Towards an evidence based prevention of sports injuries

Shephard, R J

doi:10.1136/ip.2004.007963

Cited by 9 publications

(6 citation statements)

References 9 publications

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“…Although it is an important concept in sport injury, risk is not well understood (Burt, 2001). The term "risk" is defined in many disparate, yet related, ways by different researchers (Burt, 2001;Shephard, 2005). Generally, risk can be considered the probability of an adverse event occurring (Abrahams, McFie, Patricios, Posthumus, & September, 2013).…”

Section: Riskmentioning

confidence: 99%

“…It is important to investigate risk factors in order to understand them and to attempt to attenuate risk. Attempting to remove risk factors will likely decrease and not necessarily eliminate risk (Shephard, 2005). Some potential factors contributing to risk are modifiable, such as behaviour (e.g., reporting injury to prevent subsequent injury) and chosen sport.…”

Section: Riskmentioning

confidence: 99%

“…The literature shows that the concept of risk is poorly understood despite its importance in sport and injury research and practice. This is due, in part, to the varying definitions and types of risk that exist (Burt, 2001;Shephard, 2005). Generally risk can be defined as the probability of a hazardous event occurring (Burt, 2001).…”

mentioning

confidence: 99%

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Pre-injury variables and risk of sport concussion

Mylabathula

2017

Br J Sports Med

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ObjectiveThe study examined whether cognitive functioning, history of concussion (HOC), and sex predicted risk of sport concussion.DesignRetrospective study design. Predictive models were used to determine the predictive ability of each variable.SettingCanadian University.Participants708 data observations from 701 varsity athletes (41.2% female), representing 14 sports.Assessment of risk factorsTwo measures of cognitive functioning (mean reaction time and throughput [speed and accuracy]) were assessed using the Automated Neuropsychological Assessment Metrics testing battery. Categorical and continuous measures of HOC, and sex, were examined.Outcome measuresOccurrence of concussion after baseline testing.Main resultsHOC was a significant predictor for both sexes. For every previous concussion, the odds of sustaining another concussion increased by 1.5 (95% Confidence Interval [CI]: 1.1, 2.1 [females]; 1.2, 1.9 [males]). Females with a HOC had twice the odds of sustaining another concussion than those without a HOC (CI: 1.1, 4.0). For males, the odds were three times (CI: 1.7, 5.6). Cognitive functioning and sex were not meaningful predictors.ConclusionsThis study supports previous findings that HOC is a risk factor and suggests that pre-injury cognitive functioning is not a risk factor for sport concussion. Assessing HOC in all athletes prior to their competitive season provides information regarding their risk of future sport concussion. Thus, it is important for clinicians to record HOC, and to encourage athletes to report concussions to ensure an accurate HOC record. Pre-injury cognitive screening of athletes is not recommended for assessing risk of future concussion.Competing interests Sandhya Mylabathula, Lynda Mainwaring, and Michael Hutchison None. Doug Richards is the Medical Director at the MacIntosh Sports Medicine Clinic at the University of TorontoPaul Comper is a clinical neuropsychologist consultant with the NHLPA and a member of the Concussion Working Group, but neither were related to the current research

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Section: Riskmentioning

confidence: 99%

Section: Riskmentioning

confidence: 99%

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Pre-injury variables and risk of sport concussion

Mylabathula

2017

Br J Sports Med

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“…Once the most frequent injuries of each modality and their risk factors are known, preventive measures can be introduced ( Figure 3). The efficiency of these measures and their suitability from the methodological point of view (Finch, 2006;Shepard, 2005) are known beforehand. The prevention programs should be evaluated through more rigorous designs, with not only random experimental designs of group control, but also quasiexperimental designs that permit more representative samples (professional sportspeople) and more realistic practice contexts (training -competition processes), with truly ideal intervention programmes.…”

Section: Fig 2 Recursive Model Of Aetiology In Sport Injurymentioning

confidence: 99%

Intervention Strategies in the Prevention of Sports Injuries From Physical Activity

Casais¹,

Martínez²

2012

An International Perspective on Topics in Sports Medicine and Sports Injury

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“…Injury prevention programmes among students at schools and other educational institutes are one means of trying to reduce injuries among young people [28]. More well-designed studies are still needed on the effects of various types of injury prevention [8,10,20,25].…”

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confidence: 99%

Trend in Sports Injuries among Young People in Finland

Tiirikainen¹,

Lounamaa²,

Paavola³

et al. 2008

Int J Sports Med

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The main purpose of this study was to explore how the number of home, sports, and other leisure time injuries among young people aged 15 - 25 years has developed in Finland in 1988 - 2003. In 1988, 2559 people aged 15 - 25 years were interviewed by Statistics Finland. In 1993, 1997 and 2003 those amounts were 751, 1638 and 1382. The subjects were asked in a telephone interview to report the injuries in which they had been involved during the previous 12 months. The crude injury incidence in 2003 was 364 per 1000 person years in men and 246 in women. The total number of injuries increased 49 % between the years 1988 and 2003. The number of sports injuries increased the most. The increase was greater among men than women, and the injury rate was higher among both men and women aged 15 - 19 years than those aged 20 - 25 years. More research is needed on whether and how exercise and time at home have changed and become riskier among young people. It is also essential to find out which prevention methods are the most effective among young people and implement these measures in a well-planned and targeted manner.

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Towards an evidence based prevention of sports injuries

Cited by 9 publications

References 9 publications

Pre-injury variables and risk of sport concussion

Pre-injury variables and risk of sport concussion

Intervention Strategies in the Prevention of Sports Injuries From Physical Activity

Trend in Sports Injuries among Young People in Finland

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