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1.

Objectives

Appropriate statistical analysis of clustered data necessitates accounting for within-participant effects to ensure results are repeatable and translatable to real-world applications. This study aimed to compare statistical output and injury risk interpretation differences from two statistical regression models built from a clinical movement sidestepping database. A “naïve” regression model, which does not account for within-participant effects, was compared with an appropriately applied mixed effects model.

Design

Comparative study.

Methods

Three-dimensional unplanned sidestepping joint angle data (trunk, hip, and knee) from 35 males (112 observations) were used to model peak knee valgus moments and anterior cruciate ligament injury risk during the impact phase of stance. Both statistical models were cross-validated using a k-fold analysis.

Results

The naïve regression returned inflated goodness of fit statistics (R2 = 0.50), which was evident following cross-validation (predicted R2 = 0.43). Following cross-validation, the mixed effects model (predicted R2 = 0.40) explained a similar amount of variance, despite containing three less predictors. The naïve model produced inaccurate parameter estimates, overestimating the effects of certain kinematic parameters by as much as 79 %.

Conclusions

A regression model naïvely applied to clustered observations of sidestepping data resulted in erroneous parameter estimates and goodness of fit statistics which have the potential to mislead future research and real-world applications. It is important for sport and clinical scientists to use statistically appropriate mixed effects models when modelling clustered motion capture data for injury biomechanics research to protect the translatability of the findings.  相似文献   

2.

Objectives

Although physical fitness is considered a marker of health in youth, little is known whether physical fitness in pre-school age is related to later body composition. Thus, this study investigated (i) associations of physical fitness at 4.5 years of age with body composition 12 months later and (ii) whether improvements in physical fitness during the 12-month follow-up were associated with changes in body composition.

Design

This study included 142 children, measured at 4.5 and 5.5 years, from the control group of the MINISTOP trial.

Methods

Physical fitness (cardiorespiratory fitness, lower- and upper-body muscular strength and motor fitness) was measured using the PREFIT test battery. Body composition was assessed using air-displacement plethysmography.

Results

In adjusted regression analyses, greater cardiorespiratory fitness, lower-body muscular strength and motor fitness at 4.5 years were associated with a lower fat mass index at 5.5 years (standardized β= ?0.182 to ?0.229, p  0.028). Conversely, greater cardiorespiratory fitness, lower- and upper-body muscular strength as well as motor fitness at 4.5 years of age were associated with a higher fat-free mass index (standardized β = 0.255–0.447, p  0.001). Furthermore, improvements in cardiorespiratory fitness, lower-body muscular strength and motor fitness during the 12-month follow-up period were associated with decreases in fat mass index and/or % fat mass.

Conclusions

In conclusion, the results of this study provide evidence of the importance of physical fitness early in life. Nevertheless, further studies are needed in order to clarify the influence of physical fitness in the pre-school age with later health outcomes.  相似文献   

3.

Objectives

The current study investigated the effects of two exercise interventions on cognitive function amongst breast cancer survivors.

Design

Pilot randomised-controlled trial.

Methods

Seventeen female cancer survivors (mean: 62.9 ± 7.8 years) were randomised into three groups: high-intensity interval training (HIIT, n = 6); moderate-intensity continuous training (MOD, n = 5); or wait-list control (CON, n = 6). The HIIT and MOD groups exercised on a cycle ergometer 3 days/week for 12-weeks. Primary outcomes were cognitive function assessments utilising CogState. Secondary outcomes were resting middle cerebral artery blood flow velocity, cerebrovascular reactivity and aerobic fitness (VO2peak). Data were analysed with General Linear Mixed Models and Cohen’s d effect sizes were calculated.

Results

All 17 participants who were randomised were available for follow-up analysis and adherence was similar for HIIT and MOD (78.7 ± 13.2% vs 79.4 ± 12.0%; p = 0.93). Although there were no significant differences in the cognitive and cerebrovascular outcomes, HIIT produced moderate to large positive effects in comparison to MOD and CON for outcomes including episodic memory, working memory, executive function, cerebral blood flow and cerebrovascular reactivity. HIIT significantly increased VO2peak by 19.3% (d = 1.28) and MOD had a non-significant 5.6% (d = 0.72) increase, compared to CON which had a 2.6% decrease.

