injury survey - international paralympic committee sports ... · sports injury prevention 1....

Injury SurveyFrom Salt Lake to Vancouver

Dr Nick Webborn

2002 - 2010 Athletes2002 2006 2010

Athlete 416 474 505Male 328 375 381

Female 88 99 124Alpine 194 184 194Nordic 134 131 141

Sledge Hockey 88 112 118Curling 0 40 50

Sports Injury Prevention

1. Establishing the extent of the problem:

• Incidence

• Severity

2. Establishing the aetiology and mechanism of sports

injury

van Mechelen W, Hlobil H, Kemper HC. Incidence, severity, aetiology and prevention of sports injuries. A review of concepts. Sports Med. 1992;14:82-99.

3. Introducing a

preventive measure

4. Assess effectiveness

of intervention

by repeating 1.

Injury Survey• Commenced in 2002

• Approved by IPS Sports Science Committee, Ethical approval - Univ. of Brighton UK

• Aim to capture information on incidence, aetiology and mechanism of injury with a view to introducing preventive meausres

• To look at the impact of equipment on injury

Injury Survey• Age, Gender, Country

• Sport, Position

• Classification

• Mechanisms of injury

• Diagnoses

• Imaging studies

• Equipment played a role in the injury

• Video analysis - NEW for 2010

What have we learned so far?

Injury Rate by Sport(% of competitors)

0

4

8

11

15

13

3

14

Alpine Skiing Nordic SkiingSledge Hockey

Curling

20022006

11

4

12

Acute Traumatic v Overuse Injuriesby Sport

0

5

10

15

20

Alpine SkiingNordic Skiing

Sledge Hockey

Trauma 2002Trauma 2006Overuse 2002Oversue 2006

Injury Survey

0

4

8

11

15

Competition Non-sportPre-existing -sport

Pre-existing-non-sportTraining

Injury Onset by Activity

39% 39%

5%

15%

2%

20022006

Alpine

Injury Survey

2006 - Acute Alpine Injuries by Body Part

1

21

2 1

3

1

5

1

Sitskiers

2

2

7Shoulder

Abdomen

Wrist

Injury Survey

Injury Survey

Injury Survey

Injury Survey• Injury

prevention:• Avoiding abduction/

ext rotation of shoulder - technique/ falling

• Sprung outrigger?

• Failure mechanism?

• Snowboard type glove c. wrist support?

Nordic

Injury Survey

Nordic – Overuse Injuries

Wheelchair Curling

Ice Sledge Hockey

Injury Survey

Injury Survey

Injury Survey

Injury Survey 2002

• 42% (5/12) of sled hockey injuries preventable

• Osteoporotic legs vulnerable

0

1

2

3

4

Binding Failed to Release No Protective Shell on Hockey Sled

Equipment Related Injuries

Sport Rule Changes Post-2002

• Sledge height

• Protective wear feet/legs

• No lower-limb fractures in Torino - Vancouver??

?Vancouver

Sports Injury Prevention ExampleAcute Injury

Webborn, N., Willick, S. & Reeser, J.C. (2006) Injuries among disabled athletes during the 2002 Winter ParalympicGames. Medicine and Science in Sports and Exercise 38(5), 811–815

IPC Injury Survey

• We can make a difference! - Sports technical committees listen to sound evidence

• Contribution of data from NPCs is invaluable

• Publication of data 2002-2010 post Games

IPC Injury Survey

• Need longitudinal data for risk analysis - injuries / hrs competition or training

• Better Electronic Medical Records systems

• Equipment safety analysis

• Understanding of the long term consequences of sport participation

Thank you for your support

IPC Sports Injury Surveillance Team

For further information: nickwebborn@sportswise.org.uk