Sports injuries in team handball. A one-year prospective study of sixteen men's senior teams of a superior nonprofessional level

One hundred eighty-six players of 16 teams in 2 male team handball senior divisions were observed prospectively for 1 season to study the injury incidence in relation to exposure in games and practices. Ninety-one injuries were recorded. Injury incidence was evaluated at 2.5 injuries per 1000 player-hours, with a significantly higher incidence in game injuries (14.3 injuries per 1000 game-hours) compared with practice injuries (0.6 injuries per 1000 practice-hours). Practice injury incidence was higher in the lower performance level group, and game injury incidence was higher in the high-level group. The upper extremity was involved in 37% of the injuries, and the lower extremity in 54%. The knee was the most commonly injured joint, followed by the finger, ankle, and shoulder. Knee injuries were the most severe injuries, and they were more frequent in high-level players. There was an increase in the severity of injury with respect to performance level. The injury mechanism revealed a high number of offensive injuries, one-third of them occurring during a counterattack. The injury pattern showed certain variations with respect to player position and performance level. Prophylactic equipment was used by a majority of players at the higher performance level.     

How can injuries be prevented in the World Cup soccer athlete?

In order to prevent soccer injuries, different risk factors have to be identified as intrinsic (e.g., joint stability or muscle imbalance) and extrinsic (e.g., equipment, turf, and rules risk factors). Some preventive measures are discussed in this article, such as shin guards, prophylactic braces and taping (or both), and proprioceptive training.     

Common rugby league injuries. Recommendations for treatment and preventative measures

Rugby league is the main professional team sport played in Eastern Australia. It is also very popular at a junior and amateur level. However, injuries are common because of the amount of body contact that occurs and the amount of running that is required to participate in the game. Injuries to the lower limbs account for over 50% of all injuries. The most common specific injuries are ankle lateral ligament tears, knee medial collateral and anterior cruciate ligament tears, groin musculotendinous tears, hamstring and calf muscle tears, and quadriceps muscle contusions. Head injuries are common and consist of varying degrees of concussion as well as lacerations and facial fractures. Serious head injury is rare. Some of the more common upper limb injuries are to the acromioclavicular and glenohumeral joints. Accurate diagnosis of these common injuries using appropriate history, examination and investigations is critical in organising a treatment and rehabilitation plan that will return the player to competition as soon as possible. An understanding of the mechanism of injury is also important in order to develop preventative strategies.     

Leg injuries and shin guards

Soccer players have a high risk of soft-tissue injuries to their legs. Fractures of the tibia and fibula represent a serious potential injury; despite this, the incidence of these fractures in soccer players is unknown. Shin guards have become the only protective devices that are required by international and collegiate soccer associations. Nonetheless, the protective ability of shin guards has only been studied to a limited extent. Shin guards are assumed to be most effective at reducing leg abrasions and contusions. The role of shin guards in protecting against fractures has yet to be determined. Further analysis of the clinical effectiveness and biomechanical properties of shin guards is necessary to reduce the rate of leg fractures.     

Smoking, intra-uterine growth retardation and sudden infant death syndrome

A unique aspect of soccer is the use of the head for directing the ball. The potential for resultant head injuries has been the focus of discussions worldwide. Prior work has attributed neuropsychologic deficits to the cumulative effects of heading, without evaluating concussion rates in soccer players. We prospectively studied the seven men's and eight women's varsity soccer teams in the Atlantic Coast Conference during two seasons to document concussion incidence. The 29 concussions diagnosed over the 2 years in 26 athletes, 17 (59%) concussions in men and 12 (41%) in women, resulted from contact with an opponent's head (8, 28%), elbow (4, 14%), knee (1, 3%), or foot (1, 3%); the ball (7, 24%); the ground (3, 10%); concrete sidelines (1, 3%); goalpost (1, 3%); or a combination of objects (3, 10%). Twenty concussions (69%) occurred in games; none resulted from intentional heading of the ball. The basic incidence was 0.96 concussions per team per season. The overall incidence was 0.6 per 1000 athlete-exposures for men, and 0.4 per 1000 athlete-exposures for women. By concussion grade, there were 21 (72%) grade 1, 8 (28%) grade 2, and no grade 3 concussions. These findings suggest that concussions are more common in soccer than anticipated and that acute head injuries may have potential for long-term neuropsychologic changes.     

