The impact of environmental, vehicle and driver characteristics on injury severity in older drivers hospitalized as a result of a traffic crash
- Authors: Boufous, Soufiane , Finch, Caroline , Hayen, Andrew , Williamson, Ann
- Date: 2008
- Type: Text , Journal article
- Relation: Journal of Safety Research Vol. 39, no. 1 (2008), p. 65-72
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- Description: Introduction: Compared to younger age groups, older people are more likely to be seriously injured or to die as a result of a traffic crash. Method: The aim of the study is to examine the impact of environmental, vehicle, crash, and driver characteristics on injury severity in older drivers involved in traffic crashes by using recently linked police crash records and hospitalization data from New South Wales, Australia. The severity of injury resulting from traffic crashes was measured using the International Classification of Diseases, 10th revision (ICD-10) Injury Severity Score (ICISS). Results: Multivariate analysis identified rurality, presence of complex intersections, road speed limit, driver error, speeding, and seat belt use as independent predictors of injury severity in older people. The type of intersection configuration explained over half of the observed variations in injury severity. Impact on Industry: Environmental modification such as intersection treatments might contribute to a decrease in the severity of injury in older people involved in road crashes.
- Description: 2003006544
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
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
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- 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.
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
- Full Text: false
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- Description: 2003006677
Adolescent physical activity during school lunch breaks : Same thing, different day
- Authors: Telford, Amanda , Casey, Meghan , Richards, G. , Finch, Caroline
- Date: 2009
- Type: Text , Conference paper
- Relation: Paper presented at 2009 Australia Conference of Science and Medicine in Sport, Seventh National Physical Activity Conference, Sixth National Sports Injury Prevention Conference, Be Active '09, Brisbane, Queensland : 14th-17th October 2009
- Full Text: false
- Description: School settings are an essential source of physical activity for adolescents because they provide curricular, co-curricular opportunities in addition to time during scheduled breaks. There has been limited previous research examining the physical activity behaviour of adolescents during break periods. Purpose: The aim of this study was to investigate the inter-day variability of adolescent's physical activity (PA) during school lunchtime periods. Methods: Participants (n = 40) from yr 8 to 10 (mean age = 14.5 ± 0.8 yrs) wore a SPI-Elite Global Positioning System (GPS) unit during five lunchtimes during a school week. Heart rate (HR), speed, distance, global position, and G force were measured for each participant and reported across a range of play spaces including a cricket net area, grassed oval, quadrangle, basketball/netball court area and seated shaded area for each participant across the five days. Analyses were performed on time periods randomly selected from three days for windows of 20 min+. Time spent within the various play spaces was determined by overlaying GPS data with Google Earth images of the school playground. Results: Independent samples t-tests revealed males (mean = 2.5 ± .97 km) covered a greater distance compared to females (mean = 1.5 ± .73 km) at the p < 0.01 level. Males also displayed significantly higher HR than did females during lunch breaks, at the p < 0.01 level. Students spent significantly more time and covered the greatest distance on the oval (grassed area) when compared to other play spaces (p < 0.01), and girls spent significantly more time in the seated shaded area than did males (p < 0.01). There were no significant differences for inter-day variability of average time, distance, HR, speed or G force within adolescent students’ physical activity during lunchtimes. Conclusions: The results suggest adolescents’ physical activity during lunch breaks is relatively stable across days. There are a number of feasibility issues relating to the use of GPS technology within the context of school settings and these are discussed. Future physical activity interventions targeting adolescents should consider the nature of the play space and may need to be tailored differently for males and females.
