Why Australia needs an effective national campaign to reduce coastal drowning
- Authors: Sherker, Shauna , Brander, Rob , Finch, Caroline , Hatfield, Julie
- Date: 2008
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 11, no. 2 (2008), p. 81-83
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- Description: 2003006677
When 'just doing it' is not enough: Assessing the fidelity of player performance of an injury prevention exercise program
- Authors: Fortington, Lauren , Donaldson, Alex , Lathlean, Tim , Young, Warren , Gabbe, Belinda , Lloyd, David , Finch, Caroline
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 18, no. 3 (May 2014 2014), p.272-277
- Relation: http://purl.org/au-research/grants/nhmrc/565907
- Relation: http://purl.org/au-research/grants/nhmrc/1058737
- Relation: http://purl.org/au-research/grants/nhmrc/565900
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- Description: Objectives: To obtain benefits from sports injury prevention programs, players are instructed to perform the exercises as prescribed. We developed an observational checklist to measure the quality of exercise performance by players participating in FootyFirst, a coach-led, exercise-based, lower-limb injury prevention program in community Australian Football (AF). Design: Observational. Methods: The essential performance criteria for each FootyFirst exercise were described in terms of the technique, volume and intensity required to perform each exercise. An observational checklist was developed to evaluate each criterion through direct visual observation of players at training. The checklist was trialled by two independent raters who observed the same 70 players completing the exercises at eight clubs. Agreement between observers was assessed by Kappa-statistics. Exercise fidelity was defined as the proportion of observed players who performed all aspects of their exercises correctly. Results: The raters agreed on 61/70 observations (87%) (Kappa = 0.72, 95% CI: 0.55; 0.89). Of the observations with agreed ratings, 41 (67%) players were judged as performing the exercises as prescribed. Conclusions: The observational checklist demonstrated high inter-rater reliability. Many players observed did not perform the exercises as prescribed, raising concern as to whether they would be receiving anticipated program benefits. Where quality of exercise performance is important, evaluation and reporting of program fidelity should include direct observations of participants.
What is a Sports Injury?
- Authors: Timpka, Toomas , Jacobsson, Jenny , Bickenbach, Jerome , Finch, Caroline , Ekberg, Joakim , Nordenfelt, Lennart
- Date: 2014
- Type: Text , Journal article
- Relation: Sports Medicine Vol. 44, no. 4 (2014), p. 423-428
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
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- Description: Current sports injury reporting systems lack a common conceptual basis. We propose a conceptual foundation as a basis for the recording of health problems associated with participation in sports, based on the notion of impairment used by the World Health Organization. We provide definitions of sports impairment concepts to represent the perspectives of health services, the participants in sports and physical exercise themselves, and sports institutions. For each perspective, the duration of the causative event is used as the norm for separating concepts into those denoting impairment conditions sustained instantly and those developing gradually over time. Regarding sports impairment sustained in isolated events, 'sports injury' denotes the loss of bodily function or structure that is the object of observations in clinical examinations; 'sports trauma' is defined as an immediate sensation of pain, discomfort or loss of functioning that is the object of athlete self-evaluations; and 'sports incapacity' is the sidelining of an athlete because of a health evaluation made by a legitimate sports authority that is the object of time loss observations. Correspondingly, sports impairment caused by excessive bouts of physical exercise is denoted as 'sports disease' (overuse syndrome) when observed by health service professionals during clinical examinations, 'sports illness' when observed by the athlete in self-evaluations, and 'sports sickness' when recorded as time loss from sports participation by a sports body representative. We propose a concerted development effort in this area that takes advantage of concurrent ontology management resources and involves the international sporting community in building terminology systems that have broad relevance.
