge about symptoms of common mental disorders in elite sports is scarce. Consequently, the objectives of the study were to (i) establish the 12-month incidence of symptoms of common mental disorders (CMD; distress, anxiety/depression, sleep disturbance, adverse alcohol use, eating disorders) among Dutch elite athletes and (ii) explore their potential association with several stressors (being injured, recent life events, career dissatisfaction).Methods: A prospective cohort study with a 12-month follow-up period was conducted. The study used validated questionnaires to assess symptoms of common mental disorders (thus not clinically diagnosed) as well as several stressors; an electronic questionnaire was set up and repeatedly distributed.Results: A total of 203 elite athletes gave their written informed consent to participate in the study, from which 143 completed the 12-month follow-up period (follow-up rate of 70%). Incidence of symptoms of CMD ranged from 6% for adverse alcohol use to 57% for symptoms of anxiety/depression. Over the follow-up period, around 17% of the participants reported two simultaneous symptoms of CMD, and around 19% reported three simultaneous symptoms of CMD. Inferences between some stressors and symptoms of CMD were found but none of the associations were statistically significant.Conclusions: Substantial 12-month incidence rates of symptoms of CMD (self-reported and not clinically diagnosed) were found among Dutch elite athletes (especially for anxiety/depression), appearing similar to the ones found among athletes from other sports disciplines and the Dutch general population. Also, inferences between some stressors and symptoms of CMD were found but none of the associations were statistically significant. Supportive and preventive measures directed towards symptoms of CMD should be developed to improve awareness and psychological resilience of athletes, which would likely improve their performance and quality-of-life.
A 12-month prospective cohort study of symptoms of common mental disorders among professional rugby players
- Gouttebarge, Vincent, Hopley, Philip, Kerkhoffs, Gino, Verhagen, Evert, Viljoen, Wayne, Wylleman, Paul, Lambert, Mike
- Authors: Gouttebarge, Vincent , Hopley, Philip , Kerkhoffs, Gino , Verhagen, Evert , Viljoen, Wayne , Wylleman, Paul , Lambert, Mike
- Date: 2018
- Type: Text , Journal article
- Relation: European Journal of Sport Science Vol. 18, no. 7 (2018), p. 1004-1012
- Full Text:
- Reviewed:
- Description: The primary aims were to determine the 12-month incidence (and comorbidity) of symptoms of common mental disorders (CMD) among male professional rugby players and to explore their association with potential stressors. A secondary aim was to explore the view of male professional rugby players about the consequences of symptoms of CMD and related medical support/needs. An observational prospective cohort study with three measurements over a 12-month period was conducted among male professional rugby players from several countries. Symptoms of CMD (distress, anxiety/depression, sleep disturbance, eating disorders and adverse alcohol use) and stressors (adverse life events, rugby career dissatisfaction) were assessed through validated questionnaires. A total of 595 players (mean age of 26 years; mean career duration of 6 years) were enrolled, of which 333 completed the follow-up period. The incidence of symptoms of CMD were: 11% for distress, 28% for anxiety/depression, 12% for sleep disturbance, 11% for eating disorders and 22% for adverse alcohol use (13% for two simultaneous symptoms of CMD). Professional rugby players reporting recent adverse life events or career dissatisfaction were more likely to report symptoms of CMD but statistically significant associations were not found. Around 95% of the participants stated that symptoms of CMD can negatively influence rugby performances, while 46% mentioned that specific support measures for players were not available in professional rugby. Supportive and preventive measures directed towards symptoms of CMD should be developed to improve not only awareness and psychological resilience of rugby players but also their rugby performance and quality-of-life. © 2018, © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
- Authors: Gouttebarge, Vincent , Hopley, Philip , Kerkhoffs, Gino , Verhagen, Evert , Viljoen, Wayne , Wylleman, Paul , Lambert, Mike
- Date: 2018
- Type: Text , Journal article
- Relation: European Journal of Sport Science Vol. 18, no. 7 (2018), p. 1004-1012
- Full Text:
- Reviewed:
