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Fishel, Marissa. "Collegiate Student- Athletes Knowledge of Injury and Injury Prevention." University of Cincinnati / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1380613284.
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Palmer-Green, Debbie S. "Injury epidemiology and injury prevention in English youth rugby union." Thesis, University of Bath, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.520932.
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Lidström, Olof, and Oscar Edling. "Injury prevention in vehicle side collisions." Thesis, KTH, Skolan för teknikvetenskap (SCI), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-276669.
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In America around 30% of all fatal car collisions are a result of side collisions. Furthermore, in Europe between 28% to 38% of all side collisions results in serious injury or death. There are existing protection systems to minimize the risk of injury. Most commonly a combination airbag system or a curtain system is used to protect the occupants in the event of a side collision. A combination bag deploys forwards from the back-rest to protect the occupants thorax and pelvis. For head protection this system implements an extension from the seat mounted bag which deploys upwards towards the head area. The drawback of this system is that the area covered by the airbag is limited. Curtain solutions commonly work in tandem with a seat mounted thorax airbag, which protects the occupants upper body, like the combo solution. The curtain solution protects the head by deploying an inflatable curtain alongside the inner wall of the vehicle. Unlike the combo solution a curtain has the ability to cover a greater area. However, the downside is that it deploys further from the occupants body, which allows the body to move more freely. In this report the combination and curtain systems were compared. A general comparison was conducted using data from Euro NCAP, which showed that the combination system offers slightly better protection for the head in a collisions directed 90 degrees from the side, while the curtain solution offers greater protection for the thorax region if the collision is at an angle. Whiplash is the most common traffic related injury in Sweden. However, it is not usually a fatal one. Commonly whiplash injuries occur in rear ends collisions when the head jerks back. The jerking motion that occurs in a side collision can also result in acute whiplash associated disorders (WAD). Analyzing the WAD effect of the inflatable curtain airbag systems compared to the combination airbag system in side injuries is a complex task. A comparison was made using accelerometer data acquired from NHTSA's. database and a modified implementation of the NIC-criterion. The results indicated that there is a risk for whiplash injuries present in side collisions and that different cars have different prerequisites for preventing injury. A definite answer which of the airbag systems offer better protection from WAD could not be found using the provided data.I USA orsakas cirka 30\% av alla trafikdödsfall av sidokollisioner. I Europa är motsvarande siffra mellan 28% och 38%. Vidare rapporterar Shanghai United Road Traffic Safety Scientific Research Center (SHUFO) att mer än hälften av dödsfallen vid sidokollisioner är till följd av huvud och nackskador. Det finns befintliga skyddssystem för att minimera risken för huvud och nackskador vid dessa typer av kollisioner. Vanligtvis används airbags konfigurationerna kombinationssystem (combo) eller gardinsystem (IC). En kombinationssystem utlöses framåt från ryggstödet för att skydda passagerarens överkropp. För att skydda huvudet använder detta system en tilläggskudde, som vecklas ut från den sätesmonterade kudden upp mot huvudet. Nackdelen med detta system är systemet har begränsat täckningsområde. Gardinlösningar fungerar vanligtvis i tandem med en sätesmonterad krockkudde, vilket skyddar passagerarnas överkropp, likt kombinationssystemet. Gardinlösningen skyddar huvudet genom en uppblåsbar gardin som utlöses längs fordonets innervägg. Till skillnad från kombinationssystemet har ett gardinsystem förmågan att täcka en större yta. Nackdelen är dock att denna befinner sig längre bort från passagerna, vilket tillåter huvudet att röra sig relativt överkroppen. I denna rapport jämfördes kombinations- och gardinsystemen. En övergripande jämförelse gjordes med hjälp av data från Euro NCAP. Resultatet av denna jämförelse visade att kombinationssystemet ger något bättre skydd för huvudet i en kollision riktad 90 grader från sidan, medan gardinlösningen erbjuder bättre skydd för bröstkorgen då kollisionen är vinklad. Pisksnärtsskador (Whiplash) är den vanligaste trafikskadan i Sverige. Värt att notera är dock att dessa sällan har dödlig utgång. De flesta whiplash-skador uppstår vid kollisioner bakifrån, då huvudet rycker tillbaka. Denna rörelse kan inträffa även vid sidokollisioner, vilket innebär att även dessa typer av kollisioner kan resultera i pisksnärtsskador. En jämförelse mellan piskssnärtskade-effekten hos gardinsystemet och kombinationssystemet gjordes med hjälp av accelerometerdata som erhållits från NHTSA:s databas och en modifierad implementering av NIC-kriteriet. Resultaten indikerade att det finns en risk för whiplash-skador vid sidokollisioner och att olika bilar har olika förutsättningar för att passagerarna ska drabbas av dessa typer av skador. Ett definitivt svar på vilket av krockkuddesystemen som erbjuder bäst skydd mot pisksnärtsskador kunde inte finnas med den erhållna datan.\\
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Keller, Kristen Jo. "Challenges to Secondary Brain Injury Prevention in Severe Traumatic Brain Injury." Diss., The University of Arizona, 2014. http://hdl.handle.net/10150/338712.
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BACKGROUND/AIMS: Inconsistency in the use of secondary brain injury prevention guidelines among US trauma centers after severe traumatic brain injury is prevalent in many literature sources. However, this phenomenon has not been thoroughly studied. The purpose of this DNP project is to identify the key barriers and challenges in compliance to the evidence-based guidelines for secondary brain injury prevention. DESIGN: An exploratory, emergent design was used to collect descriptive qualitative data through the use of a survey. SETTING: Six Phoenix Metropolitan Level 1 trauma centers. PARTICIPANTS: All survey participants who consented to survey completion, which had greater than six months of experience and directly worked with patients suffering from a severe TBI in the clinical setting. MEASUREMENTS: Participant demographics (work experience, area of work, job title), current awareness and use of Brain Trauma Foundation guidelines, and time duration for evidence based order set implementation. Narrative responses were also used to identify barriers to current use of the BTF guidelines and factors that may promote their use in the future. RESULTS: A total of 43 participants consented to the survey study, with completion by 35 participants. RNs (n=27), Physicians (n=2), NPs or PAs (n=5), with an average work experience of 6 to 14 years (42.86%). A total of n=22 (62%) of participants were unaware of the current BTF guidelines for severe TBI and only 25% (n=9) aware that their facility has a protocol based on the BTF guidelines for severe TBI, while 51% (n=18) were unsure if their facility had a protocol. Barriers were identified in narrative form and were consistent with awareness/education, provider congruence, communication, and order set/protocol process improvement. CONCLUSION: The understanding of current patient management for severe TBI based on the BTF guidelines is sporadic among the greater Phoenix area Level 1 trauma centers. Requiring proof of BTF guidelines compliance by the ACS at time of Level 1 certification may increase the consistent recommended use of the BTF guidelines for the care of severe TBIs.
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Van, der Westhuizen Gysbert. "Quad bike injuries and injury prevention opportunities." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/2877.
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Nuhu, Assuman. "Soccer injury surveillance and implementation of an injury prevention programme in Rwanda." Doctoral thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/28398.
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Background: There is growing participation in soccer at all levels of sport. Soccer increases the physical and psychological demands on players, which subsequently increase the risk of injuries. There are limited prospective epidemiological studies in Africa, and studies that have been conducted to date often fail to incorporate standardised injury definitions or reporting methods. Therefore, there is an urgent need to conduct epidemiological studies within the context of low to middle-income countries, where resources may be limited, and taking into consideration exposure times to design appropriate preventive measures. Aim: The purpose of the study was to explore the nature and incidence of soccer-related injuries in first division players in Rwanda, and to establish intrinsic risk factors for injuries. Methods: A prospective cohort study was conducted for two seasons. Eleven teams (326 players) and 13 teams (391 players) were followed for the seasons 2014-2015 and 2015-2016. Anthropometric and musculoskeletal screening composed of flexibility tests, strength and endurance, balance and proprioception tests, and lower limb function tests were conducted as well as training and match exposure were recorded. Team medical personnel recorded the location, type, duration and mechanism of time-loss injuries following the suggestion of the International Federation of Football Associations (FIFA). The primary outcome was the incidence of overall, training and match injury as well as body part, type, patterns and severity of injuries. Multivariate model using the Chi-squared Automatic Interaction Detection (CHAID) was used to assess intrinsic predictors of injury. Significance was accepted as p<0.05. Results: There were 455 injuries and approximately 46% of the players were injured in each of the two seasons. The team weighted mean incidence of match injuries was significantly lower during season one (14.2 injuries/ 1000 hours) compared to season two (21.9 injuries/ 1000 hours) (t(22)= -2.092, p=0.048). No difference was observed in the team-weighted incidence for overall and training injuries between the two seasons. There was increased injury incidence with increased acute: chronic training and match workload ratios. Lower extremities were the most frequently affected over the two seasons (80% of all injuries), with the knee joint most commonly injured (28% off all injuries) followed by the ankle joint (25% of all injuries). Ligament strains were the most common form of injury followed by muscle strains and contusions. The most common mechanisms of injury were collisions between players and receiving a tackle. About three quarters of the reported injuries were mild or moderate in severity and injuries to the Achilles tendon lead to the longest median lay-off time. The greatest incidence of injuries was sustained between the 46thand 60thminute of match play. A score of 11cm or less on the Sit and Reach test, more than one year in the current club and a timed hop of more than 2.5 seconds were all associated with injury. Conclusions: The rate of injuries found in this study is lower compared to the studies that reported injuries in adult male at either professional or amateur level. The patterns of training and match injuries, location, type and severity of injuries are similar to previous studies. Flexibility and balance, and coordination emerged as being significant predictors of increased risk of injury. More studies with emphasis on intrinsic and extrinsic factors are needed to attain wider knowledge concerning injuries among soccer players in Africa. Prevention intervention is necessary to minimise the of lower limb injuries.
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Hägglund, Martin. "Epidemiology and prevention of football injuries." Doctoral thesis, Linköpings universitet, Socialmedicin och folkhälsovetenskap, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-8500.