What are the characteristics of home exercise programs that older adults prefer? A cross-sectional study
- Authors: Simek, Emily , McPhate, Lucy , Hill, Keith , Finch, Caroline , Day, Lesley , Haines, Terry
- Date: 2015
- Type: Text , Journal article
- Relation: American Journal of Physical Medicine & Rehabilitation Vol. 94, no. 7 (2015), p. 508-521
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
- Reviewed:
- Description: Objective The aim of this study was to examine the preferences of older adults toward the structure and delivery of home exercise programs for the prevention of falls as well as the perceived benefits of and barriers to program adherence. Methods A two-wave cross-sectional telephone survey of community-dwelling older adults was conducted in Victoria, Australia. Respondents were categorized as current, previous, or nonparticipants of a home exercise program in the last 6 yrs. Thematic analysis of open-response questions examining the preferences of current and previous participants toward participation in, and delivery of, home exercise programs for falls preventions was performed. Results A total of 245 respondents completed the follow-up survey. The respondents were classified as current (n = 54), previous (n = 22), or nonparticipants (n = 169) of a home exercise program in the last 6 yrs. Program adherence was influenced by the perceived effect of programs on physical and mental health, participant autonomy, and how well the program structure complemented individual exercise and lifestyle preferences. Conclusions Adherence to home exercise programs for falls prevention is influenced by personal preferences toward program structure and delivery as well as perceived benefits of and barriers to program participation. To optimize participant adherence, service providers need to consider personal preferences and some flexibility in the program being delivered.
Use of field-based tests to identify risk factors for injury to fast bowlers in cricket
- Authors: Dennis, Rebecca , Finch, Caroline , McIntosh, Andrew , Elliott, Bruce
- Date: 2008
- Type: Text , Journal article
- Relation: British Journal of Sports Medicine Vol. 42, no. 6 (Jun 2008), p. 477-482
- Full Text: false
- Reviewed:
- Description: Objective: To identify risk factors for injury to cricket fast bowlers using field-based tests. Design: Prospective cohort study. Setting: High performance Australian cricket. Participants: Ninety-one male adolescent and adult fast bowlers (aged 12-33 years). Assessment of risk factors: A field-based pre-participation screening, consisting of musculoskeletal, fitness and anthropometric assessments and analysis of bowling technique was undertaken. Bowlers were prospectively monitored over the 2003-4 season and bowling workload and injuries were recorded. Logistic regression was used to identify injury risk factors. Main outcome measurement: Repetitive microtrauma injury to the trunk, back or lower limb associated with fast bowling. Results: Two variables were identified as independent predictors of injury in the multivariate logistic regression analysis. Bowlers with hip internal rotation of <= 30 degrees on the leg ipsilateral to the bowling arm were at a significantly reduced risk of injury (OR 0.20, 95% CI 0.06 to 0.73) compared with bowlers with >40 degrees of rotation. Bowlers with an ankle dorsiflexion lunge of 12.1-14.0 cm on the leg contralateral to the bowling arm were at a significantly increased risk (OR 4.03, 95% CI 1.07 to 15.21) than bowlers with a lunge of >14 cm. Bowlers with a lunge of (12 cm were also at an increased risk, but not significantly so (OR 1.38, 95% CI 0.40 to 4.84). Conclusions: Biomechanical research is needed to investigate how these two intrinsic risk factors increase injury risk so that appropriate interventions can be developed.
Unprotected eyes in squash : Not seeing the risk of injury
- Authors: Eime, Rochelle , McCarty, Catherine , Finch, Caroline , Owen, Neville
- Date: 2005
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 8, no. 1 (2005), p. 92-100
- Full Text: false
- Reviewed:
- Description: The use of appropriate eyewear in squash can protect the eyes against injury. However, few adult squash players adequately protect their eyes against potential severe injuries. We describe the characteristics of non-users of protective eyewear and examine predictors of appropriate eyewear use. Self-report surveys of adult players were conducted in metropolitan Melbourne, Australia. Information on players' knowledge, behaviours and attitudes associated with protective eyewear use was collected, in addition to player demographic data. Appropriate eyewear was defined as Standards-approved polycarbonate lens eyewear. The majority 92.2% of players did not adequately protect their eyes while playing squash. Significant predictors of reported eyewear use were: previous eye injury; playing squash on average more than 2 hr per wk; having played for more than 20 y; and having more favourable attitudes towards eye safety in squash. The significant predictors of appropriate eyewear use were: being female; previous eye injury; playing squash on average more than 2 hr per week; and having more favourable attitudes towards eye safety in squash. Understanding the characteristics of both users and non-users of appropriate eye protection in squash is essential for informing future prevention strategies.