- Description: The primary aims were to determine the 12-month incidence (and comorbidity) of symptoms of common mental disorders (CMD) among male professional rugby players and to explore their association with potential stressors. A secondary aim was to explore the view of male professional rugby players about the consequences of symptoms of CMD and related medical support/needs. An observational prospective cohort study with three measurements over a 12-month period was conducted among male professional rugby players from several countries. Symptoms of CMD (distress, anxiety/depression, sleep disturbance, eating disorders and adverse alcohol use) and stressors (adverse life events, rugby career dissatisfaction) were assessed through validated questionnaires. A total of 595 players (mean age of 26 years; mean career duration of 6 years) were enrolled, of which 333 completed the follow-up period. The incidence of symptoms of CMD were: 11% for distress, 28% for anxiety/depression, 12% for sleep disturbance, 11% for eating disorders and 22% for adverse alcohol use (13% for two simultaneous symptoms of CMD). Professional rugby players reporting recent adverse life events or career dissatisfaction were more likely to report symptoms of CMD but statistically significant associations were not found. Around 95% of the participants stated that symptoms of CMD can negatively influence rugby performances, while 46% mentioned that specific support measures for players were not available in professional rugby. Supportive and preventive measures directed towards symptoms of CMD should be developed to improve not only awareness and psychological resilience of rugby players but also their rugby performance and quality-of-life. © 2018, © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Six minute walk distance is greater when performed in a group than alone
- Grindrod, D., Paton, Carl, Knez, Wade, O'Brien, Brendan
- Authors: Grindrod, D. , Paton, Carl , Knez, Wade , O'Brien, Brendan
- Date: 2006
- Type: Text , Journal article
- Relation: British Journal of Sports Medicine Vol. 40, no. 10 (Oct 2006), p. 876-877
- Full Text:
- Reviewed:
- Description: Objective: To investigate whether the distance covered in the six minute walk test was affected by walking with a group of others in comparison with performing the test alone. Methods: Eight healthy men ( mean (SD) age 21.0 (0.9) years) and eight healthy women ( mean ( SD) age 20.8 (2.0) years) performed in random order two six minute walk tests either alone or in a group of four on two separate occasions one week apart. Results: Distance covered increased significantly from a mean of 653 ( 61) m in the individual male tests to 735 (79) m in the male group tests ( p< 0.05), and 616 ( 75) m in the individual female tests to 701 ( 54) m in the female group tests ( p< 0.01). The men increased the distance walked in six minutes by 12.5% and the women by 13.7% when they performed the test as a group. Conclusion: Performing the six minute walk test in a group facilitates its execution.
- Description: C1
- Description: 2003002117
- Authors: Grindrod, D. , Paton, Carl , Knez, Wade , O'Brien, Brendan
- Date: 2006
- Type: Text , Journal article
- Relation: British Journal of Sports Medicine Vol. 40, no. 10 (Oct 2006), p. 876-877
- Full Text:
- Reviewed:
- Description: Objective: To investigate whether the distance covered in the six minute walk test was affected by walking with a group of others in comparison with performing the test alone. Methods: Eight healthy men ( mean (SD) age 21.0 (0.9) years) and eight healthy women ( mean ( SD) age 20.8 (2.0) years) performed in random order two six minute walk tests either alone or in a group of four on two separate occasions one week apart. Results: Distance covered increased significantly from a mean of 653 ( 61) m in the individual male tests to 735 (79) m in the male group tests ( p< 0.05), and 616 ( 75) m in the individual female tests to 701 ( 54) m in the female group tests ( p< 0.01). The men increased the distance walked in six minutes by 12.5% and the women by 13.7% when they performed the test as a group. Conclusion: Performing the six minute walk test in a group facilitates its execution.
- Description: C1
- Description: 2003002117
A deterministic model of the vertical jump : Implications for training
- Ham, Daniel, Knez, Wade, Young, Warren
- Authors: Ham, Daniel , Knez, Wade , Young, Warren
- Date: 2007
- Type: Text , Journal article
- Relation: Journal of Strength and Conditioning Research Vol. 21, no. 3 (2007), p. 967-972
- Full Text:
- Reviewed:
- Description: A deterministic model of the vertical jump: implications for training. J. Strength Cond. Res. 21(3):967-972. 2007. - Increasing vertical jump height is a critical component for performance enhancement in many sports. It takes on a number of different forms and conditions, including double and single legged jumps and stationary and run-up jumps. In an attempt to understand the factors that influence vertical jump performance, an extensive analysis was undertaken using the deterministic model. Once identified, practical training strategies enabling improvement in these factors were elucidated. Our analysis showed that a successful vertical jump performance was the result of a complex interplay of run-up speed, reactive strength, concentric action power of the take-off leg(s), hip flexors, shoulders, body position, body mass, and take-off time. Of special interest, our analysis showed that the concentric action power of the legs was the critical factor affecting stationary double leg vertical jumps, whereas reactive strength was the critical component for a single leg jump from a run-up. © 2007 National Strength & Conditioning Association.
