Injury epidemiology among Australian female cricketers
- Authors: Perera, Nirmala
- Date: 2016
- Type: Text , Thesis , PhD
- Full Text:
- Description: Cricket is a male-dominated sport; however, its popularity among females is increasing. Like other sports, participation in cricket poses the risk of injury to players. Injury problems for female cricketers are virtually unknown, as studies examining cricket injuries include almost exclusively male participants. In other sports, the types of injuries experienced by men and women are known to be different. Therefore, a clear understanding of the extent and types of injuries sustained by female cricket players is required, to underpin appropriately targeted injury prevention strategies. This thesis provides the first detailed epidemiological profile of cricket injuries sustained by women, by: 1. conducting a systematic review describing injuries in competitive team bat or stick sports in women, to enable cricket injuries to be viewed within the perspective of wider, but relevant, injury data, 2. evaluating existing data sources relating to hospital admissions from Victoria and Queensland and successful insurance claims across Australia, 3. examining the nature and incidence of cricket injuries in elite female players using Cricket Australia’s Athlete Management System, and 4. conducting a nationwide self-report survey of injuries during the 2014–15 season. This PhD research represents participants from different levels of play, across age groups and across Australia. The findings indicate that incidence of injuries for female cricketers were higher than expected based on previous findings in comparable sports, except when considered in relation to insurance claims. The cricket injury rate across hospital presentations, insurance claims, the AMS (Fair Play AMS 2016) and self-reported survey data, each of which represents different level of the sports injury pyramid, identified all-rounders and pace bowlers as having a higher incidence of injury than players in other positions. The highest frequency of reported injuries were in the head, hands, knees and ankles. The nature of the most common injuries were dislocations/sprains/strains, fractures, muscle injury, joint injury and gradual onset injuries. At the elite-level, lumber spine stress fractures accounted for a significant amount of time-loss from the sport. In this thesis, findings from the insurance claims, self-reported survey and AMS (Fair Play AMS 2016) data indicated that most injuries were of a low severity and were more likely to be treated outside of healthcare facilities such as hospitals. In summary, patterns of the most common injuries, in terms of anatomical location and nature of the injuries, were consistent throughout community-level players with some similarities to elite-level players. However, the injury mechanisms and risk factors may differ depending on the level of competition and player’s skill. Recommendations are that ongoing injury surveillance should be conducted at all levels of the sport, and surveillance methodology should be tailored to the specific setting, personnel and available resources. Therefore, before implementing an injury surveillance system at the community-level of the sport, more research is needed to fully understand what type of injury surveillance system might be feasible and suitable in this context.
- Description: Doctor of Philosophy
- Authors: Perera, Nirmala
- Date: 2016
- Type: Text , Thesis , PhD
- Full Text:
- Description: Cricket is a male-dominated sport; however, its popularity among females is increasing. Like other sports, participation in cricket poses the risk of injury to players. Injury problems for female cricketers are virtually unknown, as studies examining cricket injuries include almost exclusively male participants. In other sports, the types of injuries experienced by men and women are known to be different. Therefore, a clear understanding of the extent and types of injuries sustained by female cricket players is required, to underpin appropriately targeted injury prevention strategies. This thesis provides the first detailed epidemiological profile of cricket injuries sustained by women, by: 1. conducting a systematic review describing injuries in competitive team bat or stick sports in women, to enable cricket injuries to be viewed within the perspective of wider, but relevant, injury data, 2. evaluating existing data sources relating to hospital admissions from Victoria and Queensland and successful insurance claims across Australia, 3. examining the nature and incidence of cricket injuries in elite female players using Cricket Australia’s Athlete Management System, and 4. conducting a nationwide self-report survey of injuries during the 2014–15 season. This PhD research represents participants from different levels of play, across age groups and across Australia. The findings indicate that incidence of injuries for female cricketers were higher than expected based on previous findings in comparable sports, except when considered in relation to insurance claims. The cricket injury rate across hospital presentations, insurance claims, the AMS (Fair Play AMS 2016) and self-reported survey data, each of which represents different level of the sports injury pyramid, identified all-rounders and pace bowlers as having a higher incidence of injury than players in other positions. The highest frequency of reported injuries were in the head, hands, knees and ankles. The nature of the most common injuries were dislocations/sprains/strains, fractures, muscle injury, joint injury and gradual onset injuries. At the elite-level, lumber spine stress fractures accounted for a significant amount of time-loss from the sport. In this thesis, findings from the insurance claims, self-reported survey and AMS (Fair Play AMS 2016) data indicated that most injuries were of a low severity and were more likely to be treated outside of healthcare facilities such as hospitals. In summary, patterns of the most common injuries, in terms of anatomical location and nature of the injuries, were consistent throughout community-level players with some similarities to elite-level players. However, the injury mechanisms and risk factors may differ depending on the level of competition and player’s skill. Recommendations are that ongoing injury surveillance should be conducted at all levels of the sport, and surveillance methodology should be tailored to the specific setting, personnel and available resources. Therefore, before implementing an injury surveillance system at the community-level of the sport, more research is needed to fully understand what type of injury surveillance system might be feasible and suitable in this context.