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The aims of this thesis were to study the incidence, severity and pattern of injury in male and female elite football players; to study time trends in injury risk; to identify risk factors for injury; and to test the effectiveness of an intervention programme aimed at preventing re-injury. All studies followed a prospective design using standardised definitions and data collection forms. Individual training and match exposure was registered for all players participating. Time loss injuries were documented by each team’s medical staff. The amount of training increased by 68% between the 1982 and 2001 Swedish top male division seasons, reflecting the shift from semi-professionalism to full professionalism. No difference in injury incidence or injury severity was found between seasons. The injury incidence was 4.6 vs. 5.2/1000 training hours and 20.6 vs. 25.9/1000 match hours. The incidence of severe injury (absence >4 weeks) was 0.8/1000 hours in both seasons. The Swedish and Danish top male divisions were followed during the spring season of 2001. A higher risk for training injury (11.8 vs. 6.0/1000 hours, p<0.01) and severe injury (1.8 vs. 0.7/1000 hours, p=0.002) was observed among the Danish players. Re-injury accounted for 30% and 24% of injuries in Denmark and Sweden respectively. The Swedish top male division was studied over two consecutive seasons, 2001 and 2002, and comparison of training and match injury incidences between seasons showed similar results. Players who were injured in the 2001 season were at greater risk for injury in the following season compared to non-injured players (relative risk 2.7; 95% CI 1.7-4.3). Players with a previous hamstring injury, groin injury and knee joint trauma were two to three times more likely to suffer an identical injury to the same limb in the following season, but no such relationship was found for ankle sprain. Age was not associated with an increased injury risk. The effectiveness of a coach-controlled rehabilitation programme on the rate of re-injury was studied in a randomised controlled trial at amateur male level. In the control group, 23 of 79 injured players suffered a recurrence during the season compared to 10 of 90 players in the intervention group. There was a 75% lower re-injury risk in the intervention group for lower limb injuries (relative risk 0.25; 95% CI 0.11-0.57). The preventive effect was greatest during the first weeks after return to play. Both the male and female Swedish top divisions were followed during the 2005 season. Male elite players had a higher risk for training injury (4.7 vs. 3.8/1000 hours, p<0.05) and match injury (28.1 vs. 16.1/1000 hours, p<0.001) than women. However, no difference was observed in the rate of severe injury (0.7/1000 hours in both groups). The thigh was the most common site of injury in both men and women, while injury to the hip/groin was more frequent in men and to the knee in women. Knee sprain accounted for 31% and 37% of the time lost from training and match play in men and women respectively.Serienumret i serien Linköping University medical dissertation är fel. Det korrkta numret är 988. The serial number in the series Linköping University medical dissertation is incorrect. The correct number is 988.
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Griffin, Stephanie Christine. "Economic Evaluation Of Injury And Injury Prevention Interventions In The U.S. Fire Service." Diss., The University of Arizona, 2014. http://hdl.handle.net/10150/332672.
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Previous research has shown that firefighters and emergency services personnel are at increased risk of fatal and non-fatal occupational injury compared to other U.S. workers. Analyses of injury and workers’ compensation claims data in this population has demonstrated that injuries are both common and an economic burden on the fire service, especially those caused by overexertion and that lead to sprains/strains. The increased risk of injury is associated with specific job tasks, including physical exercise, patient transport and fireground work, and with personal characteristics such as physical fitness. The economic evaluation of injury and injury prevention can help inform decision making on the part of leadership, including the identification and evaluation of potential targets for injury prevention programs. The aims of the current study were to: 1) evaluate a fitness intervention for new firefighters in terms of health, fitness, injury outcomes as well as workers’ compensation claims costs; 2) to analyze workers’ compensation claims data for trends in cause and injury type, as well as the effect of worker age; and 3) to model the expected change in back injury frequency and costs among emergency medical services personnel following the implementation of electrically powered stretchers. Primary data for the current study, including injury surveillance and workers’ compensation claims data, were provided by the Tucson Fire Department (TFD), Tucson, Arizona. The Probationary Firefighter Fitness Program (PFF-Fit) was designed by University of Arizona researchers in partnership with TFD. The program was implemented in the 2012 recruit academy. Outcomes, including measures of health and fitness, injury, workers’ compensation claim frequency and claims costs, were measured over 17 consecutive months for the intervention class, and compared to outcomes from controls comprised of the three most recent TFD recruit classes for the same time period. Comparing the intervention class to controls, health and fitness outcomes were statistically equivalent. The intervention group experienced statistically significantly fewer injuries, filed significantly fewer claims, and accrued aggregated claims costs approximately $33,000 less than the controls with an estimated equivalent reduction in indirect costs for a total of $66,000. The program implementation costs were nearly $69,000, leading to a one-year return on investment of -0.52 if based only on direct costs (workers’ compensation claims) or -0.048 if an estimate of indirect costs is included. Injury in the U.S. fire service has been the subject of many previous studies but the pattern of workers’ compensation claims has been studied much less frequently. Specifically, the effect of increasing worker age on the frequency and cost of claims has not been studied in this population. Routine injury surveillance and workers’ compensation data from TFD were merged and costs were described by mechanism of injury, injury type, body region and by age of the worker. The analysis of claims data shows that acute overexertion injuries are significantly more costly than injuries caused by other mechanisms, and that sprain/strain injuries are significantly costlier than other injury types. Results also show that age is an important predictor of claims cost in this population, with claims costs for firefighters over age 50, 120 to 144% greater than claims for workers under age 30. Back injury is common and costly among emergency services employees, including firefighters and emergency medical services providers, who transport patients. Previous research has demonstrated that electrically powered stretchers (EPS), which lift and lower the patient and stretcher between the loading and transport positions, are an effective means of reducing back injury among emergency medical services (EMS) providers, but to date no economic evaluation of this device has been conducted. A Markov decision analysis model simulation of a cohort of emergency services employees for incident back injury, disability and associated costs was used to compare outcomes with and without the use of the EPS. Implementation of the EPS resulted in an average cost savings of $4,617-$5,422 per emergency services employee over the service life of the equipment. Results of the current study show the PFF-Fit program may be a worthwhile program to reduce injury and claims costs but further research is needed to better understand the program’s potential effectiveness. We observed reductions in injury frequency and compensation costs among PFF-Fit program participants compared to controls; however, the mechanisms by which the PFF-Fit program were believed to be effective did not appear to be responsible for this difference. Workers’ compensation claims data analysis results continue to highlight the importance of targeting injuries caused by acute overexertion and injuries that result in sprain/strain. The results also indicate that targeting injury prevention efforts toward the specific needs of older workers may lead to important cost savings for the fire service. The EPS is likely an effective intervention to reduce back injuries and claims costs among fire and emergency services personnel, but further research is needed to evaluate injury and claims costs following implementation at several departments.
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Frew, Kira. "Community-driven injury prevention in youth female soccer." Thesis, University of British Columbia, 2013. http://hdl.handle.net/2429/44931.
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Introduction: Youth female soccer players are at high risk of lower-extremity (LE) injury. Randomized controlled trials (RCTs) have previously demonstrated the efficacy of team-based neuromuscular training in decreasing injury rates in youth female soccer players. In an RCT, the neuromuscular training program used in this study was efficacious in reducing the risk of all injuries by 38% and acute-onset injuries by 43% in youth soccer players. The aim of this thesis was to determine the effectiveness of such an injury prevention program when community initiated, taught and delivered.
Research design: Historical cohort study
Participants: In 2008, 23 teams participated in the collection of quality assurance data (n=351). In 2010, 15 teams completed the study (n=187). Players in both cohorts were ages 9 to 17.
Intervention: The program included a team-based neuromuscular training warm-up (including dynamic stretching, strength, agility, plyometric and balance components) and an individual home-based wobble board training program.
Main outcome measures: Soccer injury resulting in time loss of one week or more. A soccer injury was defined as any injury occurring during soccer activity resulting in medical attention and/or the removal of the player from the current session and/or subsequent time loss of at least one soccer session as a direct result of that injury.
Results: In study 1, the Risk Ratios (RR) comparing the intervention season to the control season were: all injury (RR, 0.73; 95% CI, 0.37-1.45), acute-onset injury (RR, 0.69; 95% CI, 0.33-1.44) and LE injury (RR, 0.74; 95% CI, 0.34-1.64). In study 2, there was evidence that player position and right knee flexion-to-extension ratio were significant risk factors for injury in youth female soccer players participating in an injury prevention program.
Conclusions: RR point estimates suggest that a community-driven team-based neuromuscular training program may be protective of all injury, acute-onset injury and LE injury in youth female soccer players. The magnitude of this effect is similar to that previously determined in RCT studies examining a similar neuromuscular training program. Future research should focus on the implementation context of delivery of such a program to evaluate adherence and maintenance in a youth soccer population.
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MacKay, Gordon M. "The mechanism and prevention of injury in soccer." Thesis, University of Glasgow, 1996. http://theses.gla.ac.uk/3920/.
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The study was designed to provide an overview and a unique insight into the musculoskeletal demands of the professional footballer in Scotland. It can be concluded that preseason training, although non competitive, is a period of high risk and its contents must be re-examined. Emphasis should be placed on injury prevention, especially from overload and overuse injuries, to ensure peak performance and team stability. During season 1993-1994, 30 players (8.8%) required surgery and shared a total of 33 operations. Almost 1 in 10 players, therefore, required surgery during the season with all that entails. Not surprisingly, knee surgery was the commonest procedure, with 13 operations being performed on 11 players. Two players initially had arthroscopic examinations and subsequently required further reconstructive procedures. Surprisingly, the next most frequent operation was that of groin or hernia repair (6). Interestingly, 68% (23) of injuries requiring surgery during season 1993-1994 occurred during training, rather than as a result of a competitive match. This was confirmed when the mechanism of injury was assessed in detail, as 25 (75%) of injuries which required surgery were non contact. Of the 14 players requiring knee surgery, it is of concern that 6 (44.8%) of these players had previously required knee surgery, although there was no strong statistical evidence of an association (Fisher's exact test, p=0.094). Of the 342 players studied for the full season, 56 had reported previous knee surgery. Therefore, 19% of players who had previously had knee surgery required further surgery which would merit further research. There was also no strong evidence that the proportion of players requiring surgery differs for the different positions (Chi-squared=4.446, df=2, p=0.108). This study has provided a unique insight into the musculoskeletal demands of professional football. The mechanism and prevention of injury in soccer, has been studied in detail. This will provide a rational basis for future planning in the hope of optimising performance and minimising injury and its recurrence in soccer.
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Rogers, Emily Ann. "Assistive Exoskeleton for Injury Prevention During Downhill Walking." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:14398554.
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This thesis presents a device designed to reduce muscular effort during downhill walking. The designed solution is a soft wearable exoskeleton consisting of an air spring, a wearable soft fabric interface that attaches the air spring to the user's body, and an integrated smart sensing and pneumatic control system. After prototyping of the device, initial evaluation was performed, showing that the device successfully produced a resistive torque of 5 Nm, decreasing torque on the knee by 10% for a 58 kg individual on a -20 degree slope. Following initial evaluation, human subject testing was conducted in order to determine the effect of the device on muscle activity and gait. Initial results show that on a -5 degree slope, the device can reduce muscle activity by up to 17%. Additionally, joint angle data showed that there were no substantial negative effects on the users natural gait pattern. This device is a low-cost solution that will help the active, elderly, and physically impaired alike by decreasing muscle fatigue, decreasing risk of overuse injuries, increasing independence, and improving overall quality of life.
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Collings, Tyler. "Lower Limb Injury Prevention in Elite Women's Football." Thesis, Griffith University, 2022. http://hdl.handle.net/10072/419487.
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Lower limb injuries are endemic in women’s football and are typically
characterised by high rates of recurrence. Anterior cruciate ligament (ACL) ruptures are
particularly problematic in women and occur 3-6 times more frequently than in men’s
competitions. An evidence-based approach to injury prevention requires identifying the
problem, determining the cause(s), introducing a preventative measure, and assessing the
effectiveness of the intervention. To date, injury prevention research that is specific to
footballers in women’s competitions has been limited. Some of the most significant gaps in
evidence are understanding the factors that increase lower limb injury risk in elite women’s
football and establishing approaches to mitigating injury risk.
