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Dahmen J, Emanuel KS, Fontanellas-Fes A, Verhagen E, Kerkhoffs GMMJ, Pluim BM. Incidence, prevalence and nature of injuries in padel: a systematic review. BMJ Open Sport Exerc Med 2023; 9:e001607. [PMID: 37337550 PMCID: PMC10277135 DOI: 10.1136/bmjsem-2023-001607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/24/2023] [Indexed: 06/21/2023] Open
Abstract
Objective It is unclear what the incidence, prevalence and nature of injuries are that can occur during playing padel. This study aimed to systematically review the incidence, prevalence and nature of injuries in padel. Method A literature search was performed up to December 2022 through MEDLINE Ovid, PubMed, Cochrane Library, SportsDiscus and CINAHL. Following database search, article retrieval and title and abstract screening, articles were assessed for eligibility against predefined criteria. Studies were assessed for methodological quality. Data on injuries' prevalence, incidence and nature of injuries were extracted, analysed and described in a descriptive statistical manner which did not include a pooling strategy as part of a formal meta-analysis. Results Eight studies with 2022 participants were included (range of mean age: 31-57). The incidence rate was 3 injuries per 1000 hours of padel training and 8 injuries per 1000 matches of padel practice. The overall prevalence range was 40%-95%. The elbow was the most common anatomical site of injury, followed by the knee, shoulder and lower back. Tendinous and muscular injuries were the most reported injury types. Conclusion Injuries are common among padel players, with an incidence rate of 3 per 1000 hours of padel training and 8 per 1000 matches of padel practice-as based on limited literature. The overall prevalence range was 40%-95%. The elbow was the most frequently reported anatomical region concerning location injury distribution, and injuries were mainly of tendinous or muscular origin.
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Affiliation(s)
- Jari Dahmen
- Department of Orthopedic Surgery, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands
- Academic Center for Evidence based Sports medicine (ACES), Amsterdam UMC, Amsterdam, The Netherlands
- Amsterdam Collaboration for Health and Safety in Sports (ACHSS), International Olympic Committee (IOC) Research Center, Amsterdam UMC, Amsterdam, The Netherlands
| | - Kaj S Emanuel
- Department of Orthopedic Surgery, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands
- Academic Center for Evidence based Sports medicine (ACES), Amsterdam UMC, Amsterdam, The Netherlands
- Amsterdam Collaboration for Health and Safety in Sports (ACHSS), International Olympic Committee (IOC) Research Center, Amsterdam UMC, Amsterdam, The Netherlands
- Department of Orthopedic Surgery, Maastricht University Medical Center+, Maastricht, The Netherlands
| | - Albert Fontanellas-Fes
- Department of Surgery and Morphologic Science, Orthopaedic Surgery Service, Universitat Pompeu Fabra, Hospital del Mar, Barcelona, Spain
| | - Evert Verhagen
- Amsterdam Collaboration for Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Vu University Medical Center, Amsterdam, The Netherlands
| | - Gino M M J Kerkhoffs
- Department of Orthopedic Surgery, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands
- Academic Center for Evidence based Sports medicine (ACES), Amsterdam UMC, Amsterdam, The Netherlands
- Amsterdam Collaboration for Health and Safety in Sports (ACHSS), International Olympic Committee (IOC) Research Center, Amsterdam UMC, Amsterdam, The Netherlands
| | - Babette M Pluim
- Amsterdam Collaboration for Health and Safety in Sports (ACHSS), International Olympic Committee (IOC) Research Center, Amsterdam UMC, Amsterdam, The Netherlands
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
- Royal Dutch Lawn Tennis Association (KNLTB), Amstelveen, The Netherlands
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2
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Pluim BM, Jansen MGT, Williamson S, Berry C, Camporesi S, Fagher K, Heron N, van Rensburg DCJ, Moreno-Pérez V, Murray A, O'Connor SR, de Oliveira FCL, Reid M, van Reijen M, Saueressig T, Schoonmade LJ, Thornton JS, Webborn N, Ardern CL. Physical Demands of Tennis Across the Different Court Surfaces, Performance Levels and Sexes: A Systematic Review with Meta-analysis. Sports Med 2023; 53:807-836. [PMID: 36752978 DOI: 10.1007/s40279-022-01807-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/21/2022] [Indexed: 02/09/2023]
Abstract
BACKGROUND Tennis is a multidirectional high-intensity intermittent sport for male and female individuals played across multiple surfaces. Although several studies have attempted to characterise the physical demands of tennis, a meta-analysis is still lacking. OBJECTIVE We aimed to describe and synthesise the physical demands of tennis across the different court surfaces, performance levels and sexes. METHODS PubMed, Embase, CINAHL and SPORTDiscus were searched from inception to 19 April, 2022. A backward citation search was conducted for included articles using Scopus. The PECOS framework was used to formulate eligibility criteria. POPULATION tennis players of regional, national or international playing levels (juniors and adults). EXPOSURE singles match play. Comparison: sex (male/female), court surface (hard, clay, grass). OUTCOME duration of play, on-court movement and stroke performance. STUDY DESIGN cross-sectional, longitudinal. Pooled means or mean differences with 95% confidence intervals were calculated. A random-effects meta-analysis with robust variance estimation was performed. The measures of heterogeneity were Cochrane Q and 95% prediction intervals. Subgroup analysis was used for different court surfaces. RESULTS The literature search generated 7736 references; 64 articles were included for qualitative and 42 for quantitative review. Mean [95% confidence interval] rally duration, strokes per rally and effective playing time on all surfaces were 5.5 s [4.9, 6.3], 4.1 [3.4, 5.0] and 18.6% [15.8, 21.7] for international male players and 6.4 s [5.4, 7.6], 3.9 [2.4, 6.2] and 20% [17.3, 23.3] for international female players. Mean running distances per point, set and match were 9.6 m [7.6, 12.2], 607 m [443, 832] and 2292 m [1767, 2973] (best-of-5) for international male players and 8.2 m [4.4, 15.2], 574 m [373, 883] and 1249 m [767, 2035] for international female players. Mean first- and second-serve speeds were 182 km·h-1 [178, 187] and 149 km·h-1 [135, 164] for international male players and 156 km·h-1 95% confidence interval [151, 161] and 134 km·h-1 [107, 168] for international female players. CONCLUSIONS The findings from this study provide a comprehensive summary of the physical demands of tennis. These results may guide tennis-specific training programmes. We recommend more consistent measuring and reporting of data to enable future meta-analysts to pool meaningful data. CLINICAL TRIAL REGISTRATION The protocol for this systematic review was registered a priori at the Open Science Framework (Registration DOI https://doi.org/10.17605/OSF.IO/MDWFY ).
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Affiliation(s)
- Babette M Pluim
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
- Amsterdam Collaboration on Health and Safety in Sports (ACHSS), IOC Research Center of Excellence, Amsterdam, The Netherlands.
- Medical Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amstelveen, The Netherlands.
- Department of Orthopaedic Surgery and Sports Medicine, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands.
- Academic Center for Evidence-based Sports Medicine, ACES, Amsterdam, The Netherlands.
| | - Marleen G T Jansen
- Toptennis Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amstelveen, The Netherlands
- Centre for Human Movement Sciences, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands
| | | | | | - Silvia Camporesi
- Department of Political Science, University of Vienna, Vienna, Austria
| | - Kristina Fagher
- Rehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden
| | - Neil Heron
- Centre for Public Health, Queen's University Belfast, Belfast, Northern Ireland
- School of Medicine, Keele University, Staffordshire, UK
| | - Dina C Janse van Rensburg
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
- Medical Committee, World Netball, Manchester, UK
| | - Víctor Moreno-Pérez
- Center for Translational Research in Physiotherapy, Department of Pathology and Surgery, Miguel Hernández University of Elche, San Joan, Spain
| | - Andrew Murray
- Sport and Exercise, University of Edinburgh. Pleasance, Edinburgh, UK
- European Tour Health and Performance Institute, European Tour Golf, Virginia Water, UK
| | - Seán R O'Connor
- School of Psychology, Queen's University Belfast, Belfast, UK
| | - Fábio C L de Oliveira
- Research Unit in Sport and Physical Activity (CIDAF), Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal
| | | | - Miriam van Reijen
- Toptennis Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amstelveen, The Netherlands
- National Olympic Committee TeamNL, Arnhem, The Netherlands
| | | | - Linda J Schoonmade
- University Library, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Jane S Thornton
- Return to Health and Performance Lab, Western Centre for Public Health and Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
- Fowler Kennedy Sport Medicine Clinic, Western University, London, ON, Canada
| | - Nick Webborn
- IPC Medical Committee, Bonn, Germany
- Centre for Sport and Exercise Science and Medicine (SESAME), School of Sport and Service Management, University of Brighton, Brighton, UK
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Clare L Ardern
- Department of Family Practice, University of British Columbia, Vancouver, BC, Canada
- Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, VIC, Australia
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3
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de Oliveira FCL, Williamson S, Ardern CL, Fagher K, Heron N, Janse van Rensburg DCC, Jansen MGT, Kolman N, O'Connor SR, Saueressig T, Schoonmade L, Thornton JS, Webborn N, Pluim BM. Association between the level of partial foot amputation and gait: a scoping review with implications for the minimum impairment criteria for wheelchair tennis. Br J Sports Med 2022; 57:bjsports-2022-105650. [PMID: 36588404 DOI: 10.1136/bjsports-2022-105650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/17/2022] [Indexed: 12/12/2022]
Abstract
OBJECTIVE This scoping review examines how different levels and types of partial foot amputation affect gait and explores how these findings may affect the minimal impairment criteria for wheelchair tennis. METHODS Four databases (PubMed, Embase, CINAHL and SPORTDiscus) were systematically searched in February 2021 for terms related to partial foot amputation and ambulation. The search was updated in February 2022. All study designs investigating gait-related outcomes in individuals with partial foot amputation were included and independently screened by two reviewers based on Arksey and O'Malley's methodological framework and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. RESULTS Twenty-nine publications with data from 252 participants with partial foot amputation in 25 studies were analysed. Toe amputations were associated with minor gait abnormalities, and great toe amputations caused loss of push-off in a forward and lateral direction. Metatarsophalangeal amputations were associated with loss of stability and decreased gait speed. Ray amputations were associated with decreased gait speed and reduced lower extremity range of motion. Transmetatarsal amputations and more proximal amputations were associated with abnormal gait, substantial loss of power generation across the ankle and impaired mobility. CONCLUSIONS Partial foot amputation was associated with various gait changes, depending on the type of amputation. Different levels and types of foot amputation are likely to affect tennis performance. We recommend including first ray, transmetatarsal, Chopart and Lisfranc amputations in the minimum impairment criteria, excluding toe amputations (digits two to five), and we are unsure whether to include or exclude great toe, ray (two to five) and metatarsophalangeal amputations. TRIAL REGISTRATION The protocol of this scoping review was previously registered at the Open Science Framework Registry (https://osf.io/8gh9y) and published.