- Description: 2003008134
Baseline indicators for measuring progress in preventing falls injury in older people
- Authors: Dowling, Annaliese , Finch, Caroline
- Date: 2009
- Type: Text , Journal article
- Relation: Australian and New Zealand Journal of Public Health Vol. 33, no. 5 (2009), p. 413-417
- Relation: http://purl.org/au-research/grants/nhmrc/565900
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- Description: Objective: Over recent years, there has been increasing attention given to preventing falls and falls injury in older people through policy and other initiatives. This paper presents a baseline set of fall injury outcome indicators against which these preventive efforts can be assessed in terms of monitoring the rate of fall-related deaths and hospitalisations. Methods: ICD-10-AM coded hospital separations, Australian Bureau of Statistics (ABS) mortality and ABS population data were used to determine the rate of fall-related injury mortality and hospitalisations occurring in people aged 65+ years in New South Wales (NSW), Australia, over the six-year period from 1998/99 to 2003/04, inclusive. Results: Baseline trends for one fatality and five separations-based metrics are presented. Overall, fall mortality rates increased over the six years, with higher rates in males. Falls hospitalisation rates also increased slightly, with higher rates in females. The rates of hip fracture and pelvic fracture hospital separations generally declined over the six years and were highest in females. The level of unspecified and missing information about the place where falls occur increased by 1.5%. Conclusion: Baseline trends in fall injury outcome metrics highlight the severity and frequency of fall injuries before wide scale implementation of the Management Policy to Reduce Fall Injury Among Older People in NSW. Implications: Future use of these metrics will help to evaluate and monitor the progress of falls prevention in older people in NSW. They could also be adopted in other jurisdictions.
- Description: 2003008203
Determining policy-relevant formats for the presentation of falls research evidence
- Authors: Finch, Caroline , Day, Lesley , Donaldson, Alex , Segal, Leonie , Harrison, James
- Date: 2009
- Type: Text , Journal article
- Relation: Health Policy Vol. 93, no. 2-3 (2009), p. 207-213
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
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- Description: Objectives: Population modelling holds considerable promise for identifying the most efficient and cost-effective falls prevention measures, but the outcomes need to be in a readily useable form. This paper describes an iterative, collaborative process undertaken by researchers and falls prevention policy officers to develop such a format for falls prevention intervention evidence. Methods: The researchers developed a draft template that underwent several iterations and improvements, through three collaborative consultations with policy officers. Results: Although the researchers initially identified many key information needs, active engagement with policy officers ensured that policy requirements were met and that the value of the reporting formats for policy decision-making was maximised. Importantly, they highlighted the need to articulate underlying modelling assumptions clearly. The resulting formats, with complete data, were given to policy officers to inform their local jurisdictional policy decisions. Conclusions: There is strong benefit in researchers and policy officers collaborating to develop optimal formats for presenting scientific evidence to inform policy decisions. Such a process can reduce concerns of researchers that evidence is not incorporated into policy decisions. They also meet policy officers' needs for evidence to be provided in a way that can directly inform their decision-making processes. © 2009 Elsevier Ireland Ltd. All rights reserved.
- Description: 2003008200
Does padded headgear prevent head injury in rugby union football?
- Authors: McIntosh, Andrew , McCrory, Paul , Finch, Caroline , Best, John , Chalmers, David , Wolfe, Rory
- Date: 2009
- Type: Text , Journal article
- Relation: Medicine and Science in Sports and Exercise Vol. 41, no. 2 (2009), p. 306-313
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
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- Description: BACKGROUND: Concussion is a serious problem in many contact sports, including rugby union football. The study's primary aim was to measure the efficacy of padded headgear in reducing the rates of head injury or concussion. METHODS: A cluster randomized controlled trial with three arms was conducted with rugby union football teams as the unit of randomization. Teams consisted of males participating in under 13-, 15-, 18-, and 20-yr age group competitions. The interventions were "standard" and "modified" padded headgear. Headgear wearing and injury were measured for each study team at each game over two seasons. RESULTS: Eighty-two teams participated in year 1 and 87 in year 2. A total of 1493 participants (10,040 player hours) were in the control group, 1128 participants (8170 player hours) were assigned to the standard headgear group, and 1474 participants (10,650 player hours) were assigned to the modified headgear group. The compliance rates were low in all groups, but 46% of participants wore standard headgear. An intention-to-treat analysis showed no differences in the rates of head injury or concussion between controls and headgear arms. Incidence rate ratios for standard headgear wearers referenced to controls were 0.95 and 1.02 for game and missed game injuries. Analyses of injury rates based on observed wearing patterns also showed no significant differences. Incidence rate ratios for standard headgear wearers referenced to nonwearers were 1.11 and 1.10 for game and missed game injuries. CONCLUSIONS: Padded headgear does not reduce the rate of head injury or concussion. The low compliance rates are a limitation. Although individuals may choose to wear padded headgear, the routine or mandatory use of protective headgear cannot be recommended. © 2009 by the American College of Sports Medicine.