Thesis aims: The general aim was to address gaps in the process of developing evidence-based
injury prevention strategies specific to women’s players for the most common
(hip/groin and hamstring strain injuries) and severe (ACL ruptures) lower limb injuries in
football. Specific chapter aims were to: 1) systematically review evidence for intrinsic lower
limb injury risk factors in women, 2) compare strength and biomechanics between elite
women footballers with and without prior lower limb injury, 3) establish lower limb strength
and biomechanical risk factors for ACL injury in elite women’s football, and 4) characterise
gluteal muscle forces during a range of hip exercises in women to inform exercise selection
for ACL injury prevention programmes (i.e. on the basis that these muscles are important for
“unloading” the ACL during dynamic tasks).Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Health Sci & Soc Wrk
Griffith Health
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Vassallo, Michael. "The prevention of falls in hospital." Thesis, University of Southampton, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268641.
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Bromley, Sally. "Epidemiology, injury and illness prevention in Olympic combat sports." Thesis, Federation University Australia, 2018. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/166415.
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Background: Olympic combat sports are commonly considered dangerous, however injury rates for these sports are not well understood. Isolated studies in combat sports have investigated injury, however these are mainly during competition, and therefore are unlikely to include significant or persistent injury which prevents athletes competing and participating in data collection. This thesis was undertaken as a series of linked studies, to provide further detail into the types, mechanisms and aetiology of injuries in combat sports. Methods: Study 1 was a systematic review that utilised the PRISMA guidelines to investigate the current evidence. Study 2 was a repeated measures study to examine the reliability of training load measures. Study 3 employed a longitudinal study design to assess the feasibility of injury, illness and training load monitoring. Finally, Study 4 was a cross-sectional cohort study that gathered perspectives of combat sport coaches and managers before and after an injury and illness prevention workshop. Results: Study 1 found one high-quality epidemiological study with low risk of bias in Judo. Variation in injury and illness definitions prevented cross-sport comparisons, however the injury incidence was comparable to other sports. In Study 2, rating of perceived exertion (RPE) was shown to have good stability across sessions (ICC=0.84), and no significant differences were found between coach (observed) and athlete (experienced) RPE (ordered logistic regression coefficient = 0.47 [1.51–0.57 95%CI]). Study 3 found that athlete engagement with the monitoring system was low, with only 13% of athletes entering data across a 12-week period. Irrespective of low engagement, 62 injuries and illnesses were recorded. In Study 4, combat sport coaches and managers were found to be generally well informed of the risk and seriousness of injury and illness, however, illness risk perceptions changed after the workshop (p=0.048). Discussion and Conclusion: Currently, cross-sport comparisons are not possible due to varying data methodology and study quality. Based upon the results presented in this thesis, RPE can be used as a tool to quantify training load in the sport of judo. Longitudinal surveillance of training load, injury and illness in combat sport is not currently feasible within the Australian system, due to low uptake and engagement. However, the collection of data on a large number of injuries and illnesses indicates that athletes are experiencing multiple, repeated health problems. Coaches and managers are well informed about injury and illness risk and seriousness, indicating that injury and illness prevention education alone may not translate to a decrease in injury and illness incidence in combat sport.Doctor of Philosophy
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Smigmator, Steven. "Prevention of adolescent sports-related traumatic brain injury education." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527416.
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Baset, M. U. "Road traffic injury prevention in children in rural Bangladesh." Thesis, University of the West of England, Bristol, 2013. http://eprints.uwe.ac.uk/22643/.
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Background: Childhood road traffic injuries (RTIs) are a major public health problem internationally; little research has been conducted on preventing childhood RTIs in Bangladesh. Aim and Objectives: Aim: to develop a pilot intervention to reduce childhood RTIs in rural Bangladesh. Objectives - to: • determine the epidemiology of and risk factors for childhood RTIs • explore community perceptions of childhood RTIs and their prevention • develop a pilot package of preventive interventions and evaluate the package to assess its feasibility and acceptability Methods: Five studies were conducted using mixed methods. Study A examined the epidemiology of childhood RTIs using three data sources. Study B explored community perceptions through focus groups. Study C (school survey) investigated exposure to the road environment. A pilot intervention developed and implemented (study D), was evaluated for its feasibility and acceptability in rural communities (study E). Results: Studies A-C showed that RTIs are a growing problem, especially for rural child pedestrians. The rate of childhood RTIs mortality was three times higher in rural than urban areas (9.1 versus 2.7 per 100,000 children years). Pedestrians (42%) were the main victims in rural areas, with children aged 5-9 particularly vulnerable. Seven focus groups were conducted which provided insights into the causes of RTIs, e.g. Problems finding safe places to cross, poor supervision. The school survey showed that children lacked knowledge and skills about road crossing. Risk factors included gender, age, accompanying person, and travel mode. The “Safe Child Pedestrian” pilot programme was developed and implemented in six schools, 36 school children aged 7-9 years were trained at the roadside by volunteers. The programme was feasible and acceptable for rural communities. Conclusion: The expansion of Bangladesh’s rural road network continues, with child pedestrian injuries increasing. Practical child pedestrian training is an initial step in engaging communities to reduce RTIs. Achievement: This is the first attempt to explore the situation of childhood RTIs in rural Bangladesh and develop, implement and evaluate a programme for child pedestrians.
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Shchudrova, T. S. "Prevention of gentamicin-induced kidney injury by pineal tetrapeptide." Thesis, БДМУ, 2017. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/17329.
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Rexing, Christen Jean. "Firearm Injury Prevention: Understanding Firearm Policy Diffusion, 1993-2010." Diss., Temple University Libraries, 2014. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/273759.
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Public HealthPh.D.
Annually firearms kill more than 30,000 individuals and injure more than 50,000 individuals, resulting in costs of $45 million to over $1 billion in the United States. Traditionally firearms were addressed as a criminal justice problem, but for more than 30 years, public health and injury prevention specialists have worked to address the problem of firearm injuries through surveillance, education, research, and laws. Firearm legislation is multijurisdictional across the federal, state, and local governments, but the majority of activity is at the state levels. Firearm injury prevention efforts must navigate a politically diverse arena dominated by social regulatory politics in order to affect change. This study presents newly analyzed data on seven firearms laws: child access prevention, minimum age to purchase/possess a handgun, stand your ground, large capacity ammunition limits, Saturday night specials and assault weapons bans. A goal of the study was to create a 50 states longitudinal dataset in order to investigate the relationship between internal state political and demographics characteristics and firearm policy diffusion. The study findings are presented across three manuscripts, which address the trends of enactment of the laws, the analysis of the six gun control laws, and an analysis of one permissive firearm law (stand your ground laws). A panel data set was created from publicly available sources for each state from 1993 to 2010. General Estimating Equations (GEE) were used to evaluate the impact of citizen pressures, lobby pressures, legislative characteristics, and demographic data on the adoption of the seven selected laws. Study findings identified waves of adoption of the firearm laws across politically and demographically similar states in the early study years (1993-94) and the later study years (2005-10). States with Democratic state governments were more likely to pass gun control laws while states with Republican state governments were more likely to pass stand your ground laws. Poverty was also a statistically significant variable for the passage of the laws: states with lower poverty levels were more likely to pass gun control laws while states with higher poverty levels were more likely to pass stand your ground laws. However, aside from legislation to ensure consistency with federal law, most states are not responding to the public call for regulation as measured by the enactment of the selected laws. Instead, a trend of permissive firearms laws is rapidly spreading across the 50 states. Firearm injury prevention advocates should not be deterred by political environments. Rather, they should respond to cues to optimize change for injury prevention. Understanding mechanisms for firearm policy adoption, such as the role of legislative characteristics may help researchers and firearm injury prevention advocates focus limited resources to introduce bills in policy-friendly states. This dissertation contributes to the firearm injury prevention literature by applying policy diffusion theories and analysis techniques to firearm injury prevention efforts. Findings support the literature that internal state political and demographic characteristics guide the adoption of firearm laws.
Temple University--Theses
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DiStefano, Lindsay Jordan Padua Darin A. "The effects of a pediatric ACL injury prevention program." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2009. http://dc.lib.unc.edu/u?/etd,2465.
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Thesis (Ph. D.)--University of North Carolina at Chapel Hill, 2009.Title from electronic title page (viewed Sep. 3, 2009). "... in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of Interdisciplinary Human Movement Science School of Medicine." Discipline: Human Movement Science; Department/School: Medicine.
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Bialercowski, Christine, Sean Campbell, Sara Falkner, Jessica Owen, Alex Ward, Donna MacIntyre, and Tyler Dumont. "Neuromuscular Training & ACL Injury Prevention: A Systematic Review." Irving K. Barber Learning Centre, 2006. http://hdl.handle.net/2429/88.
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Recorded by Eugene Barsky, Physiotherapy Outreach Librarian, UBCThis is a Systematic Review Presentation titled - "Neuromuscular Training & ACL Injury Prevention: A Systematic Review", created by Master of Physical Therapy Graduating Students, University of British Columbia - 2006, Presented on September 14-15, 2006 , Vancouver, BC, Canada
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Hall, Margaret. "Process evaluation of a child pedestrian injury prevention intervention." Thesis, Curtin University, 2000. http://hdl.handle.net/20.500.11937/99.