- Description: C1
- Description: 2003001112
Understanding perceptions of injury risk associated with playing junior cricket
- Authors: White, Peta , Finch, Caroline , Dennis, Rebecca , Siesmaa, Emma
- Date: 2010
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 14, no. 2 (2010 2010), p. 115-120
- Relation: http://purl.org/au-research/grants/nhmrc/565900
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- Description: Preventing sports injuries in children is important, but there is limited information about children's perceptions of injury risk or their injury beliefs and attitudes. This study investigated injury risk perceptions in a sample of junior sports participants across different age levels of play. Junior cricket players (n = 284, aged 8-16) completed a survey about their injury risk perceptions. Survey questions asked about players' perceived injury risk to themselves compared to cricketers in general, as well as their perceived injury risk across different playing position, ground condition, and protective equipment use scenarios. Chi-square analysis found that risk perceptions were significantly higher in U12 and U14 players for both batting and fielding compared to U16 players and that U16 players had a higher risk perception associated with bowling. Players tended to see themselves as less likely to be injured than cricketers in general and perceived there to be a high risk of injury when fielding close to the batter and a comparatively low risk of injury when fielding in the outfield. Junior players also perceived there to be a high injury risk associated with playing on hard and bumpy grounds. Despite their relatively accurate perceptions of risk and appreciation for the importance of protective equipment, junior players need continual reminding of the importance of safety strategies by coaches and others. Coaches need to inform players that fielding injuries can occur anywhere on the ground, and include skills practice accordingly. © 2010 Sports Medicine Australia.
Trends in hospitalised sport/leisure injuries in New South Wales, Australia-Implications for the targetting of population-focussed preventive sports medicine efforts
- Authors: Finch, Caroline , Mitchell, Rebecca , Boufous, Soufiane
- Date: 2011
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 14, no. 1 (January 2011), p. 15-21
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
- Reviewed:
- Description: Sport/leisure injuries are a population health issue in Australia. Over 2003-2004 to 2007-2008, the rate of sport/leisure injury NSW hospitalisations was 195.5/100,000 residents. Males and children/young people had consistently highest rates of hospitalisation. There was no significant decline in rates over this period and no change in the profiles of the types of sport/leisure injuries. The extent to which effective preventive programs have been developed and implemented needs to be determined as current programs do not seem to be impacting on hospitalisation rates. Medical/health promotion agencies and sports bodies need to jointly formulate and implement policies to reduce sport/leisure injuries. This is one of the most significant challenges facing sports medicine professionals today.
The use and modification of injury prevention exercises by professional youth soccer teams
- Authors: O'Brien, James , Young, Warren , Finch, Caroline
- Date: 2017
- Type: Text , Journal article
- Relation: Scandinavian Journal of Medicine and Science in Sports Vol. 27, no. 11 (2017), p. 1337-1346
- Relation: http://purl.org/au-research/grants/nhmrc/1058737
- Full Text:
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- Description: The efficacy of injury prevention exercise programs (IPEPs) for amateur youth soccer has been established, but little is known about their adaptability to other soccer populations. This study aimed to assess the use of individual injury prevention exercises by professional youth soccer teams, against the industry-standard, FIFA 11+ program. Four teams' chosen IPEPs were observed across one season and documented on a standardized form. The use of each FIFA 11+ exercise was coded as “performed”, “performed modified” or “not performed”. The proportion of the 160 observed sessions containing each individual exercise was calculated. Staff provided reasons for their use and modification of FIFA 11+ exercises. On average, individual FIFA 11+ exercises were conducted in original form in 12% of the sessions (range 0–33%), and in modified form in 28% of sessions (range 2–62%). The five most frequently observed exercises, in either original or modified form, were “bench” (72%), “squats” (69%), “running straight” (68%), “single-leg stance” (66%), and “sideways bench” (64%). Staff modified exercises to add variation, progression, and individualization, and to align with specific training formats and goals. Professional youth soccer teams often use injury prevention exercises similar to those in the FIFA 11+, but tailor them considerably to fit their implementation context.