- Description: 2003008190
Examination of triage nurse text narratives to identify sports injury cases in emergency department presentations
- Authors: Mitchell, Rebecca , Finch, Caroline , Boufous, Soufiane , Browne, Gary
- Date: 2009
- Type: Text , Journal article
- Relation: International Journal of Injury Control and Safety Promotion Vol. 16, no. 3 (2009), p. 153-157
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
- Reviewed:
- Description: Narrative text can be a useful means of identifying injury in routine data collections. An analysis of data from a near real-time emergency department surveillance system (NREDSS) in New South Wales (NSW, Australia) was conducted to determine if sports injuries can be identified from routine narrative text recorded in emergency departments. Around one-third of all emergency department (ED) presentations during 1 September 2003 to 15 February 2007 were identified as injury-related. Narrative text searching of triage nursing assessments using keywords identified between 282 (i.e. football) and 26,944 (i.e. play) potential sports injury presentations depending on the selected sports-related keyword used. Routine narrative text descriptions from triage nurse assessments show promise for the identification of sports injury presentations to EDs. Further work is required regarding in-depth assessment of case detection capabilities and the likelihood of improving the quality of narrative text recorded. © 2009 Taylor & Francis.
- Description: 2003008202
Geographic mapping as a tool for identifying communities at high risk of fire and burn injuries in children
- Authors: Poulos, Roslyn , Hayen, Andrew , Chong, Shanley , Finch, Caroline
- Date: 2009
- Type: Text , Journal article
- Relation: Burns Vol. 35, no. 3 (2009), p. 417-424
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
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- Description: Burns are a significant cause of morbidity and mortality in children. Although industrialized countries have achieved significant declines in deaths and hospitalizations for these injuries in recent decades, the benefits have not been shared equally by children across all socioeconomic groups. We used Bayesian methods to map posterior expected relative risks, as an estimate of smoothed hospital separation ratios for fire and burns in children, across local government areas in New South Wales, Australia. The geographic pattern of relative risk varied by age group; higher than average risks were observed for children residing in rural and remote areas, as well as in scattered local government areas closer to the coast and in some metropolitan regions. Mapping the occurrence of injury gives injury practitioners the opportunity to identify high risk communities for further investigation of risk factors and implementation of targeted interventions within a defined area. Crown Copyright © 2008.
Methodological approaches used to assess the relationship between parental supervision and child injury risk
- Authors: Petrass, Lauren , Finch, Caroline , Blitvich, Jennifer
- Date: 2009
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 15, no. 2 (2009), p. 132-138
- Relation: http://purl.org/au-research/grants/nhmrc/565900
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- Description: Objective: To describe and rate the quality of methodological approaches used to measure parental supervision in relation to injury risk in children aged 0-14 years. Design: A systematic review of the literature related to supervision and injury risk. Methods: A comprehensive search of electronic databases from the earliest records available to the end of 2007, and supplemental hand-searching of relevant journals, reference lists of studies identified through database searches, and bibliographies of systematic and non-systematic reviews. A classification scale was used to rate the methodological quality of studies. Results: 30 papers met the inclusion criteria. They varied substantially in quality, and no meta-analyses or randomised controlled trials were identified. Fifteen studies used self-report approaches, asking parents or care givers to report through recording diaries, interviews and questionnaires and were considered of low quality; 11 studies reconstructed injury outcomes retrospectively. Observational studies were conducted in both laboratory and natural settings (n=6), and these studies were generally of higher quality than self-report methods. Conclusions: The quality of many supervision and child injury risk studies is low to moderate. Further development of methodological approaches is needed to improve studies of the relationship between supervision and child injury risk.