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The Child Pedestrian Injury Prevention Project (CPIPP) is a rigorous school- and community-based intervention trial delivered to 2,500 children in their second, third and fourth year of schooling in three communities in Perth, Western Australia, from 1995 to 1997. The CPIPP was designed to improve children's pedestrian safety knowledge, their road related behaviors - crossing and playing, and to reduce their risk in, and exposure to, traffic. This thesis addresses the process evaluation of the CPIPP school-based intervention. The Curtin University Human Research Ethics Committee provided ethics approval for this project.Evaluation of previous school-based pedestrian safety programs has focused mainly on assessing outcomes with little or no process evaluation. An absence of process evaluation increases the likelihood of Type III error, that is, incorrectly attributing null or weak outcomes to a program that has not been adequately implemented.In each of the three study years, following a teacher training, teachers were asked to implement the school-based intervention. Each year this comprised nine 40-minute pedestrian safety lessons and home activities. Lessons included road crossing practise on real and simulated roads.Data were collected from the student cohort (n=1049) and their Grade 2, 3 and 4 teachers. Four process evaluation instruments were developed and administered in each of the three study years. These included one student instrument (work samples) and three teacher instruments (lesson log, teacher post-implementation questionnaire and classroom observation). Student outcome data including their pedestrian-related knowledge and road crossing and playing behaviours were assessed using a pre- and post-test self report questionnaire.The majority of teachers (70-97%) and students (72-84%) responded positively to questions about their satisfaction with the CPIPP Grades 2, 3 and 4 curricular. Evidence in student work samples demonstrated that teachers taught 76% (seven of nine lessons) of the Grades 2 and 3 curricular, and 68% (six of the nine lessons) of the Grade 4 curricular. Teacher self-reported implementation rates using a 'lesson log' were 88%, 81% and 60% respectively for the three curricular. Teachers reported practising road crossing on a real road in 21% (one lesson) of six designated crossing practise lessons in 1996 and 36% (two lessons) in 1997.Multivariate analyses revealed students pedestrian safety knowledge was significantly associated with teacher implementation of the classroom curriculum. This relationship was one of dose-response. It demonstrated students who, each year, received at least 7 lessons (81% or more) of the three CPIPP curricular showed a greater improvement in pedestrian safety knowledge than those students who received a lower dose of the curriculum. Significant effects on pedestrian safety knowledge were also observed for students who, each year, practised crossing a real road in at least one lesson (17%) of the curriculum. The relationship between implementation and student road crossing and road playing behaviours was not one of dose-response.Student work samples, teacher lesson logs and to a lesser extent teacher self-report questionnaires, were found to be valid measures of curriculum implementation. This study also found that implementation of the CPIPP curriculum achieved a modest improvement in student pedestrian safety knowledge and possibly arrested the decline of safe road crossing behaviour. It also demonstrated that classroom pedestrian safety education alone, while necessary, is not sufficient to positively modify children's road crossing behaviours.The findings of this study demonstrate the importance of measuring teacher implementation. A process evaluation is essential to determine if an intervention has been implemented and to help explain the impact this level of implementation had on program outcomes. However, more research needs to explore the link between other factors in the process of curriculum delivery and program effects. Further research also needs to determine how to develop and measure an intervention that includes the key procedures and content that theoretically promote the desired behaviour, but also allows teachers to make adjustments to the program to suit their teaching style and the needs of their students.Child pedestrian injury is a complex problem that requires a multifaceted intervention, of which a classroom curriculum can form part.
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Hall, Margaret. "Process evaluation of a child pedestrian injury prevention intervention." Curtin University of Technology, School of Public Health, 2000. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=11727.
Full textAbstract:
The Child Pedestrian Injury Prevention Project (CPIPP) is a rigorous school- and community-based intervention trial delivered to 2,500 children in their second, third and fourth year of schooling in three communities in Perth, Western Australia, from 1995 to 1997. The CPIPP was designed to improve children's pedestrian safety knowledge, their road related behaviors - crossing and playing, and to reduce their risk in, and exposure to, traffic. This thesis addresses the process evaluation of the CPIPP school-based intervention. The Curtin University Human Research Ethics Committee provided ethics approval for this project.Evaluation of previous school-based pedestrian safety programs has focused mainly on assessing outcomes with little or no process evaluation. An absence of process evaluation increases the likelihood of Type III error, that is, incorrectly attributing null or weak outcomes to a program that has not been adequately implemented.In each of the three study years, following a teacher training, teachers were asked to implement the school-based intervention. Each year this comprised nine 40-minute pedestrian safety lessons and home activities. Lessons included road crossing practise on real and simulated roads.Data were collected from the student cohort (n=1049) and their Grade 2, 3 and 4 teachers. Four process evaluation instruments were developed and administered in each of the three study years. These included one student instrument (work samples) and three teacher instruments (lesson log, teacher post-implementation questionnaire and classroom observation). Student outcome data including their pedestrian-related knowledge and road crossing and playing behaviours were assessed using a pre- and post-test self report questionnaire.The majority of teachers (70-97%) and students (72-84%) responded positively to questions about their satisfaction with the ++CPIPP Grades 2, 3 and 4 curricular. Evidence in student work samples demonstrated that teachers taught 76% (seven of nine lessons) of the Grades 2 and 3 curricular, and 68% (six of the nine lessons) of the Grade 4 curricular. Teacher self-reported implementation rates using a 'lesson log' were 88%, 81% and 60% respectively for the three curricular. Teachers reported practising road crossing on a real road in 21% (one lesson) of six designated crossing practise lessons in 1996 and 36% (two lessons) in 1997.Multivariate analyses revealed students pedestrian safety knowledge was significantly associated with teacher implementation of the classroom curriculum. This relationship was one of dose-response. It demonstrated students who, each year, received at least 7 lessons (81% or more) of the three CPIPP curricular showed a greater improvement in pedestrian safety knowledge than those students who received a lower dose of the curriculum. Significant effects on pedestrian safety knowledge were also observed for students who, each year, practised crossing a real road in at least one lesson (17%) of the curriculum. The relationship between implementation and student road crossing and road playing behaviours was not one of dose-response.Student work samples, teacher lesson logs and to a lesser extent teacher self-report questionnaires, were found to be valid measures of curriculum implementation. This study also found that implementation of the CPIPP curriculum achieved a modest improvement in student pedestrian safety knowledge and possibly arrested the decline of safe road crossing behaviour. It also demonstrated that classroom pedestrian safety education alone, while necessary, is not sufficient to positively modify children's road crossing behaviours.The findings of this study demonstrate the importance of measuring teacher implementation. A process evaluation is ++
essential to determine if an intervention has been implemented and to help explain the impact this level of implementation had on program outcomes. However, more research needs to explore the link between other factors in the process of curriculum delivery and program effects. Further research also needs to determine how to develop and measure an intervention that includes the key procedures and content that theoretically promote the desired behaviour, but also allows teachers to make adjustments to the program to suit their teaching style and the needs of their students.Child pedestrian injury is a complex problem that requires a multifaceted intervention, of which a classroom curriculum can form part.
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Heiden, Erin Ose. "Injuries among individuals with pre-existing spinal cord injury: understanding injury patterns, burdens, and prevention." Diss., University of Iowa, 2013. https://ir.uiowa.edu/etd/1624.
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As a growing body of research has focused on the individual, social, and environmental factors that facilitate life after spinal cord injury (SCI), particular emphasis has been placed on health conditions that are modifiable and preventable. Subsequent injuries are a serious health problem for individuals with SCI. They are a direct threat to further morbidity and mortality, and are both a cause and consequence other secondary health conditions.
As a first step toward understanding this public health problem, the purpose of this dissertation research was to describe the patterns, burdens, and prevention of subsequent injury among individuals with SCI. In three distinct, but related studies, this dissertation examined the characteristics of hospitalizations due to an injury among individuals with paraplegia, and compared the differences in length of stay (LOS) and hospital costs of injury hospitalizations between individuals with quadriplegia versus paraplegia. In addition, it explored the experience of subsequent injury among individuals with SCI who return to work and examined perceptions of threat and efficacy in preventing subsequent injury using the Extended Parallel Process Model. Using discharge level weighting available in the Nationwide Inpatient Sample, Study 1 calculated national estimates of injury hospitalizations for individuals with paraplegia by patient, hospital, and injury characteristics. Most injury hospitalizations occurred among males, to individuals 35-49 years, and were due to falls, poisonings, or motor vehicle traffic. With the same dataset, Study 2 used logistic regression to estimate the effect of patient characteristics on odds of hospitalized patients with quadriplegia versus paraplegia, and linear regression to estimate predicted differences in hospital costs for individuals with quadriplegia compared to paraplegia. Fewer injury hospitalizations but longer hospital stays, and higher hospital costs per discharge were found for individuals with quadriplegia compared to individuals with paraplegia. Males, younger age, and the uninsured were significant predictors of higher hospital costs. Finally, Study 3 used in-depth interviews to qualitatively explore the perceptions on subsequent injury among individuals with SCI who return to work, and found individuals with SCI who return to work recognized the importance of preventing subsequent injury, and were taking actions to prevent subsequent injury in their daily life and in the workplace.
The significance of this research is that it is the first description of injury hospitalizations for all causes of injury by specific type of SCI, and the associated medical outcomes of LOS and direct medical costs. Prevention of subsequent injury should be a priority. The perceptions of individuals with SCI about the severity of and their susceptibility to injury and the efficacy of individual and environmental actions to prevent subsequent injury described in this research should be used to inform the development of interventions that prevent subsequent injury.
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Jacobsson, Jenny. "Towards systematic prevention of athletics injuries : Use of clinical epidemiology for evidence-based injury prevention." Doctoral thesis, Linköpings universitet, Institutionen för medicin och hälsa, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-81400.
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The aims of this thesis were to outline the design protocol for a prospective clinical epidemiological study of injuries among athletics athletes; study the 1-year prevalence, the point prevalence and incidence of injuries in total cohorts of Swedish elite adult and talented youth athletics athletes; pinpoint the risk indicators and factors for different injury types/patterns in athletics. In paper I, an argument-based method to investigate complex design problems was used to structure the collection and analysis of data. A requirement analysis showed that a central requirement of an injury surveillance protocol for elite athletics should allow for detailed epidemiological analyses of overuse injuries, requiring self-reported data from athletes. The resulting study protocol was centred on a web-based weekly athlete e-diary enabling continuous collection of individual-level data on exposure and injuries. In paper II, the prevalence of injuries was examined and 278 athletes (87%) of the enrolled study population submitted their assessments via the web survey. The overall 1-year retrospective injury prevalence was 42.8% (95% CI 36.9–49.0%). The point prevalence of ongoing injury was 35.4% (95% CI 29.7–41.4%). The 1-year injury prevalence showed a tendency to vary with regard to gender and age (p = 0.11). The diagnostic group that displayed the highest 1-year prevalence (20.9%, 95% CI 16.2–22.2%) and point prevalence (23.2%, 95% CI 18.4–28.7%) of injury was inflammation and pain with gradual onset. In paper III, during the 52-week period, 292 athletes (91% of the study population) submitted weekly reports reporting a cumulative injury incidence of 3.57 injuries per 1000 hours of exposure to athletics. Most injuries (73%) were reported from training. There was a statistically significant difference with regard to gender and age in the proportion of athletes who avoided injury (P=0.043). Differences between event groups could not be statistically demonstrated (P=0.937). Ninety-six percent of the reported injuries were nontraumatic (associated with overuse). About every second injury (51%) was severe, causing a period of absence from normal training exceeding 3 weeks. Seventy-seven percent of the injuries occurred in lower extremities. In paper IV, 199 (68%) athletes reported an injury during the study year. The median time to first injury was 101 days (95% confidence interval (CI) 75–127). Univariate log-rank tests revealed risk differences with regard to athlete category (p = 0.046), serious injury (>3 weeks time loss) during the previous season (p = 0.039) and training load rank index (TLRI) (p = 0.019). Athletes in the third and fourth TLRI quartile had almost a twofold increased risk of injury compared to the first quartile. Youth male athletes with a previous serious injury had more than a fourfold increased risk of injury compared with youth females with no previous injury.
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Gustafsson, Robin. "Prevention av överbelastningsskador i axelleden hos elithandbollsspelare : En åtta veckors interventionsstudie under tävlingssäsong." Thesis, Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:gih:diva-4110.
