ECSS Paris 2023: OP-MH12
INTRODUCTION: Injury surveillance and the practice thereof is the first step in the development of injury prevention strategies. Utilising injury definitions, study designs and methods of data collection in injury surveillance studies that are not standardised can immensely affect the results of the injury surveillance data. Therefore, the aim of this study is to assess the current injury surveillance practices and data collection methods of prioritized university sport codes in South Africa. METHODS: The study utilised a cross-sectional study design within prioritized university sport codes competing in an annual university sports tournament in South Africa. An online questionnaire was designed by using previous studies that assessed injury surveillance practices and data collection. The online questionnaire was piloted using physiotherapists and sport physicians using a previously validated critical appraisal assessment tool (CAAT). The final questionnaire consisted of nine (9) sections and 39 questions covering personal information (age, gender, sport, etc.), knowledge and attitudes on injury surveillance, sports injury incidence data, definitions of sports injury, barriers and facilitators of injury surveillance, and experiences of medical staff when collecting and reporting injury surveillance data. The questionnaire was distributed online to the medical personnel/staff responsible for injury surveillance. RESULTS: Forty medical staff from 16 universities across 5 prioritized university sport codes responded (response rate = 40/56 = 71%) to the questionnaire. Eighty percent of respondents (32/40 = 80%) indicated that their institutions collected information on sports injuries during matches (32/40 = 80%) and training (30/40 = 75%). The majority (29/40 = 72.5%) of respondents reported that their institutions have no intention of collecting sport injury information in future. Injury prevention and management (30/40 = 75%) was the main reason for institutions collecting injury data. Time, and introducing a standardized sports injury recording form, as well as appointing designated medical staff were the main barriers to injury surveillance. The most common facilitators to injury surveillance were training of staff, introducing a standardized sports injury recording form, and appointing designated medical staff on injury surveillance. Thirty-point eight percent of the respondents indicated both training in injury surveillance and funding (12/40 = 38%) as important factors when collecting and reporting injury surveillance data CONCLUSION: Medical staff reported that collecting, recording and reporting of injury information was important. Providing adequate resources to medical staff and using a standardised injury recording form, with clearly defined injury definitions and data collection methods, would enhance injury surveillance in the future. Continuous training of medical staff would also improve injury surveillance and help to develop effective injury prevention initiatives.
Read CV Raven SchippersECSS Paris 2023: OP-MH12
INTRODUCTION: The role of athletic trainers and sports medicine teams in supporting athlete safety, injury prevention, emergency care, clinical diagnosis and treatment during sports events should never be overlooked. There are over 1,700 collegiate tennis programs the Intercollegiate Tennis Association (ITA), including over 300 womens programs and 240 mens programs in Division I, and more than 8,000 players participated in ITA tournaments in 2023. The purpose of this study was to investigate athletic training (AT) services provided at ITA Division I womens tennis tournaments over the past 6 years, and to analyze tennis injuries and physical discomforts that occurred during the tournament. METHODS: The data used in this study included the past 5 years of ITA Regional Championships in Division 1 womens tennis held annually from 2018 to 2023, excluding the 2020 tournament which was canceled due to COVID-19. Participants were from 19 colleges in the Northwestern United States. The number of singles and doubles players who participated in the tournaments and the number of players who withdrew and/or retired from play due to injury or illness were collected based on ITA tournament records. RESULTS: A total of 637 players participated in the singles (632 matches), there were 7 walkovers (4-injury and 3-illness: 1.11%) and 8 retirements (7-injury and 1-illness: 1.27%). In doubles (309 matches), there were 6 workovers and no retirements (4-injury; 2-illness: 1.94%). AT services were primarily injury assessment and athletic tapings of joints and/or areas complaining of pain/discomfort. The top 3 AT services for the lower extremities were ankle inversion sprains, toe blisters, and foot blisters; for the upper extremities wrist compression, lower abdominal muscle strains, and finger blisters and elbow hyperextension; other services included hot packs, lower back stretching, and hamstring stretching. A total of 31 medical timeouts (6.2 medical timeouts per tournament) were requested during the 5-year tournament, the most common being the ankle-related complains (7 medical timeouts), with 6 conditions requested 2 or more medical timeouts, and 1 timeout for a finger, shoulder, and head. Unusually, 1 case of anxiety related dyspnea was included. CONCLUSION: This study found that higher performing ITA D1 women’s tennis players had lower injury rates, which allowed them to perform better in singles and doubles. In the 5 years of tournament, there has never been a walkover or retirement after players advanced to the quarterfinals in singles and the round of 16 in doubles. As medical support in other sport events, the role of on-site athletic trainers is essential at tennis tournaments, and most AT services provided to players consist of assessment injuries or physical discomfort and providing necessary treatments such as athletic tapings/wrappings and injury treatment.
Read CV KyungMo HanECSS Paris 2023: OP-MH12
INTRODUCTION: Individuals with diabetes or prediabetes face a substantially elevated risk of major adverse cardiovascular events (MACE). Modifiable lifestyle factors, such as sedentary behavior (ST) and physical activity (PA), hold potential to mitigate this risk. However, little evidence exists on how reallocating ST to PA of varying intensities is associated with incident MACE in these at-risk populations. This study investigates the prospective association between time reallocation of movement behaviors and MACE risk among individuals with diabetes or prediabetes across strata of genetic susceptibility. METHODS: This study is based on data from 15,229 adults with prediabetes or diabetes from the UK Biobank, free of baseline cardiovascular disease and with valid accelerometer-derived movement data. A cross-ancestry coronary heart disease (CHD) polygenic risk score (PRS) was computed using 144 genome-wide significant genetic markers (r² < 0.001) identified through a multi-ancestry genome-wide association study. Isotemporal substitution models with Cox regression were performed to estimate hazard ratios (HRs) of MACE when replacing ST with equivalent durations of light PA (LPA) or moderate-to-vigorous PA (MVPA). RESULTS: Over a median follow-up of 8.1 years, 1,280 incident MACE cases were identified. MVPA, relative to other behaviors, was associated with a 12% reduction in MACE risk (HR 0.88, 95% confidence interval [CI] 0.82–0.95). ST, relative to other behaviors, was associated with a 31% higher risk of MACE (HR 1.31, 95% CI 1.11–1.54). Additional adjustment for PRS made no material change to the associations. LPA had no evidence of associations. Isotemporal substitution analysis revealed that reallocating ST to equivalent durations of MVPA was associated with a lower risk of MACE, with longer durations of reallocation corresponding to a greater risk reduction, across strata of genetic risk. CONCLUSION: Reallocation of ST into an equivalent amount of MVPA is associated with lower risk of MACE in individuals with diabetes or prediabetes, irrespective of their genetic risk of coronary heart disease. The consistent associations across genetic risk strata suggest that ST replaced by MVPA could benefit MACE prevention not only in all individuals with diabetes or prediabetes but in those at high genetic risk. Clinical trials of individuals with diabetes or prediabetes including those at high genetic risk should focus on increasing PA in exchange for ST for primary prevention of MACE.
Read CV QIAOXIN SHIECSS Paris 2023: OP-MH12