- Description: C1
- Description: 2003005651
- Authors: Ham, Daniel , Knez, Wade , Young, Warren
- Date: 2007
- Type: Text , Journal article
- Relation: Journal of Strength and Conditioning Research Vol. 21, no. 3 (2007), p. 967-972
- Full Text:
- Reviewed:
- Description: A deterministic model of the vertical jump: implications for training. J. Strength Cond. Res. 21(3):967-972. 2007. - Increasing vertical jump height is a critical component for performance enhancement in many sports. It takes on a number of different forms and conditions, including double and single legged jumps and stationary and run-up jumps. In an attempt to understand the factors that influence vertical jump performance, an extensive analysis was undertaken using the deterministic model. Once identified, practical training strategies enabling improvement in these factors were elucidated. Our analysis showed that a successful vertical jump performance was the result of a complex interplay of run-up speed, reactive strength, concentric action power of the take-off leg(s), hip flexors, shoulders, body position, body mass, and take-off time. Of special interest, our analysis showed that the concentric action power of the legs was the critical factor affecting stationary double leg vertical jumps, whereas reactive strength was the critical component for a single leg jump from a run-up. © 2007 National Strength & Conditioning Association.
- Description: C1
- Description: 2003005651
Trunk muscle activation during dynamic weight-training exercises and isometric instability activities
- Hamlyn, Nicole, Behm, David, Young, Warren
- Authors: Hamlyn, Nicole , Behm, David , Young, Warren
- Date: 2007
- Type: Text , Journal article
- Relation: Journal of Strength and Conditioning Research Vol. 21, no. 4 (2007), p. 1108-1112
- Full Text:
- Reviewed:
- Description: The purpose of this study was to examine the extent of activation in various trunk muscles during dynamic weight-training and isometric instability exercises. Sixteen subjects performed squats and deadlifts with 80% 1 repetition maximum (IRM), as well as with body weight as resistance and 2 unstable calisthenic-type exercises (superman and sidebridge). Electromyographic (EMG) activity was measured from the lower abdominals (LA), external obliques (EO), upper lumbar erector spinae (ULES), and lumbar-sacral erector spinae (LSES) muscle groups. Results indicated that the LSES EMG activity during the 80% IRM squat significantly exceeded 80% IRM deadlift LSES EMG activity by 34.5%. The LSES EMG activity of the 80% IRM squat also exceeded the body weight squat, deadlift, superman, and sidebridge by 56, 56.6, 65.5, and 53.1%, respectively. The 80% IRM deadlift ULES EMG activity significantly exceeded the 80% IRM squat exercise by 12.9%. In addition, the 80% IRM deadlift ULES EMG activity also exceeded the body weight squat, deadlift, superman, and sidebridge exercises by 66.7, 65.5, 69.3, and 68.6%, respectively. There were no significant changes in EO or LA activity. Therefore, the augmented activity of the LSES and ULES during 80% IRM squat and deadlift resistance exercises exceeded the activation levels achieved with the same exercises performed with body weight and selected instability exercises. Individuals performing upright, resisted, dynamic exercises can achieve high trunk muscle activation and thus may not need to add instability device exercises to augment core stability training. © 2007 National Strength & Conditioning Association.
- Description: C1
- Description: 2003005669
- Authors: Hamlyn, Nicole , Behm, David , Young, Warren
- Date: 2007
- Type: Text , Journal article
- Relation: Journal of Strength and Conditioning Research Vol. 21, no. 4 (2007), p. 1108-1112
- Full Text:
- Reviewed:
- Description: The purpose of this study was to examine the extent of activation in various trunk muscles during dynamic weight-training and isometric instability exercises. Sixteen subjects performed squats and deadlifts with 80% 1 repetition maximum (IRM), as well as with body weight as resistance and 2 unstable calisthenic-type exercises (superman and sidebridge). Electromyographic (EMG) activity was measured from the lower abdominals (LA), external obliques (EO), upper lumbar erector spinae (ULES), and lumbar-sacral erector spinae (LSES) muscle groups. Results indicated that the LSES EMG activity during the 80% IRM squat significantly exceeded 80% IRM deadlift LSES EMG activity by 34.5%. The LSES EMG activity of the 80% IRM squat also exceeded the body weight squat, deadlift, superman, and sidebridge by 56, 56.6, 65.5, and 53.1%, respectively. The 80% IRM deadlift ULES EMG activity significantly exceeded the 80% IRM squat exercise by 12.9%. In addition, the 80% IRM deadlift ULES EMG activity also exceeded the body weight squat, deadlift, superman, and sidebridge exercises by 66.7, 65.5, 69.3, and 68.6%, respectively. There were no significant changes in EO or LA activity. Therefore, the augmented activity of the LSES and ULES during 80% IRM squat and deadlift resistance exercises exceeded the activation levels achieved with the same exercises performed with body weight and selected instability exercises. Individuals performing upright, resisted, dynamic exercises can achieve high trunk muscle activation and thus may not need to add instability device exercises to augment core stability training. © 2007 National Strength & Conditioning Association.