- Description: 2003008187
Modelling the impact, costs and benefits of falls prevention measures to support policy-makers and program planners
- Authors: Day, Lesley , Hoareau, Effie , Finch, Caroline , Harrison, James , Segal, Leonie , Bolton, Tom , Bradley, Clare , Boufous, Soufiane , Ullah, Shahid , National Injury Prevention Injury Working Group
- Date: 2009
- Type: Text , Technical report
- Full Text: false
- Description: The ageing of the population is one of the major transformations being experienced in Australia, with falls a significant threat to safety, health and independence. There is now substantial evidence regarding effective interventions for preventing falls among older people living independently in the community. The aim of this project was to develop and apply a framework for epidemiological modelling of the population level impact of proven interventions on future fall rates, providing a powerful policy-setting tool for prevention. We used the Cochrane review to source current best efficacy evidence from randomised controlled trials which have provided evidence of minimising the incidence of falls among older people living in the community. Six interventions defined in that review as most promising for community dwelling older people were modelled. Additionally, one other intervention not in the Cochrane review, expedited cataract removal, was also modelled. Occupational therapy delivered home hazard assessment and modification for those with recent fall history, as modelled here, represents the best falls prevention investment. Cardiac pacing is a good falls prevention investment over the medium term, although is unlikely to have a major impact on population level hospital admission rates. The relative cost-effectiveness of psychotropic medication withdrawal appears high, although some implementation issues would need to be addressed and further costs included. Multi-disciplinary multi-factorial risk management represents good clinical practice for high risk individuals, but is not relatively cost-effective for widespread implementation. Tai chi programs may represent good value for falls prevention resources, if local circumstances allow the cost per participant to be substantially lower than modelled here. Predicted reductions in national fall-related hospital admission rates for people aged 65 years and over ranged from 0.4% to 4.6% for five of the six falls prevention strategies implemented over a one year period. These reductions, however, suggest that substantial investment in falls prevention will be required to have large effects on the fall-related hospitalisation rates. In addition, the costeffectiveness of a number of the modelled interventions could be improved by variations to the implementation processes such as measures to increase uptake, or decrease the cost per participant. The framework developed provides the potential for the research evidence base to better guide policy and practice with respect to reducing falls and future fall-related hospitalisation rates.
Parent/caregiver supervision and child injury : A systematic review of critical dimensions for understanding this relationship
- Authors: Petrass, Lauren , Blitvich, Jennifer , Finch, Caroline
- Date: 2009
- Type: Text , Journal article
- Relation: Family & Community Health Vol. 33, no. 2 (Apr-Jun 2009), p. 123-135
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- Description: This study reviewed the relationship between recognized dimensions of supervision and children's injuries based on Saluja et al's (Injury Control and Safety Promotion. 2004; 11: 17-22) hierarchal model of supervision strategies. A systematic review of peer-review studies was clone with the earliest records available to 2007. There were 112 potentially relevant articles identified; 31 studies met all inclusion criteria. Reported Studies were categorized according to the dimensions Of supervision they addressed. Studies were not evenly distributed across the dimensions. There was evidence from the Study that directly linking dimensions of supervision to child injury risk and outcomes is scarce. future studies should consider attention, proximity, and continuity Of supervision to provide a holistic understanding of the relationship between Supervision and injury
- Description: 2003008201
Preventing lower limb injuries : Is the latest evidence being translated into the football field?
- Authors: Twomey, Dara , Finch, Caroline , Roediger, E. , Lloyd, David
- Date: 2009
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 12, no. 4 (2009), p. 452-456
- Relation: http://purl.org/au-research/grants/nhmrc/565900
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- Description: There is accumulating international evidence that lower limb injuries in sport can be prevented through targeted training but the extent to which this knowledge has been translated to real-world sporting practice is not known. A semi-structured questionnaire of all coaches from the nine Sydney Australian Football League Premier Division teams was conducted. Information was sought about their knowledge and behaviours in relation to delivering training programs, including their uptake of the latest scientific evidence for injury prevention. Direct observation of a sample of the coach-delivered training sessions was also undertaken to validate the questionnaire. Coaches ranked training session elements directly related to the game as being of most importance. They strongly favoured warming-up and cooling-down as injury prevention measures but changing direction and side-stepping training was considered to be of little/no importance for safety. Only one-third believed that balance training had some importance for injury prevention, despite accumulating scientific evidence to the contrary. Drills, set play, ball handling and kicking skills were all considered to be of least importance to injury prevention. These views were consistent with the content of the observed coach-led training sessions. In conclusion, current football training sessions do not give adequate attention to the development of skills most likely to reduce the risk of lower limb injury in players. There is a need to improve the translation of the latest scientific evidence about effective injury prevention into coaching practices. © 2008 Sports Medicine Australia.