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Affiliation(s)
- Fábio Carlos Lucas de Oliveira
- Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada
- Research Unit in Sport and Physical Activity (CIDAF), University of Coimbra, Coimbra, Portugal
| | | | - Clare L Ardern
- Department of Family Practice, The University of British Columbia, Vancouver, British Columbia, Canada
- Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia
| | - Kristina Fagher
- Rehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden
| | - Neil Heron
- Center for Public Health, Queen's University Belfast, Belfast, UK
- School of Medicine, Keele University, Staffordshire, UK
| | | | - Marleen G T Jansen
- Toptennis Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amstelveen, The Netherlands
- Center for Human Movement Sciences, University Medical Centre Groningen, Groningen, The Netherlands
| | - Nikki Kolman
- Center for Human Movement Sciences, University Medical Centre Groningen, Groningen, The Netherlands
- Knowledge Centre for Sport & Physical Activity, Utrecht, The Netherlands
| | | | | | - Linda Schoonmade
- Medical Library, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Jane S Thornton
- Department of Family Medicine, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada
- Department of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada
| | - Nick Webborn
- IPC Medical Committee, Bonn, Germany
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Babette M Pluim
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
- Amsterdam Collaboration on Health & Safety in Sports (ACHSS), AMC/VUmc IOC Research Center of Excellence, Amsterdam, The Netherlands
- Medical Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amstelveen, The Netherlands
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4
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Willems WJ, Ottenheijm RPG, Pluim BM, Portegies P, van der Woude D. [Shoulder complaints]. Ned Tijdschr Geneeskd 2022; 166. [PMID: 36633033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Shoulder complaints are a very prevalent condition and a significant cause of morbidity and disability. Most patients with shoulder complaints are primarily seen by general physicians. The guideline, as developed by the Dutch College of General Physicians (NHG) in 2019, formulates a basic algorithm to start early conservative management of shoulder complaints. This article describes several causes of shoulder complaints more extensively and offers possible tools to obtain a more precise diagnosis. With a better knowledge of the multiple causes of shoulder complaints, most shoulder complaints can be adequately managed by general physicians, thus preventing unnecessary referrals.
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Affiliation(s)
- W Jaap Willems
- DC Expertise Centrum, Amsterdam.,Contact: W. Jaap Willems
| | | | - Babette M Pluim
- University of Pretoria, Faculty of Health Sciences, Section Sports Medicine, Pretoria, Zuid-Afrika
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5
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de Oliveira FCL, Williamson S, Ardern CL, Heron N, van Rensburg DCJ, Jansen MG, O'Connor S, Schoonmade L, Thornton J, Pluim BM. Associations between partial foot amputation level, gait parameters, and minimum impairment criteria in para-sport: A research study protocol. Sports Medicine and Health Science 2021; 4:70-73. [PMID: 35782775 PMCID: PMC9219336 DOI: 10.1016/j.smhs.2021.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 10/30/2021] [Accepted: 11/02/2021] [Indexed: 11/23/2022] Open
Abstract
Altered biomechanics due to amputation can contribute to substantial limitations, influencing sporting activities. Individuals with lower extremity amputations or congenital lower limb deficiency are encouraged to participate in para-sports. However, to compete in Paralympic sports, the candidate must have an impairment that results in lower extremity loss of function and meets or exceeds the sport's minimum impairment criteria (MIC). This review will focus on the MIC for competitive wheelchair tennis. Limb deficiency is known as one of the MIC used to regulate participation in competitive para-sports since it impacts gait, kinematics, and biomechanics of both the upper and lower body. Notwithstanding, it is questionable whether the MIC concerning limb deficiency is set at the correct level for determining eligibility for participating in Paralympic sports. This study aims to provide an overview of the evidence examining the impact of different partial foot amputation (PFA) levels on gait as a proxy for sporting performance. This scoping review will be based on a 6-step methodological framework and Preferred Reporting Items for Systematic Reviews and Meta-Analysis, extension for scoping reviews (PRISMA-ScR). Studies will be selected from PubMed, Embase, CINAHL, and SPORTDiscus. Two authors will screen the titles/abstracts independently. Selected studies will be scrutinised, and the same authors will extract data. Findings will be relevant to informing the evidence-based development of MIC for lower limb impairment after PFA and may be extrapolated to specific Paralympic sports, including wheelchair tennis. Results will be disseminated through scientific publications and conferences to audiences interested in Paralympic sports.
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6
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Rankin A, Massey A, Falvey ÉC, Ellenbecker T, Harcourt P, Murray A, Kinane D, Niesters B, Jones N, Martin R, Roshon M, McLarnon MED, Calder J, Izquierdo D, Pluim BM, Elliott N, Heron N. Infographic. COVID-19 RT-PCR testing for elite athletes. Br J Sports Med 2021; 55:818-820. [PMID: 33455908 PMCID: PMC7817382 DOI: 10.1136/bjsports-2020-103751] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/05/2021] [Indexed: 01/24/2023]
Affiliation(s)
- Alan Rankin
- Sports Medicine, SportNI Sports Institute, Newtownabbey, UK
- Sports Medicine NI, Belfast, UK
| | - Andrew Massey
- Medical and Anti-Doping Department, Federation Internationale de Football Association, Zurich, Zürich, Switzerland
| | - Éanna Cian Falvey
- Sport Medicine Department, World Rugby, Dublin, Ireland
- Department of Medicine, University College Cork, Cork, Ireland
| | | | - Peter Harcourt
- Australian Football League, Docklands, Victoria, Australia
| | - Andrew Murray
- St Andrew's House Edinburgh, Scottish Government Sport and Physical Activity Policy Team, Edinburgh, Scotland, UK
- Sports Medicine, Scottish Institute of Sport, Stirling, UK
| | - Denis Kinane
- Department of Immunology, University of Bern, Bern, Switzerland
| | - Bert Niesters
- Microbiology, University of Groningen, Groningen, The Netherlands
| | - Nigel Jones
- Medical Department, British Cycling, Manchester, UK
| | - Rhodri Martin
- Sports Medicine, Sport Wales, Cardiff, UK
- Cwm Taf Morgannwg University Health Board, Abercynon, Rhondda Cynon Taf, UK
| | | | | | - James Calder
- Trauma and Orthopaedics, Chelsea and Westminster Hospital, London, UK
| | | | - Babette M Pluim
- Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
- AMC/VUmc IOC Research Center of Excellence, Amsterdam Collaboration on Health & Safety in Sports (ACHSS), Amsterdam, The Netherlands
| | - Niall Elliott
- Sports Medicine, Sport Scotland Institute of Sport, Stirling, UK
| | - Neil Heron
- Department of Family Practice, Queen's University Belfast, Belfast, UK
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7
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Clarsen B, Pluim BM, Moreno-Pérez V, Bigard X, Blauwet C, Del Coso J, Courel-Ibáñez J, Grimm K, Jones N, Kolman N, Mateo-March M, Pollastri L, López-Rodríguez C, Ortolano Ríos R, Roshon M, Hoyos Echevarría J, Madouas G, Nordhaug LP, Patricios J, Verhagen E. Methods for epidemiological studies in competitive cycling: an extension of the IOC consensus statement on methods for recording and reporting of epidemiological data on injury and illness in sport 2020. Br J Sports Med 2021; 55:1262-1269. [PMID: 33980546 DOI: 10.1136/bjsports-2020-103906] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2021] [Indexed: 12/19/2022]
Abstract
In 2020, the IOC released a consensus statement that provides overall guidelines for the recording and reporting of epidemiological data on injury and illness in sport. Some aspects of this statement need to be further specified on a sport-by-sport basis. To extend the IOC consensus statement on methods for recording and reporting of epidemiological data on injury and illness in sports and to meet the sport-specific requirements of all cycling disciplines regulated by the Union Cycliste Internationale (UCI). A panel of 20 experts, all with experience in cycling or cycling medicine, participated in the drafting of this cycling-specific extension of the IOC consensus statement. In preparation, panel members were sent the IOC consensus statement, the first draft of this manuscript and a list of topics to be discussed. The expert panel met in July 2020 for a 1-day video conference to discuss the manuscript and specific topics. The final manuscript was developed in an iterative process involving all panel members. This paper extends the IOC consensus statement to provide cycling-specific recommendations on health problem definitions, mode of onset, injury mechanisms and circumstances, diagnosis classifications, exposure, study population characteristics and data collection methods. Recommendations apply to all UCI cycling disciplines, for both able-bodied cyclists and para-cyclists. The recommendations presented in this consensus statement will improve the consistency and accuracy of future epidemiological studies of injury and illness in cycling.