- Description: C1
- Description: 2003005669
- Hayen, Andrew, Dennis, Rebecca, Finch, Caroline
- Authors: Hayen, Andrew , Dennis, Rebecca , Finch, Caroline
- Date: 2007
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 10, no. 4 (2007), p. 201-210
- Full Text:
- Reviewed:
- Description: Sports injury etiological studies explore the relationships between potential injury risk factors and injury outcomes. The ability of such studies to clearly identify intrinsic risk factors for sports injury depends on the accuracy of their measurement. Measurements need to be reproducible over time and repeatable by different observers, as well as within a given individual. The importance of the reliability of pre-participation screening protocols and other clinical assessment tools has been identified in a number of published studies. However, a review of these studies indicates that a variety of statistical techniques have been used to calculate intra- and inter-observer reliability. While the intra-class correlation coefficient (ICC) is the most often cited measure, a range of statistical approaches to estimating ICCs have been used. It is therefore difficult to determine which statistical method is most appropriate in the context of measuring intrinsic risk factors in sports injury research. This paper summarises a statistical method for the concurrent assessment of intra- and inter-observer reliability and presents an argument for why this approach should be adopted by sports injury researchers using screening protocols that collect continuous data.
- Description: C1
- Description: 2003005882
Relationships between reactive agility movement time and unilateral vertical, horizontal, and lateral jumps
- Henry, Greg, Dawson, Brian, Lay, Brendan, Young, Warren
- Authors: Henry, Greg , Dawson, Brian , Lay, Brendan , Young, Warren
- Date: 2016
- Type: Text , Journal article
- Relation: Journal of Strength and Conditioning Research Vol. 30, no. 9 (2016), p. 2514-2521
- Full Text:
- Reviewed:
- Description: Henry, GJ, Dawson, B, Lay, BS, and Young, WB. Relationships between reactive agility movement time and unilateral vertical, horizontal, and lateral jumps. J Strength Cond Res 30(9): 2514-2521, 2016 - This study compared reactive agility movement time and unilateral (vertical, horizontal, and lateral) jump performance and kinetics between dominant and nondominant legs in Australian rules footballers (n 31) to investigate the role of leg strength characteristics in reactive agility performance. Jumps involved jumping forward on 1 leg, then for maximum height or horizontal or lateral distance. Agility and movement time components of reactive agility were assessed using a video-based test. Correlations between each of the jumps were strong (r -0.62 to -0.77), but between the jumps and agility movement time the relationships were weak (r -0.25 to -0.33). Dominant leg performance was superior in reactive agility movement time (4.5%; p 0.04), lateral jump distance (3%; p 0.008), and lateral reactive strength index (4.4%; p 0.03) compared with the nondominant leg. However, when the subjects were divided into faster and slower performers (based on their agility movement times) the movement time was significantly quicker in the faster group (n 15; 12%; p < 0.001), but no differences in jump performance or kinetics were observed. Therefore, although the capacity for jumps to predict agility performance seems limited, factors involved in producing superior lateral jump performance in the dominant leg may also be associated with advantages in agility performance in that leg. However, because reactive strength as measured by unilateral jumps seems to play a limited role in reactive agility performance and other factors such as skill, balance, and coordination, and also cognitive and decision-making factors, are likely to be more important. © 2013 National Strength and Conditioning Association.