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Bakgrund: Axelskador är vanligt förekommande inom idrott. Det finns ett tydligt samband mellan axelskador och idrotter som innefattar hand- och armrörelser ovanför huvudhöjd, som till exempel handboll. Axellederna utsätts för såväl hård fysisk kontakt som hög belastning vid repetitiva kaströrelser vilket ställer stora krav på axelledens strukturer. Prevalensen av aktuell eller tidigare axelskada rapporteras vara mellan 58 till 75 % hos spelarna. Syfte: Syftet med studien var att undersöka hur ett preventivt träningsprogram riktat mot riskfaktorer för skada i axelleden, utfört under åtta veckor i slutskedet av tävlingssäsong, påverkade prevalensen av överbelastningsskador i axelleden hos elithandbollsspelare i Sverige. Hur påverkas prevalensen av överbelastningskador och av allvarliga överbelastningsskador i axelleden under åtta veckor med samtidigt genomförande av ett preventivt träningsprogram för axelleden på elithandbollsspelare i Sverige? Metod: Studien var av kvasi-experimentell design vilken bestod av sex mättillfällen under åtta veckor. Nio elithandbollslag aktiva i Mellansverige rekryterades, varav 110 av 162 tillgängliga spelare inkluderades vid studiestart. Exkludering under och efter studieperioden gjorde att analysen utfördes på ett färre antal spelare. Lagen delades in i interventions- (n = 48) eller kontrollgrupp (n = 32) genom stratifierat urval, medelålder (± SD) 22.0 (3.3) respektive 21.9 (4.0). Interventionsgruppen tilldelades ett preventivt träningsprogram bestående av tre övningar i syfte att förbättra riskfaktorer för axelskador hos ”overhead athletes”. Kontrollgruppen tilldelades ingen intervention. Träningsprogrammet utvärderades genom att analysera prevalensen av överbelastningsskada och allvarlig överbelastningsskada i axelleden mätt med en modifierad version av The Oslo Sports Trauma Research Centre Overuse Injury Questionnaire. Resultat: Totalt 455 överbelastningssymtom rapporterades hos 42 spelare (53 %) varav 95 symtom var allvarliga hos 18 spelare (23 %). Prevalensen av överbelastningsskada minskade för både interventions- och kontrollgruppen från 42 % (95 % CI 28-56 %) till 25 % (95 % CI 13-37 %) respektive 53 % (95 % CI 36-70 %) till 31 % (95 % CI 15-47 %). Prevalensen av allvarliga överbelastningsskador minskade för både interventions- och kontrollgruppen från 15 % (95 % CI 5-25 %) till 6 % (95 % CI -1-13 %) respektive 19 % (95 % CI 5-32 %) till 13 % (95 % CI 1-24 %). Det fanns ingen signifikant skillnad mellan grupperna gällande prevalensen efter åtta veckors intervention. Allvarlighetspoängen minskade genomgående med en signifikant skillnad (p = 0.001) över tid för båda grupperna där kontrollgruppen förbättrades något mer. Det fanns en tendens till skillnad mellan grupperna (p = 0.064) gällande allvarlighetspoäng. Slutsats: Resultaten av denna studie visar på att prevalensen av allvarlig överbelastningsskada i axelleden hos elithandbollsspelare i Sverige möjligtvis kan reduceras till viss del genom utförande av ett preventivt träningsprogram två eller fler gånger per vecka under åtta veckor. Prevalensen av allvarliga symtom för överbelastningsskada minskade till ett något lägre värde för interventionsgruppen. Skillnaden för prevalens av överbelastningsskada inom interventionsgruppen, undergrupperade på antal utförda förebyggande träningspass, var signifikant (p = 0.044). Allvarlighetspoängen minskade i båda grupperna under studien. Det fanns en tendens till signifikant skillnad mellan grupperna (p = 0,.064), där kontrollgruppen förbättrades något mer trots ett högre värde vid mätning vecka 8. Axelskada och dysfunktioner hos ”overhead athletes” kan orsakas av olika faktorer vilket innebär att även riskfaktorerna bakom var och en av dessa tillstånd kan variera. Det är därför viktigt att upplysa om att träningsprogrammets påverkan på individnivå kan se annorlunda ut jämfört med resultatet på gruppnivå i den större populationen.Background: Shoulder injuries are common in sport. In particular there is a clear relationship between shoulder injuries and sports that includes hand- and arm movements over the head, for example handball. In handball, the shoulder joints are exposed to hard physical contact as well as high loads during repetitive throwing which puts high demands on the structures inside and surrounding the shoulder joint. The prevalence of current or previous shoulder injuries is reported to be between 58 to 75 % in studies of handball players. Aim: The purpose of this study was to investigate how a preventive training program aimed at risk factors for shoulder injuries in the shoulder joint, performed during eight weeks in the final stage of competitive season, affected the prevalence of overuse injuries in the shoulder joint for elite handball players in Sweden. How is the prevalence of overuse injuries and severe overuse injuries in the shoulder joints of elite Swedish handball players affected by the implementation of an eight-week preventive training program? Method: The study was of a quasi-experimental design which consisted of six measurements taken during eight weeks. Nine elite handball teams active in the middle regions of Sweden were recruited, from which 110 of the 162 available players were included. Exclusions during and after the study period reduced the number of players. The teams were divided into an intervention (n = 48) or control group (n = 32) through stratified sampling, with mean age (± SD) 22.0 (3.3) and 21.9 (4.0), respectively. The intervention group was assigned a preventive exercise program consisting of three exercises with the purpose of improving riskfactors for shoulder injuries for overhead athletes. The control group was not assigned any intervention. The training program was evaluated by analyzing the prevalence of overuse and severe overuse symptoms in the shoulder measured with a modified version of The Oslo Sports Trauma Research Centre Overuse Injury Questionnaire. Results: A total of 455 overuse symptoms were reported by 42 players (53 %) of which 95 symptoms in 18 players (23 %) were severe. The prevalence of overuse injuries decreased in both the intervention and the control group from 42 % (95 % CI 28-56 %) to 25 % (95 % CI 13-37 %) and 53 % (95 % CI 36-70 %) to 31 % (95 % CI 15-47 %), respectively. The prevalence of severe overuse injuries decreased in both the intervention and the control group from 15 % (95 % CI 5-25 %) to 6 % (95 % CI -1-13 %) and 19 % (95 % CI 5-32 %) to 13 % (95 % CI 1-24 %), respectively. There was no significant difference between the groups regarding prevalence after the intervention of eight weeks. Severity score consistently decreased with a significant difference over time (p = 0.001) for both groups, with a slightly greater improvement in the control group. There was a tendency towarda difference between the groups (p = 0.064) regarding the severity score. Conclusions: The results of this study show that the prevalence of severe overuse injuries in the shoulder joint of elite handball players in Sweden might be reduced to some extent by performing a preventive exercise program two or more times per week for eight weeks. The prevalence of severe symptoms of overload injury decreased to a slightly lower value for the intervention group. The difference of prevalence of overuse injuries within the intervention group, stratified by the number of executed preventive exercise programs (<2 and ≥2), was significant (p = 0.044). Severity score decreased in both groups during the study. However, there was a tendency to a significant difference between the groups (p = 0.064), where the control group improved slightly more in spite of a higher value when measured at week 8. Shoulder injury and dysfunctions of overhead athletes can be caused by various factors, which means that the riskfactors for each of these conditions may vary. It is therefore important to highlight that the effects of a training program may be different at the individual level compared with the results at group level.
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Fuller, Melanie. "Injury surveillance and monitoring during transitions in dance training and careers including end-user perceptions towards training load practices." Thesis, Queensland University of Technology, 2021. https://eprints.qut.edu.au/207339/1/Melanie_Fuller_Thesis.pdf.
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This research investigated injuries across and within a training year and career phases in ballet and contemporary dance. The perceptions of artistic and health professionals regarding training practices were also explored. In tertiary dance, 50% of students were injured in the first seven weeks of the program, and certain weeks across the program resulted in higher injury rates. Across one semester, spikes in stress leading to performances, and spikes in load and injury to recommence technique training were observed. Artistic staff were perceived to be responsible for planning training, providing insights for future research into injury prevention in dance.
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Wahman, Kerstin. "Cardiovascular disease prevention after spinal cord injury : a new challenge /." Stockholm, 2010. http://diss.kib.ki.se/2010/978-91-7409-936-2/.
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Schulman, Carl I. "Prevention of Elderly Pedestrian Injury - A Comprehensive Approach and Analysis." Scholarly Repository, 2011. http://scholarlyrepository.miami.edu/oa_dissertations/568.
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The mortality rate for elderly pedestrians struck by vehicles is the highest of any age group, approaching 30% in several large series. Currently, there is a lack of epidemiological studies of the risk factors associated with elderly pedestrian injury; in particular, few prospective studies of elderly pedestrian injuries have been performed. The primary purpose of this project was to identify risk factors that will lead to the development and implementation of effective prevention strategies to reduce the risk of pedestrian injury in this vulnerable population. The project had three phases. In phase 1, pilot studies were performed and identified potential risk factors for elderly pedestrians and confirmed their ability to recall accident details. Risk factors identified included certain walking and street crossing behaviors, as well as the lack of use of assistive devices. In Phase 2, the relatively new case-crossover design was utilized to investigate the association of transient (proximate) triggers or exposures with elderly pedestrian injuries. The relative risk of injury if not obeying the traffic signal is five-fold (odds ratio = 5.2; 95% confidence interval = 1.8 – 15.1). Risk factors such as use of sedating or mood altering medications, or the use of alcohol did not have sufficient discordance for analysis. The behavioral findings suggested that educational programs and behavioral modification might play an important role in designing future interventions. Therefore, in Phase 3, an elderly pedestrian safety program called Safe Crossings was created and evaluated. Over 700 subjects participated in the programs, with 99% reporting they felt it was an important topic and 93% acknowledging they learned something from the program. Focus groups were also utilized to help refine the content and delivery of the program. Posters and brochures were created and distributed in English, Spanish and Creole. The program is now set for wider dissemination and validation.
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Nuhu, Assuman. "Factors influencing implementation of soccer injury prevention strategies in Rwanda." Thesis, University of the Western Cape, 2008. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4867_1271621548.
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Background: Three epidemiological studies conducted in Rwanda have highlighted that many people at different levels in the community of soccer do not implement accepted control measures for reducing the risk of injuries. However, little is known about what soccer community members themselves know about injury prevention. Purpose: The aim of this study was to identify perceptions of factors influencing the implementation of soccer injury prevention strategies in Rwanda.
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Feely, Shawn. "Competencies and training needs of injury prevention practitioners in Manitoba." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ54553.pdf.
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Peate, W. F., Gerry Bates, Karen Lunda, Smitha Francis, and Kristen Bellamy. "Core strength: A new model for injury prediction and prevention." BioMed Central, 2007. http://hdl.handle.net/10150/610195.
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OBJECTIVE:Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups. Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed.METHODS:A battery of FMS tests were performed on 433 firefighters. We analyzed the correlation between FMS performance and injuries and other selected parameters. An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated.RESULTS:The intervention reduced lost time due to injuries by 62% and the number of injuries by 42% over a twelve month period as compared to a historical control group.CONCLUSION:These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted.
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Hines, Michelle C., and Brian Erstad. "Prophylactic Levetiracetam for the Prevention of Posttraumatic Brain Injury Seizures." The University of Arizona, 2013. http://hdl.handle.net/10150/614263.