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Affiliation(s)
- Benjamin Clarsen
- Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway
- Centre for Disease Burden, Norwegian Institute of Public Health, Bergen, Norway
| | - Babette M Pluim
- University of Pretoria Faculty of Health Sciences, Pretoria, South Africa
- Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Science, Amsterdam UMC Locatie VUmc, Amsterdam, The Netherlands
- Department of Sports Medicine, Royal Netherlands Lawn Tennis Association (KNLTB), Amstelveen, The Netherlands
| | - Víctor Moreno-Pérez
- Center for Translational Research in Physiotherapy, Miguel Hernandez University of Elche, Elche, Spain
- Medical Department, Spanish Cycling Federation, Madrid, Spain
| | - Xavier Bigard
- Medical Commission, Union Cycliste Internationale (UCI), Aigle, Switzerland
| | - Cheri Blauwet
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Juan Del Coso
- Centre for Sport Studies, Rey Juan Carlos University, Madrid, Spain
| | | | - Katharina Grimm
- Medical Commission, Union Cycliste Internationale (UCI), Aigle, Switzerland
| | - Nigel Jones
- Medical Department, British Cycling, Manchester, UK
| | - Nikki Kolman
- Center for Human Movement Sciences, University Medical Centre Groningen, Groningen, The Netherlands
- Knowledge Centre for Sport & Physical Activity, Ede, The Netherlands
| | - Manuel Mateo-March
- Performance and Medical Department, Movistar Cycling team, Pamplona, Spain
| | | | | | | | - Michael Roshon
- Medical Department, USA Cycling, Colorado Springs, Colorado, USA
| | | | - Gwenaëlle Madouas
- Department of Medical Services, Fédération Française de Cyclisme, Brest, France
| | | | - Jon Patricios
- Wits Sport and Health (WiSH), School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Evert Verhagen
- Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Science, Amsterdam UMC Locatie VUmc, Amsterdam, The Netherlands
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8
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Derman W, Badenhorst M, Blauwet C, Emery CA, Fagher K, Lee YH, Kissick J, Lexell J, Miller IS, Pluim BM, Schwellnus M, Steffen K, Van de Vliet P, Webborn N, Weiler R. Para sport translation of the IOC consensus on recording and reporting of data for injury and illness in sport. Br J Sports Med 2021; 55:1068-1076. [PMID: 33853834 DOI: 10.1136/bjsports-2020-103464] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/31/2021] [Indexed: 11/04/2022]
Abstract
In 2020, the IOC proposed a universal methodology for the recording and reporting of data for injury and illness in sport. Para sport is played by individuals with impairment, and they have a unique set of considerations not captured by these recommendations. Therefore, the aim of this addendum to IOC consensus statement was to guide the Para sport researcher through the complexities and nuances that should be taken into consideration when collecting, registering, reporting and interpreting data regarding Para athlete health. To develop this translation, experts in the field of Para sports medicine and epidemiology conducted a formal consensus development process, which began in March 2020 with the formation of a consensus group that worked over eight phases, incorporating three virtual consensus meetings to finalise the translation. This translation is consistent with the IOC consensus statement, yet provides more detailed Para athlete specific definitions and recommendations on study population, specifically, diagnostic and eligible impairment categorisation and recording of adaptive equipment, and defining and classifying health problems in the context of Para sport. Additionally, recommendations and Para athlete specific examples are described with regards to injury mechanism, mode of onset, injury and illness classification, duration, capturing and reporting exposure and risk. Finally, methods and considerations are provided to cater to the varied needs of athletes with impairment with respect to data collection tools. This harmonisation will allow the science to develop and facilitate a more accurate understanding of injury and illness patterns for tailoring evidence-informed prevention programmes and enabling better planning of medical services for Para sport events.
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Affiliation(s)
- Wayne Derman
- Institute of Sport and Exercise Medicine (ISEM), Division of Orthopaedic Surgery, Department of Surgical Sciences, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa .,International Olympic Committee Research Centre, South Africa.,IPC Medical Committee, Bonn, Germany
| | - Marelise Badenhorst
- Institute of Sport and Exercise Medicine (ISEM), Division of Orthopaedic Surgery, Department of Surgical Sciences, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa.,International Olympic Committee Research Centre, South Africa.,Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, Auckland, New Zealand
| | - Cheri Blauwet
- IPC Medical Committee, Bonn, Germany.,Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital/Harvard Medical School, Boston, Massachusetts, USA
| | - Carolyn A Emery
- Sport Injury Prevention Research Centre, Faculty of Kinesiology and Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.,International Olympic Committee Research Center, Calgary, Alberta, Canada
| | - Kristina Fagher
- Rehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden
| | - Young-Hee Lee
- Department of Rehabilitation Medicine, Yonsei University Wonju College of Medicine, Seodaemun-gu, Korea (the Republic of).,International Olympic Committee Research Center, Seoul, Korea (the Republic of).,Yonsei Institute of Sports Science and Exercise Medicine, Seoul, Korea (the Republic of)
| | - James Kissick
- IPC Medical Committee, Bonn, Germany.,Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Jan Lexell
- IPC Medical Committee, Bonn, Germany.,Rehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden.,Department of Rehabilitation Medicine, Skåne University Hospital, Lund, Sweden
| | - Ian Stuart Miller
- English Institute of Sport, Manchester, UK.,British Paralympic Association, London, UK
| | - Babette M Pluim
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.,Amsterdam Collaboration on Health & Safety in Sports (ACHSS), AMC/VUmc IOC Research Center of Excellence, Amsterdam, The Netherlands.,Medical Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amstelveen, The Netherlands
| | - Martin Schwellnus
- International Olympic Committee Research Centre, South Africa.,Sport, Exercise Medicine and Lifestyle Institute (SEMLI), University of Pretoria, Faculty of Health Sciences, Pretoria, South Africa
| | - Kathrin Steffen
- Oslo Sports Trauma Research Center, Norwegian School of Sports Sciences, Oslo, Norway.,International Olympic Committee Research Center, Norway.,The Norwegian Olympic Training Center (Olympiatoppen), Oslo, Norway
| | - Peter Van de Vliet
- Former Medical & Scientific Director International Paralympic Committee, Bonn, Germany.,Immune-Oncological Centre, Cologne, Germany
| | - Nick Webborn
- IPC Medical Committee, Bonn, Germany.,Centre for Sport and Exercise Science and Medicine (SESAME), School of Sport and Service Management, University of Brighton, Brighton, UK.,School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Richard Weiler
- Amsterdam Collaboration on Health & Safety in Sports (ACHSS), AMC/VUmc IOC Research Center of Excellence, Amsterdam, The Netherlands.,Fortius Clinic, London, UK
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9
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Dvorak J, Pluim BM. Injury and illness surveillance in sports: how golf, tennis, cycling and parasport extended the IOC consensus statement to tailor injury and illness surveillance to specific sports. Br J Sports Med 2020; 55:6-7. [PMID: 33122251 DOI: 10.1136/bjsports-2020-102616] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/06/2020] [Indexed: 11/03/2022]
Affiliation(s)
- Jiri Dvorak
- Swiss Golf Medical Centre, Spine Unit, Schulthess Clinic, Zurich, Switzerland
| | - Babette M Pluim
- Section Sports Medicine, University of Pretoria, Faculty of Health Sciences, Pretoria, South Africa .,AMC/VUmc IOC Research Center of Excellence, Amsterdam Collaboration on Health & Safety in Sports (ACHSS), Amsterdam, The Netherlands.,Medical Dept, Royal Dutch Lawn Tennis Association (KNLTB), Amstelveen, The Netherlands
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10
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Verhagen E, Clarsen B, Capel-Davies J, Collins C, Derman W, de Winter D, Dunn N, Ellenbecker TS, Forde R, Hainline B, Larkin J, Reid M, Renstrom PA, Stroia K, Wolstenholme S, Pluim BM. Tennis-specific extension of the International Olympic Committee consensus statement: methods for recording and reporting of epidemiological data on injury and illness in sport 2020. Br J Sports Med 2020; 55:9-13. [PMID: 33082146 PMCID: PMC7788227 DOI: 10.1136/bjsports-2020-102360] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/25/2020] [Indexed: 12/31/2022]
Abstract
The IOC has proposed standard methods for recording and reporting of data for injury and illness in sport. The IOC consensus statement authors anticipated that sport-specific statements would provide further recommendations. This statement is the tennis-specific extension of the partner IOC statement. The International Tennis Federation Sport Science and Medicine Committee, in collaboration with selected external experts, met in June 2019 to consider athlete health monitoring issues specific to tennis. Once the IOC consensus statement was finalised, the tennis-specific consensus was drafted and agreed on by the members over three iterations. Compared with the IOC consensus statement, the tennis consensus contains tennis-specific information on injury mechanism, mode of onset, injury classification, injury duration, capturing and reporting exposure, reporting risk and study population. Our recommendations apply to able-bodied as well as wheelchair tennis players. Where applicable, specific recommendations are made for wheelchair tennis.
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Affiliation(s)
- Evert Verhagen
- Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, Amsterdam, The Netherlands .,UCT/MRC Research Unit for Exercise Science and Sports Medicine (ESSM), Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.,School of Physical Education, Faculty of Physical Therapy & Occupational Therapy, Universidade Federal de MinasGerais, Belo Horizonte, Brazil.,Amsterdam Institute of Sport Science, Amsterdam, The Netherlands
| | - Benjamin Clarsen
- Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo Sports Trauma Research Center, Oslo, Norway.,Centre for Disease Burden, Norwegian Institute of Public Health, Oslo, Norway
| | | | - Christy Collins
- Datalys Center for Sports Injury Research and Prevention, Indianapolis, Indiana, USA
| | - Wayne Derman
- Institute of Sport and Exercise Medicine, Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa.,IOC Research Center, Cape Town, South Africa
| | | | - Nicky Dunn
- International Tennis Federation, London, UK
| | | | - Raymond Forde
- Barbados Tennis Association Inc, Bridgetown, Barbados
| | - Brian Hainline
- National Collegiate Athletic Association (NCAA), Indianapolis, Indiana, USA
| | | | - Machar Reid
- Tennis Australia, Melbourne, Victoria, Australia
| | - Per Afh Renstrom
- Stockholm Sports Trauma Research Center, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
| | | | | | - Babette M Pluim
- Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, Amsterdam, The Netherlands.,University of Pretoria Faculty of Health Sciences, Pretoria, South Africa.,Medical Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amstelveen, The Netherlands
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11
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Moreno-Pérez V, Prieto J, Del Coso J, Lidó-Micó JE, Fragoso M, Penalva FJ, Reid M, Pluim BM. Association of acute and chronic workloads with injury risk in high-performance junior tennis players. Eur J Sport Sci 2020; 21:1215-1223. [PMID: 32877321 DOI: 10.1080/17461391.2020.1819435] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
This study examined the association and predictive ability of several markers of internal workload on risk of injury in high-performance junior tennis players. Fifteen young, high-level tennis players (9 males, 6 females; age: 17.2 ± 1.1 years; height: 178.5 ± 8.7 cm; mass: 68.1 ± 4.8 kg) participated in this investigation. Data on injury epidemiology and internal workload during training were obtained for one competitive season. The session-rating of perceived exertion (s-RPE) was used to calculate internal workload markers in absolute (acute workload and chronic workload for 2-weeks, 3-weeks and 4-weeks) and relative terms (acute:chronic workload ratios [ACWR] for 2-weeks, 3-weeks and 4-weeks). Associations and diagnostic power for predicting tennis injuries were examined through generalised estimating equations and receiver operating characteristics analyses. During the season, a total of 40 injuries were recorded, corresponding to 3.5 injuries per 1000 h of tennis practice. The acute workload was highly associated with injury incidence (P=0.04), as injury risk increased by 1.62 times (95% CI: 1.01-2.62) for every increase of 1858.7 arbitrary units (AU) of the workload during the most recent training week. However, acute workload was a poor predictor of injury, and associations between injury and internal workload markers were weak (all P>0.05). These findings demonstrate an association between high values of acute workload and the risk of injury in high-level tennis players. However, a high acute workload is only one of the many factors associated with injury, and by itself, has low predictive ability for injury.