- Authors: Henry, Greg , Dawson, Brian , Lay, Brendan , Young, Warren
- Date: 2016
- Type: Text , Journal article
- Relation: Journal of Strength and Conditioning Research Vol. 30, no. 9 (2016), p. 2514-2521
- Full Text:
- Reviewed:
- Description: Henry, GJ, Dawson, B, Lay, BS, and Young, WB. Relationships between reactive agility movement time and unilateral vertical, horizontal, and lateral jumps. J Strength Cond Res 30(9): 2514-2521, 2016 - This study compared reactive agility movement time and unilateral (vertical, horizontal, and lateral) jump performance and kinetics between dominant and nondominant legs in Australian rules footballers (n 31) to investigate the role of leg strength characteristics in reactive agility performance. Jumps involved jumping forward on 1 leg, then for maximum height or horizontal or lateral distance. Agility and movement time components of reactive agility were assessed using a video-based test. Correlations between each of the jumps were strong (r -0.62 to -0.77), but between the jumps and agility movement time the relationships were weak (r -0.25 to -0.33). Dominant leg performance was superior in reactive agility movement time (4.5%; p 0.04), lateral jump distance (3%; p 0.008), and lateral reactive strength index (4.4%; p 0.03) compared with the nondominant leg. However, when the subjects were divided into faster and slower performers (based on their agility movement times) the movement time was significantly quicker in the faster group (n 15; 12%; p < 0.001), but no differences in jump performance or kinetics were observed. Therefore, although the capacity for jumps to predict agility performance seems limited, factors involved in producing superior lateral jump performance in the dominant leg may also be associated with advantages in agility performance in that leg. However, because reactive strength as measured by unilateral jumps seems to play a limited role in reactive agility performance and other factors such as skill, balance, and coordination, and also cognitive and decision-making factors, are likely to be more important. © 2013 National Strength and Conditioning Association.
Health and economic burden of running-related injuries in Dutch trailrunners : A prospective cohort study
- Hespanhol Junior, Luiz, van Mechelen, Willem, Verhagen, Evert
- Authors: Hespanhol Junior, Luiz , van Mechelen, Willem , Verhagen, Evert
- Date: 2017
- Type: Text , Journal article
- Relation: Sports Medicine Vol. 47, no. 2 (2017), p. 367-377
- Full Text:
- Reviewed:
- Description: Background: Trailrunning is becoming very popular. However, the risk and burden of running-related injuries (RRI) in trailrunning is not well established. Objective: To investigate the prevalence, injury rate, severity, nature, and economic burden of RRIs in Dutch trailrunners. Methods: This prospective cohort study included 228 trailrunners aged 18 years or over (range 23–67), and was conducted between October 2013 and December 2014. After completing the baseline questionnaire, the Oslo Sports Trauma Research Center Questionnaire on Health Problems was administered every 2 weeks to collect data on RRIs. Participants who reported RRIs were asked about healthcare utilization (direct costs) and absenteeism from paid work (indirect costs). RRI was defined as disorders of the musculoskeletal system or concussions experienced or sustained during participation in running. Results: The mean prevalence of RRIs measured over time was 22.4 % [95 % confidence interval (CI) 20.9–24.0], and the injury rate was 10.7 RRIs per 1000 h of running (95 % CI 9.4–12.1). The prevalence was higher for overuse (17.7 %; 95 % CI 15.9–19.5) than for acute (4.1 %; 95 % CI 3.3–5.0) RRIs. Also, the injury rate was higher for overuse (8.1; 95 % CI 6.9–9.3) than for acute (2.7; 95 % CI 2.0–3.4) RRIs. The median of the severity score was 35.0 [25–75 %, interquartile range (IQR) 22.0–55.7], and the median of the duration of RRIs was 2.0 weeks (IQR 2.0–6.0) during the study. The total economic burden of RRIs was estimated at €172.22 (95 % CI 117.10–271.74) per RRI, and €1849.49 (95 % CI 1180.62–3058.91) per 1000 h of running. An RRI was estimated to have a direct cost of €60.92 (95 % CI 45.11–94.90) and an indirect cost of €111.30 (95 % CI 61.02–192.75). Conclusions: The health and economic burden of RRIs presented in this study are significant for trailrunners and for society. Therefore, efforts should be made in order to prevent RRIs in trailrunners. © 2016, The Author(s).