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Class of 2013 AbstractSpecific Aims: Guidelines developed by the Brain Trauma Foundation recommend the use of prophylactic anticonvulsants, particularly phenytoin, for the prevention of early posttraumatic seizures for patients with severe traumatic brain injuries. The purpose of this study is to evaluate the effectiveness of levetiracetam, a newer anticonvulsant, for posttraumatic seizure prevention in patients with severe traumatic brain injury. Methods: This study was approved by the University of Arizona Medical Center Institutional Review Board. The project consists of a retrospective cohort analysis from January 1, 2010 to September 30, 2011. We have abstracted data from all patients with traumatic brain injuries over this time period from the University of Arizona Medical Center Trauma Registry, and have matched these patients with their records in the pharmacy database to determine who received levetiracetam versus no prophylaxis. Patients younger than 18 years of age, pregnant women, patients who were deemed to be nonsalvageable, and patients who had a seizure prior to initiation of levetiracetam were excluded from the study. The following data was collected: age, gender, ethnicity, mechanism of injury, injury severity score, ED GCS, ED SBP, ED pulse, ED RR, blood alcohol level, ICU length of stay, number of ventilator days, hospital length of stay, FIM score at discharge (totals, and by component), diagnosis, surgery and complication type, anticonvulsant given, type of beta-blocker given, maximum and minimum dose used, cumulative doses given, and whether there exists a known prior history of anticonvulsant use. All data were recorded without patient identifiers and have been kept confidential. A multivariate logistic regression analysis was used to evaluate a relationship between other data collected from the patients’ medical records and seizure occurrence. Chi Square or Fisher's Exact test will be used in the final analysis to compare the effectiveness of levetiracetam versus no prophylaxis to prevent posttraumatic brain injury seizures. Significance is defined as p<0.05 for all analyses. Main Results: The results are pending the final data analysis. Conclusion: To be determined.
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Forrest, Mitchell Robert Loaring. "Exercise-based injury prevention for community-level adolescent pace bowlers." Thesis, Forrest, Mitchell Robert Loaring (2020) Exercise-based injury prevention for community-level adolescent pace bowlers. PhD thesis, Murdoch University, 2020. https://researchrepository.murdoch.edu.au/id/eprint/56720/.
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Sporting injuries are on the rise and wide-scale injury prevention strategies are needed in community-level sport. Research indicates that community-level adolescent pace bowlers could benefit from exercise-based injury prevention programs (IPPs), however, a specific program for this group has not been developed. The primary aim of this thesis was to therefore develop a specific IPP for community-level adolescent pace bowlers and investigate if this program could modify risk factors for injury in this population.
The Translating Research into Injury Prevention Practice (TRIPP) framework guided the progression of studies in this thesis. In Chapter 2, risk factors for injury in adolescent pace bowlers were systematically reviewed. The review included all experimental and observational studies that reported risk factors for non-contact injuries in pace bowlers aged 12-19 years. The Newcastle-Ottawa Quality Assessment Scale was used to assess risk of bias. In Chapter 3 the various barriers and facilitators to program implementation at the community-level were identified and used to guide the development of an IPP that was appropriate for community-level adolescent pace bowlers. In Chapters 4 and 5 a cluster-randomised controlled trial was employed to examine the efficacy of this IPP to modify neuromuscular risk factors and alter bowling kinematics. Eligible pace bowlers from eight cricket organisations (clusters) were recruited and then randomised into either an intervention group or control group. The intervention group completed an eight-week IPP while the control continued their normal cricket activity. Either side of the eight-week intervention period all participants attend a baseline and follow-up session where measures of muscle strength, muscle endurance, dynamic neuromuscular control and bowling kinematics were assessed. The treatment effect of the IPP was estimated with linear mixed models.
Chapter 2 identified several potentially modifiable risk factors for injury in adolescent pace bowlers and these included; excessive lateral trunk flexion while bowling, kinematics of pelvis and hip while bowling, reduced trunk endurance, and poor lumbo-pelvic-hip movement control. There were conflicting results amongst the studies which investigated the mixed technique, bowling workload, and quadratus lumborum asymmetry. Among the five cross-sectional studies, risk of bias was high and very high. Of the 11 cohort studies, three were rated as low risk of bias and eight as high risk of bias. With the information gathered in Chapter 2, an exercise program to modify risk factors was developed in Chapter 3. The program included exercises to improve; eccentric strength of the external shoulder rotators, hip adductor strength, eccentric hamstring strength, dynamic neuromuscular control of the lumbo-pelvic region and lower-limbs, and trunk extensor endurance. Chapter 3 also considered the various facilitators to program implementation at the community-level, and therefore included exercises that were; simple to learn, non-reliant on expensive equipment, and time-efficient. In Chapter 4 the efficacy of this newly developed IPP to modify neuromuscular risk factors was assessed. There were significant treatment effects (estimated marginal mean with 95% confidence intervals) favouring the intervention group for; isokinetic shoulder strength (90°/s) (0.05 Newton meters per kilogram (N.m/kg); 0.02 to 0.09), isokinetic hamstring strength (60°/s) (0.32 N.m/kg; 0.13 to 0.50), hip adductor strength dominant side (0.40 N.m/kg; 0.26 to 0.55) and non-dominant side (0.33 N.m/kg; 0.20 to 0.47), Star Excursion Balance Test reach distance dominant side (3.80 percent of leg length (%LL); 1.63 to 6.04) and non-dominant side (3.60 %LL; 1.43 to 5.78), and back endurance (20.4 seconds; 4.80 to 36.0). No differences were observed for isokinetic shoulder strength (180°/s) (p=0.09), isokinetic hamstring strength (180°/s) (p=0.07), lumbo-pelvic stability (p=0.90), and single leg squat knee valgus angle (dominant p=0.06, non-dominant p=0.15). In Chapter 5 there were significant treatment effects favouring the intervention group for shoulder counter-rotation (-3.75°; -7.19 to -0.32) and lateral trunk flexion relative to pelvis (-2.24°; -3.97 to -0.52). There were however, no significant between-group differences for; global angles of lateral trunk flexion at front foot contact (FFC) (1.2°; -2.5 to 4.8), global angles of lateral trunk flexion ball release (BR) (-0.5°; -3.0 to 2.0), pelvis rotation FFC (0.9°; -4.0 to 2.2), pelvis rotation BR (-1.1°; -5.7 to 3.6), front hip angle FFC (1.6°; -3.6 to 6.7), front hip angle BR (-1.6°; -5.0 to 1.9), front knee angle FFC (-1.1°; -4.5 to 2.3), front knee angle BR (1.7°; -5.6 to 9.1), or ball velocity (1.1 km/h; -7.5 to 9.7).
This thesis demonstrates that the TRIPP framework can used to successfully guide the process of injury prevention in community-level adolescent pace bowlers. The IPP in this thesis was also able to modify several neuromuscular and biomechanical risk factors, however a number of measures were not altered. Future research is needed to refine the current IPP and investigate if it can reduce injury risk in a real-world setting.
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Li, Zhaoyu. "Pressure Injury Prevention in Hospitalised Adult Patients: A Case Study." Thesis, Griffith University, 2022. http://hdl.handle.net/10072/416313.
Full textAbstract:
Background: Pressure injuries (PI) are common adverse events in hospitals, which can cause pain and distress and threaten patient safety in hospitals. Despite growing evidence and guidelines for pressure injury prevention (PIP) in Western countries, there is limited understanding about PIP practices in China, yet the reported prevalence of PI appears to be lower than that reported elsewhere.
Aim: The first aim of this thesis was to examine the frequency of PIs to understand the extent of PI burden among hospitalised adults worldwide (Phase 1). The findings informed the second aim, to describe Chinese nurses’ PIP practices in its natural context (Phase 2).
Methods: Phase 1 was a systematic review to identify the PI prevalence, incidence and hospital-acquired PI (HAPI) rate among hospitalised adults. Underpinned by the System Engineering Initiative for Patient Safety (SEIPS) model, Phase 2 was a multiple (embedded) case study to investigate the work system, processes and outcomes of registered nurses’ PIP practices in a Chinese tertiary hospital, where two medical and two surgical wards were used as embedded units of analysis. Triangulated methods including survey, observation and chart audit, interview and policy analysis were used. The survey described Chinese nurses’ PIP knowledge, one characteristic of the work system. The observation and chart audit described nurses implemented and documented PIP practices to reflect the detailed PIP work system and processes. Interview was used to explore nurses’ perceptions, how to prioritise patients for PIP and influencing barriers and facilitators in PIP delivery to depict the work system, processes and outcomes in PIP. Policy analysis was used to understand the external context influencing PIP. Finally, findings of multiple sources of data were triangulated and cross-case synthesis was conducted to generate an in-depth understanding of PIP in the Chinese context from a holistic system level.
Results: The systematic review included forty-two studies from nineteen countries. The pooled prevalence was 12.8% (95%CI 11.8-13.9%) and the hospital-acquired PI rate was 8.4% (95% CI 7.6-9.3%). Asian studies showed the lowest PI prevalence and HAPI rate compared to other regions. That is, 98% of the Asian samples were from China where the reported PI prevalence and HAPI rate was only 1.5% and 0.5%.
A total of 423 nurses from twenty-four medical surgical wards in one Chinese hospital were recruited and 404 (95.5%) completed the knowledge survey. Nurses’ mean score of PI knowledge was 11.6±3.0 (medical 10.7±2.8; surgical 12.2±3.0) out of a maximum score of 25; 335 (82.9%) nurses scored lower than the 60% acceptable level, indicating unsatisfactory knowledge. In the observation and chart audit, a total of 577 patients (medical n=294, 50.9%; surgical n=283, 49.1%) participated. Among the PIP strategies observed, risk assessment and repositioning were the most frequently used and nutrition was the least frequently used. Fewer than half of the patients received recommended skin care, nutrition care, support surfaces and patient education. Surgical patients generally received better preventive care than medical patients. Underpinned by the SEIPS model, four themes and one category were identified in interviews of 27 nurses: Work system: (i) Nurses lead and coordinate PIP; Work processes: (ii) Individualised PIP is founded on comprehensive patient assessment; (iii) Collaborating ensures patients receive appropriate PIP; and (iv) Competing factors influence the delivery of appropriate PIP. One category related to work outcome: Nurses strive to do their best in PIP but hold major concerns when PIs occur. Three government policies, three scholarly works and three hospital-level protocols were identified in the policy analysis and helped explain the external environment’s influence on the PIP work system.
The findings of data triangulation and cross-case synthesis showed limitations of current nurses’ PIP practices and were synthesised into six themes: Work system: (i) Nurses are motivated to prevent PI despite limited knowledge; (ii) Organisational commitment underpins PIP; and (ii) External environment impacts on PIP; Work processes: (iv) Mismatch between PIP documentation and PIP implementation; and (v) Ritualistic PIP practices; and Work outcomes: (vi) Dilemmas in PI reporting.