The self-reported factors that influence Australian physiotherapists’ choice to promote non-treatment physical activity to patients with musculoskeletal conditions
- Authors: Kunstler, Breanne , Cook, Jill , Kemp, Joanne , O'Halloran, Paul , Finch, Caroline
- Date: 2019
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 22, no. 3 (2019), p. 275-280
- Full Text: false
- Reviewed:
- Description: Objectives: To determine the factors that influence physiotherapists’ choice to promote non-treatment physical activity to patients with musculoskeletal conditions. Design: Cross sectional survey. Methods: A national, online self report survey was targeted at Australian registered physiotherapists primarily treating patients with musculoskeletal conditions in private practice and outpatient settings. Likert scale questions were used to measure the factors influencing non-treatment physical activity promotion by physiotherapists. Results: Two hundred and sixteen full responses were received. Most (56.6%) respondents irregularly promoted non-treatment physical activity, whereas 43.4% always promoted non-treatment physical activity. Promotion of non-treatment physical activity was bivariately associated with respondents’ own physical activity level (x2[2] = 7.670, p = 0.022) and exercise science education (x2[1] = 4.613, p = 0.032). Multivariable analysis identified that Knowledge (knowing how to promote non-treatment physical activity) (OR = 1.60, 95%CI 1.026–2.502), Goals (other patient problems are more important) (OR = 0.62, 95%CI 0.424–0.897) and Innovation (compatibility of non-treatment physical activity promotion with the clinical environment) (OR = 1.75, 95%CI 1.027–2.985) were significantly and independently associated with non-treatment physical activity promotion. Conclusions: The majority of surveyed Australian physiotherapists irregularly promoted non-treatment physical activity. Lack of knowledge of how to promote non-treatment physical activity, prioritising other patient problems before non-treatment physical activity promotion and using promotion methods that are not compatible with current practice might reduce non-treatment physical activity promotion frequency by physiotherapists.
The safety attitudes of people who use multi-purpose recreation facilities as a physical activity setting
- Authors: Finch, Caroline , Otago, Leonie , White, Peta , Donaldson, Alex , Mahoney, Mary
- Date: 2011
- Type: Text , Journal article
- Relation: International Journal of Injury Control and Safety Promotion Vol. 18, no. 2 (2011), p. 107-112
- Full Text: false
- Reviewed:
- Description: Multi-purpose recreation facilities (MPRFs) are a popular setting for physical activity and it is therefore important that they are safe for all patrons. However, the attitudes of MPRF users towards safety are a potential barrier to the success of injury prevention programmes implemented within MPRFs. This article reports a survey of the safety attitudes of over 700 users of four indoor MPRFs. Factor analysis of 12 five-point Likert scale statements showed that the attitudes clustered around three major dimensions - the importance of safety, the benefits of safety and the perceptions of injury risk. Together, these three dimensions accounted for 49% of the variability in the attitudes. More than 85% of respondents agreed/strongly agreed that: safety was an important aspect of physical activity participation; being injured affected enjoyment of physical activity; people should adopt appropriate safety measures for all physical activity; and individuals were responsible for their own safety. The MPRF users, particularly women and older people, were generally safety conscious, believed in adopting safety measures, and were willing to take responsibility for their own safety. Facility managers can be confident that if they provide evidence-based injury prevention interventions in these settings, then users will respond appropriately and adopt the promoted behaviours. © 2011 Taylor & Francis.
