Risk Of New Injury Research Articles

Design of Remote Real-Time Monitoring and Biofeedback System to Connect Patients and Clinicians During Orthopaedic Rehabilitation.

The ORME (Orthopaedic Rehabilitation for ME) is a comprehensive solution developed by NTR Biosensors to address the issue of uncertain weight monitoring during orthopaedic rehabilitation. It consists of multiple ultra-thin force resistance sensors-equipped insole, microelectronics for data processing and transmission, a dedicated smartphone app called ORME control app, and a cloud platform called ORME PRO for remote monitoring by clinicians. The system alerts patients and clinicians to overload events by offering real-time biofeedback and providing haptic and audible cues to correct gait during telemonitoring or telerehabilitation. This minimizes the risk of new injuries and prevents overloading-related setbacks during rehabilitation, while also enabling gait analysis and plantar pressure monitoring. The ORME & ORME PRO systems present an innovative solution to enhance home care, telemonitoring, and tele-orthopaedic rehabilitation outcomes, empowering patients and specialists with an effective tool to monitor and manage the telerehabilitation process and patient-reported outcomes.

"Couch-to-5k or Couch to Ouch to Couch!?" Who Takes Part in Beginner Runner Programmes in the UK and Is Non-Completion Linked to Musculoskeletal Injury?

Physical activity has mental and physical health benefits; however, globally, three-quarters of the population do not meet physical activity guidelines. The Couch-to-5k is a beginner runner programme aimed at increasing physical activity. However, this programme lacks an evidence base, and it is unclear who is attracted to the programme; running also has a high rate of musculoskeletal (MSK) injuries. The aims of this study were to identify the characteristics of people taking part and the incidence of MSK injuries as well as exploring the experiences of people who dropped out of a modified 9-week Couch-to-5k programme. A total of 110 runners (average age was 47.1 ± 13.7 years) participated in the study, which involved completion of questionnaires (running experience and footwear information, quality of life (EQ-5D-5L), physical activity level (IPAQ-short form), MSK injury history and knee condition (SNAPPS and KOOS-PS)) at the start, middle and end of the programme and collecting sociodemographic information (age, gender, social economic status, relationship status, education level), as well as body mass index, running experience, footwear information, quality of life, physical activity levels, MSK injuries and knee condition. Fifteen drop-outs were interviewed to explore experiences of the programme. Runners were mainly females (81.8%) with an average age 47.1 years, average body mass index of 28.1 kg.m2, mainly from high socio-economic levels, married and educated to degree level. In total, 64% of the sample had previous running experience and were classified as active. Half the sample self-reported pain/discomfort and 37.2% reported anxiety/depression at the start of the programme via the EQ-5D-5L scale. Self-reported health scores increased (p = 0.047) between baseline (73.1 ± 18.8 out of 100) and at the midpoint (81.2 ± 11.6), but there were no significant differences between any other time points (end point 79.7 ± 17.5, p > 0.05). Twenty-one injuries were reported during the programme (19%). Previous injury increased the risk of new injury (OR 7.56 95% CI from 2.06 to 27.75). Only 27.3% completed the programme. Three themes emerged from interviews; MSK injury, negative emotions linked to non-completion and design of the programme. The Couch-to-5k may not attract diverse inactive populations, but future work with larger sample sizes is needed to substantiate this finding. Dropping out was linked to MSK injury and progressive design, so future programmes should consider including injury prevention advice and more flexible designs.

The modifying factors that help improve anterior cruciate ligament reconstruction rehabilitation: A narrative review.

The goal of a rehabilitation programme after anterior cruciate ligament (ACL) reconstruction is to manage a patient's goals and expectations (i.e., returning to physical activities and sports) while minimizing the risk of new injury, particularly a new ACL injury. Although general rehabilitation programmes have been proposed, some factors can lead to adapting each programme to each patient. To describe how different variables, including surgical techniques, sports participation, psycho-social and contextual factors can modify the rehabilitation programme. We performed a narrative review with input from experts in the field (level of evidence 5). Modifying factors of the ACL rehabilitation programme are related to the initial lesion or surgery, to sports, or to psychological or social aspects. Regarding the type of graft, the rehabilitation is mainly different in the early postoperative phase; the other phases are not graft-based but rather goal-based rehabilitation. Depending on the meniscal or cartilage repair, the rehabilitation protocol will initially take priority over the anterior cruciate ligament reconstruction protocol. The ACL reconstruction rehabilitation programme should meet the requirements of the anticipated sports, to optimize the athlete's ability to return to the expected level and minimize the risk of reinjury. Psycho-social and contextual factors must also be considered in rehabilitation care to individualize and optimize each patient's programme.

General health complaints and sleep associated with new injury within an endurance sporting population: A prospective study

ObjectivesTo examine the association between subjective health complaints, sleep quantity and new injury within an endurance sport population. DesignProspective cohort study. MethodsNinety-five endurance sporting participants were recruited from running, triathlon, swimming, cycling and rowing disciplines. Over 52-week period participants submitted weekly data regarding subjective health complaints (SHCs) (cardiorespiratory, gastrointestinal and psychological/lifestyle), sleep quantity, training load and new injury episodes. Applying a 7- and 14-day lag period, a shared frailty model was used to explore new injury risk associations with total SHCs and sleep quantity. Results92.6% of 95 participants completed all 52 weeks of data submission and the remainder of the participants completed ≥30 weeks. Seven-day lag psychological/lifestyle SHCs were significantly associated with new injury risk (Hazard ratio (HR)=1.32; CI 95%=1.01–1.72, p<0.04). In contrast, cardiorespiratory (HR=1.15; CI 95%=0.99–1.36, p=0.07) and gastrointestinal (HR=0.77; CI 95%=0.56–1.05, p=0.09) SHCs were not significantly associated with new injury risk. New injury risk had a significant increased association with 14-day lag <7h/day sleep quantity (HR=1.51; CI 95%=2.02–1.13, p<0.01) and a significant decreased association with >7h/day sleep quantity (HR=0.63, CI 95%=0.45–0.87, p<0.01. A secondary regression analysis demonstrated no significant association with total SHCs and training load factors (Relative Risk (RR)=0.08, CI 95%=0.04–0.21, p=0.20). ConclusionsTo minimise an increased risk of new injuries within an endurance sporting population, this study demonstrates that psychological/lifestyle subjective health complaints and sleep quantity should be considered. The study also highlights a lag period between low sleep quantity and its subsequent impact on new injury risk. No association was demonstrated between subjective health complaints, sleep quantity and training load factors.