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Affiliation(s)
- Victor Moreno-Pérez
- Sports Research Center, Miguel Hernandez University of Elche, Alicante, Spain.,Center for Translational Research in Physiotherapy, Department of Pathology and Surgery, Miguel Hernandez University of Elche, San Joan, Spain
| | - Jaime Prieto
- Faculty of Law and Social Sciences, Rey Juan Carlos University, Madrid, Spain
| | - Juan Del Coso
- Centre for Sport Studies, Rey Juan Carlos University, Fuenlabrada, Spain
| | | | - Miguel Fragoso
- Performance Department, Altur Tennis Academy, Valencia, Spain
| | | | - Machar Reid
- Game Insight Group, Tennis Australia, Melbourne, Australia
| | - Babette M Pluim
- Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.,Amsterdam Collaboration on Health & Safety in Sports (ACHSS), AMC/VUmc IOC Research Center of Excellence, Amsterdam, Netherlands.,Medical Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amstelveen, Netherlands
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12
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Nielsen RO, Shrier I, Casals M, Nettel-Aguirre A, Møller M, Bolling C, Bittencourt NFN, Clarsen B, Wedderkopp N, Soligard T, Timpka T, Emery C, Bahr R, Jacobsson J, Whiteley R, Dahlstrom O, van Dyk N, Pluim BM, Stamatakis E, Palacios-Derflingher L, Fagerland MW, Khan KM, Ardern CL, Verhagen E. Statement on methods in sport injury research from the 1st METHODS MATTER Meeting, Copenhagen, 2019. Br J Sports Med 2020; 54:941. [PMID: 32371524 PMCID: PMC7392492 DOI: 10.1136/bjsports-2019-101323] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/19/2020] [Indexed: 01/08/2023]
Abstract
High quality sports injury research can facilitate sports injury prevention and treatment. There is scope to improve how our field applies best practice methods—methods matter (greatly!). The 1st METHODS MATTER Meeting, held in January 2019 in Copenhagen, Denmark, was the forum for an international group of researchers with expertise in research methods to discuss sports injury methods. We discussed important epidemiological and statistical topics within the field of sports injury research. With this opinion document, we provide the main take-home messages that emerged from the meeting.
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Affiliation(s)
- Rasmus Oestergaard Nielsen
- Department of Public Health, Section for Sports Science, Aarhus University, Aarhus, Denmark .,Research Unit for General Practice, Aarhus, Denmark
| | - Ian Shrier
- Centre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
| | - Marti Casals
- Sport and Physical Activity Studies Centre (CEEAF), Faculty of Medicine, University of Vic-Central University of Catalonia (UVic-UCC), Barcelona, Spain.,Medical Department, Futbol Club Barcelona, Barça Innovation Hub, Barcelona, Spain
| | | | - Merete Møller
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Caroline Bolling
- Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands
| | - Natália Franco Netto Bittencourt
- Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands.,Sports Physical Therapy Department, Minas Tenis Clube, Belo Horizonte, Brazil.,Physical Therapy, Centro Universitário UniBH, Belo Horizonte, Brazil
| | - Benjamin Clarsen
- Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway.,Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Department of Sports Medicine, Oslo, Norway
| | - Niels Wedderkopp
- Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.,The Orthopedic department, Hospital of Southwestern Jutland, Esbjerg, Denmark
| | - Torbjørn Soligard
- Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland
| | - Toomas Timpka
- Health and Society, Linköping University, Linköping, Sweden
| | - Carolyn Emery
- Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | - Roald Bahr
- Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Department of Sports Medicine, Oslo, Norway
| | - Jenny Jacobsson
- Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
| | - Rod Whiteley
- Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Orjan Dahlstrom
- Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden
| | - Nicol van Dyk
- High Performance Unit, Irish Rugby Football Union, Dublin, Ireland
| | - Babette M Pluim
- Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands.,Section Sports Medicine, Faculty of Health Science, University of Pretoria, Pretoria, South Africa.,Medical Department, Royal Netherlands Lawn Tennis Association, Amstelveen, The Netherlands
| | - Emmanuel Stamatakis
- School of Public Health, University of Sydney, Sydney, New South Wales, Australia.,University College London, London, UK
| | - Luz Palacios-Derflingher
- Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Morten Wang Fagerland
- Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Department of Sports Medicine, Oslo, Norway
| | - Karim M Khan
- Department of Family Practice, The University of British Columbia, Vancouver, British Columbia, Canada.,British Journal of Sports Medicine, London, United Kingdom
| | - Clare L Ardern
- Division of Physiotherapy, Linköping University, Linköping, Sweden.,Division of Physiotherapy, Department of Neurobiology, Karolinska Institute, Stockholm, Sweden
| | - Evert Verhagen
- Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands
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13
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Pas HIMFL, Pluim BM, Kilic O, Verhagen E, Gouttebarge V, Holman R, Moen MH, Kerkhoffs GM, Tol JL. Effectiveness of an e-health tennis-specific injury prevention programme: randomised controlled trial in adult recreational tennis players. Br J Sports Med 2020; 54:1036-1041. [PMID: 32001517 DOI: 10.1136/bjsports-2019-101142] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/10/2020] [Indexed: 12/26/2022]
Abstract
BACKGROUND Despite reported injury rates of up to 3 per 1000 hours exposure, there are no evidence-based prevention programmes in tennis. PURPOSE To evaluate the effectiveness of an e-health prevention programme for reducing tennis injury prevalence. STUDY DESIGN Two-arm, researcher-blinded randomised controlled trial. METHODS Adult tennis players of all playing levels were randomised in an unsupervised programme lasting 12 weeks (TennisReady group or control group). The primary outcome was the overall injury prevalence over a 16-week period, measured at 2 weekly intervals with the Oslo Sports and Trauma Research Centre questionnaire. Estimates for the primary outcome and associated 95% CIs were obtained using generalised estimating equation models. Secondary outcome scores included prevalence of substantial injuries, overall incidence, adherence and time-loss injuries. RESULTS A total of 579 (83%) (TennisReady n=286, control n=293) participants were included in the primary analysis. The mean injury prevalence was 37% (95% CI 33% to 42%) in the TennisReady vs 38% (95% CI 34% to 42%) in the control group (adjusted p-value 0.93). The prevalence of substantial injuries was 11% (95% CI 9% to 14%) in the TennisReady vs 12% (95% CI 9% to 15%) in the control group (p value of 0.79). Analysis of the secondary outcome scores showed no difference between groups. The mean prevalence rates between high (8%) and low (92%) adherent groups were 32% (95% CI 23% to 44%) and 37% (95% CI 33% to 42%), respectively (p value 0.36). CONCLUSION Providing an unsupervised e-health tennis-specific exercise programme did not reduce the injury rates and should not be implemented. TRIAL REGISTRATION NUMBER NTR6443.