The reliability of musculoskeletal screening tests used in cricket
- Authors: Dennis, Rebecca , Finch, Caroline , Elliott, Bruce , Farhart, Patrick
- Date: 2008
- Type: Text , Journal article
- Relation: Physical Therapy in Sport Vol. 9, no. 1 (2008), p. 25-33
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- Description: Objectives: To determine the inter- and intra-observer reliability of a field-based musculoskeletal screening protocol used to measure potential injury risk factors in cricket fast bowlers. Design: Test-retest reliability study. Setting: High performance Australian cricket. Participants: Ten volunteers. Two sports physiotherapists conducted the testing. Main outcome measures: Participants completed the following tests: knee extension; modified Thomas test (hip extension and abduction); hip internal and external rotation; combined elevation; ankle dorsiflexion lunge; bridging hold; prone four point hold; and calf heel raises. Methods: For each of the tests, the participants were tested by each physiotherapist twice, and the inter- and intra-observer reliability were concurrently assessed. Results: The inter-observer reliability of the tests was generally poor, with only four of the ten tests having an intraclass correlation coefficient (ICC) greater than 0.80 (range of ICCs 0.27-0.99). The intra-observer reliability of the tests was considerably higher, with nine tests having an ICC greater than 0.80 (range of ICCs 0.56-0.99). Conclusions: With the exception of the bridging hold, all tests would be considered acceptable where only one observer was conducting the testing. However, only the ankle dorsiflexion lunge, combined elevation test, calf heel raise test and prone four point hold have acceptable reliability when there are multiple physiotherapists recording measurements. © 2007 Elsevier Ltd. All rights reserved.
- Description: C1
The Relationship between training load and injury, illness and soreness : A Systematic and literature review
- Authors: Drew, Michael , Finch, Caroline
- Date: 2016
- Type: Text , Journal article , Review
- Relation: Sports Medicine Vol. 46, no. 6 (Jun 2016), p. 861-883
- Relation: http://purl.org/au-research/grants/nhmrc/1058737
- Full Text: false
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- Description: Background Clinically it is understood that rapid increases in training loads expose an athlete to an increased risk of injury; however, there are no systematic reviews to qualify this statement. Objective The aim of this systematic review was to determine training and competition loads, and the relationship between injury, illness and soreness. Methods The MEDLINE, SPORTDiscus, CINAHL and EMBASE databases were searched using a predefined search strategy. Studies were included if they analysed the relationship between training or competition loads and injury or illness, and were published prior to October 2015. Participants were athletes of any age or level of competition. The quality of the studies included in the review was evaluated using the Newcastle-Ottawa Scale (NOS). The level of evidence was defined as strong, 'consistent findings among multiple high-quality randomised controlled trials (RCTs)'; moderate, 'consistent findings among multiple low-quality RCTs and/or non-randomised controlled trials (CCTs) and/or one high-quality RCT'; limited, 'one low-quality RCT and/or CCTs, conflicting evidence'; conflicting, 'inconsistent findings among multiple trials (RCTs and/or CCTs)'; or no evidence, 'no RCTs or CCTs'. Results A total of 799 studies were identified; 23 studies met the inclusion criteria, and a further 12 studies that were not identified in the search but met the inclusion criteria were subsequently added to the review. The largest number of studies evaluated the relationship between injuries and training load in rugby league players (n = 9) followed by cricket (n = 5), football (n = 3), Australian Football (n = 3), rugby union (n = 2), volleyball (n = 2), baseball (n = 2), water polo (n = 1), rowing (n = 1), basketball (n = 1), swimming (n = 1), middle-distance runners (n = 1) and various sports combined (n = 1). Moderate evidence for a significant relationship was observed between training loads and injury incidence in the majority of studies (n = 27, 93 %). In addition, moderate evidence exists for a significant relationship between training loads and illness incidence (n = 6, 75 %). Training loads were reported to have a protective effect against injury (n = 9, 31 %) and illness (n = 1, 13 %). The median (range) NOS score for injury and illness was 8 (5-9) and 6 (5-9), respectively. Limitations A limitation of this systematic review was the a priori search strategy. Twelve further studies were included that were not identified in the search strategy, thus potentially introducing bias. The quality assessment was completed by only one author. Conclusions The results of this systematic review highlight that there is emerging moderate evidence for the relationship between the training load applied to an athlete and the occurrence of injury and illness. Implications The training load applied to an athlete appears to be related to their risk of injury and/or illness. Sports science and medicine professionals working with athletes should monitor this load and avoid acute spikes in loads. It is recommended that internal load as the product of the rate of perceived exertion (10-point modified Borg) and duration be used when determining injury risk in team-based sports. External loads measured as throw counts should also be monitored and collected across a season to determine injury risk in throwing populations. Global positioning system-derived distances should be utilised in team sports, and injury monitoring should occur for at least 4 weeks after spikes in loads.
