High incidence of injuries at the Pyeongchang 2018 Paralympic Winter Games: a prospective cohort study of 6804 athlete days

Derman, Wayne; Runciman, Phoebe; Jordaan, Esmè; Schwellnus, Martin; Blauwet, Cheri; Webborn, Nick; Lexell, Jan; Vliet, Peter Van de; Kissick, James; Stomphorst, Jaap; Lee, Young-Hee; Kim, Keun-Suh

doi:10.1136/bjsports-2018-100170

Cited by 55 publications

(98 citation statements)

References 24 publications

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“…The studies from the Paralympic Games have reported considerably lower IPs ranging from 11.6% to 23.8%. 2,5,6,8,27,28 Noteworthy is that 85% of the injuries in the present study occurred outside competition and that one-third were classified as severe. This is a concern as most athletes do not have on-site medical support outside competition.…”

Section: Sports-related Injuriesmentioning

confidence: 58%

Injuries and illnesses in Swedish Paralympic athletes—A 52‐week prospective study of incidence and risk factors

Fagher

Dahlström

Jacobsson

et al. 2020

Scandinavian Med Sci Sports

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Introduction Sports‐related injuries and illnesses in Paralympic sport (SRIIPS) are a concern, but knowledge about the etiology and risk factors is limited. The aim of this study was to describe the annual incidence, type, and severity of injuries and illnesses among Swedish Paralympic athletes and to assess risk factors. Methods Swedish Paralympic athletes (n = 107) self‐reported SRIIPS every week during 52 weeks using an eHealth application. Incidence proportions (IP) and incidence rates (IR) were used as measures of disease burden. Time‐to‐event methods (Kaplan‐Meier and Cox regression) were used to identify risk factors. Results The annual IP for injury was 68% and for illness 77%. The injury IR was 6.9/1000 hours and the illness IR 9.3/1000 hours. The median time to injury was 19 weeks (95% CI: 10.5‐27.4) and to illness 9 weeks (95% CI: 1.4‐16.6). Most injuries occurred during training, and 34% were classified as severe (≥21 days of time loss). An increased injury risk was observed among athletes in team sports (HR 1.88; 95% CI: 1.19‐2.99), athletes with a previous severe injury (HR 2.37; 95% CI: 1.47‐3.83), and male athletes (HR 1.76; 95% CI: 1.06‐2.93). The most common illness type was infection (84%). Athletes in team sports (HR 1.64; 95% CI: 1.05‐2.54) and males with a previous illness (HR = 2.13; 95% CI: 1.04‐4.36) had a higher illness risk. Conclusion Paralympic athletes report a high incidence of injuries and illnesses over time. This emphasizes the need to develop preventive strategies of SRIIPS and optimize medical services for this heterogeneous athlete population.

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Section: Sports-related Injuriesmentioning

confidence: 58%

Injuries and illnesses in Swedish Paralympic athletes—A 52‐week prospective study of incidence and risk factors

Fagher

Dahlström

Jacobsson

et al. 2020

Scandinavian Med Sci Sports

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“…A few web-based large epidemiological studies concerning injury characteristics in summer and winter Paralympic Games were conducted twice each year 4–6 23. The first large prospective epidemiological study on injuries in impaired athletes that expressed injury rates and injury proportions per 1000 athlete days was reported following the London 2012 Summer Paralympic Games 6.…”

Section: Discussionmentioning

confidence: 99%

“…These injury cases included 61 athletes who had participated in WR and WB and incurred 14.9 and 12.8 injuries per 1000 athlete days at the Rio 2016 Paralympic Games 4. Additionally, a survey on the winter competitions reports 142 injuries with an injury rate of 20.9 injuries per 1000 athlete days 5. Furthermore, the number of acute injuries during contact team sports such as WR and WB is higher than fencing and tennis (61%, 65%, and 42%, 37%, respectively) 6.…”