Conclusions

This study provides preliminary evidence that HIIT may be an effective exercise intervention to improve cognitive performance, cerebrovascular function and aerobic fitness in breast cancer survivors. Considering the sample size is small, these results should be confirmed through larger clinical trials.  相似文献   

4.

Objectives

To determine the relationship and predictive value of isometric shoulder strength in the development of shoulder pain in young swimmers.

Design

Prospective, cohort study.

Methods

Shoulder flexion, extension, external and internal rotation strength tests were performed in elevation on 85 swimmers (14–20 years; 48 females) without current shoulder pain using a hand-held dynamometer. Following testing, swimmers were emailed questionnaires to determine if significant shoulder pain developed within 24 months subsequent to testing. The differences between shoulders that did and did not develop pain and the predictive ability of shoulder strength and strength ratios were investigated using Mann Whitney U tests and receiver operating characteristic curves.

Results

Thirty-seven swimmers (47%) returned questionnaires and 18 reported shoulder pain. A comparison of individual shoulders (27 with pain reported and 47 without) determined that shoulder extension strength was lower and flexion:extension strength ratio was higher for male swimmers (n = 36 shoulders) who reported shoulder pain compared to those who did not (p = 0.04). The predictive value of extension strength was fair (0.72; p = 0.03) for males with a cut-off value for extension strength calculated at 13.5% body mass. There were no differences between the two groups in shoulder rotation strength, age, training hours or previous pain history.

Conclusions

Shoulder extension strength, a functional test for swimmers, was associated with and predictive of the development of shoulder pain in male swimmers. Low shoulder extension strength may be a risk factor for the development of shoulder pain in swimmers, proposing a direction for injury prevention and future investigation.  相似文献   

5.

Objectives

To assess the feasibility and efficacy of a 6-week pilot active break program (ACTI-BREAK) on academic achievement, classroom behaviour and physical activity.

Design

Pilot cluster randomised controlled trial.

Methods

374 children in Year 3 and 4 (74% response) were recruited from six schools across Melbourne, Australia. Schools were randomised to the ACTI-BREAK intervention or usual teaching practice. The intervention involved teachers incorporating 3 × 5 min active breaks into their classroom routine daily. Academic achievement was assessed using 1-min tests in reading and mathematics; classroom behaviour at the individual and whole class level was observed by teachers; and physical activity levels were assessed using accelerometers. Multilevel mixed effects linear regression models were conducted using intention to treat (ITT) and per protocol (PP) analyses.

Results

Significant intervention effects were found for classroom behaviour at the individual level (ITT B = 16.17; 95% CI: 6.58, 25.76); effects were stronger for boys (B = 21.42; 95% CI: 10.34, 32.49) than girls (B = 12.23; 95% CI: 1.52, 22.92). No effect was found for classroom behaviour at the whole class level, reading, math or physical activity. PP findings were similar.

Conclusions

Implementing active breaks during class time may improve classroom behaviour, particularly for boys. There was no evidence to suggest that implementing active breaks had any adverse effect on academic achievement or classroom behaviour, which may encourage classroom teachers to incorporate active breaks into their routine.  相似文献   

6.

Objective

The aims of our study were to quantify levels and investigate sex-specific changes and trajectories in VPA longitudinally from age 7 to 15 years.

Design

Longitudinal observational study.

Methods

Participants were part of the Gateshead Millennium Study. Measures were taken at age 7 (n = 507), 9 (n = 510), 12 (n = 425) and 15 years (n = 310). Vigorous physical activity was quantified objectively using ActiGraph GT1 M accelerometers over 5–7 days at the four time-points. Multilevel linear spline random-effects model and trajectory analysis to identify sub-groups were performed.

Results

In boys, average VPA declined across childhood followed by an increase at adolescence, while in girls, average VPA declined across the 8-year study period. In boys, daily VPA decreased from 9-12 years (1.70 minutes/year) and increased from 12-15 years (1.99 minutes/year) (all p < 0.05). In girls daily VPA decreased from 7-9 years (1.70 minutes/year) (p < 0.05). Three VPA trajectories were identified which differed between the sexes. In boys, one group decreased from an initial relatively high level, one group, initially relatively low, increased, whereas the third one was stable over the 8-year period. In girls, all three groups declined from baseline.