The inter-tester reliability of the squeeze and bent-knee-fall-out tests in elite academy football players
- Authors: O'Brien, James , Santner, Emanuel , Finch, Caroline
- Date: 2018
- Type: Text , Journal article
- Relation: Physical Therapy in Sport Vol. 34, no. (2018), p. 8-13
- Full Text: false
- Reviewed:
- Description: Objectives: To evaluate the inter-tester reliability of two common tests for assessing hip and groin injuries, using a protocol closely reflecting normal clinical conditions. Design: Same-session, single-trial, inter-tester reliability study. Setting: Elite European football academy. Participants: Two testers and fifty-eight football players aged 14–21 years. Main outcome measures: Inter-tester reliability of the squeeze (in approximately 45° hip flexion) and bent-knee-fall-out (BKFO) tests, evaluated with intraclass correlation coefficients (two-way mixed, single measure) and minimal detectable change. Results: Both tests demonstrated excellent inter-tester reliability. The intraclass correlation coefficients were 0.92 (95% CI: 0.87–0.95) for the squeeze test, 0.91 (95% CI: 0.67–0.96) for the BKFO test on the right side and 0.92 (95% CI 0.87–0.95) for BKFO on the left side. The minimal detectable changes were 7.21 mmHg for the squeeze test, 0.95 cm and 0.75 cm for BKFO (right) and BKFO (left) respectively. Conclusion: The squeeze and the BKFO tests demonstrated excellent inter-tester reliability in elite academy football players, using a protocol reflective of normal clinical conditions.
The injury List Of All Deficits (LOAD) Framework - conceptualising the full range of deficits and adverse outcomes following injury and violence
- Authors: Lyons, Ronan , Finch, Caroline , McClure, Rod , van Beeck, Ed , Macey, Steven
- Date: 2010
- Type: Text , Journal article
- Relation: International Journal of Injury Control and Safety Promotion Vol. 17, no. 3 (2010), p. 145-159
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
- Reviewed:
- Description: Over recent years, there has been increasing recognition that the burden of injuries and violence includes more than just the direct and indirect monetary costs associated with their medical outcomes. However, quantification of the total burden has been seriously hampered by lack of a framework for considering the range of outcomes which comprise the burden, poor identification of the outcomes and their imprecise measurement. This article proposes a new conceptual framework, the List of All Deficits (or LOAD) Framework, that has been developed from extensive expert discussion and consensus meetings to facilitate the measurement of the full burden of injuries and violence. The LOAD Framework recognises the multidimensional nature of injury burden across individual, family and societal domains. This classification of potential consequences of injury was built on the International Classification of Functioning concept of disability. Examples of empirical support for each consequence were obtained from the scientific literature. Determining the multidimensional injury burden requires the assessment and combination of 20 domains of potential consequences. The resulting LOAD Framework classification and concept diagram describes 12 groups of injury consequences for individuals, three for family and close friends and five for wider society. Understanding the extent of the negative implications (or deficits) of injury, through application of the LOAD Framework, is needed to put existing burden of injury studies into context and to highlight the inter-relationship between the direct and indirect burden of injury relative to other conditions.