- Description: 2003006500
Safe physical activity environments - to what extent are local government authorities auditing the safety of grassed sporting fields?
- Authors: Otago, Leonie , Swan, Peter , Donaldson, Alex , Payne, Warren , Finch, Caroline
- Date: 2009
- Type: Text , Journal article
- Relation: ACHPER Healthy Lifestyles Journal Vol. 56, no. 2 (2009), p. 5-9
- Full Text:
- Description: 2003008181
Spatial temporal modeling of hospitalizations for fall-related hip fractures in older people
- Authors: Turner, R. M. , Hayen, Andrew , Dunsmuir, William , Finch, Caroline
- Date: 2009
- Type: Text , Journal article
- Relation: Osteoporosis International Vol. , no. (2009), p. 1-7
- Relation: http://purl.org/au-research/grants/nhmrc/565900
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- Description: Summary: The study determined the spatial temporal characteristics of fall-related hip fractures in the elderly using routinely collected injury hospitalization and sociodemographic data. There was significant spatial temporal variation in hospitalized hip fracture rates in New South Wales, Australia. Introduction: The study determined the spatial temporal characteristics of fall-related hip fractures in the elderly using routinely collected injury hospitalization data. Methods: All New South Wales (NSW), Australia residents aged 65+ years who were hospitalized for a fall-related hip fracture between 1 July 1998 and 30 June 2004 were included. Bayesian Poisson regression was used to model rates in local government areas (LGAs), allowing for the incorporation of spatial, temporal, and covariate effects. Results: Hip fracture rates were significantly decreasing in one LGA, and there were no significant increases in any LGAs. The proportion of the population in residential aged care facilities was significantly associated with the rate of hospitalized hip fractures with a relative risk (RR) of 1.003 (95% credible interval 1.002, 1.004). Socioeconomic status was also related to hospitalized hip fractures with those in the third and fourth quintiles being at decreased risk of hip fracture compared to those in the least disadvantaged (fifth) quintile [RR = 0.837 (0.717, 0.972) and RR = 0.855 (0.743, 0.989) respectively]. Conclusions: There was significant spatial temporal variation in hospitalized hip fracture rates in NSW, Australia. The use of Bayesian methods was crucial to allow for spatial correlation, covariate effects, and LGA boundary changes. © 2009 International Osteoporosis Foundation and National Osteoporosis Foundation.
- Description: 2003008191
Sport/leisure injury hospitalisation rates-Evidence for an excess burden in remote areas
- Authors: Finch, Caroline , Boufous, Soufiane
- Date: 2009
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 12, no. 6 (2009), p. 628-632
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
- Reviewed:
- Description: Information about the regional population distribution of sports injury rates is important for the identification of priority groups for injury prevention and sports medicine service delivery. This study describes the relationship between regional measures of social disadvantage (socio-economic index for areas, SEIFA) and remoteness (accessibility/remoteness index of Australia, ARIA) and the incidence of sport/leisure hospitalisation episodes for 2003-2004. All hospital separations, of New South Wales (NSW, Australia) residents, with an ICD-10-AM principal diagnosis indicating an injury and an activity code indicating sport/leisure activity were included. Age-standardised hospitalisation rates were calculated across SEIFA and ARIA categories. There was no clear trend in hospitalisation rates across SEIFA quintiles, with rates ranging from a low of 150.3/100,000 population (95% CI: 145.5-155.2) in the quintile of most disadvantage to a high of 201.8/100,000 population (196.1-207.4) in the middle quintile. In contrast, there was a strong positive and significant trend across ARIA groups (p < 0.001) with rates ranging from a low of 156.2/100,000 population (153.2-159.2) in the most urban areas to a high of 335.5/100,000 population (306.5-364.6) in remote areas. Reasons for these trends are unclear but may include differences in medical and allied health service provision, sport/leisure infrastructure and opportunities across regions or differential participation in sport across NSW. Further investigations into why remote and very remote areas, in particular, have such high rates, including exploration of participation rates, sport/leisure opportunity delivery factors and the provision of sports medicine services need to be undertaken before injury rates can be reduced in these areas. © 2008 Sports Medicine Australia.