Conclusions

Marked sex and age-specific trajectories in VPA change were observed. These novel findings should help sports and exercise medicine specialists, as well as policy makers, in their effort to maintain or increase VPA in childhood and adolescence.  相似文献   

7.

Objective

To examine the association between sedentary leisure-time and all-cause mortality and differences in survival time.

Design

Prospective cohort study.

Methods

Information on sedentary leisure-time, defined as TV viewing and/or sitting reading, was collected from 72 003 Swedish adults who were 45–83 (median 60) years of age and completed a self-administered questionnaire at baseline and were followed up for 17 years through linkage with the Swedish Death Register.

Results

The association between sedentary leisure-time and all-cause mortality was modified by age with a more pronounced association in middle-aged (<60 years of age) than in older adults (≥60 years of age) (p-interaction < 0.001). During follow-up, 3358 and 15 217 deaths occurred in the middle-aged and older age group, respectively. The multivariable-adjusted hazard ratios for the highest (>6 h/day) versus lowest category (<1 h/day) of sedentary leisure-time were 1.72 (95% confidence interval [CI] 1.29–2.30) in middle-aged adults and 1.19 (95% CI 1.05–1.36) in older adults. This corresponded to a difference in survival time of respectively 2.4 (95% CI ?4.1 to ?0.8) years and 1.5 (95% CI ?2.2 to ?0.7) years.

Conclusions

Prolonged sedentary leisure-time was associated with a significantly decreased survival time up to 2.4 years in middle-aged adults.  相似文献   

8.

Objectives

To evaluate the association between cardiorespiratory fitness (CRF), lung cancer incidence and cancer mortality in men.

Design

Prospective cohort study.

Methods

Maximal exercise testing was performed in 4920 men (59.2 ± 11.4 years) free from malignancy at baseline. Multivariate Cox hazard models adjusted for established cancer risk factors including smoking were analyzed for lung cancer incidence and cancer mortality among those who were diagnosed with lung cancer. Population attributable risks (PAR) of low CRF (<5 METs) were determined.

Results

During 12.7 ± 7.5 years follow-up, 105 (2.1%) participants were diagnosed with lung cancer and 83 (79%) of those died from cancer after 3.6 ± 4.6 years from diagnosis. CRF was inversely and independently associated with cancer outcomes. A 1-MET increase and categories of moderate and high CRF were associated with 10%, 47% and 65% reduction in lung cancer incidence (p = 0.002), and 13%, 58% and 76% reduction in cancer mortality (p = 0.002), respectively. Also, individuals who were diagnosed with lung cancer and were at moderate or high CRF categories at baseline exhibited longer survival time (p < 0.001). The PARs% for lung cancer incidence and cancer mortality were 8.7% and 18.5%, respectively.

Conclusions

Higher CRF is associated with lower lung cancer incidence in men. Among individuals who were diagnosed with lung cancer, higher CRF was associated with reduced cancer mortality and longer survival time. These results support the protective benefits of higher CRF in the prevention of lung cancer outcomes. Eliminating low CRF as a risk factor would potentially prevent considerable lung cancer morbidity and mortality.  相似文献   

9.

Objectives

To describe the cross-sectional association between musculoskeletal pain at multiple sites and physical work capacity (PWC) and objectively measured physical activity (PA).

Design

Observational study.

Methods

Data from a subsample of the UK Biobank were utilised (n = 9856; mean age 58.5 years, mean body mass index 30.2 kg/m2, 62% female). PWC was measured by a bicycle ergometer and PA by an accelerometer. Pain experienced in hip, knee, back and neck/shoulder was collected by questionnaire. Linear regression modelling was used with adjustment for potential confounders to estimate the association between pain and PWC and PA.

Results

Increase in number of painful sites was associated with lower PWC, moderate and vigorous PA and increased low intensity PA in a dose-response relationship (all p-values for trend ≤0.001) before and after adjustment for confounders. In site specific analyses, hip pain was associated with an increased low intensity PA (β 52.8 min/week, 95% CI 2.3–103.2) and reduced moderate PA (β ?50.1 min/week, 95% CI ?98.5 to ?1.8). Knee pain was only associated with vigorous PA (β ?5.7 min/week, 95% CI ?10.0 to ?1.3). Pain at neck/shoulder pain and back were not independently associated with PWC and PA.

