List of Titles

When 'just doing it' is not enough: Assessing the fidelity of player performance of an injury prevention exercise program

- Fortington, Lauren, Donaldson, Alex, Lathlean, Tim, Young, Warren, Gabbe, Belinda, Lloyd, David, Finch, Caroline

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
Full Text:
Reviewed:
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.

Sports Injuries

- Joseph, Corey, Finch, Caroline

Authors: Joseph, Corey , Finch, Caroline
Date: 2014
Type: Text , Book chapter
Relation: Reference Module in Biomedical Research p.
Full Text: false
Reviewed:
Description: Sport is a common context for injury. It is the most common reason for hospital-treated injury in adolescents and young adults and there is some evidence that injury rates at the population level are increasing. Sports injuries can occur to participants across all forms of sport ranging from elite/professional sport to competitive sport in clubs/colleges/schools to school sport to a range of fitness and physical activity programs usually undertaken for health and social reasons. Over recent years, evidence has accumulated that the majority of these injuries should be preventable if sports injury interventions are successfully implemented. The challenge remains to demonstrate the effectiveness of many sports injury interventions in appropriate real-world settings and to better understand the drivers and barriers to sports injury prevention implementation efforts. © 2014 Elsevier Inc. All rights reserved.

Is subsequent lower limb injury associated with previous injury? A systematic review and meta-analysis

- Toohey, Liam, Drew, Michael, Cook, Jill, Finch, Caroline, Gaida, Jamie

Authors: Toohey, Liam , Drew, Michael , Cook, Jill , Finch, Caroline , Gaida, Jamie
Date: 2017
Type: Text , Journal article , Review
Relation: British Journal of Sports Medicine Vol. 51, no. 23 (2017), p. 1670-1678
Full Text: false
Reviewed:
Description: Background Previous injury is a strong risk factor for recurrent lower limb injury in athletic populations, yet the association between previous injury and a subsequent injury different in nature or location is rarely considered. Objective To systematically review data on the risk of sustaining a subsequent lower limb injury different in nature or location following a previous injury. Methods Eight medical databases were searched. Studies were eligible if they reported lower limb injury occurrence following any injury of a different anatomical site and/or of a different nature, assessed injury risk, contained athletic human participants and were written in English. Two reviewers independently applied the eligibility criteria and performed the risk of bias assessment. Meta-analysis was conducted using a random effects model. Results Twelve studies satisfied the eligibility criteria. Previous history of an ACL injury was associated with an increased risk of subsequent hamstring injury (three studies, RR=2.25, 95% CI 1.34 to 3.76), but a history of chronic groin injury was not associated with subsequent hamstring injury (three studies, RR=1.14, 95% CI 0.29 to 4.51). Previous lower limb muscular injury was associated with an increased risk of sustaining a lower limb muscular injury at a different site. A history of concussion and a variety of joint injuries were associated with an increased subsequent lower limb injury risk. Conclusions The fact that previous injury of any type may increase the risk for a range of lower limb subsequent injuries must be considered in the development of future tertiary prevention programmes. Systematic review registration number CRD42016039904 (PROSPERO). © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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