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Ten-year nationwide review of netball ankle and knee injuries in New Zealand
Institution:1. Sports Performance Research Institute New Zealand, School of Sport and Recreation, Faculty of Health and Environmental Sciences, Auckland University of Technology, New Zealand;2. Netball New Zealand, Auckland, New Zealand;1. Institute for Health and Sport, Victoria University, Australia;2. Australian Catholic University, School of Exercise Science, Australia;1. University of Hertfordshire, Hatfield, Hertfordshire, AL10 9AB, UK;2. Bodybalance Physiotherapy and Sports Injuries Clinic, University of Hertfordshire, De Havilland Campus, Hatfield, Hertfordshire, AL10 9EU, UK;3. Hypermobility Unit, Hospital of St John and St Elizabeth, 60 Grove End Road, London NW8 9NH, UK;4. University College London Hospital, 235 Euston Road, London NW1 2BU, UK;5. Imperial Healthcare NHS trust, St Mary''s Hospital, Praed St, London W2 1NY, UK;6. Institute of Child Health, University College London, 30 Guilford St, London WC1N 1EH, UK;1. University of the Sunshine Coast, Australia;2. Queensland Academy of Sport, Australia;3. Queensland University of Technology, Australia;1. School of Human Movement and Nutrition Sciences, The University of Queensland, Australia;2. Queensland Academy of Sport, Australia;3. High Performance Department, Netball Australia, Australia;4. School of Health and Sport Sciences, University of Sunshine Coast, Australia;5. School of Behavioural and Health Sciences, Australian Catholic University, Australia;6. School of Exercise and Nutrition Sciences, Queensland University of Technology, Australia;1. Centre for Applied Sport and Exercise Sciences, School of Sport and Wellbeing, College of Health and Wellbeing, University of Central Lancashire, Lancashire, UK;2. Allied Health Research Unit, School of Health Sciences, College of Health and Wellbeing, University of Central Lancashire, Lancashire, UK
Abstract:ObjectivesTo review netball ankle and knee injuries between 2008 and 2017.DesignAudit of insurance injury claims.MethodsData were divided into 5 equal year groups (2008/9, 2010/11, 2012/13, 2014/15, 2016/17), and 3 age groups (10 to 14 years, 15 to 19 years, 20 to 24 years old). Raw injury counts and injury rates per 1000 affiliated players were reported. Changes in injury rates over the 10-year period and differences between age groups were expressed as Incident rate ratios (IRRs). A Shewhart control chart was created to identify monthly injury patterns.Results10-14-year-olds showed the biggest increase in injury counts (ankle 84% increase and knee 133% increase). 20-24-year-olds had the highest mean injury rate over the ten-years (ankle = 77.8, knee = 71.6 injuries/1000 players). 10-14-year-olds had the biggest increase in risk of injury between 2008/09 to 2016/17, (ankle IRR = 2.0; knee IRR = 2.5), 15-19-year-olds (ankle IRR = 1.4; knee IRR = 1.5), 20-24 year olds (ankle IRR = 0.5; knee IRR = 1.9). The older two groups had a significantly higher mean risk of ankle and knee injury (IRR = 1.9 to 2.2; p < 0.001). Higher than expected yearly injury incidence was repeatedly seen in 10-19-year-olds.ConclusionAnkle and Knee injuries have increased with the biggest increase in 10-19-year-olds. Injuries in 20-24-year-olds still represent the highest cost and continue at a higher rate than in younger players. Spikes in injury are likely associated with intense periods of trialling and tournament play.
Keywords:Sports Medicine  Epidemiology  Insurance  Prevention  Sports
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