Administration of first-aid and prevention of injuries in Kenyan soccer

Appropriate scientific training demands the cooperation of the coach, player, doctor and physiotherapist. The training process involves the medical examination before a competitive season, the diagnosis and treatment of injuries when they occur, the prevention of injuries and the rehabilitation of the injured back into competitive play. It is in these respects that a coach requires the services of a doctor and/or a physiotherapist on the technical bench. This study therefore attempted to establish whether the soccer coaches were benefiting from the professional support of the doctors. The study sought the views of the Kenyan soccer coaches on the administration of first-aid and the preventive measures against injuries. Specifically, the study attempted to find out whether the Kenyan soccer clubs employed team doctors, whether the coaches had adequate knowledge in first-aid, the injury prevention measures that the coaches enforced, etc. A questionnaire was administered to 42 individual soccer coaches who were attending an advanced Confederation Africaine de Football (CAF) coaching course in Nairobi. Thirty-three (78.57%) were used in the study. The participants were drawn from all the provinces of Kenya except North Eastern. The findings were that 13 (39.4%) of the clubs represented did not have a qualified medical attendant; that in the absence of a team doctor, it is the coach who mostly administered first-aid (42.4%); that out of all the coaches only 15 (45.5%) were well versed in first-aid procedures, among others.(ABSTRACT TRUNCATED AT 250 WORDS)     

Neuropsychological assessment of soccer players.

Assessed the attention and concentration of 31 soccer players (aged 18–24 yrs), who deliberately use the head to propel the ball, and 31 tennis players (aged 18–22 yrs). Ss were administered the Raven Progressive Matrices, Symbol Digit Modalities Test, Perceptual Speed Test, and Paced Auditory Serial Addition Test (PASAT). There were no significant differences between the 2 groups on these tests. However, there was a significant negative correlation between number of games played and performance on the PASAT. Also, a significantly greater number of soccer players reported experiencing headaches, dizziness, and passing out after a game. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Facial injuries in hockey players

As otolaryngologists become more involved with maxillofacial trauma, we are encountering an increasing number of athletic injuries. Ice hockey accounts for a large number of these facial injuries. The fast moving and random nature of the game, frequent body and equipment contact and lack of protective devices, predisposes the hockey player to facial injury. Because of the roughly tenfold increase in hockey participation over the last decade, the problem of facial injury prevention has become a significant public health problem in North America. Review of the medical literature shows a paucity of interest in the subject of facial injury prevention in hockey. Several articles have dealt with ocular injury, while other articles have dealt with the general subject of hockey injury with only scant attention paid to the facial area. A retrospective study was carried out to more clearly define the scope of the facial injury problem. Four levels of hockey play were examined. Individuals from the youngest and most inexperienced to seasoned professionals were studied. An individually completed questionnaire was received from players in each group. It is the purpose of this paper to indicate the rates of injury for the various types of facial trauma, present their mechanisms of occurrence and discuss means of preventing facial injury in hockey players.     

Foot and ankle injuries related to rock climbing. The role of footwear

Interest in rock climbing has grown dramatically over the past decade. Although considerable research has been conducted on upper-extremity injuries sustained during rock climbing, there has been no comprehensive evaluation of lower-extremity injuries and related biomechanics. The authors performed a retrospective investigation of rock-climbing injuries using a survey of 104 active rock climbers of varying levels of expertise. The results show that 81% of the respondents have suffered acute or chronic pain or associated pathology in the foot or ankle during or after climbing. The authors propose that this morbidity has biomechanical etiologies related to the common practice among rock climbers of wearing climbing shoes that are smaller than their street shoes.     

Functional results and long-term outcome after bilateral lung transplantation for pulmonary hypertension

With the growing popularity of soccer both in the United States and worldwide, reports of adverse effects of 'heading' on brain function are a source of concern. This article reviews the related research literature on neurologic and neuropsychological findings. Neurologic and neuropsychological abnormalities have been reported in a significant minority of older former professional players in Norway. Purportedly unrelated to age, the most prominent findings were cerebral atrophy and impairment on intelligence test abilities that are particularly vulnerable to brain damage. Also noteworthy in these retired players were persistent physical, cognitive, and emotional complaints consistent with a postconcussive syndrome. Younger amateur players appear to be free of major abnormalities, although some report persistent difficulties with memory and concentration. The severity of these complaints may be related to a history of soccer-related head injuries and not necessarily specific to heading. Research findings specific to heading are not more than suggestive at best, and clarification of the risks of heading a soccer ball awaits more definitive studies.     