- Description: Doctor of Philosophy
Socio-economic and nutritional determinants of low birth weight in India
- Kader, Manzur, Perera, Nirmala
- Authors: Kader, Manzur , Perera, Nirmala
- Date: 2014
- Type: Text , Journal article
- Relation: North American Journal of Medical Sciences Vol. 6, no. 7 (July 2014), p. 302-308
- Full Text:
- Reviewed:
- Description: Background: Low birth weight (LBW) is an important risk factor for childhood morbidity and mortality, consequently an important public health concern. Aim: This study aims to identify significant socio-economic and nutritional determinants associated with LBW in India. Materials and Methods: Data from 2005 to 2006 National Family Health Survey-3 (NFHS-3) of India was analyzed. A total of 20,946 women (15-49 years) who gave birth at least once 5 years preceding the NFHS-3 were included in this study. Infant's LBW (<2500 grams) as outcome variable was examined in association with all independent predictors as infant's sex, maternal household wealth status, caste, age, education, body mass index (BMI), stature, anemia level, parity, inter-pregnancy interval, antenatal care received, and living place. Results: Almost 20% of the infants were born with LBW. Mother's low education level, BMI <18.5, short stature (height <145 centimeters) and lack of antenatal visits (<4 visits) were significant predictors of LBW. Male gender has a protective effect against LBW. Conclusion: Maternal education, nutritional status and antenatal care received are key determinants that need to be addressed to reduce prevalence of LBW in India. Continue implementation of multifaceted health promotion interventions are needed to address these factors effectively.
- Authors: Kader, Manzur , Perera, Nirmala
- Date: 2014
- Type: Text , Journal article
- Relation: North American Journal of Medical Sciences Vol. 6, no. 7 (July 2014), p. 302-308
- Full Text:
- Reviewed:
- Description: Background: Low birth weight (LBW) is an important risk factor for childhood morbidity and mortality, consequently an important public health concern. Aim: This study aims to identify significant socio-economic and nutritional determinants associated with LBW in India. Materials and Methods: Data from 2005 to 2006 National Family Health Survey-3 (NFHS-3) of India was analyzed. A total of 20,946 women (15-49 years) who gave birth at least once 5 years preceding the NFHS-3 were included in this study. Infant's LBW (<2500 grams) as outcome variable was examined in association with all independent predictors as infant's sex, maternal household wealth status, caste, age, education, body mass index (BMI), stature, anemia level, parity, inter-pregnancy interval, antenatal care received, and living place. Results: Almost 20% of the infants were born with LBW. Mother's low education level, BMI <18.5, short stature (height <145 centimeters) and lack of antenatal visits (<4 visits) were significant predictors of LBW. Male gender has a protective effect against LBW. Conclusion: Maternal education, nutritional status and antenatal care received are key determinants that need to be addressed to reduce prevalence of LBW in India. Continue implementation of multifaceted health promotion interventions are needed to address these factors effectively.
Too many rib ticklers? Injuries in Australian women's cricket (PhD Academy Award)
- Authors: Perera, Nirmala
- Date: 2019
- Type: Text , Journal article , Editorial Material
- Relation: British Journal of Sports Medicine Vol. 53, no. 22 (Nov 2019), p. 1436-1437
- Full Text:
- Reviewed:
- Authors: Perera, Nirmala
- Date: 2019
- Type: Text , Journal article , Editorial Material
- Relation: British Journal of Sports Medicine Vol. 53, no. 22 (Nov 2019), p. 1436-1437
- Full Text:
- Reviewed:
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