The incidence, prevalence, nature, severity and mechanisms of injury in elite female cricketers : A prospective cohort study
- Authors: Perera, Nirmala , Kountouris, Alex , Kemp, Joanne , Joseph, Corey , Finch, Caroline
- Date: 2019
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 22, no. 9 (2019), p. 1014-1020
- Full Text: false
- Reviewed:
- Description: Objectives: Incidence, prevalence, nature, severity and mechanisms of injury in elite female cricketers over two seasons from March 2014 to March 2016, inclusive. Design: Prospective cohort study. Methods: Injury data collected via Cricket Australia's Athlete Management System on all elite female players over two seasons were analysed. Profiles of the nature, anatomical location and mechanism of injuries were presented according to dominant player position. Injury incidence rates were calculated based on match playing hours. Results: There were 600 medical-attention injuries; with 77.7% players reporting ≥1 injury. There were 79.5% acute injuries compared to gradual onset injuries. Of the all medical-attention injuries, 20.2% led to time-loss; 34.7% were match-time-loss injuries. Match injury incidence was 424.7 injuries/10,000 h for all injuries and 79.3 injuries/10,000 h for time-loss injuries. Of all the injuries, 31.8% were muscle injuries and 16.0% joint sprains. Wrist and hand (19.8%), lumbar spine (16.5%) and knee (14.9%) injuries were the most common time-loss injuries. Six players sustained lumber spine bone stress injury that resulted in the most days missed due to injury (average 110.5 days/injury). Conclusions: There is a need to focus on specific injuries in female cricket, including thigh, wrist/hand and knee injuries because of their frequency, and lumbar spine injuries because of their severity.
The Implementation of Musculoskeletal Injury-Prevention Exercise Programmes in Team Ball Sports : A Systematic Review Employing the RE-AIM Framework
- Authors: O'Brien, James , Finch, Caroline
- Date: 2014
- Type: Text , Journal article
- Relation: Sports Medicine Vol. 44, no. 9 (2014), p. 1305-1318
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Relation: http://purl.org/au-research/grants/nhmrc/1058737
- Full Text: false
- Reviewed:
- Description: Background Team ball sports such as soccer, basketball and volleyball have high participation levels worldwide. Musculoskeletal injuries are common in team ball sports and are associated with significant treatment costs, participation loss and long-term negative side effects. The results of recent randomized controlled trials provide support for the protective effect of injury-prevention exercise programmes (IPEPs) in team ball sports, but also highlight that achieving adequate compliance can be challenging. A key process in enhancing the ultimate impact of team ball sport IPEPs is identifying the specific implementation components that influence the adoption, execution and maintenance of these interventions. Despite this, no systematic review focussing on the specific implementation components of team ball sport IPEPs has been conducted. Objectives Our objective was to assess the reporting of specific implementation components in the published literature on team ball sport IPEPs using the Reach Efficacy Adoption Implementation Maintenance (RE-AIM) framework. Methods Six electronic databases were systematically searched from inception to December 2012 for papers reporting team ball sport IPEP trials. All eligible papers were independently evaluated by two raters before reaching consensus on the reporting of individual RE-AIM items, using the RE-AIM Model Dimension Items Checklist (RE-AIM MDIC). Results A total of 60 papers, reporting 52 unique intervention trials, met eligibility criteria. Before consensus, the level of agreement across all trials between reviewers using the RE-AIM MDIC ranged from 81 to 91 %. The RE-AIM MDIC dimension of 'efficacy' had the highest level of reporting, with the five individual items in this dimension reported in 19-100 % of eligible trials (mean 58 %). The RE-AIM MDIC dimension 'maintenance-setting level' had the lowest level of reporting, with none of the four individual items in this dimension reported. For other dimensions, the mean level of reporting and range across items were 'reach' 34 % (12-60 %); 'adoption-setting level' 1 % (0-2 %); 'adoption-delivery agent level' 7 % (4-10 %); 'implementation' 36 % (13-63 %) and 'maintenance individual level' 1 % (0-4 %). Conclusion Information on the specific implementation components of team ball sport IPEPs in published studies is scarce. In particular, major reporting gaps exist regarding the adoption and maintenance of these programmes. The RE-AIM MDIC can be successfully applied to reviewing literature in this context.