Section: Introductionmentioning

confidence: 99%

“…The International Paralympic Committee (IPC) published epidemiological studies on sports injuries occurring during the recent Paralympic Games events 4 8. The IPC report shows that acute injuries during the Para Alpine ski were decreased to less than half in the5 PyeongChang 2018 Paralympic Winter Games compared with that in the Sochi 2014 Paralympic Winter Games 9. However, these studies did not describe the causes of sports injuries or their prevention methods available.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of team-sport wheelchair falls during the Rio 2016 Summer Paralympic Games: a video-based cross-sectional observational study

et al. 2020

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ObjectivesTo present the fall characteristics of athletes playing wheelchair rugby (WR) and wheelchair basketball (WB) using official videos from the Rio 2016 Paralympic Games and compare the key fall characteristics among the team wheelchair sports event.MethodsEighteen WR and 10 WB game videos for men (MWB) and women (WWB), including 8 teams per sport, were obtained from the official International Paralympic Committee of the Rio 2016 Paralympic Games. The videos were analysed to assess the number of falls, playing time of fall, playing phase, contact with other athletes, the direction of the fall and the body part first in contact with the floor during the fall.ResultsIn total, 359 falls (96 for WR, 172 for MWB and 91 for WWB) occurred with a mean of 5.3, 17.2 and 9.1 falls per match, respectively (p<0.05). Significant differences among the three sports were detected in the playing time (p=0.011), presence of contact (p=0.037), direction (p<0.001) and body part first in contact with the floor (p<0.001). For WR, the falls were primarily lateral and caused by contact, occurring in the second half of the match. WB falls tended to be in the first half for women and the second half for men. Most falls were contact falls in the forward direction.ConclusionBy observing the situational details, we described that a number of falls due to contact occurred during these team sports events, especially MWB. In addition, each sport exhibited characteristics attributable to differences in gender, degree of impairment and game rules. The directions of the falls and characteristics of the affected body parts indicate differences in impairments depending on the sport. A fall to the side or back may indicate a risk of injury.

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“…The authors did not analyze the fall-related injuries, but the sports believed to be risky and thus, inseparably connected with falls. Derman et al [41] described sport-related injuries during the winter Paralympics in Peyong Chang in 2018. Most of the injuries were noted during para-snowboard competition, next during alpine skiing, hockey on sledge and crosscountry skiing while the fewest injuries were noted during curling on wheel-chairs.…”

Section: Discussionmentioning

confidence: 99%

Acceptance of the sense of implementing safe fall programs for people with visual impairments or after amputation of limbs - the perspective of modern adapted physical activity

Gąsienica-Walczak

2019

PES

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Purpose: The aim of the study was to find out whether safe falling programs for patients with visual impairment or limb amputees, as a prospective modern adapted physical activity, gained acceptance from physiotherapy students and people with disabilities. Material: The study consisted of three stages. The sample included 189 participants. The preset inclusion criterion (adequate attendance during the training) was met by 134 students and all the participants with visual impairment (n = 6) and after limb amputation (n = 8). Results: The opinions that implementation of STSFT programs for patients with visual impairment or after limb amputation, expressed by physiotherapy students (about 94% and 95% of students at stages I and II respectively) and patients with disabilities (100% of amputees and 83% of patients with visual impairment at stage III), who learned to protect their bodies during collisions with the ground, indicate that the aforementioned empirically verified programs are effective. Conclusions: 1. Implementation of safe falling programs as an adapted physical activity for patients with visual impairment or after limb amputation may adversely affect their feeling of safety and motivation for practicing sports, tourism or other physical activities. 2. Physiotherapy students specializing in safe falling will contribute to a growing number of new workplaces and innovative services, both for able-bodied people and people with disabilities. Such a specialty will be essential for public health including improvement of the patient’s quality of life.

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High incidence of injuries at the Pyeongchang 2018 Paralympic Winter Games: a prospective cohort study of 6804 athlete days

Cited by 55 publications

References 24 publications

Injuries and illnesses in Swedish Paralympic athletes—A 52‐week prospective study of incidence and risk factors

Injuries and illnesses in Swedish Paralympic athletes—A 52‐week prospective study of incidence and risk factors

Analysis of team-sport wheelchair falls during the Rio 2016 Summer Paralympic Games: a video-based cross-sectional observational study

Acceptance of the sense of implementing safe fall programs for people with visual impairments or after amputation of limbs - the perspective of modern adapted physical activity

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