Risk factors for in-season injury in varsity collegiate cross-country athletes: an analysis of one season in 97 athletes.

Cross-country runners experience high rates of injury. This prospective cohort study aimed to identify pre-season risk factors for in-season injury in a cohort of collegiate cross-country athletes. Pre-season and post-season electronic surveys were designed and administered to 297 NCAA Division I and III runners in August and November 2016, respectively. Pre-season surveys queried athletes' training methods, lifestyle habits, and history of previous injuries. Post-season surveys queried occurrence of new injuries sustained during the season. The risk of new injury was examined based on weekly mileage, sleep, diet, training routines, BMI, and history of previous injuries. Fifty-three percent of athletes sustained a new injury (acute injury or exacerbation of a chronic injury) during the season. In univariate analysis, the existence of a pre-season injury (RR 1.57, 95% CI 1.11-2.23, P=0.01), large mileage increases (RR 1.55, 95% CI 1.09-2.22, P=0.02), and poor sleep quality (P=0.04) were significantly associated with higher risk for injury among collegiate cross-country athletes. Cross-country athletes with an existing injury during the pre-season, large mileage increases during the season, and poor sleep quality may be at increased risk of sustaining a new acute injury or exacerbate an existing injury during the cross-country season. Coaches, athletic trainers, and athletes can use these results to modify training regimens and lifestyle factors to decrease the risk of injury.

Could specific exercises based on a movement screen prevent injuries in adolescent elite athletes?

ObjectivesThe primary aim of this study was to explore if specific exercises based on the nine test screening battery (9SB) reduce short-term and seasonal injury occurrence in adolescent elite athletes. SettingYouth elite sports. DesignProspective intervention study over 1-year. ParticipantsAdolescent elite athletes (n = 216) in age 15–20 from seven different sports. Main outcome measuresSeasonal/short-term injury incidence and seasonal substantial/injury prevalence was obtained via weekly surveys completed by study participants. ResultsThere was a significant (p = 0.036) difference in the seasonal substantial injury prevalence across number of times the exercises were performed (exercise category), where athletes performing the exercises ≥4 times/week reported significantly (p = 0.048) higher seasonal substantial injury prevalence compared to athletes completing the exercises once a week (median 15.4 vs 0%, r = 0.25). No statistically significant difference in injury incidence (p = 0.429) or seasonal injury prevalence (p = 0.171) was found across exercise category. Performing the exercises once a day compared to not at all did not reduce the short-term risk of new injury or substantial injury. ConclusionsOur results provide supporting evidence that completing specific exercises based on the 9SB have no group effect on short-term or seasonal injury occurrence in adolescent elite athletes.

TIBIOFEMORAL LATERAL COMPARTMENT'S MORPHOLOGY AS A RISK FACTOR: A RADIOGRAPHIC COMPARISON BETWEEN ACL-RUPTURED AND NON-INJURED SUBJECTS

BackgroundTibiofemoral bone morphology has been proposed as a potential risk factor for anterior cruciate ligament (ACL) rupture, with recent increasing interest in the lateral femoral condyle.ObjectiveInvestigate several tibiofemoral bone morphology...

Injury risk in Danish youth and senior elite handball using a new SMS text messages approach

ObjectiveTo assess the injury incidence in elite handball, and if gender and previous injuries are risk factors for new injuries.MethodsCohort study of 517 male and female elite handball players (age...

Self-Reported Injury History and Lower Limb Function as Risk Factors for Injuries in Female Youth Soccer

Background Identifying and understanding injury risk factors are necessary to develop and target measures to prevent injuries. Because youth teams rarely have health care professionals working directly with the team, identifying players at increased risk through elaborate clinical tests is not feasible. Questionnaires may be a possible alternative as screening instruments. Purpose To examine whether injury history and lower limb function assessed by a self-administered questionnaire represent risk factors for injury. Study Design Cohort study; Level of evidence, 2. Methods At baseline, female soccer players (aged 14–16 years) were asked to complete a detailed questionnaire covering sports participation; history of previous injuries to the ankle, knee, hamstring, or groin; as well as present function of these 4 specific regions. A total of 1430 (71 % of the entire cohort) were followed up to record injuries during the subsequent 8 months. Results A history of a previous injury to the ankle (rate ratio, 1.2 [1.1–1.3]; P < .001), knee (rate ratio, 1.4 [1.2–1.6]; P< .001), or groin (rate ratio, 1.6 [1.2–2.1]; P = .004) increased the risk of new injuries to the same region. Reporting a reduced function (defined as <80% of the maximum score) for the ankle (rate ratio, 1.7 [1.1–2.7]; P = .021) or knee (rate ratio, 3.2 [1.8–5.7]; P < .001) was also a significant risk factor. However, the sensitivity of previous injuries and lower limb function in predicting new injuries was low. Conclusion A history of previous injury and reduced function at baseline were significant risk factors for new injuries to the same region during the following season.