Conclusions

Greater number of painful sites is consistently associated with poorer PWC, increased low intensity PA and reduced moderate to vigorous PA. Clinicians should address the critical role of being physically active in managing chronic musculoskeletal pain and interventions targeting musculoskeletal pain may be needed to increase PA levels.  相似文献   

10.

Objectives

Non-disclosure of concussion complicates concussion management, but almost nothing is known about non-disclosure in military settings. This study describes concussion disclosure-related knowledge, attitudes, perceived social norms, perceived control, and intention. Additionally, the study identifies determinants of high intention to disclose concussion symptoms.

Design

Cross sectional survey.

Methods

First-year service academy cadets completed a cross-sectional survey to assess perceptions of concussion disclosure. Independent variables included: gender, race, ethnicity, high school athlete status, NCAA athlete status, previous concussion history, previous concussion education, socioeconomic proxy, concussion-related knowledge, attitudes about concussion, perceived social norms (perceived peer/organizational support and actions), and perceived control over disclosure. Log-binomial regression was used to identify determinants of high intention to disclose concussion symptoms.

Results

A total of 972 first-year military service academy cadets completed the survey [85% response; age = 18.4 ± 0.9 y]. In the simple models, previous concussion history was associated with lower intention to disclose concussion symptoms. High perceived control over disclosure, higher concussion knowledge, more favorable attitudes and social norms about concussion were associated with high intention to disclose. In the multivariable model, a 10% shift towards more favorable perceived social norms (PR = 1.28; p < 0.001) and attitudes (PR = 1.07; p = 0.05) about concussion were associated with high intention to disclose concussion symptoms. High perceived control over disclosure was associated with high intention to disclose concussion symptoms (PR = 1.39; p = 0.08).

Conclusions

Concussion-related perceived social norms, attitudes, and perceived control are associated with intention to disclose. Organizationally appropriate intervention strategies can be developed from these data.  相似文献   

11.

Objectives

The purpose of this study was to identify early life factors that were associated with childhood and adolescent organized sport participation trajectories.

Design

Participants were in the Raine Study, a pregnancy cohort in Western Australia recruited from 1989 to 1991.

Methods

Three organized sport trajectories over ages 5–17 years were previously identified for girls (n = 824: consistent participators, dropouts, and non-participators in sport) and boys (n = 855: consistent participators, dropouts, joiners — those who joined sport in adolescence). Physical, psychological and social factors were measured from birth to age 5.

Results

For girls and boys, children who were breastfed, were taller, did not have behavior problems, and attended childcare were more likely to consistently participate. Girls who had a previous injury (Relative risk ratio 1.55: 95% confidence interval 1.05, 2.29 vs never been injured) or who had parents who had worries about their child’s health (1.56: 1.00, 2.42 vs no worries) were more likely to be in the dropout trajectory. Boys born preterm (2.00, 2.06, 3.76 vs full-term), did not have a previous injury (0.72, 0.53, 0.97 those with injury vs never been injured), had more difficult temperament (1.63, 1.02, 2.60 vs easy temperament), and higher family dysfunction (1.49, 1.06, 2.08) were more likely to be in the dropout trajectory.

Conclusions

Early life factors were associated with membership in sport trajectories. Physical, psychological, and social factors may serve as early warning signs for parents and practitioners that children may be at higher risk of dropping out of sports.  相似文献   

12.

Objectives

Among symptomatic dancers, sonographic abnormalities are common. Whether asymptomatic dancers have any abnormalities remains unknown. Some dancers became cyanosis over distal feet after ballet training. The hemodynamic changes at the feet in ballet are not clearly understood.

Design

Cross-sectional study.

Methods

In 25 dancers and 14 non-dancers, B-mode ultrasonography was used to measure cross-sectional areas (CSA) of tendons of deep posterior compartment muscles. Doppler ultrasonography was used to measure peak velocity (Vpeak) of posterior tibial artery in three ankle postures: the neutral position, passively and forced actively plantar flexion (en pointe). The big toe oxygen saturation was recorded in neutral position and during 1-min en pointe. Single-leg standing heel rise test was performed to represent the muscle function.

