How to count injuries, and make counting them count! The Norwegian Olympic team experience with overuse injuries and illnesses
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1 How to count injuries, and make counting them count! The Norwegian Olympic experience with overuse injuries and illnesses Norges idrettsforbund og olympiske og paralympiske komité Side 2 Surveillance Why bother? Identify problem areas for targeted prevention Which injuries and illnesses? Which athletes? What times of the year? Resource allocation Secondary prevention: Early identification, early action! manager Side 3 Side 4 Challenges monitoring Olympic athletes Predominantly individual sports Geographically diverse in sports spend most time with club s often relate to multiple medical s Side 5 1
2 Weekly questionnaire Weekly questionnaire Individual follow-up Weekly report 4 Key Questions Questions on consequences of health problems in the preceding 7 days No problem reported QUESTIONNAIRE FINISHED Problem reported 1. Have you had any difficulties participating in normal training and competition due to health problems? 2. To what extent have you reduced you training volume due to health problems? 3. To what extent have health problems affected your sports performance? 4. To what extent have you experienced symptoms of health problems? Illness Main symptoms Who knows about it? Previously registered? Any comments? No further problems QUESTIONNAIRE FINISHED Injury Location Several problems Side 9 Weekly questionnaire Weekly report 2
3 Level of detail from athlete Location of injury / Main illness symptoms Consequences on training and performance Is it a new problem? Who knows about it? But not... Diagnosis Overuse or acute injury Side 14 Weekly questionnaire Diagnosis registration Weekly report Stress fracture 2nd Metatarsal Stress fracture Navicular Influenza Non-specific lower back pain Patellofemoral pain London Inclusion Summer 11: All national and OLT coaches asked to provide a long-list of London candidates 143 athletes invited, 142 agreed to participate All athletes followed from inclusion until games began, regardless of qualification Norges idrettsforbund og olympiske og paralympiske komité Side 18 3
4 Olympic Games Paralympic Games Handball 24 Shooting 7 Athletics 22 Equestrian 4 Rowing 13 Sailing 4 Cycling 12 Swimming 3 Swimming 1 Table tennis 3 Sailing 8 Cycling 2 Kayak 7 Boccia 1 Beach Volleyball 6 Athletics 1 Shooting 5 Archery 1 Taekwondo 3 Boxing 2 Wrestling 2 Archery 1 Weight lifting 1 Total 116 Total 26 Response rate Response (%) Week number (11/12) Side 19 Response rate Response rate Response (%) Whole group 8% average Week number (11/12) Response (%) Selected 84% average Non-selected 74% average Week number (11/12) Average prevalence of health problems (%) Overuse injury Acute injury 4 Illness 13 All health problems 36 Avg. prevalence of substantial problems (%) Overuse injury 7 Acute injury 2 Illness 6 All health problems 15 4
5 All problems Substantial problems Groups for analysis Rowing 13 Swimming 11 Cycling 12 Kayak 7 Track and Field 22 Other* 13 Sailing 8 Paralympics 26 Beach Volleyball 6 Handball 24 Endurance 53 Tactical/Technical 33 Paralympics 26 Team 3 *Boxing, wrestling, archery, rifle shooting, taekwondo, weight lifting Side 26 Mean Prevalence (%) Overuse injury Acute injury Illness Team sports Endurance sports Tactical/ Technical sports Paralympics Side 28 Inclusion November 12: All national and OTC coaches asked to provide a long-list of Sochi candidates 18 athletes invited, all agreed to participate Planned review April and September 13 Olympic Games Paralympic Games Ice hockey 36 Ice sledge hockey 16 Biathlon 22 Cross-country skiing 6 Cross-country skiing 22 Wheelchair curling 6 Ski jumping Snowboard 13 Speed skating 13 Alpine skiing 1 Nordic combined 7 Curling 6 Sliding 3 Total 152 Total 28 Side 29 Side 3 5
6 The Oslo Sports Trauma Research Center has been established at the Norwegian School of Sport Sciences through generous grants from the Royal Norwegian Ministry of Culture, the South-Eastern Norway Regional Health Authority, the International Olympic Committee, the Norwegian Olympic Committee & Confederation of Sport, and Norsk Tipping AS 6
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