Conclusion: Overall, this body of work has contributed to a valuable understanding of nurses’ contemporary PIP practices in China. Nurses’ insufficient knowledge of PIP, limited accessibility of resources and organisational support hindered nurses’ practices and resulted in missed care. Recommendations to improve the quality of PIP practices focus on continuous education, seeking support from multidisciplinary healthcare professionals and the involvement of nurses and other stakeholders in policy review. System level designs that meet nurses’ requirements including manpower, education, resourcing and external policies should be considered in further research.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing & Midwifery
Griffith Health
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Gyllensvärd, Harald. "Health Economic Aspects of Injury Prevention at the Municipal Level." Licentiate thesis, Linköpings universitet, Avdelningen för samhällsmedicin, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-106227.
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Unintentional injuries are a global health problem, which in 1996 was estimated to cause up to 3 million deaths per year. In Sweden, about 4,600 people die annually due to external causes of morbidity and mortality (injuries and poisoning). Among children 1 to 17 years old, injuries are the leading cause of death in Sweden for both boys and girls. Injuries are also the leading cause of life years lost before age 65 in men and the second most common in women. Injury prevention interventions and programs can be implemented to mitigate the magnitude of this public health problem, the number of injuries in society, and the substantial costs associated with injuries. Society's resources are however limited and therefore it is pivotal that interventions are cost-effective and not only effective: that is, that they provide good value for money. Hence, the aim of this thesis was to develop new knowledge and improve decision making by elaborating on some of the important health economic aspects of injury prevention. Consequently, a critical appraisal of the existing cost-effectiveness studies on injury prevention interventions and estimations of the societal costs for different types of injuries that needed medical attention were conducted. The critical appraisal of studies was limited to those studies that investigated interventions that could be implemented by municipalities. The results shows that injuries are associated with substantial societal costs but differ considerably between different types of injuries. The average cost per injury was estimated at € 2,726 and varied between € 892 and € 15,537. Furthermore, the results indicate that there are injury prevention interventions that offer good use of societal resources. However, there is a general lack of economic evidence surrounding injury prevention interventions. This thesis has expanded the knowledge in some important health economic aspects of injury prevention. The generated knowledge may advantageously be used in future research, including cost-effectiveness analyses of injury prevention interventions, and assist in the targeting of new research. Future research should focus on estimating the cost-effectiveness of different interventions and the reductions in quality of life due to different injuries. Costeffectiveness data help decision-makers make judiciously resource allocation decisions that maximise health gain given limited budgets.
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Blackman, Nicole. "Chronic Disease and Injury Prevention Programming for Canada's Indigenous Population." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5165.
Full textAbstract:
Local public health units in the province of Ontario, Canada, are often the primary source of health promotion and health education resources, but many do not provide programming specific to the Indigenous population. As of January 2018, modernization of the Ontario Public Health Standards requires public health units to work with the Indigenous population in providing culturally appropriate programs and services. The practice question guiding the capstone project was to determine what chronic disease and injury prevention programs exist that are culturally appropriate for the Indigenous population. The purpose of this project was to do an environmental scan and compile an inventory of existing health promotion programming that is culturally appropriate to the Indigenous population. In total, 72 Indigenous-specific programs were identified from the 26 organizations that were included in the environmental scan. Of the 26 organizations, 3 were public health units, 7 were Aboriginal health access centers, 7 were Indigenous friendship centers, 5 were Indigenous health organizations, and 4 were non-Indigenous organizations with an Indigenous component. Results from the capstone project will inform public health units of available, culturally appropriate programs that can be adapted to their local context, thereby addressing a significant gap in the current public health system. This doctoral project aligns with the design of a new model of care in the Ontario public health system and has the potential to address a gap in practice at both the local and provincial level by providing culturally appropriate guidance in the effective delivery of CDIP programming specific to the Indigenous population. This positive social change would impact the health status of this underserved population.
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Dingli, Kelly M. "Engaging delinquent adolescents in a school-based injury prevention program." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/101513/4/Kelly_Dingli_Thesis.pdf.
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This thesis examined how a universally delivered school-based injury prevention program targeting alcohol-use, violence, and transport- risks was relevant to delinquent year 9 adolescents. The studies examined factors influencing implementation and outcomes. A delinquency classification method was developed and the influence of maturation and the intervention on trajectories of delinquent involvement were examined. Underlying principles that could be applied to other health promotion interventions for delinquents were identified. The program was found to reduce medically-treated injury experience and the transport-risk for delinquents over a six month period. The findings have implications for school-based program design and implementation for delinquent adolescents.
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Bauer, Michelle. "Single, Stay-at-Home, and Gay Fathers’ Perspectives of their Children’s Outdoor Risky Play." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/36702.
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Parental perspectives on risk and danger are important to consider in children’s injury prevention research, as they influence children’s adoption of safety strategies and influence how children approach risk and danger (Brussoni & Olsen, 2011). Despite single, stay-at-home, and gay fathers’ increasing numbers and the important roles they play in their children’s development, there has been a lack of research on their perspectives on children’s engagement in outdoor risky play until now. This thesis is written in the publishable paper format and is comprised of two papers, which were informed by poststructural feminist theory. In the first paper, I used semi-structured and photo-elicitation interviews and critical discourse analysis to explore single, stay-at-home, and gay fathers’ perspectives of their 4-12 year old children’s engagement in outdoor risky play and how they relate to tension-filled discourses of “good” fathering. In the second paper, I also used semi-structured and photo-elicitation interviews, but I explored single, stay-at-home, and gay fathers’ perspectives of masculinity and its influence on their understanding of their children’s outdoor risky play. Taken together, the findings from both papers showcase the important roles that single, stay-at-home, and gay fathers play in their children’s outdoor risky play.
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Holt, Rachel. "Defining the epidemiology of severe burn injury in Greater Manchester." Thesis, University of Manchester, 2012. https://www.research.manchester.ac.uk/portal/en/theses/defining-the-epidemiology-of-severe-burn-injury-in-greater-manchester(c71707a8-6e9b-47eb-9003-c6ef86c54bbe).html.
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Burn injuries are one of the most painful and potentially debilitating traumatic injuries that a person can suffer. Every reader is likely to have, at some point in their life, suffered a burn injury, no matter how minor and therefore can have some comprehension of the pain and suffering associated with significant burn injury. Traumatic injury is the leading cause of death and disability in children and young adults. Although much has been done to optimise pre-hospital care and emergent treatment of injuries in recent times, the mainstay of managing death and disability from traumatic injury must lie in preventing these injuries where at all possible. To enable effective preventative strategies to be put in place it is important to define the demographics of those injured and the mechanisms of injury for any given population. Only then can we ensure that strategies are targeted in the areas where they are most needed at the mechanisms that are occurring most commonly. This study has combined a number of data sources namely burns service, fire service, coroners' service and accident and emergency department in an attempt to define the epidemiology and aetiology of burn injury in Greater Manchester. Data from the different sources was pooled and underwent a process of data-linkage to remove duplicate records. Rates have been calculated and compared according to age group, sex group and deprivation status. Poisson regression modelling was used to calculate the rate ratios amongst the different groups. Postcode data was used to allow geographical mapping of injuries across the county to allow rates to be calculated for different areas of the city. Where rates have been calculated for small area geographies Bayesian modelling was used to predict injury rates for those areas. Maps have been produced that show the areas with the highest rates of injury. The results show that in children it is the under five age group that have the highest rates of injury, particularly the under 2's. In adults, those over 75 years of age have the highest rates of injury. For all age groups males were more likely to be injured than females. In both children and adults higher rates of injury were seen in those areas where there were increased levels of deprivation. Key mechanisms of injury for individual age groups have been highlighted. The maps of Greater Manchester and its constituent local authorities show those areas with the highest rates of injury. The definition of target demographic groups and geographical areas within Greater Manchester will be used to allow development of targeted prevention strategies in those areas.
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Nasr, Haithem. "Facilitators and barriers influencing the implementation of injury prevention strategies among clubs at the University of the Western Cape." University of the Western Cape, 2018. http://hdl.handle.net/11394/6597.
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Magister Scientiae (Physiotherapy) - MSc(Physio)Introduction: The majority of University of the Western Cape coaches believe that in most sport codes, many female and male athletes get injured at least once a season. Consequently, occurrence of injuries signifies many set-backs in any team sports. University of the Western Cape sports injury intervention and rehabilitation strategies are relatively under-developed, and have not been systematically implemented, despite their proven effectiveness. However, due to intensive training, local and national league competitions, the number of injured athletes at University of the Western Cape has increased, and so delays of athletes’ recovery are caused. Thus, it is assumed that University of the Western Cape efforts may have lack of the necessary injury precautions on prevention and rehabilitation such as proactive injury treatment, paying special attention to the therapeutic process, including other necessary mechanisms. The current study has explored facilitating factors and some of the barriers on the implementation of injury prevention strategies, and determined the effectiveness of rehabilitation within University of the Western Cape sport teams in views of athletes, coaches, and medical staff. Methods: This study used a sequential exploratory design which entailed an initial phase of quantitative data collection and analysis, followed by a phase of qualitative data collection and analysis. This study used a close-ended survey and semi-structured interviews to identify the barriers and facilitators associated with the implementation of injury prevention strategies among sports clubs at the University of the Western Cape. Results: Data were collected on the general knowledge of players and team coaches about injury prevention as well as their sources of information regarding injury prevention. Football players were 49.5% while 15.8% were basketball players in this study. Cricket players were 10.9% while rugby players were 9.9%. Sources of players’ knowledge of injury prevention included doctor/physiotherapist, coaches and the media. Sources of coaches’ knowledge of injury prevention included doctor/physiotherapist, media and seminars. Most players and coaches agreed that there is a greater chance of sustaining an injury during a competitive match than during training. Players and coaches also agree that the risk of injury is reduced by wearing preferred protective clothing and thoroughly warming up and stretching prior to training or competition. Barriers to the implementation of an injury prevention strategy include not having enough time, being too tired after training, no advice given on such techniques, the notion that nobody else does it and lack of proper equipment. Facilitators of an injury prevention strategy include availability of medical staff (doctors and physiotherapists), players’ understanding of the coach’s instructions, and injury prevention facilities at University of the Western Cape, services accessibility and quality, injury discovery and follow-up, and injury prevention policy at University of the Western Cape. Conclusion: Based on the findings of this study, the following recommendations were made: (i) Intervention directed at players and coaches in the form of health promotion programmes through education to increase their knowledge and support in implementation of all prevention strategies either in training or in competition; (ii) Governing bodies at University of the Western Cape should develop and disseminate written sports safety policies and guidelines and supervise clubs in their development programmes.
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Welch, Mariah Karyn, and Mariah Karyn Welch. "Pediatric Providers Knowledge on Unintentional Childhood Injury." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626653.
Full textAbstract:
Background: Unintentional childhood injuries are ranked as the fourth leading cause of death in the United States, with an average of 31 million children each year arriving in hospital emergency departments across the nation with accidental trauma related injuries (CDC, 2016). Pediatric providers are in a key position to assess, identify, and implement interventions to improve the rates of unintentional injuries that occur within the pediatric population.