Results

The CSA of FHL was larger in dancers (0.26 cm2 [0.20, 0.30] vs 0.21 cm2 [0.17, 0.24], p < 0.01), while other tendons were not different (all p > 0.05). Higher Vpeak was recorded in passively plantar flexion than in neutral position (p < 0.01, in both groups). The blood flow was undetectable during en pointe, more frequently in dancers (54.9% vs 14.3%, p < 0.01). Oxygen saturation decreased during en pointe more prominently in dancers (85% [80, 90] vs 94% [84, 97], p < 0.01). There was no significant difference in muscle function.

Conclusions

US showed the FHL tendon thickening and en pointe-related vascular compromise in pre-professional dancers, even when they are asymptomatic.  相似文献   

13.
Optimizing tactical fitness is important for combat readiness and injury prevention, especially as women have entered ground combat military occupational specialties.

Objectives

To assess characteristics of male and female Marines by Combat Fitness Test (CFT) performance clusters.

Design

Cross-sectional study.

Methods

Anthropometric, body composition (BF%, fat and fat-free mass [FM and FFM], and Fight load index [FLI], physiological (maximal oxygen uptake, lactate threshold and anaerobic power/capacity), and musculoskeletal (isokinetic strength of the knee, shoulder, torso, and isometric strength of the ankle) assessments were obtained from 294 male (M) and female (F) Marines. Hierarchical cluster analysis classified Marines based on performance of two CFT events (sec): Maneuver Under Fire (MANUF) and Movement to Contact (MTC). Following tests for normality, one-way ANOVA or Kruskal Wallis tests, followed by Bonferroni post-hoc tests, assessed characteristics across clusters and sex (alpha = 0.05).

Results

Two clusters (C) were determined: C1: N = 66F, 16M and C2: N = 18F, 194M, with C2 demonstrating better performance on the MANUF and MTC. C1F demonstrated significantly greater BF% and FLI than C1M, C2F, and C2M. C2M demonstrated significantly greater knee flexion strength than C1F and C2F, but C1M was only significantly greater than C1F. C2M demonstrated significantly greater ankle eversion and inversion strength than C1F.

Conclusions

Women with increased BF%, increased FM and reduced FFM relative to a fighting load may have decreased performance in combat-related tasks. Training programs based on an individual Marine’s baseline body composition and fitness characteristics can enhance combat fitness and force readiness.  相似文献   

14.

Objectives

Greater arterial stiffness and poor 24 h blood pressure (BP) are recognized as indicators of poor cardiovascular health. Evidence has shown that high intensity interval training (HIIT) may be a superior alternative to moderate intensity continuous training (MICT) for improving cardiovascular disease risk factors such as cardiorespiratory fitness and vascular function. However, there are limited data comparing the effect of HIIT to MICT on central arterial stiffness and/or 24 h BP response. The purpose of this study was to compare HIIT versus MICT on central arterial stiffness and 24 h BP outcomes by systematic review and meta-analysis.

Design

A systematic review and meta-analysis was conducted.

Methods

Eligible studies were exercise training interventions (≥4 weeks) that included both HIIT and MICT and reported central arterial stiffness, as measured by pulse wave velocity and augmentation index and/or 24 h BP outcome measures.

Results

HIIT was found to be superior to MICT for reducing night-time diastolic BP (ES: ?0.456, 95% CI: ?0.826 to ?0.086 mmHg; P = 0.016). A near-significant greater reduction in daytime systolic (ES: ?0.349, 95% CI: ?0.740 to 0.041 mmHg; p = 0.079) and diastolic BP was observed with HIIT compared to MICT (ES: ?0.349, 95% CI: ?0.717 to 0.020 mmHg; p = 0.063). No significant difference was found for other BP responses or arterial stiffness outcomes.

Conclusions

HIIT leads to a superior reduction in night-time diastolic BP compared to MICT. Furthermore, a near-significant greater reduction in daytime BP was found with HIIT compared to MICT. No significant difference was observed for changes to central arterial stiffness between HIIT and MICT.  相似文献   

15.

Objectives

Little is known about hip function after hip arthroscopic surgery in patients with femoroacetabular impingement syndrome. Hence, the aim of the study was (1) to investigate changes in hip muscle strength from before to one year after hip arthroscopic surgery, (2) to compare patients with a reference group.

Design

Cohort study with a cross-sectional comparison.

