Netball International Study on Musculoskeletal health

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1 NETISM Netball International Study on Musculoskeletal health Developing a population-wide system for the longitudinal surveillance of musculoskeletal health in netball players Silvia Manzanero, AIS Netball Health for Life

2 Netball Over 1 in 20 Australian women play netball. It involves: muscular endurance bursts of rapid acceleration sudden and rapid changes in direction in combination with jumping (Steele and Milburn 1987)

3 Netball injury 11 to 15 injuries/1000 player hours in recreational and sub-elite participants. Ankle injuries more frequent, knee injuries more severe. ACL rupture responsible for 17% of hospital admissions in female netballers. Reported associated factors: prior injury warm-up training position age jumping ability anaerobic fitness foot type hypermobility footwear

4 Goals Injury surveillance Knee and lower leg injury in pathway, community and highperformance netball players Mechanisms and associated factors To inform injury prevention plans at all levels of participation. Positive health impact Health-related, personal and lifestyle factors associated with netball practice. Degree of netball participation associated with well-being in older age. Understanding osteoarthritis Knee and ankle osteoarthritis in current and former netball players. Association of injury and other factors with osteoarthritis.

5 Study design priorities Monitoring at the population level to ensure solid results Online platform to ensure ease of use, economy and reach Collecting data directly from the athlete to measure perceived severity Data collection on acute and overuse, major and minor forms of injury Longitudinal yearly data collection Follow-up of individual injuries, to assess recurrence, reinjury, exacerbation Emphasis on reporting and dissemination Research team designed so the implementers are included in the early stages to ensure that the outputs: are population-specific, and reach acceptance criteria

6 The project Participants Community, pathway and high-performance netball players aged 13 and over Former netball players 3 nations: Australia, New Zealand and UK Method Online survey Maximum 30 minutes Outputs Yearly reports to partner organisations: Injury rates Health and well-being Lifestyle Quality of life

7 Data collection Current netball players 5 year study, yearly data collection additional surveys for specific groups (e.g. burden of ACL injury) Former netball players 2.5 year study, cross-sectional single survey

8 knee below knee Survey modules injury Module 1 - Demographics Module 2 - Netball experience Module 3 Injury Previous year Prior to previous year Injuries Netball-related (>1 missed training session/game) Minor issues Non-netball related (>2 weeks missed training/games) Netball-related only (no missed training sessions/games but affecting performance) Injuries Netball related (>3 months missed training/games) Non-netball related (>3 months missed training/games)

9 Survey modules health Module 4 Current health Module 5 Female health Module 6 Knees - Knee injury and OA Outcome Score Physical Function Shortform (KOOS-PS) Module 7 Ankles - Cumberland ankle instability tool - Ankle OA scale Module 8 Fingers Module 9 Quality of life - SF-36 survey. Only for participants aged 30 and over

10 Our Vision NETISM will contribute to a healthier Australia by enhancing sustainable participation in Australia s most popular female team sport.

11 The Research Team Australian Institute of Sport Netball Australia University of Canberra La Trobe University The University of Sydney Federation University Arthritis Research UK Centre for Sport, Exercise & Osteoarthritis High Performance Sport New Zealand Dr David Hughes Dr Nicole Vlahovich Dr Michael Drew Dr Bronwyn Jonathan Dr Silvia Manzanero Ms Laura Juliff Ms Alanna Antcliff Dr Sophie Armstrong Prof Gordon Waddington Dr Marijke Welvaert Dr Phillip Newman Prof Kay Crossley Ms Brooke Patterson Prof David Hunter Prof Caroline Finch Dr Lauren Fortington Prof Mark Batt Dr Bruce Hamilton

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