| 1. |
- Ardern, Clare, 1985-, et al.
(författare)
-
2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern
- 2016
-
Ingår i: British Journal of Sports Medicine. - : BMJ PUBLISHING GROUP. - 0306-3674 .- 1473-0480. ; 50:14, s. 853-864
-
Tidskriftsartikel (refereegranskat)abstract
- Deciding when to return to sport after injury is complex and multifactorial-an exercise in risk management. Return to sport decisions are made every day by clinicians, athletes and coaches, ideally in a collaborative way. The purpose of this consensus statement was to present and synthesise current evidence to make recommendations for return to sport decision-making, clinical practice and future research directions related to returning athletes to sport. A half day meeting was held in Bern, Switzerland, after the First World Congress in Sports Physical Therapy. 17 expert clinicians participated. 4 main sections were initially agreed upon, then participants elected to join 1 of the 4 groups-each group focused on 1 section of the consensus statement. Participants in each group discussed and summarised the key issues for their section before the 17-member group met again for discussion to reach consensus on the content of the 4 sections. Return to sport is not a decision taken in isolation at the end of the recovery and rehabilitation process. Instead, return to sport should be viewed as a continuum, paralleled with recovery and rehabilitation. Biopsychosocial models may help the clinician make sense of individual factors that may influence the athletes return to sport, and the Strategic Assessment of Risk and Risk Tolerance framework may help decision-makers synthesise information to make an optimal return to sport decision. Research evidence to support return to sport decisions in clinical practice is scarce. Future research should focus on a standardised approach to defining, measuring and reporting return to sport outcomes, and identifying valuable prognostic factors for returning to sport.
|
|
| 2. |
|
|
| 3. |
|
|
| 4. |
- Nielsen, Rasmus Oestergaard, et al.
(författare)
-
Statement on methods in sport injury research from the 1st METHODS MATTER Meeting, Copenhagen, 2019
- 2020
-
Ingår i: British Journal of Sports Medicine. - : BMJ PUBLISHING GROUP. - 0306-3674 .- 1473-0480. ; 54:15, s. 941-947
-
Forskningsöversikt (refereegranskat)abstract
- High quality sports injury research can facilitate sports injury prevention and treatment. There is scope to improve how our field applies best practice methods-methods matter (greatly!). The 1st METHODS MATTER Meeting, held in January 2019 in Copenhagen, Denmark, was the forum for an international group of researchers with expertise in research methods to discuss sports injury methods. We discussed important epidemiological and statistical topics within the field of sports injury research. With this opinion document, we provide the main take-home messages that emerged from the meeting.
|
|
| 5. |
- Wörner, Tobias, et al.
(författare)
-
Elite Ice Hockey Goalkeepers Have a High Prevalence of Hip and Groin Problems Associated With Decreased Sporting Function : A Single-Season Prospective Cohort Study
- 2019
-
Ingår i: Orthopaedic Journal of Sports Medicine. - : SAGE Publications. - 2325-9671. ; 7:12, s. 2325967119892586-2325967119892586
-
Tidskriftsartikel (refereegranskat)abstract
- Background: The modern style of goalkeeping in ice hockey is thought to predispose athletes to hip and groin problems. However, little is known about the magnitude of these problems in elite goalkeepers.Purpose: To describe the incidence, prevalence, and severity of hip and groin problems in elite ice hockey goalkeepers over the course of a single season.Study Design: Descriptive epidemiology study.Methods: We invited all elite Swedish ice hockey goalkeepers (n = 128) to participate in this prospective cohort study. Every second week, players reported hip and groin problems experienced within the past 14 days on the Oslo Sports Trauma Research Center Overuse Injury Questionnaire (OSTRC-O), classifying problems into "all" and "substantial" hip and groin problems. Three times during the season (pre-, mid-, and end-season), players reported hip and groin function on the Hip and Groin Outcome Score (HAGOS) as well as on the OSTRC-O.Results: A total of 101 goalkeepers participated in the study (83.3% male [seniors, 44.1%; juniors, 39.2%], 16.7% female). The cumulative incidences of all hip and groin problems and substantial hip and groin problems were 69% (95% CI, 59%-79%) and 36% (95% CI, 26%-46%), respectively. The average biweekly prevalence for all hip and groin problems and substantial hip and groin problems was 28.1% (95% CI, 25.0%-31.3%) and 10% (95% CI, 8.7%-11.4%), respectively. Among all the reported hip and groin problems, 16.9% (n = 70) were acute, 83.1% (n = 343) were because of overuse, and 15.5% (n = 64) led to time loss. HAGOS did not differ in the pre-, mid-, or end-season. Players reporting hip and groin problems on the OSTRC-O had significantly worse HAGOS scores than players without problems (P < .01).Conclusion: Hip and groin problems are highly prevalent in elite ice hockey goalkeepers. During a competitive season, 69% of players experienced hip and groin problems and 36% of players suffered from substantial problems. The vast majority of problems were because of overuse, not leading to time loss but related to reduced self-reported hip and groin function.