- Authors: Hespanhol Junior, Luiz , van Mechelen, Willem , Verhagen, Evert
- Date: 2017
- Type: Text , Journal article
- Relation: Sports Medicine Vol. 47, no. 2 (2017), p. 367-377
- Full Text:
- Reviewed:
- Description: Background: Trailrunning is becoming very popular. However, the risk and burden of running-related injuries (RRI) in trailrunning is not well established. Objective: To investigate the prevalence, injury rate, severity, nature, and economic burden of RRIs in Dutch trailrunners. Methods: This prospective cohort study included 228 trailrunners aged 18 years or over (range 23–67), and was conducted between October 2013 and December 2014. After completing the baseline questionnaire, the Oslo Sports Trauma Research Center Questionnaire on Health Problems was administered every 2 weeks to collect data on RRIs. Participants who reported RRIs were asked about healthcare utilization (direct costs) and absenteeism from paid work (indirect costs). RRI was defined as disorders of the musculoskeletal system or concussions experienced or sustained during participation in running. Results: The mean prevalence of RRIs measured over time was 22.4 % [95 % confidence interval (CI) 20.9–24.0], and the injury rate was 10.7 RRIs per 1000 h of running (95 % CI 9.4–12.1). The prevalence was higher for overuse (17.7 %; 95 % CI 15.9–19.5) than for acute (4.1 %; 95 % CI 3.3–5.0) RRIs. Also, the injury rate was higher for overuse (8.1; 95 % CI 6.9–9.3) than for acute (2.7; 95 % CI 2.0–3.4) RRIs. The median of the severity score was 35.0 [25–75 %, interquartile range (IQR) 22.0–55.7], and the median of the duration of RRIs was 2.0 weeks (IQR 2.0–6.0) during the study. The total economic burden of RRIs was estimated at €172.22 (95 % CI 117.10–271.74) per RRI, and €1849.49 (95 % CI 1180.62–3058.91) per 1000 h of running. An RRI was estimated to have a direct cost of €60.92 (95 % CI 45.11–94.90) and an indirect cost of €111.30 (95 % CI 61.02–192.75). Conclusions: The health and economic burden of RRIs presented in this study are significant for trailrunners and for society. Therefore, efforts should be made in order to prevent RRIs in trailrunners. © 2016, The Author(s).
Caffeine, carbohydrate, and cooling use during prolonged simulated tennis
- Hornery, Daniel, Mujika, Inigo, Young, Warren, Farrow, Damian
- Authors: Hornery, Daniel , Mujika, Inigo , Young, Warren , Farrow, Damian
- Date: 2007
- Type: Text , Journal article
- Relation: International Journal of Sports Physiology and Performance Vol. 2, no. 4 (2007), p. 423-438
- Full Text:
- Reviewed:
- Description: Purpose: To determine the effects of prolonged simulated tennis on performance and the ergogenic potential of caffeine, carbohydrates, and cooling. Methods: Twelve highly trained male tennis players (age 18.3 ± 3.0 y, height 178.8 ± 8.5 cm, body mass 73.95 ± 12.30 kg, mean ± SD) performed 4 simulated matches (2 h 40 min) against a ball machine on an indoor hard court. The counterbalanced experimental trials involved caffeine supplementation (3 mg/kg), carbohydrate supplementation (6% solution), precooling and intermittent cooling, and placebo control. Physiological markers (core temperature, heart rate, blood lactate, and blood glucose), subjective responses (ratings of perceived exertion and thermal sensation), stroke velocity and accuracy, serve kinematics, and tennis-specific perceptual skill quantified the efficacy of interventions. Results: Significant effects of time (P < .01) reflected increased physiological demand, reduced serve velocity and ground-stroke velocity and accuracy, and a slowing of the serve racket-arm acceleration phase. Caffeine increased serve velocity (165 ± 15 km/h) in the final set of the match (P = .014) compared with placebo (159 ± 15 km/h, P = .008) and carbohydrate (158 ± 13 km/h, P = .001) conditions. Carbohydrate and cooling conditions afforded physiological advantage (increased blood glucose, P < .01, and reduced preexercise thermal sensation, P < .01) but did not affect performance relative to the placebo condition. Conclusions: Prolonged simulated tennis induced significant decrements in tennis skills. Caffeine supplementation partly attenuated the effects of fatigue and increased serve velocity. In contrast, carbohydrate and cooling strategies had little ergogenic effect on tennis performance.