Sprained ankle syndrome: prevalence and analysis of 639 acute injuries

OBJECTIVE: To document injury rates in professional rugby players in the Rugby Super 12 competition and to act as a pilot study for future studies of rugby injuries. DESIGN: Prospective longitudinal study encompassing the 1997 Super 12 rugby season. SETTING: A New Zealand Super 12 rugby squad. PATIENTS AND PARTICIPANTS: 25 professional rugby players (replacement players were used for unavailable players, so although 30 different players were used during the season, there were only 25 in the squad at any one time). OUTCOME MEASURES: An "injury" was defined as something that prevented a player from taking part in two training sessions, from playing the next week, or something requiring special medical treatment (suturing or special investigations). An injury was "significant" if it prevented the player from being able to play one week after sustaining it (that is, if it made the player miss the next match). RESULTS: The overall injury rate was 120/1000 player hours. The rate of significant injuries was 45/1000 player hours. Those playing the position of "forward" had a higher overall injury rate than other players, but there was no difference in significant injury rate between the forwards and the backs. Injuries that caused players to miss game time occurred almost exclusively during the pre-season program or in the final third of the season. The majority of injuries were musculo-tendinous sprains or strains. The phase of play responsible for the majority of injuries was the tackle. The most frequently injured body part was the head and face. No catastrophic injuries occurred during the study period. CONCLUSIONS: Injury rates increase with increasing grade of rugby, injury rates in the Super 12 competition being higher than in first grade rugby. There is very little quality data on rugby injuries, and the few studies available use different methods of data collection and injury definition. There is a pressing need for the collection of accurate ongoing epidemiological data on injuries in rugby.     

Bladder tumor markers: need, nature and application. 2. Tumor and tumor-associated antigens

Three hundred and forty-five Touch football players were retrospectively surveyed to determine the nature and incidence of injuries sustained over a one year period. The definition of injury was that it prevented playing or training for at least one week. A total of 177 injuries were sustained by 117 players who participated in a total of 1043 hours of playing and training each week. The injury rate was 4.85/1000 hours of playing or training which was less than in other football codes. This rate was significantly more (p < 0.05) among males and no relationship was evident based on representative or training status. 71% of injuries were to the lower limb. 23% of all injuries involved the ankle. Less than 3% of injuries affected the head or neck. 54% of injuries were considered mild in that they only prevented playing or training for less than two weeks. Only 17% of injuries were stated to have been caused by contact with another player. This study found that the injury rate in Touch was much less than in other football codes.     

Hitting is contagious: Experience and action induction.

In baseball, it is believed that “hitting is contagious,” that is, probability of success increases if the previous few batters get a hit. Could this effect be partially explained by action induction—that is, the tendency to perform an action related to one that has just been observed? A simulation was used to investigate the effect of inducing stimuli on batting performance for more-experienced (ME) and less-experienced (LE) baseball players. Three types of inducing stimuli were compared with a no-induction condition: action (a simulated ball traveling from home plate into left, right, or center field), outcome (a ball resting in either left, right, or center field), and verbal (the word “left”, “center”, or “right”). For both ME and LE players, fewer pitchers were required for a successful hit in the action condition. For ME players, there was a significant relationship between the inducing stimulus direction and hit direction for both the action and outcome prompts. For LE players, the prompt only had a significant effect on batting performance in the action condition, and the magnitude of the effect was significantly smaller than for ME. The effect of the inducing stimulus decreased as the delay (i.e., no. of pitches between prompt and hit) increased, with the effect being eliminated after roughly 4 pitches for ME and 2 pitches for LE. It is proposed that the differences in the magnitude and time course of action induction as a function of experience occurred because ME have more well-developed perceptual-motor representations for directional hitting. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Epidemiology and outcome of tibial diaphyseal fractures in footballers

A retrospective analysis of tibial diaphyseal fractures caused by football was undertaken to establish the epidemiology and severity of these common injuries. Analysis showed that the commonest fracture types were Tscherne C0 and C1 fractures and that only 73.9 per cent of the patients had unimpaired sporting function after the injury. The time to return to football was significantly related to the severity of the fracture but there was no correlation with the skill of the player. The time to return to football for the C0 fractures averaged 7-8 months and it is therefore suggested that it is unlikely that any player will return to football in the same season.     