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Affiliation(s)
- Haiko Ivo Maria Franciscus Lodewijk Pas
- Amsterdam UMC, Univ of Amsterdam, Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Amsterdam, The Netherlands.,Academic Center for Evidence-based Sports medicine (ACES), Amsterdam UMC, Amsterdam Movement Sciences, Amsterdam, The Netherlands.,Amsterdam Collaboration on Health & Safety in Sports (ACHSS), Amsterdam UMC IOC Research Center of Excellence, Amsterdam, The Netherlands.,Northwest Hospital group location Alkmaar, Department of Pulmonary Medicine, Alkmaar, The Netherlands
| | - Babette M Pluim
- Amsterdam Collaboration on Health & Safety in Sports (ACHSS), Amsterdam UMC IOC Research Center of Excellence, Amsterdam, The Netherlands.,Royal Netherlands Lawn Tennis Association, Amstelveen, The Netherlands.,Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Hatfield, South Africa
| | - Ozgur Kilic
- Amsterdam UMC, Univ of Amsterdam, Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Amsterdam, The Netherlands.,Academic Center for Evidence-based Sports medicine (ACES), Amsterdam UMC, Amsterdam Movement Sciences, Amsterdam, The Netherlands.,Amsterdam Collaboration on Health & Safety in Sports (ACHSS), Amsterdam UMC IOC Research Center of Excellence, Amsterdam, The Netherlands
| | - Evert Verhagen
- Amsterdam Collaboration on Health & Safety in Sports (ACHSS), Amsterdam UMC IOC Research Center of Excellence, Amsterdam, The Netherlands.,Department of Public and Occupational Health, Amsterdam UMC, VU University, Amsterdam Movement Sciences, Amsterdam, The Netherlands
| | - Vincent Gouttebarge
- Amsterdam UMC, Univ of Amsterdam, Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Amsterdam, The Netherlands.,Academic Center for Evidence-based Sports medicine (ACES), Amsterdam UMC, Amsterdam Movement Sciences, Amsterdam, The Netherlands.,Amsterdam Collaboration on Health & Safety in Sports (ACHSS), Amsterdam UMC IOC Research Center of Excellence, Amsterdam, The Netherlands.,Division of Exercise Science and Sports Medicine, University of Cape Town, Cape Town, South Africa.,Dutch Consumer Safety Institute, Amsterdam, The Netherlands
| | - Rebecca Holman
- Clinical Research Unit, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands
| | - Maarten H Moen
- Amsterdam UMC, Univ of Amsterdam, Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Amsterdam, The Netherlands.,Department of Sports Medicine, Bergman Clinics, Naarden, The Netherlands.,The Sports Physician Group, Onze Lieve Vrouwe Gasthuis West, Amsterdam, The Netherlands
| | - Gino M Kerkhoffs
- Amsterdam UMC, Univ of Amsterdam, Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Amsterdam, The Netherlands.,Academic Center for Evidence-based Sports medicine (ACES), Amsterdam UMC, Amsterdam Movement Sciences, Amsterdam, The Netherlands.,Amsterdam Collaboration on Health & Safety in Sports (ACHSS), Amsterdam UMC IOC Research Center of Excellence, Amsterdam, The Netherlands
| | - Johannes L Tol
- Academic Center for Evidence-based Sports medicine (ACES), Amsterdam UMC, Amsterdam Movement Sciences, Amsterdam, The Netherlands .,Amsterdam Collaboration on Health & Safety in Sports (ACHSS), Amsterdam UMC IOC Research Center of Excellence, Amsterdam, The Netherlands.,Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
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14
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van der Sluis A, Brink MS, Pluim BM, Verhagen EALM, Elferink-Gemser MT, Visscher C. Self-regulatory skills: Are they helpful in the prevention of overuse injuries in talented tennis players? Scand J Med Sci Sports 2019; 29:1050-1058. [PMID: 30892728 DOI: 10.1111/sms.13420] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Revised: 02/11/2019] [Accepted: 02/20/2019] [Indexed: 11/26/2022]
Abstract
Talented athletes use metacognitive skills to improve their performance. Also, it is known that these skills are important for managing one's health. The goal of this study was to identify the relationship between metacognitive skills and overuse injuries in talented tennis players. Metacognitive skills were measured in 73 talented tennis players (45 boys and 28 girls, age 11-14) at the start of the season, using the Self-Regulation of Learning Self-Report Scale. Overuse injuries were monitored for one season using the Oslo Sports Trauma Research Centre Questionnaire on Health Problems. Ordinal regression indicated that moderate or low selfmonitoring skills (compared to high selfmonitoring) (OR 4.555, CI 1.096-18.927, P = 0.037) and exposure time (OR 1.380, CI 1.106-1.721, P = 0.004) were associated with more time loss overuse injuries. A second analysis showed that this was the case in girls (OR 10.757, CI 1.845-62.714, P = 0.008), but not in boys. Linear regression revealed that higher reflection scores and exposure time predicted overuse severity (F(5,58) = 2.921, P = 0.020, R2 = 0.201). Possibly, selfmonitoring can help players to prevent themselves from time loss overuse injuries. Coaches should be aware that players can differ in selfmonitoring ability and thus in the ability to prevent overuse injuries. The role of reflection needs more research.
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Affiliation(s)
- Alien van der Sluis
- Center for Human Movement Sciences, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands
| | - Michel S Brink
- Center for Human Movement Sciences, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands
| | - Babette M Pluim
- Royal Netherlands Lawn Tennis Association, Amersfoort, The Netherlands
| | - Evert A L M Verhagen
- Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.,Amsterdam Collaboration on Health and Safety in Sports, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, VUmc/AMC, Amsterdam, The Netherlands.,Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), Federation University Australia, Ballarat, Victoria, Australia.,Honorary senior lecturer UCT/MRC Research Unit for Exercise Science and Sports Medicine (ESSM), Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Marije T Elferink-Gemser
- Center for Human Movement Sciences, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands
| | - Chris Visscher
- Center for Human Movement Sciences, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands
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15
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Hainline B, Derman W, Vernec A, Budgett R, Deie M, Dvorak J, Harle CA, Herring S, McNamee M, Meeuwisse W, Moseley GL, Omololu B, Orchard J, Pipe A, Pluim BM, Raeder J, Siebert D, Stewart M, Stuart MC, Turner J, Ware M, Zideman D, Engebretsen L. Infographic. International Olympic Committee consensus statement on pain management in athletes: non-pharmacological strategies. Br J Sports Med 2019; 53:785-786. [PMID: 30952826 DOI: 10.1136/bjsports-2019-100853] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/23/2019] [Indexed: 11/03/2022]
Affiliation(s)
- Brian Hainline
- National Collegiate Athletic Association (NCAA), Indianapolis, Indiana, USA
| | - Wayne Derman
- Instiute of Sport and Exercise Medicine, Department of Surgical Sciences, Stellenbosch University, Cape Town, South Africa.,International Olympic Committee Research Centre, Cape Town, South Africa
| | | | | | - Masataka Deie
- Orthopedic Surgery, Aichi Ika Daigaku, Aichi-gun, Aichi, Japan
| | - Jiri Dvorak
- Swiss Concussion Center, Zurich, Switzerland.,Spine Unit, Schulthess Clinic, Zurich, Switzerland
| | - Christopher A Harle
- Health Policy and Management, Indiana University, Indianapolis, Indiana, USA
| | - Stanley Herring
- Rehabilitation Medicine, University of Washington, Seattle, Washington, USA
| | | | - Willem Meeuwisse
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | | | - Bade Omololu
- Orthopaedic Surgery, University of Ibadan College of Medicine, Ibadan, Western Nigeria, Nigeria
| | - John Orchard
- School of Public Health, University of Sydney, Sydney, New South Wales, Australia
| | - Andrew Pipe
- Sports Medicine, Royal Netherlands Lawn Tennis Association, Amersfoort, The Netherlands
| | - Babette M Pluim
- Sports Medicine, Royal Netherlands Lawn Tennis Association, Amersfoort, The Netherlands.,Home, Ede, The Netherlands
| | | | - David Siebert
- Family Medicine, University of Washington, Seattle, Washington, USA
| | - Mike Stewart
- Physical Therapy, East Kent Hospitals University, Canterbury, UK
| | | | - Judith Turner
- Psychology, University of Washington School of Medicine, Seattle, Washington, USA
| | - Mark Ware
- Pain Management, McGill University Health Centre, Montreal, Quebec, Canada
| | - David Zideman
- International Olympic Committee Medical and Scientific Games Group, Lausanne, Switzerland
| | - Lars Engebretsen
- Department of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway
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16
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Pluim BM, Drew M. Infographic: Six tips to prevent tennis injury. Br J Sports Med 2018; 52:1231. [DOI: 10.1136/bjsports-2016-097363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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17
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Oosterhoff JHF, Gouttebarge V, Moen M, Staal JB, Kerkhoffs GMMJ, Tol JL, Pluim BM. Risk factors for musculoskeletal injuries in elite junior tennis players: a systematic review. J Sports Sci 2018; 37:131-137. [PMID: 29912622 DOI: 10.1080/02640414.2018.1485620] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
The objective was to systematically review the literature on risk factors and prevention programs for musculoskeletal injuries among tennis players. PubmedMedline, Embase, CINAHL, Cochrane, SportDiscus were searched up to February 2017. Experts in clinical and epidemiological medicine were contacted to obtain additional studies. For risk factors, prospective cohort studies (n > 20) with a statistical analysis for injured and non-injured players were included and studies with a RCT design for prevention programs. Downs&Black checklist was assessed for risk of bias for risk factors. From a total of 4067 articles, five articles met our inclusion criteria for risk factors. No studies on effectiveness of prevention programs were identified. Quality of studies included varied from fair to excellent. Best evidence synthesis revealed moderate evidence for previous injury regardless of body location in general and fewer years of tennis experience for the occurrence of upper extremity injuries. Moderate evidence was found for lower back injuries, a previous back injury, playing >6hours/week and low lateral flexion of the neck for risk factors. Limited evidence was found for male gender as a risk factor. The risk factors identified can assist clinicians in developing prevention-strategies. Further studies should focus on risk factor evaluation in recreational adult tennis players.