|
|
| 6. |
- Wörner, Tobias, et al.
(författare)
-
Hip and groin function and strength in male ice hockey players with and without hip and groin problems in the previous season- a prospective cohort study
- 2021
-
Ingår i: Physical Therapy in Sport. - : Elsevier BV. - 1466-853X. ; 52, s. 263-271
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: To describe and compare hip and groin strength and function of male ice hockey players over one season in players with and without hip and groin problems in the previous season. Design: Prospective cohort study. Setting: Swedish male ice hockey. Participants: We followed 193 players from 10 teams during the 2017/2018 season. Main outcome measures: Hip adduction and abduction strength, 5 s squeeze test (5SST), and self-reported hip and groin function (Hip and Groin Outcome Score). Changes over the season and differences between players with and without problems in the previous season were analyzed by linear mixed models. Results: Adduction strength decreased slightly from pre-to mid-season and abduction strength increased slightly over the full season. However, self-reported function or pain did not change. Players with hip and groin problems in the previous season had significantly worse self-reported function, and more groin pain during the 5SST compared to players without. Strength measurments did not differ between groups. Conclusions: Hip muscle strength, groin pain, and self-reported function appear to remain stable throughout the season in male ice hockey players. Remaining impairments in players with problems in the previous season suggest that function does not recover by ice hockey participation alone.
|
|
| 7. |
- Wörner, Tobias, et al.
(författare)
-
Incidence, prevalence, severity, and risk factors for hip and groin problems in Swedish male ice hockey - A one-season prospective cohort study
- 2022
-
Ingår i: Journal of Athletic Training. - : Journal of Athletic Training/NATA. - 1062-6050. ; 57:1, s. 72-78
-
Tidskriftsartikel (refereegranskat)abstract
- CONTEXT: The epidemiological focus on time loss may underestimate the true magnitude of hip and groin problems in male ice hockey players.OBJECTIVE: To describe the prevalence, incidence and severity of hip and groin problems (time loss and non-time-loss) in Swedish ice hockey players over the course of a season and to explore potential pre-season risk factors for these problems.DESIGN: Prospective one-season cohort study Setting: Professional and semi-professional Swedish ice hockey Patients or other participants: Twelve professional and semi-professional male ice hockey teams were invited to participate. Nine teams agreed to participate, and 163 players were included in analyses.MAIN OUTCOME MEASURES: Hip and groin problems in the previous season (time loss; non-time-loss), isometric adduction and abduction strength, and five-second squeeze test were recorded prior to the season and served as independent variables in the risk factor analysis. Main outcome measures were cumulative incidence of hip and groin problems, average prevalence, and odds ratios for groin problems in-season Results: Cumulative incidence for all problems was 45.4 % (95% CI 37.6-53.4) and 19% (13.3-25.9) for substantial problems. Average prevalence was 14.1% (10.8-17.5) for all and 5.7% (4.3-7.2) for substantial problems. Among reported problems, 69.2% had gradual onset; where only 17% lead to time loss. Players with non-time-loss problems in the previous season had significantly higher odds for new problems [All: OR 3.3 (1.7-6.3); Substantial: OR 3.6 (1.8-8.4)]. Pre-season strength was not significantly associated with the odds for subsequent problems.CONCLUSION: Hip and groin problems are common in ice hockey and may lead to substantial impairments in performance. Only one in five problems led to time loss and 7 out of 10 had gradual onset. Non-time-loss problems in the previous season were found to be a significant risk factor for new problems whereas preseason hip adduction and abduction strength was not.
|
|
