Evidence Based Prevention of Acute Injuries During Physical Exercise in a WHO Safe Community

Overview

Journal Br J Sports Med

Publisher BMJ Publishing Group

Specialty Orthopedics

Date 2001 Feb 7

PMID 11157457

Citations 4

Authors

T Timpka

K Lindqvist

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate a community based programme for evidence based prevention of injuries during physical exercise.

Design: Quasi-experimental evaluation using an intervention population and a non-random control population.

Participants: Study municipality (population 41,000) and control municipality (population 26,000) in Sweden.

Main Outcome Measures: Morbidity rate for sports related injuries treated in the health care system; severity classification according to the abbreviated injury scale (AIS).

Results: The total morbidity rate for sports related injuries in the study area decreased by 14% from 21 to 18 injuries per 1,000 population years (odds ratio 0.87; 95% confidence interval (CI) 0.79 to 0.96). No tendency towards a decrease was observed in people over 40. The rate of moderately severe injury (AIS 2) decreased to almost half (odds ratio 0.58; 95% CI 0.50 to 0.68), whereas the rate of minor injuries (AIS 1) increased (odds ratio 1.22; 95% CI 1.06 to 1.40). The risk of severe injuries (AIS 3-6) remained constant. The rate of total sports injury in the control area did not change (odds ratio 0.93; 95% CI 0.81 to 1.07), and the trends in the study and control areas were not statistically significantly different.

Conclusion: An evidence based prevention programme based on local safety rules and educational programmes can reduce the burden of injuries related to physical exercise in a community. Future studies need to look at adjusting the programme to benefit all age groups.

Citing Articles

Intervention Strategies Used in Sport Injury Prevention Studies: A Systematic Review Identifying Studies Applying the Haddon Matrix.

Vriend I, Gouttebarge V, Finch C, van Mechelen W, Verhagen E Sports Med. 2017; 47(10):2027-2043.

PMID: 28303544 PMC: 5603636. DOI: 10.1007/s40279-017-0718-y.

The 'WHO Safe Communities' model for the prevention of injury in whole populations.

Spinks A, Turner C, Nixon J, McClure R Cochrane Database Syst Rev. 2009; (3):CD004445.

PMID: 19588359 PMC: 7197137. DOI: 10.1002/14651858.CD004445.pub3.

Meeting the global demand of sports safety: the intersection of science and policy in sports safety.

Timpka T, Finch C, Goulet C, Noakes T, Yammine K Sports Med. 2008; 38(10):795-805.

PMID: 18803433 DOI: 10.2165/00007256-200838100-00001.

From sports injury prevention to safety promotion in sports.

Timpka T, Ekstrand J, Svanstrom L Sports Med. 2006; 36(9):733-45.

PMID: 16937950 DOI: 10.2165/00007256-200636090-00002.

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