Injury-Related Behavioral Variables in Alpine Skiers, Snowboarders, and Ski Tourers—A Matched and Enlarged Re-Analysis

Niedermeier, Martin; Ruedl, Gerhard; Burtscher, Martin

doi:10.3390/ijerph16203807

Cited by 11 publications

(7 citation statements)

References 49 publications

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“…Not disclosing a concussion at the time of injury impacts injury outcomes at all sporting levels (Broglio et al, 2010;Kerr et al, 2016;Llewellyn et al, 2014;McCrea et al, 2004;Meehan et al, 2013) and was reported by 21.9% of student-athletes in the current study. Results from the current study are consistent with previous literature investigating the association between sensation-seeking and engaging in high physical risk athletic activities (Goma-i-Freixanet et al, 2012;Graupensperger et al, 2019;Martin-Diener et al, 2016;Niedermeier et al, 2019). Specifically, sensation-seeking is associated with increased overall athletic injury risk (Martin-Diener et al, 2016); engaging in high physical risk sports such as mountain climbing, rock climbing, white-water rafting, skiing, and snowboarding (Martin-Diener et al, 2016); and reporting an injury history (Goma-i-Freixanet et al, 2012).…”

Section: Sensation-seeking and Concussion Care-seeking/disclosure Outcomessupporting

confidence: 92%

Association between Sensation-Seeking Behaviors and Concussion-Related Knowledge, Attitudes, Perceived Norms, and Care-Seeking Behaviors among Collegiate Student-Athletes

Callahan¹,

Kossman²,

Mihalik³

et al. 2021

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There are limited data connecting personality and behavioral tendencies and traits related to concussion care-seeking/disclosure behaviors and minimal research exists surrounding the relationship between risky behaviors, sensation-seeking, and concussion-related outcomes. This study examined the association between sensation-seeking and a student-athlete’s concussion-related knowledge, attitudes, perceived social norms, and concussion care-seeking/disclosure behaviors (intention to disclose concussion symptoms, perceived control over symptom disclosure, self-removal from play due to concussion symptoms, continued play with concussion symptoms, and disclosure of all concussions at the time of injury). The current study utilized a retrospective cohort of collegiate student-athletes at a single National Collegiate Athletic Association Division I institution. Separate multivariable linear regression models estimating mean differences (MD) and 95% Confidence Intervals (CI) estimated the association between sensation-seeking and concussion knowledge, concussion attitudes, and perceived social norms. Separate multivariable binomial regression models estimating adjusted prevalence ratios (PR) and 95%CI estimated the association between sensation-seeking and intention to disclose concussion symptoms, perceived control over symptom disclosure, self-removal from play due to concussion symptoms, continued play with concussion symptoms, and disclosure of all concussions at the time of injury. All models were adjusted for sex, sport participation, and concussion history. Higher sensation-seeking was significantly associated with less favorable concussion attitudes (adjusted MD = -1.93; 95%CI = -3.04,-0.83), less favorable perceived social norms surrounding concussion (adjusted MD = -1.39; 95%CI = -2.06,-0.72), and continuing to play while experiencing concussion symptoms (adjusted PR = 1.50; 95%CI = 1.10, 2.06). Student-athletes with increased sensation-seeking could be at risk for failing to disclose a concussion, decreasing athlete safety and resulting in less optimal care post-injury. Results will inform future theory-based concussion education programs which consider behavioral tendencies and traits as well as sport culture to promote concussion care-seeking/disclosure and individualized interventions based on risky behavior engagement.

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Section: Sensation-seeking and Concussion Care-seeking/disclosure Outcomessupporting

confidence: 92%

Association between Sensation-Seeking Behaviors and Concussion-Related Knowledge, Attitudes, Perceived Norms, and Care-Seeking Behaviors among Collegiate Student-Athletes

Callahan¹,

Kossman²,

Mihalik³

et al. 2021

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“…Since 63% of freestyle skiers/snowboarders [ 17 ] and 38% of the slope snowboarders [ 16 ] were unaware of the existence of FIS rules, campaigns to more effectively communicate the safety rules in ski resorts are recommended by the authors. In another study, snowboarders showed a higher sensation seeking and a self-reported alcohol consumption compared to downhill skiers or ski tourers [ 18 ], which strengthens the assumption that snowboarders remain an important risk group for injury prevention programs. However, sensation seeking seems to be an important behavioral variable generally, since higher sensation seeking scores were found in injured winter sports practitioners compared to uninjured winter sports practitioners [ 18 ].…”