Snowboarding injuries

Snowboarding is a popular winter sport that involves riding a single board down a ski slope or on a half-pipe snow ramp. Compared with injuries resulting from traditional alpine skiing, snowboarding injuries occur more frequently in the upper extremities and ankles and less frequently in the knees. Different types of snowboard equipment, rider stance and snowboarding activity tend to result in different types of injury. Snowboarder's ankle, a fracture of the lateral talus, must be considered in a snowboarder with a "severe ankle sprain" that has not responded to treatment. Risk of injury may be lowered by using protective equipment, such as a helmet and wrist guards.     

Groin pain in the soccer athlete: fact, fiction, and treatment

Groin pain in the soccer athlete is a common problem accounting for 5% of soccer injuries. Groin distribution has proved to be the most common cause of groin pain. Other causes are direct trauma, ostetis pubis, muscle injuries, fractures, bursitis, hip problems, and hernia and referred pain. Soccer players with groin pain present a complex management problem that is discussed.     

Anterior cruciate ligament injury in elite Alpine competitors

Balance in Alpine skiing is dynamic and tenuous. Loss of balance typically leads to the accumulation of forces that create severe bending moments at the knee. The modern ski binding, while effective at protecting the ankle and lower leg, is much less effective at protecting the knee. The result: knee injuries have increased nearly three-fold since 1972 with anterior cruciate ligament (ACL) injuries currently accounting for approximately 10% of all skiing injuries. The mechanism of ACL injury in elite competitors is distinct from recreational skiers and is typically associated with a characteristic, deeply flexed, seated body position, with the feet accelerating forward relative to the upper body. The risk of ACL injury in elite skiers is compounded by the functional characteristics of the modern ski binding and further exacerbated by the protocols used to set release tension for competition. It is apparent that the physical abilities of the elite competitor, combined with modern ski technique and equipment, expose the skier to forces that the human body cannot tolerate. Presently, the only solution to the problem would appear to be the development of "smarter" bindings and/or the adoption of standards that set limitations on performance for the sake of safety.     

Solubility properties of racemic praziquantel and its enantiomers

This study was designed to examine both the pattern of team and player efficacy across a season of competition and the relationships among player efficacy, team efficacy, and team performance in collegiate ice hockey. The team and player efficacies of hockey players from 6 teams in a midwestern collegiate hockey league were assessed prior to 32 games. Official game statistics were factor analyzed to produce one useable performance measure, performance outcome. A consensus analysis demonstrated that players held homogeneous beliefs regarding their own and their teams' abilities to perform successfully. A meta-analysis of the regression equations for each team confirmed the homogeneity among teams and the predictive superiority of team efficacy in predicting team performance. Also, when team wins and losses were analyzed across the season, team efficacy significantly increased after a win and significantly decreased after a loss, but player efficacy was not affected.     

Acute ankle injuries: clinical decision rules for radiographse

The need to perform "routine" radiographs after every case of ankle trauma has been repeatedly questioned, since less than 15 percent of ankle injuries are found to involve a significant fracture. Several authors have proposed guidelines to define clinical characteristics that may help physicians identify patients with a higher probability of having a fracture on the radiograph. The Ottawa ankle rules are the latest guidelines developed for the management of ankle injuries. These highly sensitive decision rules may allow a significant reduction in the number of ankle radiographic series ordered and may decrease patients' waiting times and costs without an increased rate of missed fractures or patient dissatisfaction.     

The organization of leg movements in preterm and full-term infants after term age

In a sample of 13 full-term and 10 preterm infants, the development of kicking movements was studied at 6, 12, and 18 weeks (corrected) age. In healthy full-term infants some characteristics are strikingly stable, such as the duration of the flexion and extension phase and the within-joint organization. These parameters did not differ in preterm compared to full-term infants. For other features, however, developmental changes and differences were observed. Full-term infants tended to decrease their kick frequencies slightly with age. In preterm infants much higher initial kick rates were found, followed by a steep decrease, which resulted in kick frequencies comparable to the full-term levels after the (corrected) age of 12 weeks. There is a tight coupling between the movements in the different joints of the leg in full-term newborns. Preterm infants, in contrast, initially show much lower cross-correlations between hip and ankle and between knee and ankle. This is particularly the case for those preterm infants who were born before 32 weeks gestation. Again, the differences resolved after the age of 12 weeks, which might be related to a transformation in neural functions reported previously around this age. The initial differences in the characteristics of kicking appeared to be more readily explainable by differences in neurological condition than by contrasts in leg volume or postural control.