The impact of adherence on sports injury prevention effect estimates in randomised controlled trials : Looking beyond the CONSORT statement
- Authors: Verhagen, Evert , Huuperans, Maarten , Finch, Caroline , van Mechelen, Willem
- Date: 2011
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 14, no. 4 (July 2011 2011), p. 287-292
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
- Reviewed:
- Description: Objective: To investigate estimated outcome effects of a sports injury prevention intervention when analysed by means of a per protocol (PP) analysis approach. Design: Randomised controlled trial (RCT) involving 522 athletes who sustained a lateral ankle sprain allocated to either an intervention (received a preventive programme in addition to usual care) or control group who were followed prospectively for one year. Methods: Secondary analysis of data relating to registered ankle sprain recurrences, exposure and adherence to the allocated intervention using a PP analysis approach. Results: Twenty-three percent of the RCT intervention group indicated to have fully adhered with the neuromuscular training programme. A per protocol analysis only considering fully adherent athletes and control athletes, showed a Hazard Ratio of 0.18 (95% CI: 0.07-0.43). Significantly fewer recurrent ankle sprains were found in the fully adherent group compared to the group that was not adherent (relative risk = 0.63; 95% CI: 0.43-0.99). Conclusions: A PP analysis on fully adherent athletes versus control group athletes showed that the established intervention effect was over threefold higher compared to an earlier intention-to-treat based analysis approach. This shows that outcomes of intervention studies are heavily biased by adherence to the allocated intervention.
The extent to which behavioural and social sciences theories and models are used in sport injury prevention research
- Authors: McGlashan, Angela , Finch, Caroline
- Date: 2010
- Type: Text , Journal article
- Relation: Sports Medicine Vol. 40, no. 10 (2010), p. 841-858
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
- Reviewed:
- Description: Behavioural and social science theories and models (BSSTM) can enhance efforts to increase health and safety behaviours, such as the uptake and maintenance of injury prevention measures. However, the extent to which they have been used in sports injury research to date is currently unknown. A systematic review of 24 electronic databases was undertaken to identify the extent to which BSSTM have been incorporated into published sports injury prevention research studies and to identify which theories were adopted and how they were used. After assessment against specific inclusion and exclusion criteria, the full text of 100 potentially relevant papers was reviewed in detail. These papers were classified as follows: (i) explicit the use of BSSTM was a stated key aspect in the design or conduct of the study; or (ii) atheoretical there was no clear evidence for the use of BSSTM. The studies that explicitly mentioned BSSTM were assessed for how BSSTM were specifically used. Amongst the 100 identified papers, only eleven (11 of the total) explicitly mentioned BSSTM. Of these, BSSTM were most commonly used to guide programme designimplementation (n8) andor to measure a theoryconstruct (n7). In conclusion, very few studies relating to sport safety behaviours have explicitly used any BSSTM. It is likely that future sports injury prevention efforts will only be enhanced, and achieve successful outcomes, if increased attention is given to fully understanding the behavioural determinants of safety actions. Appropriate use of BSSTM is critical to provide the theoretical basis to guide these efforts. © 2010 Adis Data Information BV. All rights reserved.
The effectiveness of a squash eyewear promotion strategy
- Authors: Eime, Rochelle , Finch, Caroline , Wolfe, R. , Owen, Neville , McCarty, Catherine
- Date: 2005
- Type: Text , Journal article
- Relation: Britsh Journal of Sports Medicine Vol. 39, no. (2005), p. 681-684
- Full Text:
- Reviewed:
- Description: Objective: To evaluate the protective eyewear promotion (PEP) project, which was a comprehensive educational strategy to increase the use of appropriate protective eyewear by squash players. Methods: An ecological study design was used. Four squash venues in one playing association were randomly chosen to receive PEP and four in another association maintained usual practice and hence formed a control group. The primary evaluation measurements were surveys of cross sectional samples of players carried out before and after the intervention. The surveys investigated players’ knowledge, behaviours, and attitudes associated with the use of protective eyewear. The survey carried out after the intervention also determined players’ exposure to PEP. Univariate and multivariate analyses were undertaken to describe differences at PEP venues from pre- to post-intervention and to compare these with the control venues. Results: The PEP players had 2.4 times the odds (95% confidence interval, 1.3 to 4.2) of wearing appropriate eyewear compared with control group players post-intervention, relative to the groups’ preintervention baselines. Components of PEP, such as stickers and posters and the availability and prominent positioning of the project eyewear, were found to contribute to players adopting favourable eyewear behaviours. Conclusions: Components of the PEP intervention were shown to be effective. The true success will be the sustainability and dissemination of the project, favourable eyewear behaviours, and evidence of the prevention of eye injuries long into the future.
- Description: C1
- Description: 2003005015