Purpose: This study will examine pediatric providers’ knowledge of injury prevention and practice behaviors regarding educating families and/or caregivers regarding injury prevention, and the frequency that patients and/or caregivers are provided with safety education.
Method: An evidence-based educational intervention regarding home and environmental safety measure was delivered during a Phoenix Children’s Hospital “Grand Rounds”. The data was collected using a pre-test and post-test survey to assess providers’ pre-knowledge of unintentional injury and their practice behaviors.
Aim 1: (a) assess the knowledge of pediatric healthcare providers regarding home and environmental age-appropriate safety measures for children, (b) determine the practice behaviors of pediatric healthcare providers in educating patients and/or families regarding injury prevention, and (c) examine the frequency that patients and/or caregivers are provided safety education by their healthcare provider.
Aim 2: To evaluate the impact of the educational session on provider knowledge regarding unintentional injury in children.
Results: The McNemar test was used to analyze changes in providers scores from pre- to post-test. The level of significance was set at 0.05. The McNemar test revealed a significant increase in the providers’ knowledge of injury prevention between pre- and post-test in the following areas: providers’ definitions of injury; providers’ knowledge of the organization that developed the Children Risk Assessment; the approach providers take to educate caregivers about age-appropriate injury prevention measures in the infant/child home and environment; and examination of how often providers assess patient developmental age.
Conclusion: The results of the study showed a statistically significant improvement in providers’ understanding of the prevalence of unintentional childhood injuries from pre- to post-test and the importance of providing patients and families with information that aid in their understanding of injury prevention and home environmental safety interventions.
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O’Brien, James. "Enhancing the implementation of injury prevention exercise programs in professional soccer." Thesis, Federation University Australia, 2016. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/154215.
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Recently, injury prevention exercise programs (IPEPs) for soccer have received considerable attention and their efficacy has been demonstrated in large-scale trials. However, the ultimate impact of IPEPs will depend not only on their efficacy under controlled conditions, but also on the extent to which they are successfully implemented under real-world conditions. Despite increasing recognition of the challenges involved in successfully implementing IPEPs, there is a paucity of research addressing these challenges. The first aim of this thesis was to systematically review published IPEP trial reports, from an implementation perspective, in both soccer and other team ball sports. To achieve this, an established health-promotion framework, called the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework, was employed. The subsequent phases of the thesis aimed to identify IPEP implementation barriers and facilitators in the specific context of professional soccer. Two cross-sectional surveys explored the perceptions of IPEP users in professional teams and a prospective observational study assessed IPEP use, over one playing season, in a professional youth soccer academy. Evaluation of the published literature against the RE-AIM framework revealed major gaps in the reporting of specific IPEP implementation aspects, particularly relating to program adoption and maintenance. In professional soccer teams, multiple IPEP implementation barriers and facilitators were identified. These factors related either to the content and nature of the IPEPs themselves (e.g. variation, progression and soccer-specificity), or the delivery and support of programs (e.g. communication and team work) at different levels of the professional soccer ecology. In summary, there are major gaps in the reporting of implementation aspects in team ball sport trials. To enhance the implementation of IPEPs in professional soccer settings, the content and delivery of programs require significant tailoring to the specific implementation context.Doctor of Philosophy
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Aare, Magnus. "Prevention of Head Injuries - focusing Specifically on Oblique Impacts." Doctoral thesis, KTH, Aeronautical and Vehicle Engineering, 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-3672.
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The massive number of injuries sustained in trafficaccidents is a growing problem worldwide, especially indeveloping countries. In 1998, more than one million peoplewere killed in traffic accidents worldwide, while about tentimes as many people were injured. Injuries to the centralnervous system and in particular to the headare especiallycritical to human life. This thesis contains five researchpapers looking at head injuries and head protection, proposingnew and more efficient ways of protecting the head, especiallyin traffic accidents.
In order to define the national dimensions of the patternsof injuries incurred in motorcycle and moped accidents inSweden, a statistical survey was performed on data spanning a13-year period (Paper A). In Sweden, 27,100 individualsreceived in-patient care for motorcycle and moped accidentinjuries between 1987 and 1999. The motorcycle and moped injuryrate reduced in the second half of the study period, so toowere the total number of days of treatment per year. Males hadeight times the incidence of injuries of females. Head injurieswere the single most frequent diagnosis, followed by fracturesof the lower limbs. Concussion was the most frequent headinjury. These statistics clearly show the need for better headinjury prevention systems.
According to the statistics, the most common type of impactto the head in motorcycle and moped accidents is an obliqueimpact. Oblique impacts generate rotations of the head, whichare a common cause of the most severe head injuries. Thereforea new test rig was constructed to reproduce oblique impacts toa helmeted dummy head, simulating those occurring in real lifeaccidents (Paper B). The new test rig was shown to provideuseful data at speeds of up to 50 km/h and with impact anglesvarying from purely tangential to purely radial. Thisinnovative test rig appears to provide an accurate method formeasuring accelerations in oblique impacts to helmets.
When testing the performances of motorcycle helmets,discrepancies are usually seen in the test results. In order toevaluate these discrepancies, the finite element method (FEM)was used for simulations of a few oblique helmet impacts (PaperC). Amongthe parameters studied, the coefficients of frictionbetween the impacting surface and the helmet and between thehead and the helmet had the most significant influence on therotational accelerations. Additionally, a thinner andconsequently also weaker shell and a weaker liner, providedbetter protection for the impacts studied.
Since there are no generally accepted global injurythresholds for oblique impacts to the human head, a study wasdesigned to propose new injury tolerances accounting for bothtranslations and rotations of the head (Paper D). In thatstudy, FE models of (a) a human head, (b) a Hybrid III dummyhead, and (c) the experimental helmet were used. Differentcriteria were proposed for different impact scenarios. Both thetranslational and the rotational effects were found to beimportant when proposing a predictor equation for the strainlevels experienced by the human brain in simulated impacts tothe head.
In order to reduce the level of head injuries in society andto better understand helmet impacts from different aspect, aballistic impact was also studied (Paper E). The effects ofdifferent helmet shell stiffness and different angles ofimpacts were simulated. In this study, the same FE head modelfrom Paper D was used, however here it was protected with amodel of a composite ballistic helmet. It was concluded thatthe helmet shell should be stiff enough to prevent the insideof the shell from striking the skull, and that the strainsarising in the brain tissue were higher for some obliqueimpacts than for purely radial ones.
In conclusion, this thesis describes the injury pattern ofmotorcycle and moped accidents in Sweden. This thesis showsthat the injuries sustained from these accidents can bereduced. In order to study both translational as well asrotational impacts, a new laboratory test rig was designed. Byusing the finite element method, it is possible to simulaterealistic impacts to the head and also to predict how severehead injuries may potentially be prevented.
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Lo, Ka-yee. "Childhood injury prevention the attitudes, knowledge and practices of emergency nurses /." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31972962.
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Udell, Julie. "Fall and injury prevention interventions : an exploration using three complementary methodologies." Thesis, University of Portsmouth, 2013. https://researchportal.port.ac.uk/portal/en/theses/fall-and-injury-prevention-interventions(859d71c9-d4b4-42fe-a823-995da867b840).html.
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The present research aims to explore falls and injury prevention interventions for older people, with focused investigations of different but complementary aspects of fall and injury prevention. The research was carried out using quantitative and qualitative methodologies: a Cochrane Overview of Reviews of falls prevention interventions; a focused quantitative assessment of shock absorbing flooring in a hospital setting for those with different risks of fracture, as a sub-analysis of a pilot cluster-randomised controlled trial (The HIP-HOP Flooring study); and a qualitative examination of the relationship between falls and injury prevention interventions and the resulting psychosocial effects for care home residents and staff. The Overview identified two Cochrane systematic reviews which included rate of falls and number of fallers as outcomes. Intervention comparisons were assessed to determine whether the quality of evidence was of a high enough standard for the Overview authors to have confidence in the estimate of effect. Comparisons within two (of a possible nine) single intervention categories, exercise and medication, as well as comparisons in the multiple and multifactorial interventions categories reached this standard and reduced the rate of falls or the number of fallers. Focusing on a specific fall and injury prevention intervention, the assessment of the effect of shock absorbent flooring for hospital patients according to their fracture risk was part of a larger pilot cluster randomised trial. As a pilot, the study informed the methodology and organisation required for a full trial. Tentative findings indicate that more people fell on the shock absorbing flooring than on the control flooring, but sustained less injuries. Additionally, more falls and injuries were sustained by people with an intermediate fracture risk, although again this finding was a little tenuous due to missing data. The interview study presents the experiential aspects of using interventions for fall and injury prevention for care staff and residents in a care home setting. Through this exploration, the study revealed some of the dynamics of the relationship that the carers have with residents concerning the interventions themselves. This also uncovered a much deeper, complex process that the residents were undergoing through the changes that have taken place in their lives, as they move from independent adults in their own homes to semi-dependent adults in a care home. The overall discussion reviews the findings of the studies and highlights that there is still much research to be done around fall and injury prevention interventions in order to not only evaluate the effectiveness and efficacy of interventions, but also to assess the usefulness of the interventions and acceptability on a practical level.
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Lo, Ka-yee, and 盧嘉儀. "Childhood injury prevention: the attitudes, knowledge and practices of emergency nurses." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31972962.
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Lawes, C. J. "Patient education and spinal cord injury : The prevention of pressure sores." Thesis, Leeds Beckett University, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.378929.
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Aldridge, Matthew David. "Measurements of equine gait parameters in the context of injury prevention." Thesis, University of Exeter, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.391886.
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Bain, Patricia. "Childhood unintentional home injury prevention in the primary health care setting." Thesis, Loughborough University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.416690.
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Rigobon, Alexandra. "Polyurethane inserts for comfort and injury prevention while dancing en pointe." Thesis, Massachusetts Institute of Technology, 2016. http://hdl.handle.net/1721.1/104151.
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Thesis: S.B., Massachusetts Institute of Technology, Department of Materials Science and Engineering, 2016.This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.
Cataloged from student-submitted PDF version of thesis.
Includes bibliographical references (pages 41-42).
Pointe shoes have been made using the same rudimentary materials and methods for the past 200 years, and for this reason modern dancers lack access to more sophisticated equipment. Presented here is an insert that will last longer than a typical shoe, improve fit around the toes, and increase comfort. The insert was made from Simpact© 60A, a commercially available two-part polyurethane. Samples were tested cyclically at rates of 2, 4, and 6 mm/s in order to ensure that they would not wear out and become unusable. Inserts were also molded to the foot of a semi-professional dancer and tested to measure the force on the hallux. Using a polyurethane insert, this force was reduced to less than 10% of a ballerina's body weight. This is a dramatic improvement from an unmodified shoe, where over 60% of the dancer's weight can be on the hallux, and even a shoe with an epoxy modification, where the pressures are around 20% of the body weight. These inserts also lie completely inside the toe box of the pointe shoe, meaning they have no effect on the aesthetics of ballet. They increase comfort through improved fit and decreased force, allow ballerinas to maintain feel of the floor, and are predicted to extend the life of the pointe shoe.
by Alexandra Rigobon.
S.B.