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Affiliation(s)
- Jacobien H F Oosterhoff
- a Amsterdam Center of Evidence Based Sports Medicine , Academic Medical Center , Amsterdam , the Netherlands
| | - Vincent Gouttebarge
- a Amsterdam Center of Evidence Based Sports Medicine , Academic Medical Center , Amsterdam , the Netherlands
| | - Maarten Moen
- b Department of Sports Medicine , Bergman Clinics , Naarden , the Netherlands.,c The Sports Physician Group , Onze Lieve Vrouwe Gasthuis West , Amsterdam , the Netherlands
| | - J Bart Staal
- d Radboud University Medical Center , Radboud Institute for Health Science, Scientific Institute for Quality of Healthcare , Nijmegen , the Netherlands
| | - Gino M M J Kerkhoffs
- e Department of Orthopaedic Surgery , Academic Medical Center , Amsterdam , the Netherlands
| | - Johannes L Tol
- a Amsterdam Center of Evidence Based Sports Medicine , Academic Medical Center , Amsterdam , the Netherlands.,f Amsterdam Collaboration for Health and Safety in Sports , Academic Medical Center , Amsterdam , the Netherlands.,g Department of Sports Medicine , Aspetar Qatar Orthopaedic and Sports Medicine Hospital , Doha , Qatar
| | - Babette M Pluim
- h KNLTB , Royal Netherlands Lawn Tennis Association , Amersfoort , the Netherlands
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18
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Lynch GP, Périard JD, Pluim BM, Brotherhood JR, Jay O. Optimal cooling strategies for players in Australian Tennis Open conditions. J Sci Med Sport 2018. [DOI: 10.1016/j.jsams.2017.05.017] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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19
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Khan KM, Pluim BM, Crossley KM. 24 issues per year, 25 member societies, 1.5 million podcast listens and 6.5 million YouTube views. Br J Sports Med 2017. [DOI: 10.1136/bjsports-2017-098785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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20
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Affiliation(s)
- Babette M Pluim
- Department of Sports Medicine, Royal Netherlands Lawn Tennis Association, Amersfoort, The Netherlands.,Amsterdam Collaboration on Health and Safety in Sports, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, VUmc/AMC, Amsterdam, Netherlands
| | - Jack L Groppel
- Johnson and Johnson Human Performance Institute, Orlando, Florida, USA
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21
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Hainline B, Derman W, Vernec A, Budgett R, Deie M, Dvořák J, Harle C, Herring SA, McNamee M, Meeuwisse W, Lorimer Moseley G, Omololu B, Orchard J, Pipe A, Pluim BM, Ræder J, Siebert C, Stewart M, Stuart M, Turner JA, Ware M, Zideman D, Engebretsen L. International Olympic Committee consensus statement on pain management in elite athletes. Br J Sports Med 2017; 51:1245-1258. [DOI: 10.1136/bjsports-2017-097884] [Citation(s) in RCA: 85] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2017] [Revised: 06/10/2017] [Accepted: 06/26/2017] [Indexed: 12/18/2022]
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Schwellnus M, Soligard T, Alonso JM, Bahr R, Clarsen B, Dijkstra HP, Gabbett TJ, Gleeson M, Hägglund M, Hutchinson MR, Janse Van Rensburg C, Meeusen R, Orchard JW, Pluim BM, Raftery M, Budgett R, Engebretsen L. How much is too much? (Part 2) International Olympic Committee consensus statement on load in sport and risk of illness. Br J Sports Med 2017; 50:1043-52. [PMID: 27535991 PMCID: PMC5013087 DOI: 10.1136/bjsports-2016-096572] [Citation(s) in RCA: 264] [Impact Index Per Article: 37.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2016] [Indexed: 12/18/2022]
Abstract
The modern-day athlete participating in elite sports is exposed to high training loads and increasingly saturated competition calendar. Emerging evidence indicates that inappropriate load management is a significant risk factor for acute illness and the overtraining syndrome. The IOC convened an expert group to review the scientific evidence for the relationship of load—including rapid changes in training and competition load, competition calendar congestion, psychological load and travel—and health outcomes in sport. This paper summarises the results linking load to risk of illness and overtraining in athletes, and provides athletes, coaches and support staff with practical guidelines for appropriate load management to reduce the risk of illness and overtraining in sport. These include guidelines for prescription of training and competition load, as well as for monitoring of training, competition and psychological load, athlete well-being and illness. In the process, urgent research priorities were identified.
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Affiliation(s)
- Martin Schwellnus
- Faculty of Health Sciences, Institute for Sport, Exercise Medicine and Lifestyle Research, Section Sports Medicine, University of Pretoria, Pretoria, South Africa
| | - Torbjørn Soligard
- Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland
| | - Juan-Manuel Alonso
- Sports Medicine Department, Aspetar, Qatar Orthopedic and Sports Medicine Hospital, Doha, Qatar
| | - Roald Bahr
- Sports Medicine Department, Aspetar, Qatar Orthopedic and Sports Medicine Hospital, Doha, Qatar Department of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway Olympic Training Center (Olympiatoppen), Oslo, Norway
| | - Ben Clarsen
- Department of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway Olympic Training Center (Olympiatoppen), Oslo, Norway
| | - H Paul Dijkstra
- Sports Medicine Department, Aspetar, Qatar Orthopedic and Sports Medicine Hospital, Doha, Qatar
| | - Tim J Gabbett
- School of Human Movement Studies, The University of Queensland, Brisbane, Australia and School of Exercise Science, Australian Catholic University, Brisbane, Australia
| | - Michael Gleeson
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Martin Hägglund
- Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
| | - Mark R Hutchinson
- Department of Orthopaedic Surgery and Sports Medicine, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Christa Janse Van Rensburg
- Faculty of Health Sciences, Institute for Sport, Exercise Medicine and Lifestyle Research, Section Sports Medicine, University of Pretoria, Pretoria, South Africa
| | - Romain Meeusen
- Human Physiology Research Group, Vrije Universiteit Brussel, Brussels, Belgium
| | - John W Orchard
- School of Public Health, University of Sydney, Sydney, New South Wales, Australia
| | - Babette M Pluim
- Medical Department, Royal Dutch Lawn Tennis Association, Amersfoort, The Netherlands Amsterdam Collaboration on Health and Safety in Sports, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, VUmc/AMC, Amsterdam, The Netherlands
| | | | - Richard Budgett
- Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland
| | - Lars Engebretsen
- Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland Department of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway Faculty of Medicine, University of Oslo, Oslo, Norway
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Pluim BM, Clarsen B, Verhagen E. Injury rates in recreational tennis players do not differ between different playing surfaces. Br J Sports Med 2017; 52:611-615. [DOI: 10.1136/bjsports-2016-097050] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/13/2017] [Indexed: 11/04/2022]
Abstract
ObjectiveThe aim of this study was to determine whether there is a difference in the prevalence of tennis injuries between the four most common court surfaces in the Netherlands, including hard court, clay, sand-fill artificial grass and red-sand-fill artificial grass. Natural grass was not included in this study.MethodsThis was a repeated cross-sectional study over 6 months, involving members of the Royal Netherlands Lawn Tennis Association (KNLTB). A monthly questionnaire was sent to a random sample of 20 000 KNLTB members, stratified by their club’s playing surface. The questionnaire included questions on court surface, tennis exposure and physical complaints, using the Oslo Sports Trauma Research Centre questionnaire on health problems.ResultsA total of 3656 (18%) of the 20 000 invited members completed at least one of the monthly questionnaires [mean age 49 years (15)]. A total of 4047 injuries were reported by 1957 respondents. Of these injuries, 3246 (80%) were overuse and 801 (20%) were acute. There were no statistically significant differences in injury prevalence between groups who played primarily on any one of the four court surfaces. However, players who played on multiple surfaces had a higher injury prevalence, particularly of overuse injuries, than those who primarily played on one court surface. Compared with the other court surfaces, there was a higher prevalence of lower limb overuse injuries when playing on hard court.ConclusionThere is no significant difference in the overall prevalence of injury on clay, hard court, sand-fill artificial grass and red-sand-fill artificial grass.
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Schwellnus M, Soligard T, Alonso JM, Bahr R, Clarsen B, Dijkstra HP, Gabbett TJ, Gleeson M, Hägglund M, Hutchinson MR, Van Rensburg CJ, Meeusen R, Orchard JW, Pluim BM, Raftery M, Budgett R, Engebretsen L. Infographic. General guidance for the prevention of illness in athletes. Br J Sports Med 2016; 51:1098. [PMID: 27935486 DOI: 10.1136/bjsports-2016-097234] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Soligard T, Schwellnus M, Alonso JM, Bahr R, Clarsen B, Dijkstra HP, Gabbett T, Gleeson M, Hägglund M, Hutchinson MR, Janse van Rensburg C, Khan KM, Meeusen R, Orchard JW, Pluim BM, Raftery M, Budgett R, Engebretsen L. How much is too much? (Part 1) International Olympic Committee consensus statement on load in sport and risk of injury. Br J Sports Med 2016; 50:1030-41. [DOI: 10.1136/bjsports-2016-096581] [Citation(s) in RCA: 453] [Impact Index Per Article: 56.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/05/2016] [Indexed: 01/02/2023]
Abstract
Athletes participating in elite sports are exposed to high training loads and increasingly saturated competition calendars. Emerging evidence indicates that poor load management is a major risk factor for injury. The International Olympic Committee convened an expert group to review the scientific evidence for the relationship of load (defined broadly to include rapid changes in training and competition load, competition calendar congestion, psychological load and travel) and health outcomes in sport. We summarise the results linking load to risk of injury in athletes, and provide athletes, coaches and support staff with practical guidelines to manage load in sport. This consensus statement includes guidelines for (1) prescription of training and competition load, as well as for (2) monitoring of training, competition and psychological load, athlete well-being and injury. In the process, we identified research priorities.
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26
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Pluim BM, Drew MK. It's not the destination, it's the 'road to load' that matters: a tennis injury prevention perspective. Br J Sports Med 2016; 50:641-2. [PMID: 27034125 DOI: 10.1136/bjsports-2016-095997] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/10/2016] [Indexed: 11/03/2022]
Affiliation(s)
- Babette M Pluim
- Medical Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amersfoort, The Netherlands
| | - Michael K Drew
- Department of Physical Therapies, Australian Institute of Sport, Canberra, Australia Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), Federation University Australia, Ballarat, Australia
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Périard JD, Jay O, Alonso JM, Coutts AJ, Flouris AD, González-Alonso J, Hausswirth C, Lee JKW, Nassis GP, Nybo L, Pluim BM, Roelands B, Sawka MN, Wingo J, Racinais S. Author's Reply to Brocherie and Millet: 'Is the Wet-Bulb Globe Temperature (WGBT) Index Relevant for Exercise in the Heat?'. Sports Med 2016; 45:1623-4. [PMID: 26392123 DOI: 10.1007/s40279-015-0392-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Julien D Périard
- Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, P.O. Box No. 29222, Doha, Qatar.