Methods

Before and after hip arthroscopic surgery, patients underwent hip muscle strength testing of their hip flexors and extensors during concentric, isometric and eccentric contraction in an isokinetic dynamometer. Reference persons with no hip problems underwent tests at a single time point. Participants completed completed the Copenhagen Hip and Groin Outcome Score (HAGOS) questionnaire and physical capacity (stair climbing loaded and unloaded, stepping loaded and unloaded and jumping) tests.

Results

After surgery, hip flexion strength improved during all tests (6–13%, p < 0.01) and concentric hip extension strength improved (4%, p = 0.002). Hip flexion and extension strength was lower for patients than for reference persons (9–13%, p < 0.05) one year after surgery. Higher hip extension strength after surgery was associated with better patient reported outcomes. Patients, who were unable to complete at minimum one test of physical capacity, demonstrated significantly weaker hip muscle strength. Compared with their healthy counterparts, female patients were more impaired than male patients.

Conclusions

One year after surgery, patients improved their maximal hip muscle strength. When compared to reference persons, maximal hip muscle strength was still impaired.  相似文献   

16.

Objectives

The purpose of this study was to determine the effects of pre- vs. post-workout nutrition on strength, body composition, and metabolism in trained females over 6 weeks of high intensity resistance training (HIRT).

Design

Forty-three trained females (mean ± SD; age: 20.5 ± 2.2 yrs; height: 165.2 ± 5.7 cm; body mass: 66.5 ± 11.4 kg) were measured for strength, body composition, and metabolic variables before and after a HIRT intervention. Participants were randomized using a 2:2:1 matched block randomization scheme by baseline leg press strength into a group that consumed a 1:1.5 carbohydrate-protein supplement (16 g CHO/25 g PRO) pre-training (PRE), post-training (POST), or no supplement (CON).

Methods

Dual-energy X-ray absorptiometry was used to evaluate fat mass (FM), lean mass (LM), and percent fat (%fat). Strength was analyzed using a one repetition max on the leg and bench press (LP1RM and BP1RM, respectively). Participants completed HIRT twice per week for 6 weeks. At the first and last trainings, metabolic variables [resting energy expenditure (REE) and respiratory exchange ratio, RER] were measured.

Results

There were no significant differences between groups for any changes in body composition variables or LP1RM (p = 0.170–0.959). There were significant differences for BP1RM (p = 0.007), with PRE and POST experiencing greater increases than CON (p = 0.010 and 0.015, respectively). REE changes were not significant between groups (p = 0.058–0.643). PRE demonstrated greater fat oxidation (RER) at 30 min post-exercise (p = 0.008–0.035).

Conclusion

Peri-workout nutrition is potentially important for upper body strength and metabolism. PRE may be more effective for promoting fat utilization immediately post-workout.  相似文献   

17.

Objectives

The Canadian Army fitness objective is FORCE COMBAT?. This consists of a 5 km march (35 kg) between 50–60 min, and the annual FORCE physical employment standard as a circuit without the usual 5 min rest intervals (FORCE circuit) in full fighting order (25 kg). The objective of this research was to determine the number of practice attempts required to establish reliability of FORCE COMBAT?. Additionally, this study aims to identify the minimal detectable change once reliability is established.

Design

The study used a within participant design.

Methods

33 Canadian Army members were divided into two groups. Group 1 performed four maximum effort attempts of FORCE COMBAT? completely. Group 2 performed only the FORCE circuit component, not the loaded march. On the fifth trial, the tasks of the groups were switched. Variability within and between trials of the FORCE circuit of FORCE COMBAT? were analysed based on six statistical factors of reliability.

Results

Four statistical factors indicated that one maximal effort practice attempt of FORCE COMBAT? is required, as reflected in the variability of performance between trials 1 and 2. The minimum detectable change, highlighting inherent measurement error of the test was 89.18 s with 95% confidence.

Conclusions

Results suggest that Canadian Army members should complete one FORCE COMBAT? in completion at maximal effort, before formal assessment. Further, members performing within 89 s of the recommended completion time, on FORCE COMBAT? should be offered a re-attempt (in its entirety).  相似文献   

18.

Objectives

To provide epidemiological data and related costs for moderate-to-serious and serious injury claims for women’s rugby union in New Zealand.