- Description: C1
- Description: 2003005648
- Authors: Hornery, Daniel , Mujika, Inigo , Young, Warren , Farrow, Damian
- Date: 2007
- Type: Text , Journal article
- Relation: International Journal of Sports Physiology and Performance Vol. 2, no. 4 (2007), p. 423-438
- Full Text:
- Reviewed:
- Description: Purpose: To determine the effects of prolonged simulated tennis on performance and the ergogenic potential of caffeine, carbohydrates, and cooling. Methods: Twelve highly trained male tennis players (age 18.3 ± 3.0 y, height 178.8 ± 8.5 cm, body mass 73.95 ± 12.30 kg, mean ± SD) performed 4 simulated matches (2 h 40 min) against a ball machine on an indoor hard court. The counterbalanced experimental trials involved caffeine supplementation (3 mg/kg), carbohydrate supplementation (6% solution), precooling and intermittent cooling, and placebo control. Physiological markers (core temperature, heart rate, blood lactate, and blood glucose), subjective responses (ratings of perceived exertion and thermal sensation), stroke velocity and accuracy, serve kinematics, and tennis-specific perceptual skill quantified the efficacy of interventions. Results: Significant effects of time (P < .01) reflected increased physiological demand, reduced serve velocity and ground-stroke velocity and accuracy, and a slowing of the serve racket-arm acceleration phase. Caffeine increased serve velocity (165 ± 15 km/h) in the final set of the match (P = .014) compared with placebo (159 ± 15 km/h, P = .008) and carbohydrate (158 ± 13 km/h, P = .001) conditions. Carbohydrate and cooling conditions afforded physiological advantage (increased blood glucose, P < .01, and reduced preexercise thermal sensation, P < .01) but did not affect performance relative to the placebo condition. Conclusions: Prolonged simulated tennis induced significant decrements in tennis skills. Caffeine supplementation partly attenuated the effects of fatigue and increased serve velocity. In contrast, carbohydrate and cooling strategies had little ergogenic effect on tennis performance.
- Description: C1
- Description: 2003005648
The impact of strength level on adaptations to combined weightlifting, plyometric, and ballistic training
- James, Lachlan, Haff, Gregory, Vincent, Kelly, Connick, Mark, Hoffman, Ben, Beckman, Emma
- Authors: James, Lachlan , Haff, Gregory , Vincent, Kelly , Connick, Mark , Hoffman, Ben , Beckman, Emma
- Date: 2018
- Type: Text , Journal article
- Relation: Scandinavian Journal of Medicine & Science in Sports Vol. 28, no. 5 (2018), p. 1494-1505
- Full Text:
- Reviewed:
- Description: The purpose of this investigation was to determine whether the magnitude of adaptation to integrated ballistic training is influenced by initial strength level. Such information is needed to inform resistance training guidelines for both higher-and lower-level athlete populations. To this end, two groups of distinctly different strength levels (stronger: one-repetition-maximum (1RM) squat = 2.01 ± 0.15 kg·BM
- Authors: James, Lachlan , Haff, Gregory , Vincent, Kelly , Connick, Mark , Hoffman, Ben , Beckman, Emma
- Date: 2018
- Type: Text , Journal article
- Relation: Scandinavian Journal of Medicine & Science in Sports Vol. 28, no. 5 (2018), p. 1494-1505
- Full Text:
- Reviewed:
- Description: The purpose of this investigation was to determine whether the magnitude of adaptation to integrated ballistic training is influenced by initial strength level. Such information is needed to inform resistance training guidelines for both higher-and lower-level athlete populations. To this end, two groups of distinctly different strength levels (stronger: one-repetition-maximum (1RM) squat = 2.01 ± 0.15 kg·BM
Estimating global injuries morbidity and mortality : methods and data used in the global burden of disease 2017 study
- James, Spencer, Castle, Chris, Dingels, Zachary, Fox, Jack, Rahman, Muhammad Aziz
- Authors: James, Spencer , Castle, Chris , Dingels, Zachary , Fox, Jack , Rahman, Muhammad Aziz
- Date: 2020
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 26, no. 1 (2020), p. I125-I153
- Full Text:
- Reviewed:
- Description: Background: While there is a long history of measuring death and disability from injuries, modern research methods must account for the wide spectrum of disability that can occur in an injury, and must provide estimates with sufficient demographic, geographical and temporal detail to be useful for policy makers. The Global Burden of Disease (GBD) 2017 study used methods to provide highly detailed estimates of global injury burden that meet these criteria. Methods: In this study, we report and discuss the methods used in GBD 2017 for injury morbidity and mortality burden estimation. In summary, these methods included estimating cause-specific mortality for every cause of injury, and then estimating incidence for every cause of injury. Non-fatal disability for each cause is then calculated based on the probabilities of suffering from different types of bodily injury experienced. Results: GBD 2017 produced morbidity and mortality estimates for 38 causes of injury. Estimates were produced in terms of incidence, prevalence, years lived with disability, cause-specific mortality, years of life lost and disability-adjusted life-years for a 28-year period for 22 age groups, 195 countries and both sexes. Conclusions: GBD 2017 demonstrated a complex and sophisticated series of analytical steps using the largest known database of morbidity and mortality data on injuries. GBD 2017 results should be used to help inform injury prevention policy making and resource allocation. We also identify important avenues for improving injury burden estimation in the future. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC B Y. Published by BMJ. ***Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Muhammad Rahman” is provided in this record***