Section: Potential Risk Factors For Injuries In Skiing and Snowboamentioning

confidence: 59%

“…In another study, snowboarders showed a higher sensation seeking and a self-reported alcohol consumption compared to downhill skiers or ski tourers [ 18 ], which strengthens the assumption that snowboarders remain an important risk group for injury prevention programs. However, sensation seeking seems to be an important behavioral variable generally, since higher sensation seeking scores were found in injured winter sports practitioners compared to uninjured winter sports practitioners [ 18 ]. Helmet usage is strongly recommended in nearly all mountain sports activities.…”

Section: Potential Risk Factors For Injuries In Skiing and Snowboamentioning

confidence: 59%

Editorial on the Special Issue on “Mountain Sports Activities: Injuries and Prevention”

Burtscher

Niedermeier

Gatterer

2021

IJERPH

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“…In this cross-sectional study the data collection occurred through each ski club, which was very labor intensive from the researchers and the club personnel perspectives. Similar to previously published studies in winter sports (Niedermeier et al, 2019), we acknowledge the limitations connected to a cross-sectional study based on self-reports (e.g., impossible to assess causal relationships, nontruthfully answered questions, or a potential recall bias). The implementation of a centralized system through the ASSA or Alpine Canada Association with an online version of the baseline medical questionnaire would streamline the process.…”

Section: Strengths and Limitationsmentioning

confidence: 89%

Self-Reported Physical Activity, Injury, and Illness in Canadian Adolescent Ski Racers

Doyle‐Baker

2020

Front. Sports Act. Living

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Youth ski racers spend a considerable amount of time on snow and this may detract from other activities known to influence fundamental movement skills and overall health related outcomes. Parents of racers ( n = 52 F; n = 44 M; age range 9–14 years) registered in the Canadian club system completed a baseline medical questionnaire during preseason testing in 2017. We describe physical activity volume and sport participation outside of physical education classes over the previous 12 months and report on injuries, medication use and health care utilization. The mean number of activities participated was five (range 1–14) with cycling, hiking, and swimming as the preferred choice and a cumulative mean of just under 400 h of activity was reported (range F 27–1,015; M 62–869 h/year) in the past year. During the past 12 months 16% of the athletes reported being injured and injury severity impacted return to sport with range of reported days missed from 1 to 365 days. Thirteen non-concussive injuries were reported in alpine skiing and females (12%, 6/52) reported more lower limb injuries than males (7%, 3/44). More males were concussed over their lifetime, with alpine skiing accounting for 46% and mountain biking 15%. Most athletes (85%) did not take medication on a regular basis and those that did had a medical diagnosis. The frequency of respiratory conditions was 13% (12/96) with males reporting slightly more cases than females. No difference in emergency visits occurred (25%) between males and females in the past 12 months, however females reported more ( n = 102) allied health care, sport medicine and x-rays appointments when compared to males ( n = 65). In summary, a high volume of physical activity (an hour plus per day) over the previous 12 months was reported with racers participating in several activities outside of skiing, likely honing their fundamental movement skills. Close proximity to the mountains may have influenced their choices of activity outside of ski racing, and their injuries and a variety of health conditions were typical of their age group. Future research employing wearable technology to objectively quantify the volume and intensity of physical activity participation is recommended.

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Injury-Related Behavioral Variables in Alpine Skiers, Snowboarders, and Ski Tourers—A Matched and Enlarged Re-Analysis

Cited by 11 publications

References 49 publications

Association between Sensation-Seeking Behaviors and Concussion-Related Knowledge, Attitudes, Perceived Norms, and Care-Seeking Behaviors among Collegiate Student-Athletes

Association between Sensation-Seeking Behaviors and Concussion-Related Knowledge, Attitudes, Perceived Norms, and Care-Seeking Behaviors among Collegiate Student-Athletes

Editorial on the Special Issue on “Mountain Sports Activities: Injuries and Prevention”

Self-Reported Physical Activity, Injury, and Illness in Canadian Adolescent Ski Racers

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