| | - Ollie Jay
- Discipline of Exercise and Sport Science, Faculty of Health Sciences, University of Sydney, Lidcombe, NSW, Australia
| | - Juan-Manuel Alonso
- Sports Medicine Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.,Medical and Anti-doping Commission, International Association of Athletics Federations (IAAF), Montecarlo, Monaco
| | - Aaron J Coutts
- Sport and Exercise Discipline Group, University of Technology Sydney (UTS), Sydney, NSW, Australia
| | - Andreas D Flouris
- FAME Laboratory, Department of Physical Education and Sport Science, University of Thessaly, Trikala, Greece
| | - José González-Alonso
- Department of Life Sciences, Centre for Sports Medicine and Human Performance, College of Health and Life Sciences, Brunel University London, Uxbridge, UK
| | - Christophe Hausswirth
- Laboratory of Sport, Expertise and Performance, Research Department, French National Institute of Sport (INSEP), Paris, France
| | - Jason K W Lee
- DSO National Laboratories, Defence Medical and Environmental Research Institute, Singapore, Singapore.,Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - George P Nassis
- National Sports Medicine Programme, Excellence in Football Project, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Lars Nybo
- Department of Nutrition Exercise and Sport, Section of Human Physiology, University of Copenhagen, Copenhagen, Denmark
| | - Babette M Pluim
- Medical Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amersfoort, The Netherlands
| | - Bart Roelands
- Department of Human Physiology, Vrije Universiteit Brussel, Brussels, Belgium
| | - Michael N Sawka
- School of Applied Physiology, College of Science, Georgia Institute of Technology, Atlanta, GA, USA
| | - Jonathan Wingo
- Department of Kinesiology, University of Alabama, Tuscaloosa, AL, USA
| | - Sébastien Racinais
- Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, P.O. Box No. 29222, Doha, Qatar
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Lynall RC, Kerr ZY, Djoko A, Pluim BM, Hainline B, Dompier TP. Epidemiology of National Collegiate Athletic Association men's and women's tennis injuries, 2009/2010–2014/2015. Br J Sports Med 2015; 50:1211-6. [DOI: 10.1136/bjsports-2015-095360] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/01/2015] [Indexed: 11/03/2022]
Abstract
BackgroundThis study describes the epidemiology of men's and women's tennis injuries reported by the National Collegiate Athletic Association (NCAA) Injury Surveillance Program (ISP) during the 2009/2010–2014/2015 academic years.MethodsInjuries and athlete-exposure (AE) data originated from 19 varsity men's programmes (38 team-seasons); women's tennis data originated from 25 varsity programmes (52 team-seasons). Injury rates, injury rate ratios (IRRs) and injury proportions ratios (IPRs) were reported with 95% CIs.ResultsThe ISP captured 181 and 227 injuries for men's and women's tennis, respectively, for injury rates of 4.89 and 4.88/1000 AE for men and women, respectively. There were 32.2% and 63.9% reductions in men's and women's tennis practice injury rates between 2009/2010–2011/2012 and 2012/2013–2014/2015, but no reductions in competition injury rates. Competition injury rates were higher than practice injury rates in men's (IRR=2.32; 95% CI 1.72 to 3.13) and women's tennis (IRR=1.77; 95% CI 1.35 to 2.33). Most injuries in men's and women's tennis occurred to the lower extremities (47.0% and 52.4%, respectively), compared with the trunk (16.6% and 17.6%, respectively) and upper extremities (23.8 and 23.8, respectively).ConclusionsInjury rates in NCAA men's and women's tennis were similar overall. Practice injury rates in men's and women's tennis have declined, although competition rates have not changed. These findings may help inform injury prevention programmes in the future.
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Khan KM, Pluim BM. Who reviews the reviewers? Who edits the editors? Many avenues for you to hold BJSM accountable. Br J Sports Med 2015; 49:1287. [PMID: 26709402 DOI: 10.1136/bjsports-2015-095477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Mountjoy M, Junge A, Alonso JM, Clarsen B, Pluim BM, Shrier I, van den Hoogenband C, Marks S, Gerrard D, Heyns P, Kaneoka K, Dijkstra HP, Khan KM. Consensus statement on the methodology of injury and illness surveillance in FINA (aquatic sports): Table 1. Br J Sports Med 2015; 50:590-6. [DOI: 10.1136/bjsports-2015-095686] [Citation(s) in RCA: 70] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/19/2015] [Indexed: 11/03/2022]
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Périard JD, Jay O, Alonso JM, Coutts AJ, Flouris AD, González-Alonso J, Hausswirth C, Lee JKW, Nassis GP, Nybo L, Pluim BM, Roelands B, Sawka MN, Wingo J, Racinais S. Erratum to: Author's Reply to Brocherie and Millet: 'Is the Wet-Bulb Globe Temperature (WGBT) Index Relevant for Exercise in the Heat?'. Sports Med 2015; 46:139-141. [PMID: 26490272 DOI: 10.1007/s40279-015-0414-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Julien D Périard
- Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, P.O. Box No. 29222, Doha, Qatar.
| | - Ollie Jay
- Discipline of Exercise and Sport Science, Faculty of Health Sciences, University of Sydney, Lidcombe, NSW, Australia
| | - Juan-Manuel Alonso
- Sports Medicine Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.,Medical and Anti-doping Commission, International Association of Athletics Federations (IAAF), Montecarlo, Monaco
| | - Aaron J Coutts
- Sport and Exercise Discipline Group, University of Technology Sydney (UTS), Sydney, NSW, Australia
| | - Andreas D Flouris
- FAME Laboratory, Department of Physical Education and Sport Science, University of Thessaly, Trikala, Greece
| | - José González-Alonso
- Department of Life Sciences, Centre for Sports Medicine and Human Performance, College of Health and Life Sciences, Brunel University London, Uxbridge, UK
| | - Christophe Hausswirth
- Laboratory of Sport, Expertise and Performance, Research Department, French National Institute of Sport (INSEP), Paris, France
| | - Jason K W Lee
- DSO National Laboratories, Defence Medical and Environmental Research Institute, Singapore, Singapore.,Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.,Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
| | - George P Nassis
- National Sports Medicine Programme, Excellence in Football Project, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Lars Nybo
- Department of Nutrition Exercise and Sport, Section of Human Physiology, University of Copenhagen, Copenhagen, Denmark
| | - Babette M Pluim
- Medical Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amersfoort, The Netherlands
| | - Bart Roelands
- Department of Human Physiology, Vrije Universiteit Brussel, Brussels, Belgium
| | - Michael N Sawka
- School of Applied Physiology, College of Science, Georgia Institute of Technology, Atlanta, GA, USA
| | - Jonathan Wingo
- Department of Kinesiology, University of Alabama, Tuscaloosa, AL, USA
| | - Sébastien Racinais
- Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, P.O. Box No. 29222, Doha, Qatar
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Goedhart EA, Pluim BM. 50 years for the Netherlands Association of Sports Medicine (VSG) and counting! Br J Sports Med 2015; 49:1159-60. [DOI: 10.1136/bjsports-2015-095124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Affiliation(s)
- B M Pluim
- Medical Department, KNLTB, Amersfoort, The Netherlands
| | - S Racinais
- Research Education Centre, ASPETAR-Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - J D Périard
- Research Education Centre, ASPETAR-Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
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Racinais S, Alonso JM, Coutts AJ, Flouris AD, Girard O, González-Alonso J, Hausswirth C, Jay O, Lee JKW, Mitchell N, Nassis GP, Nybo L, Pluim BM, Roelands B, Sawka MN, Wingo J, Périard JD. Consensus recommendations on training and competing in the heat. Br J Sports Med 2015; 49:1164-73. [PMID: 26069301 PMCID: PMC4602249 DOI: 10.1136/bjsports-2015-094915] [Citation(s) in RCA: 98] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/09/2015] [Indexed: 11/05/2022]
Abstract
Exercising in the heat induces thermoregulatory and other physiological strain that can lead to impairments in endurance exercise capacity. The purpose of this consensus statement is to provide up-to-date recommendations to optimise performance during sporting activities undertaken in hot ambient conditions. The most important intervention one can adopt to reduce physiological strain and optimise performance is to heat acclimatise. Heat acclimatisation should comprise repeated exercise-heat exposures over 1–2 weeks. In addition, athletes should initiate competition and training in a euhydrated state and minimise dehydration during exercise. Following the development of commercial cooling systems (eg, cooling-vest), athletes can implement cooling strategies to facilitate heat loss or increase heat storage capacity before training or competing in the heat. Moreover, event organisers should plan for large shaded areas, along with cooling and rehydration facilities, and schedule events in accordance with minimising the health risks of athletes, especially in mass participation events and during the first hot days of the year. Following the recent examples of the 2008 Olympics and the 2014 FIFA World Cup, sport governing bodies should consider allowing additional (or longer) recovery periods between and during events, for hydration and body cooling opportunities, when competitions are held in the heat.
