Preventing sports injuries at the national level: time for other nations to follow New Zealand’s remarkable success

Orchard, John

doi:10.1136/bjsm.2008.047472

Br J Sports Med

2008

DOI: 10.1136/bjsm.2008.047472

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Preventing sports injuries at the national level: time for other nations to follow New Zealand’s remarkable success

John Orchard

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Cited by 8 publications

(4 citation statements)

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“…7 As sport-related injuries occur frequently, steps to reduce injury can have an impact on the frequency and associated costs. 13,26 Researchers in many disciplines dedicate time and resources to record measures and identify associated risk factors for specific injuries, 18,35 identify those most at risk to sustain injury, 1,9 and develop interventions that address the identified risks. 33 While researchers have determined risk factors for some specific injuries, 10 they have not determined a parsimonious set of tests that identify individuals who are predisposed to future injuries.…”

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confidence: 99%

Evaluation of the Functional Movement Screen as an Injury Prediction Tool Among Active Adult Populations

Dorrel

Long

Shaffer

et al. 2015

Sports Health: A Multidisciplinary Approach

116

101

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Context:The Functional Movement Screen (FMS) is an assessment tool for quality of human movement. Research reports a significant difference between FMS scores of subjects who later experienced injury and those who remain uninjured.Objective:To systematically review literature related to predictive validity of the FMS. From the aggregated data, a meta-analysis was conducted to determine the prognostic accuracy of the FMS.Data Sources:PubMed, Ebscohost, Google Scholar, and the Cochrane Review databases were searched between 1998 and February 20, 2014.Study Selection:Identified studies were reviewed in full detail to validate inclusion criteria. Seven of the 11 identified studies were included. Articles were reviewed for inclusion criteria, then bias assessment and critical analysis were conducted.Study Design:Systematic review and meta-analysis.Level of Evidence:Level 3.Data Extraction:Extracted data included the following: study type, methodology, study subjects, number of subjects, injury classification definition, FMS cut score, sensitivity, specificity, odds ratios, likelihood ratios (LR), predictive values, receiver operator characteristic (ROC) analysis, and area under the curve (AUC).Results:Overall bias for the included 7 studies was low with respect to patient selection. Quality assessment scored 1 study 5 of a possible 7, 2 studies were scored 3 of 7, and 4 studies were scored 2 of 7. The meta-analysis indicated the FMS was more specific (85.7%) than sensitive (24.7%), with a positive predictive value of 42.8% and a negative predictive value of 72.5%. The area under the curve was 0.587 (LR+, 1.7; LR–, 0.87; 95% CI, 0.6-6.1) and the effect size was 0.68.Conclusion:Based on analysis of the current literature, findings do not support the predictive validity of the FMS. Methodological and statistical limitations identified threaten the ability of the research to determine the predictive validity of FMS.

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mentioning

confidence: 99%

Evaluation of the Functional Movement Screen as an Injury Prediction Tool Among Active Adult Populations

Dorrel

Long

Shaffer

et al. 2015

Sports Health: A Multidisciplinary Approach

116

101

View full text Add to dashboard Cite

show abstract

“…15 Considering the number of individuals participating in community sports globally 1 and the direct and indirect healthcare costs of managing sports injuries, 12,15 disseminating and implementing evidence-informed sports injury prevention interventions is a public health priority across many nations. [16][17][18][19] Over the last decade, the effectiveness of neuromuscular training (NMT) programs to decrease the risk of lower limb sports injuries in adults, 20 in children, 21 and nationally in Swedish soccer players 22 has buoyed interest in nationwide primary prevention. New Zealand's Accident Rehabilitation and Compensation Insurance Cooperation (ACC) system is predicated on preventing sports injuries nationally and has demonstrated value for money.…”

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confidence: 99%

“…23 This approach may be attractive to countries worldwide considering the potential to improve health outcomes at a population level while simultaneously reducing medical costs. 4,16,24 Making sports safer for participants is a credible goal for all stakeholders involved, especially at the community level. If achieved, sportspersons, especially children, will reap the full individual, emotional, financial, intellectual, physical, and social benefits of sports.…”

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confidence: 99%

Nationwide sports injury prevention strategies: A scoping review

Ross

Donaldson

Poulos

2020

Scandinavian Med Sci Sports

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National strategies to prevent sports injuries can potentially improve health outcomes at a population level and reduce medical costs. To date, a compilation of the strategies that countries have attempted, and their effectiveness, does not exist. This scoping review sets out to: identify nationwide attempts at implementing sports injury prevention strategies; examine the impact of these strategies; and map them onto the Translating Research into Injury Prevention Practice (TRIPP) framework. Using Levac's scoping review method, we: (a) identified the research questions, (b) identified relevant studies, (c) identified the study selection criteria, (d) charted the data, and (e) reported the results. A search of MEDLINE, Scopus, SPORTDiscus, CINAHL, and Web of Science databases for articles published pre-June 2019 was conducted. We identified 1794 studies and included 33 studies (of 24 strategies).

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“…Some authors have emphasised the public health responsibilities of the specialty,1 4 6 12 13 14 15 and others have argued that SEM should not be seen as a quick fix for broader social problems 10 16 17. Most have taken a more balanced view,5 7 8 9 18 19 20 21 and many agree that SEM faces a challenge to strike a balance between a role in treating sports injuries and its part in treating illness with exercise 1 8 9 10 16 17 18.…”

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The role of the sports and exercise medicine physician in the National Health Service: a questionnaire-based survey

et al. 2009

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Objectives: To investigate the opinions of general practitioners, orthopaedic surgeons, rheumatologists, sport and exercise medicine (SEM) registrars and public health consultants on training, caseload, the most appropriate setting and the position of SEM within the National Health Service (NHS) in the UK. Method: A cross-sectional questionnaire-based survey investigated the opinions of the above professionals from three primary care trusts and associated hospitals in London and Birmingham. Results: With a 50% response rate (n = 226), 93% (208/ 224) of participants felt that there was a role for SEM in the NHS. 56% (124/223) agreed that this role should be in both primary and secondary care. 64% (136/212) of participants felt that their practice would benefit from the input of a SEM physician and 95% (191/202) would consider referring patients to SEM services. 74% (165/ 222) agreed that SEM should have a public health role, and 63% (140/222) believed that these responsibilities should be evenly balanced with the treatment of sports injuries. Despite the emphasis on public health work from SEM policy makers, none of the SEM registrars selected public health as an important training area. 31% (44/140) of participants felt that a lack of education in the medical profession regarding SEM represented the greatest hindrance to its development in the NHS. Conclusion: Several areas of agreement were demonstrated across the specialties, many of which matched the views of policy makers. This study involved participants from a range of cognate disciplines and was the first to investigate this issue since SEM was recognised as a specialty in 2005.Sport and Exercise Medicine (SEM) was granted specialty status in the UK in 2005.

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Preventing sports injuries at the national level: time for other nations to follow New Zealand’s remarkable success

Cited by 8 publications

References 31 publications

Evaluation of the Functional Movement Screen as an Injury Prediction Tool Among Active Adult Populations

Evaluation of the Functional Movement Screen as an Injury Prediction Tool Among Active Adult Populations

Nationwide sports injury prevention strategies: A scoping review

The role of the sports and exercise medicine physician in the National Health Service: a questionnaire-based survey

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