injury survey - international paralympic committee sports ... · sports injury prevention 1....
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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: [email protected]