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Affiliation(s)
- S Racinais
- Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - J M Alonso
- Sports Medicine Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar Medical and Anti-doping Commission, International Association of Athletics Federations (IAAF), Montecarlo, Monaco
| | - A J Coutts
- Sport and Exercise Discipline Group, University of Technology Sydney (UTS), Australia
| | - A D Flouris
- FAME Laboratory, Department of Physical Education and Sport Science, University of Thessaly, Trikala, Greece
| | - O Girard
- Department of Physiology, Faculty of Biology and Medicine, ISSUL, Institute of Sport Sciences, University of Lausanne, Lausanne, Switzerland
| | - J González-Alonso
- Department of Life Sciences, Centre for Sports Medicine and Human Performance, College of Health and Life Sciences, Brunel University London, Uxbridge, UK
| | - C Hausswirth
- Research Department, Laboratory of Sport, Expertise and Performance, French National Institute of Sport (INSEP), Paris, France
| | - O Jay
- Discipline of Exercise and Sport Science, Faculty of Health Sciences, University of Sydney, Lidcombe, Australia
| | - J K W Lee
- Defence Medical and Environmental Research Institute, DSO National Laboratories, Singapore, Singapore Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
| | - N Mitchell
- British Cycling and 'Sky Pro Cycling', National Cycling Centre, Manchester, UK
| | - G P Nassis
- National Sports Medicine Programme, Excellence in Football Project, Aspetar, Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - L Nybo
- Department of Nutrition, Exercise and Sport, Section of Human Physiology, University of Copenhagen, Copenhagen, Denmark
| | - B M Pluim
- Medical Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amersfoort, The Netherlands
| | - B Roelands
- Department of Human Physiology, Vrije Universiteit Brussel, Brussels, Belgium
| | - M N Sawka
- School of Applied Physiology, College of Science, Georgia Institute of Technology, Atlanta, Georgia, USA
| | - J Wingo
- Department of Kinesiology, University of Alabama, Tuscaloosa, USA
| | - J D Périard
- Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
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Pluim BM, Drezner JA. BJSM education to improve your ECG reading skills. Br J Sports Med 2015; 49:703-4. [PMID: 25807154 DOI: 10.1136/bjsports-2014-094329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/15/2014] [Indexed: 11/04/2022]
Affiliation(s)
- Babette M Pluim
- Medical Department, Royal Netherlands Lawn Tennis Association (KNLTB), Amersfoort, The Netherlands
| | - Jonathan A Drezner
- Department of Family Medicine, University of Washington, Seattle, Washington, USA
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Affiliation(s)
- Olivier Girard
- Research and Education Centre, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, , Doha, Qatar
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Pluim BM, de Hon O, Staal JB, Limpens J, Kuipers H, Overbeek SE, Zwinderman AH, Scholten RJPM. β₂-Agonists and physical performance: a systematic review and meta-analysis of randomized controlled trials. Sports Med 2011; 41:39-57. [PMID: 21142283 DOI: 10.2165/11537540-000000000-00000] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
Inhaled β₂-agonists are commonly used as bronchodilators in the treatment of asthma. Their use in athletes, however, is restricted by anti-doping regulations. Controversies remain as to whether healthy elite athletes who use bronchodilators may gain a competitive advantage. The aim of this systematic review and meta-analysis is to assess the effects of inhaled and systemic β₂-agonists on physical performance in healthy, non-asthmatic subjects. To this end, MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials (CENTRAL) were searched up to August 2009. Reference lists were searched for additional relevant studies. The search criteria were for randomized controlled trials examining the effect of inhaled or systemic β₂-agonists on physical performance in healthy, non-asthmatic subjects. Two authors independently performed the selection of studies, data extraction and risk of bias assessment. Parallel-group and crossover trials were analysed separately. Mean difference (MD) and 95% confidence intervals were calculated for continuous data and, where possible, data were pooled using a fixed effects model. Twenty-six studies involving 403 participants (age range 7-30 years) compared inhaled β₂-agonists with placebo. No significant effect could be detected for inhaled β₂-agonists on maximal oxygen consumption (VO₂(max)) [MD -0.14 mL · kg⁻¹ · min⁻¹; 95% CI -1.07, 0.78; 16 studies], endurance time to exhaustion at 105-110% VO₂(max) (MD -1.5 s; 95% CI -15.6, 12.6; four studies), 20-km time trial duration (MD -4.4 s; 95% CI -23.5, 14.7; two studies), peak power (MD -0.14 W · kg⁻¹; 95% CI -0.54, 0.27; four studies) and total work during a 30-second Wingate test (MD 0.80 J · kg⁻¹; 95% CI -2.44, 4.05; five studies). Thirteen studies involving 172 participants (age range 7-22 years) compared systemic β₂-agonists with placebo, with 12 studies involving oral and one study involving intravenous salbutamol. A significant effect was detected for systemic β₂-agonists on endurance time to exhaustion at 80-85% VO₂(max) (MD 402 s; 95% CI 34, 770; two studies), but not for VO₂(max) (placebo 42.5 ± 1.7 mL · kg⁻¹ · min⁻¹, salbutamol 42.1 ± 2.9 mL · kg⁻¹ · min⁻¹, one study), endurance time to exhaustion at 70% VO₂(max) (MD 400 s; 95% CI -408, 1208; one study) or power output at 90% VO₂(max) (placebo 234.9 ± 16 W, salbutamol 235.5 ± 18.1 W, one study). A significant effect was shown for systemic β₂-agonists on peak power (MD 0.91 W · kg⁻¹; 95% CI 0.25, 1.57; four studies), but not on total work (MD 7.8 J · kg⁻¹; 95% CI -3.3, 18.9; four studies) during a 30-second Wingate test. There were no randomized controlled trials assessing the effects of systemic formoterol, salmeterol or terbutaline on physical performance. In conclusion, no significant effects were detected for inhaled β₂-agonists on endurance, strength or sprint performance in healthy athletes. There is some evidence indicating that systemic β₂-agonists may have a positive effect on physical performance in healthy subjects, but the evidence base is weak.
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Affiliation(s)
- Babette M Pluim
- Royal Netherlands Lawn Tennis Association, KNLTB, Amersfoort, the Netherlands.
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Pluim BM, Fuller CW, Batt ME, Chase L, Hainline B, Miller S, Montalvan B, Renström P, Stroia KA, Weber K, Wood TO. Consensus statement on epidemiological studies of medical conditions in tennis, April 2009. Br J Sports Med 2011; 43:893-7. [PMID: 19900956 DOI: 10.1136/bjsm.2009.064915] [Citation(s) in RCA: 93] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND The reported incidence, severity and nature of injuries sustained in tennis vary considerably between studies. While some of these variations can be explained by differences in sample populations and conditions, the main reasons are related to differences in definitions and methodologies employed in the studies. OBJECTIVE This statement aims to review existing consensus statements for injury surveillance in other sports in order to establish definitions, methods and reporting procedures that are applicable to the specific requirements of tennis. DESIGN The International Tennis Federation facilitated a meeting of 11 experts from seven countries representing a range of tennis stakeholders. Using a mixed methods consensus approach, key issues related to definitions, methodology and implementation were discussed and voted on by the group during a structured 1-day meeting. Following this meeting, two members of the group collaborated to produce a draft statement, based on the group discussions and voting outcomes. Three revisions were prepared and circulated for comment before the final consensus statement was produced. RESULTS A definition of medical conditions (injuries and illnesses) that should be recorded in tennis epidemiological studies and criteria for recording the severity and nature of these conditions are proposed. Suggestions are made for recording players' baseline information together with recommendations on how medical conditions sustained during match play and training should be reported. CONCLUSIONS The definitions and methodology proposed for recording injuries and illnesses sustained during tennis activities will lead to more consistent and comparable data being collected. The surveillance procedures presented here may also be applicable to other racket sports.
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Affiliation(s)
- B M Pluim
- Royal Netherlands Lawn Tennis Association, Amersfoort, The Netherlands.
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Fernandez-Fernandez J, Sanz-Rivas D, Sanchez-Muñoz C, Pluim BM, Tiemessen I, Mendez-Villanueva A. A Comparison of the Activity Profile and Physiological Demands Between Advanced and Recreational Veteran Tennis Players. J Strength Cond Res 2009; 23:604-10. [DOI: 10.1519/jsc.0b013e318194208a] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Maas M, Pluim BM, de Jonge MC, Heijboer MPR. [Imaging techniques in sports medicine]. Ned Tijdschr Geneeskd 2009; 153:B409. [PMID: 19785847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Sports radiology is a new radiological subspecialty. Traumatic sports-related injuries can be acute, but are more frequently caused by over-use. Close collaboration between the treating physician and radiologist optimizes the choice of the best imaging technique to confirm the tentative diagnosis and to determine the treatment plan. Conventional radiology is indicated when a bone injury is suspected. In the case of discrepancy between the x-ray findings (no abnormality) and the clinical findings (presence of symptoms) additional investigation is, however, indicated. Ultrasound is the indicated technique for lesions of superficial soft tissue, such as tendons and muscles. MRI is very valuable in both acute and over-use injuries involving bone and soft tissue.
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Affiliation(s)
- Mario Maas
- Academisch Medisch Centrum/Universiteit van Amsterdam, afd. Radiologie, Amsterdam, The Netherlands.
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Kuipers H, Van't Hullenaar GAC, Pluim BM, Overbeek SE, De Hon O, Van Breda EJ, Van Loon LC. Four weeks' corticosteroid inhalation does not augment maximal power output in endurance athletes. Br J Sports Med 2008; 42:868-71. [PMID: 18344386 DOI: 10.1136/bjsm.2007.042572] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE To assess possible ergogenic properties of corticosteroid administration. DESIGN A balanced, double-blind, placebo-controlled design was used. PARTICIPANTS 28 well-trained cyclists and rowers. INTERVENTION 4 weeks' daily inhalation of 800 microg budesonide or placebo. MAIN OUTCOME MEASUREMENTS The subjects performed three incremental cycle ergometer tests until exhaustion, before and after 2 and 4 weeks of placebo or budesonide administration, to measure maximal power output (W(max)). Once a week they filled in a profile of mood state (POMS) questionnaire. RESULTS There was no significant difference in W(max) between the placebo (376 (SD 25) W) and the corticosteroid group (375 (36) W) during the preintervention test, and there were no significant changes in either group after 2 and 4 weeks of intervention. No effect of the intervention on mood state was found. CONCLUSION 4 weeks of corticosteroid or placebo inhalation in healthy, well-trained athletes did not affect maximal power output or mood state. Hence no ergogenic properties of 4 weeks' corticosteroid administration could be demonstrated, which corroborates previous studies of short-term corticosteroid administration.
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Affiliation(s)
- H Kuipers
- Department of Movement Sciences, Nutrition and Toxicology Research Institute Maastricht (NUTRIM), University of Maastricht, Maastricht, The Netherlands.
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Pluim BM, Miller S, Dines D, Renström PAHF, Windler G, Norris B, Stroia KA, Donaldson A, Martin K. Sport science and medicine in tennis. Br J Sports Med 2008; 41:703-4. [PMID: 17957002 DOI: 10.1136/bjsm.2007.040865] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Abstract
The aim of the study was to explore the role of tennis in the promotion of health and prevention of disease. The focus was on risk factors and diseases related to a sedentary lifestyle, including low fitness levels, obesity, hyperlipidaemia, hypertension, diabetes mellitus, cardiovascular disease, and osteoporosis. A literature search was undertaken to retrieve relevant articles. Structured computer searches of PubMed, Embase, and CINAHL were undertaken, along with hand searching of key journals and reference lists to locate relevant studies published up to March 2007. These had to be cohort studies (of either cross sectional or longitudinal design), case-control studies, or experimental studies. Twenty four studies were identified that dealt with physical fitness of tennis players, including 17 on intensity of play and 16 on maximum oxygen uptake; 17 investigated the relation between tennis and (risk factors for) cardiovascular disease; and 22 examined the effect of tennis on bone health. People who choose to play tennis appear to have significant health benefits, including improved aerobic fitness, a lower body fat percentage, a more favourable lipid profile, reduced risk for developing cardiovascular disease, and improved bone health.
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Affiliation(s)
- Babette M Pluim
- Royal Netherlands Lawn Tennis Association (KNLTB), Amersfoort, The Netherlands.
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