- Authors: James, Spencer , Castle, Chris , Dingels, Zachary , Fox, Jack , Rahman, Muhammad Aziz
- Date: 2020
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 26, no. 1 (2020), p. I125-I153
- Full Text:
- Reviewed:
- Description: Background: While there is a long history of measuring death and disability from injuries, modern research methods must account for the wide spectrum of disability that can occur in an injury, and must provide estimates with sufficient demographic, geographical and temporal detail to be useful for policy makers. The Global Burden of Disease (GBD) 2017 study used methods to provide highly detailed estimates of global injury burden that meet these criteria. Methods: In this study, we report and discuss the methods used in GBD 2017 for injury morbidity and mortality burden estimation. In summary, these methods included estimating cause-specific mortality for every cause of injury, and then estimating incidence for every cause of injury. Non-fatal disability for each cause is then calculated based on the probabilities of suffering from different types of bodily injury experienced. Results: GBD 2017 produced morbidity and mortality estimates for 38 causes of injury. Estimates were produced in terms of incidence, prevalence, years lived with disability, cause-specific mortality, years of life lost and disability-adjusted life-years for a 28-year period for 22 age groups, 195 countries and both sexes. Conclusions: GBD 2017 demonstrated a complex and sophisticated series of analytical steps using the largest known database of morbidity and mortality data on injuries. GBD 2017 results should be used to help inform injury prevention policy making and resource allocation. We also identify important avenues for improving injury burden estimation in the future. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC B Y. Published by BMJ. ***Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Muhammad Rahman” is provided in this record***
Sport for adults aged 50+years : Participation benefits and barriers
- Jenkin, Claire, Eime, Rochelle, Westerbeek, Hans, van Uffelen, Jannique
- Authors: Jenkin, Claire , Eime, Rochelle , Westerbeek, Hans , van Uffelen, Jannique
- Date: 2018
- Type: Text , Journal article
- Relation: Journal of Aging and Physical Activity Vol. 26, no. 3 (2018), p. 363-371
- Full Text:
- Reviewed:
- Description: Despite the health benefits of sport, the proportion of people participating in sport decreases with age. This qualitative study explored the benefits and barriers regarding older adult community sport participation, from the perspective of national sporting organizations, in addition to older adult sport club and nonsport club members, across eight focus group interviews (n = 49). Seven benefits were discussed, primarily social and physical health and intergenerational opportunities. Ten barriers were also discussed, including physical health, time constraints, and lack of appropriate playing opportunities. Ensuring access to activities that can benefit social health is of great importance to older adults. As sport can provide participation opportunities across generations, it can be an ideal physical activity option for this age group. However, a major barrier is that sport policy often prioritizes the participation for younger age groups. Policymakers should include a focus on older adults, to derive social health benefits.
- Authors: Jenkin, Claire , Eime, Rochelle , Westerbeek, Hans , van Uffelen, Jannique
- Date: 2018
- Type: Text , Journal article
- Relation: Journal of Aging and Physical Activity Vol. 26, no. 3 (2018), p. 363-371
- Full Text:
- Reviewed:
- Description: Despite the health benefits of sport, the proportion of people participating in sport decreases with age. This qualitative study explored the benefits and barriers regarding older adult community sport participation, from the perspective of national sporting organizations, in addition to older adult sport club and nonsport club members, across eight focus group interviews (n = 49). Seven benefits were discussed, primarily social and physical health and intergenerational opportunities. Ten barriers were also discussed, including physical health, time constraints, and lack of appropriate playing opportunities. Ensuring access to activities that can benefit social health is of great importance to older adults. As sport can provide participation opportunities across generations, it can be an ideal physical activity option for this age group. However, a major barrier is that sport policy often prioritizes the participation for younger age groups. Policymakers should include a focus on older adults, to derive social health benefits.