- Description: 2003006565
The health impacts of combative sports where the head is a deliberate target: a review of the literature.
- Authors: White, Peta , Finch, Caroline
- Date: 2009
- Type: Text , Technical report
- Full Text: false
The policies and practices of sports governing bodies in relation to assessing the safety of sports grounds
- Authors: Swan, Peter , Otago, Leonie , Finch, Caroline , Payne, Warren
- Date: 2009
- Type: Text , Journal article
- Relation: Journal of Science and Medicine in Sport Vol. 12, no. 1 (2009), p. 171-176
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text:
- Description: Sport is an important context for physical activity and it is critical that safe environments are provided for such activity. Sports safety is influenced by the presence of sports ground environmental hazards such as ground hardness, poorly maintained playing fields, surface irregularities and the presence of debris/rubbish. To reduce injury risk, sports governing bodies need to ensure regular assessment of grounds safety and the removal of identified hazards. This study describes sports ground safety guidelines and recommendations of a sample of sports governing bodies and provides recommendations for how they could be improved. Semi-structured key informant interviews were conducted with nominees of state governing bodies for Australian football, cricket, soccer and hockey. The use of matchday checklists to identify ground hazards, as mandated by insurance companies was widely promoted across all levels of play. Sports governing bodies had more direct involvement in assessing grounds used for higher level of play, than grounds used for community or junior sport. There was a general presumption that identified hazards on community grounds would be corrected by local councils or clubs before anyone played on them, but this was rarely monitored. Sports governing bodies run the risk of being negligent in their duty of care to sports participants if they do not formally monitor the implementation of their ground safety polices and guidelines. There is also further scope for sports bodies to work closely with insurers to develop ground safety assessment guidelines specific to their sport. © 2008 Sports Medicine Australia.
- Description: 2003008186
The Preventing Australian football injuries with exercise (PAFIX) Study : A group randomised controlled trial
- Authors: Finch, Caroline , Lloyd, David , Elliott, Bruce
- Date: 2009
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 15, no. 3 (2009), p. 207
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
- Reviewed:
- Description: Background: Knee injuries are a major injury concern for Australian Football players and participants of many other sports worldwide. There is increasing evidence from laboratory and biomechanically focused studies about the likely benefit of targeted exercise programmes to prevent knee injuries. However, there have been few international studies that have evaluated the effectiveness of such programmes in the real-world context of community sport that have combined epidemiological, behavioural and biomechanical approaches. Objective: To implement a fully piloted and tested exercise training intervention to reduce the number of football-related knee injuries. In so doing, to evaluate the intervention's effectiveness in the real-world context of community football and to determine if the underlying neural and biomechanical training adaptations are associated with decreased risk of injury. Setting: Adult players from community-level Australian Football clubs in two Australian states over the 2007-08 playing seasons. Methods: A group-clustered randomised controlled trial with teams of players randomly allocated to either a coach-delivered targeted exercise programme or usual behaviour (control). Epidemiological component: field- based injury surveillance and monitoring of training/game exposures. Behavioural component: evaluation of player and coach attitudes, knowledge, behaviours and com- pliance, both before and after the intervention is implemented. Biomechanical component: biomechanical, game mobility and neuromuscular parameters assessed to determine the fundamental effect of training on these factors and injury risk. Outcome measures: The rate and severity of injury in the intervention group compared with the control group. Changes, if any, in behavioural components. Process evaluation: coach delivery factors and likely sustainability.
- Description: 2003008199