Context Matters: Revisiting the First Step of the ‘Sequence of Prevention’ of Sports Injuries

Bolling, Caroline; Mechelen, Willem van; Pasman, H. Roeline W.; Verhagen, Evert

doi:10.1007/s40279-018-0953-x

Cited by 184 publications

(185 citation statements)

References 44 publications

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“…Even though identifying risk factors is only one step within a larger framework of injury prevention [105][106][107], an accurate clinical interpretation of the findings of this systematic review is necessary to achieve the goal of injury reduction in runners. First, it must be noted that the identification of biomechanical risk factors does not implicate that a general "perfect" biomechanical running style would exist [21].…”

Section: Clinical Implications Of Biomechanical Risk Factorsmentioning

confidence: 99%

Biomechanical Risk Factors Associated with Running-Related Injuries: A Systematic Review

et al. 2019

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Background Running is a popular form of physical activity with many health benefits. However, the incidence and prevalence of running-related injuries (RRIs) is high. Biomechanical factors may be related to the development of RRIs. Objective This systematic review synthesizes biomechanical risk factors related to the development of RRIs in non-injured runners. Methods PubMed, Web of Science, CINAHL, Embase, and SPORTDiscus were searched in July 2018 for original peerreviewed prospective studies evaluating potential biomechanical factors associated with the development of RRIs. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Two reviewers independently assessed articles for inclusion and methodological quality. Due to methodological heterogeneity across studies, a narrative synthesis of findings was conducted, rather than a meta-analysis. Results Sixteen studies, including 13 of high quality and three of moderate quality, were included. A large number of biomechanical variables were evaluated, producing inconsistent evidence overall. Limited evidence indicated greater peak hip adduction in female runners developing patellofemoral pain and iliotibial band syndrome, but not for a mixed-sex population of crosscountry runners sustaining an RRI. The relationship between vertical loading rate and RRIs was inconsistent. Other kinematic, kinetic and spatiotemporal factors were only studied to a limited extent. Conclusions Current prospective evidence relating biomechanical variables to RRI risk is sparse and inconsistent, with findings largely dependent on the population and injuries being studied. Future research is needed to confirm these biomechanical risk factors and determine whether modification of these variables may assist in running injury prevention and management. Key Points Despite the common belief that biomechanical factors greatly influence running-related injury (RRI) risk, only a limited body of high-quality research, with significant heterogeneity in study populations, methodologies and outcome variables, was identified. Current prospective evidence relating biomechanical variables with the risk to sustain an RRI is inconsistent and largely dependent on the population and injuries being studied. A number of single-study findings related to kinematics, kinetics and spatiotemporal variables require confirmation via further high-quality prospective studies before clinical recommendations can be made.

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Section: Clinical Implications Of Biomechanical Risk Factorsmentioning

confidence: 99%

Biomechanical Risk Factors Associated with Running-Related Injuries: A Systematic Review

et al. 2019

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“…Our findings also support new perspectives of studying the sports‐injury problem, as despite experiencing pain and sporting function limitations, most players decide to continue to play. This emphasizes the need for contextualization of sports‐injury definitions, including not only perspectives from athletes and researchers, but also from coaches and clinicians, as these are fundamental for implementing successful injury prevention interventions …”

Section: Perspectivesmentioning

confidence: 99%

“…This emphasizes the need for contextualization of sports-injury definitions, including not only perspectives from athletes and researchers, but also from coaches and clinicians, as these are fundamental for implementing successful injury prevention interventions. [32][33][34]…”

Section: Perspectivesmentioning

confidence: 99%

Prevalence and severity of groin problems in Spanish football: A prospective study beyond the time‐loss approach

Esteve

Clausen

Rathleff

et al. 2020

Scandinavian Med Sci Sports

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The time‐loss definition of injury is commonly adopted in epidemiological groin‐injury studies in football, with a significant risk of underestimating the impact of these injuries. This study investigated the extent of groin problems, beyond the time‐loss approach, over a full Spanish football season. Players from 17 amateur male teams were followed over 39 consecutive weeks. Groin‐injury time loss and self‐reported groin pain, irrespective of time loss, were combined to calculate the average weekly prevalence of all groin problems with or without time loss. A subscale measuring hip‐ and groin‐related sporting function from the Copenhagen Hip and Groin Outcome Score questionnaire (HAGOS, Sport/Rec) was registered every 4 weeks. In total, 407 players participated in the study. The average (range) weekly prevalence of all groin problems was 11.7% (7.2%‐20.8%); 1.3% with time loss (0.0%‐3.2%) and 10.4% without time loss (6.3%‐17.6%). Players with groin problems reported lower scores (mean difference) on the HAGOS, Sport/Rec subscale compared with players without (−19.5 [95% CI: −20.7 to −18.4]), while there was no difference between players reporting groin problems with and without time loss (4.0 [95% CI: −1.1 to 9.1]). The traditional time‐loss measure only captured 10% of all groin problems. Hip‐ and groin‐related sporting function was not different between players reporting groin problems with or without time loss, suggesting the reason for continuing to play is not only related to the severity of symptoms. These findings question the judicious use of the time‐loss approach in overuse conditions, such as groin pain in footballers.

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“…Given the complex nature of encouraging widespread adoption of all exercises in an IPEP, qualitative research can be extremely useful in furthering our understanding of players and coaches reasoning behind these decisions. 29 Thus, future qualitative research in an Irish context in camogie players is required.…”

Section: Discussionmentioning

confidence: 99%

Can we improve coaches’ injury prevention views and implementation practices in the community female Gaelic sport of camogie?

O’Connor

Lacey

2020

BMJ Open Sport Exerc Med

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ObjectivesTo evaluate the effect of a nationwide coach education workshop on the attitudes towards, willingness and perceived ability of camogie coaches to implement a Camogie Injury Prevention Programme (CIPP) and their implementation of this programme 4 weeks after the workshop.MethodsCoaches (n=98) from all four provinces in Ireland were recruited and completed a questionnaire prior to and immediately following a developed workshop on the CIPP. Four weeks later 40 of the 98 coaches completed a follow-up questionnaire. Descriptive statistics were completed and a mixed between–within analysis of variance was conducted to examine the differences in willingness and perceived ability to conduct the CIPP over time and between genders. Non-parametric tests examined the differences in attitude scores. The implementation rate of the programme 4 weeks following the workshop was also assessed.ResultsJust 13.4% of coaches had previously heard of the CIPP. Significant improvements in attitudes towards, willingness and perceived ability to conduct the CIPP was noted (p<0.001) post-workshop. Ninety-one per cent of coaches reported that implementing the CIPP in a phased approach with their teams would be beneficial. The camogie coaches primarily viewed the CIPP content favourably, finding the exercises important, relevant and mostly enjoyable. However, some coaches reported that the Nordic hamstring curl is too challenging for players to complete (immediately following workshop: 28.7%; 4 weeks later: 53.3%). Four weeks after the workshop, 72.5% of coaches who responded were implementing the CIPP with their teams in the community.ConclusionsDue to the success of the education workshop, the Camogie Association should incorporate this injury prevention workshop into all mandatory camogie coaching education courses.

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Context Matters: Revisiting the First Step of the ‘Sequence of Prevention’ of Sports Injuries

Cited by 184 publications

References 44 publications

Biomechanical Risk Factors Associated with Running-Related Injuries: A Systematic Review

Biomechanical Risk Factors Associated with Running-Related Injuries: A Systematic Review

Prevalence and severity of groin problems in Spanish football: A prospective study beyond the time‐loss approach

Can we improve coaches’ injury prevention views and implementation practices in the community female Gaelic sport of camogie?

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