Design

A retrospective analytical review of injury entitlement claims for women’s rugby from 2013 to 2017.

Methods

Data were analysed by year of competition, age, body site and injury type for total and moderate-to-severe (MSC) Accident Compensation Corporation (ACC) claims and costs.

Results

Over 2013 to 2017 there were 26,070 total claims for female rugby union costing $18,440,812 [AD$16,956,998]. The 15–19-year age group recorded 40% (n = 1,009) of the total female rugby union Moderate-to-serious and serious (MSC) claims and 41% ($5,419,157 [AD$4,983,112]) of the total female rugby union MSC costs. The knee was the most commonly recorded injury site accounting for 40.3% (n = 1,007) of MSC claims and 46.9% ($6,229,714 [AD$5,728732]) of MSC costs with an average cost of $1,245,943 ±$217,796 [AD$595,351 ±AD$104,070] per-year for female rugby union.

Conclusions

This is the first study to report the nature and related costs for moderate-to-serious and serious injury claims for women’s rugby union in New Zealand. A total of 26,070 injury claims were lodged over the duration of the study but only 9.6% (n = 2,501) of these were classified as MSC injury entitlement claims. Participants 25 years and older accounted for 31% of the female rugby union player claims. Females in the over 35-year age groups compete against younger participants which may account for the higher mean cost per-claim seen as the age groups increase in years until they retire from the game.  相似文献   

19.

Objectives

The International Paralympic Committee has mandated that International Sport Federations develop sport-specific classification systems that are evidence-based. This study examined the predictive and convergent validity of instrumented tapping tasks to classify motor coordination impairments in Para swimming.

Design

Cross-sectional.

Methods

Thirty non-disabled participants and twenty-one Para swimmers with brain injury completed several instrumented tapping tasks as an assessment of upper and lower limb motor coordination. Para swimmers also completed a maximal freestyle swim to obtain a performance measure. The predictive and convergent validity of instrumented tapping tasks was examined by establishing differences in test measures between participants with and without brain injury and defining the strength of association between test measures and maximal freestyle swim speed in Para swimmers, respectively.

Results

Random forest successfully classified 96% of participants with and without brain injury using test measures derived from instrumented tapping tasks. Most test measures had moderate to high correlations (r = 0.54 to 0.72; p < 0.01) with maximal freestyle swim speed and collectively explained up to 72% of the variance in maximal freestyle swim performance in Para swimmers with brain injury.

Conclusions

The results of this study evidence the predictive and convergent validity of instrumented tapping tasks to classify motor coordination impairments in Para swimmers with brain injury. These tests can be included in revised Para swimming classification to improve the objectivity and transparency in determining athlete eligibility and sport class for these Para athletes.  相似文献   

20.

Objectives

To compare soleus spinal reflex excitability, presynaptic inhibition and recurrent inhibition between chronic ankle instability (CAI), acute Lateral Ankle Sprain coper (LAS-coper) and healthy populations. The relationship between spinal reflex excitability and pain and perceived instability in people with CAI was also examined.

Design

Cross-sectional laboratory experiment.

Methods

Twelve individuals with CAI, twelve ‘copers’ and twelve healthy age, limb and gender-matched controls participated. Soleus H-reflex recruitment curves, pre-synaptic excitability and recurrent inhibition of the spinal-reflex pathway were examined during static double- and single-leg stance. Reporting of pain and perceived instability were used to perform a regression analysis on measures of soleus spinal excitability in people with CAI, LAS-coper and healthy controls.

Results

Soleus spinal reflex excitability was greater during single-leg stance in CAI compared to healthy and coper individuals (p = <0.001). Pre-synaptic inhibition was three-times less in CAI participants compared to both healthy controls and copers (p = <0.001). There were no differences between healthy and coper participants in spinal-level measures of sensorimotor control. Reports of pain explained 15–16% of the variance in soleus spinal reflex excitability and presynaptic inhibition during single and double-leg stance, while perceived instability explained 20% of the variance in spinal reflex during single leg stance only.

Conclusions

CAI participants presented with an inability to suppress soleus spinal reflexes during tasks with increased postural threat; likely due to disinhibition of pre-synaptic mechanisms. Pain and perceived instability may contribute to changes in spinal-level sensorimotor control in CAI.  相似文献   

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