We are a research group within the Department of Public and Occupational Health of the Amsterdam UMC, location VUmc, in The Netherlands. Our research deals with the relationship between physical activity and health. Sufficient levels of physical activity are a necessity for good health, but also entail a risk of injury.
Just published in Sports Medicine, this systematic review was to identify prospective studies that used a criteria-based return to sport (RTS) decision-making process for patients with lateral ankle sprain (LAS) injury. We found that currently there are no published evidence-based criteria to inform RTS decisions for patients with an LAS injury. A narrative synthesis proposed a number of variables that could be used to develop a criteria-based RTS decision paradigm.
Just recently our own Nicola Sewry successfully defended her thesis “The Effectiveness and Implementation of the BokSmart Safe Six Injury Prevention Programme”. In her project - which was a joint effort between the University of Capetown and our group - she set out to investigate whether the SA Rugby SafeSix injury prevention program was effective for the prevention of rugby related injuries in South African Youth Rugby. Positive results .. but some more work needs to be done on this horizon.
Last Tuesday Miriam van Reijen successfully defense her PhD Thesis “Preventing recurrent ankle sprains: the implementation effectiveness of the ‘strengthen your ankle’ app”. In her project she set out to investigate whether an effective intervention disseminated through an app helps to increase compliance to the prescribed program. Turns it does not help as much as much as we imagined.
While the year is almost at end, we still have a number of studies published that we have not shared. Amongst those, this cost-effectiveness analysis of the 11+Kids Football Injury Prevention Program. Not your straightforward cost-effectiveness analysis … this one looks broader and evaluates the potential reduction in injury related healthcare costs on a national level (Swiss in this case) when implementing the ’11+ Kids’ injury prevention programme.
Though rare, rugby union carries a risk for serious injuries such as acute spinal cord injuries (ASCI), which may result in permanent disability. Various studies have investigated injury mechanisms, prevention programmes and immediate medical management of these injuries. However, relatively scant attention has been placed on the player's experience of such an injury and the importance of context. Therefore, the aim of this study was to explore the injury experience and its related context, as perceived by the catastrophically injured player.
Injury definition is a relevant topic in sports injury prevention, however we don't know if the theoretical sports injury definitions current applied in literature also align with the perspectives of the main stakeholders in an elite sports setting. What if we ask them? That was the aim of the study: to explore how athletes, coaches, and physiotherapists define a sports injury, and how the elite sport context influences their perception of injury.
This one is fresh out and describes the incidence and risk factors of medial tibial stress syndrome: in Physical Education Teacher Education students. Medial tibial stress syndrome (MTSS) is a common lower extremity overuse injury often causing long-term reduction of sports participation. This study aimed to investigate the incidence and risk factors of MTSS in first-year Dutch Physical Education Teacher Education (PETE) students.
A secondary analysis of the’11+ Kids’ trial showed a large preventive effect on severe injuries by investing only 15 to 20 min per training session. There was a reduction of severe overall (HR 0.42, 95% CI 0.24 to 0.72), match (0.41, 0.17 to 0.95) and training injuries (0.42, 0.21 to 0.86) in INT. The present study should raise clinicians’ and coaches’ awareness towards the ‘11+ Kids’ as an effective injury prevention programme.
Relationships between load, load capacity, performance and health are topics of contemporary interest. At what intensity should an athlete train to achieve the best physiological response? How much (or little) can an athlete train without detri- mentally affecting health? Most studies addressing such questions have used a reductionist approach wherein factors were studied in isolation, thereby ignoring the complex inter-relationships and balance between factors. This editorial discusses the association between load and load capacity, and their relationship with athlete performance and health. It illustrates the practical use of a model for the management of athlete performance and health, and provide directions for future practice and research.
Despite the availability of high quality evidence, compliance to interventions that protect athletes’ health is low. Consequently, evidence-based programs are not achieving their optimal effect in real-life athletic situations. Implementation and knowledge translation are the contemporary incantations to resolve this apparent gap between science and practice. This has provided us novel research questions and challenges that follow on efficacious outcomes. Most of these questions are not answered through quantifiable outcomes measures as they revolve around user behaviors. This editorial argues that if we want to know why athletes and coaches behave as they do, and what barriers there may be to changing their behavior, qualitative research can be used to give athletes and coaches a voice.