This systematic review set out to identify randomised controlled trials and controlled intervention studies that evaluated the effectiveness of preventive strategies in adolescent sport and to draw conclusions on the strength of the evidence. A literature search in seven databases (Medline, SportDiscus, EMBASE, CINAHL, PEDro, Cochrane Review and DARE) was carried out using four keywords: adolescent, sport, injury and prevention (expanded to capture any relevant literature). Assessment of 154 papers found 12 studies eligible for inclusion. It can be concluded that injury prevention strategies that focus on preseason conditioning, functional training, education, balance and sport-specific skills, which should be continued throughout the sporting season, are effective. The evidence for the effectiveness of protective equipment in injury prevention is inconclusive and requires further assessment.
Background: Most injuries in school occur during sport. Objectives: To explore the impact of sports injury in supervised school sport. Method: A prospective study of sports injury in children of secondary school age presenting to the accident and emergency department. Each patient was identified on registration, matched with medical records after discharge, and contacted later by telephone to complete a structured interview. Patients were only included if their injury was sustained during supervised school sport. Results: During the study period, 194 patients aged 11-18 attended the accident and emergency department with an injury, 51% of which occurred during school sport. Injuries occurred most commonly in rugby (43%), followed by physical education and games together (17.5%). Most injuries were x rayed (72%). Just over 12% of pupils lost no time from sport, most (71%) were back to sport within three weeks, and 2.7% were injured for more than eight weeks. Almost a third of parents needed to take time off from work to deal with the injured child. Conclusion: School sports injuries are important. They account for just over half of all injuries in secondary school children. They cause significant disruption to school and sport and have important implications for the wider family.
School sport is a major cause of injury in the post-primary age group. The importance of primary prevention in sport has been identified; however secondary prevention of school related sport injury has not been described in Ireland.A random sample of 450 schools in Northern Ireland and the Republic of Ireland was studied using a postal questionnaire. Current management of sport injury, with particular interest in the expertise and training of teachers and coaches, was explored.Replies were received from 333 (74%) schools. There was no physical education teacher with up to date first aid training in 37% schools. Immediate care in terms of mechanisms and equipment to deal with injury was available in 35%-81% of schools responding. Correct response ranged from 65%-90% to four scenarios: commonly presenting yet potentially serious management problems. This study demonstrated deficiencies in sport injury care. In addition to concern about current training, a need for basic life support training is highlighted. These findings have implications for the prevention of school sports injuries.T he health benefits of exercise are well documented, 1 2 and school sport is recognised as an important means of promoting physical activity in children.3 Sport is, however, a major cause of injury in the post-primary age group (11-18 years) in both Europe and North America.4-7 Injury occurs during organised sport (62%), physical education class (20%), and in non-organised or unsupervised sport (18%).6 Reports suggest that a fourth of all school injuries are serious (that is, fracture, dislocation, and brain injuries), 8 and 61% of sports injuries are minor (sprains, strains, contusions, abrasions, and lacerations). 9 Fatalities are rare but one national school injury study in USA identified 30 sports related deaths in a six year period, all of which were in the 15-19 age group. 8 School sport must be safe and enjoyable if we are to implement current public health policy in promoting physical activity. The importance of primary prevention-for example, the wearing of personal protective gear-has been identified. 11The epidemiology of school sport injury has been documented in Ireland, 12-15 but we know little about readiness for and early management of injury, that is, secondary prevention. The literature suggests that appropriate intervention can influence outcome. 16-21The purpose of this study was to identify the current state of equipment and staff to manage injury in post-primary schools throughout Ireland.School sport is an integral part of the physical activity promotion, with increasing UK government emphasis on physical education in the school.3 22 All pupils participate in physical education (PE) unless there is a medical reason for exclusion. The national curriculum for physical education in Northern Ireland (NI) and the Republic of Ireland (ROI) ensures that PE activities are uniform in all schools-that is, percentage of time spent in aerobic activities, contact sport, etc. However extracurricular activities and percentage...
Background: Sport and exercise related injuries are responsible for about 5% of the workload in the accident and emergency (A&E) department, yet training in sports medicine is not a compulsory part of the curriculum for Higher Specialist Training. Aim: To determine how A&E medicine consultants and specialist trainees view their role and skill requirements in relation to sports medicine. Method: A modified Delphi study, consisting of two rounds of a postal questionnaire. Participants were invited to rate the importance of statements relating to the role and training of the A&E specialist in relation to sports injuries (six statements) and the need for knowledge and understanding of defined skills of importance in sports medicine (16 statements). Value of research: This provides a consensus of opinion on issues in sport and exercise medicine that have educational implications for A&E specialists, and should be considered in the curriculum for Higher Specialist Training. There is also the potential for improving the health care provision of A&E departments, to the exercising and sporting population.
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