Toomas Timpka1, Jenny Jacobsson2, Örjan Dahlström3, Jan Kowalski4, Victor Bargoria5, Joakim Ekberg1, Sverker Nilsson2, Per Renström6. 1. Athletics Research Center, Linköping University, Linköping, Sweden Department of Medical and Health Sciences, Linköping University, Linköping, Sweden Unit for Health Analysis, Centre for Healthcare Development, County Council of Östergötland, Linköping, Sweden. 2. Athletics Research Center, Linköping University, Linköping, Sweden Department of Medical and Health Sciences, Linköping University, Linköping, Sweden. 3. Athletics Research Center, Linköping University, Linköping, Sweden Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden. 4. Athletics Research Center, Linköping University, Linköping, Sweden Department of Clinical Science, Intervention and Technology, Pediatric Unit, Karolinska Institutet, Stockholm, Sweden. 5. Athletics Research Center, Linköping University, Linköping, Sweden Department of Medical and Health Sciences, Linköping University, Linköping, Sweden Department of Orthopaedics and Rehabilitation, Moi University, Eldoret, Kenya. 6. Athletics Research Center, Linköping University, Linköping, Sweden Department of Molecular Medicine and Surgery, Center for Sports Trauma Research and Education, Karolinska Institutet, Stockholm, Sweden.
Abstract
BACKGROUND: Athletes' psychological characteristics are important for understanding sports injury mechanisms. We examined the relevance of psychological factors in an integrated model of overuse injury risk in athletics/track and field. METHODS: Swedish track and field athletes (n=278) entering a 12-month injury surveillance in March 2009 were also invited to complete a psychological survey. Simple Cox proportional hazards models were compiled for single explanatory variables. We also tested multiple models for 3 explanatory variable groupings: an epidemiological model without psychological variables, a psychological model excluding epidemiological variables and an integrated (combined) model. RESULTS: The integrated multiple model included the maladaptive coping behaviour self-blame (p=0.007; HR 1.32; 95% CI 1.08 to 1.61), and an interaction between athlete category and injury history (p<0.001). Youth female (p=0.034; HR 0.51; 95% CI 0.27 to 0.95) and youth male (p=0.047; HR 0.49; 95% CI 0.24 to 0.99) athletes with no severe injury the previous year were at half the risk of sustaining a new injury compared with the reference group. A training load index entered the epidemiological multiple model, but not the integrated model. CONCLUSIONS: The coping behaviour self-blame replaced training load in an integrated explanatory model of overuse injury risk in athletes. What seemed to be more strongly related to the likelihood of overuse injury was not the athletics load per se, but, rather, the load applied in situations when the athlete's body was in need of rest. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
BACKGROUND: Athletes' psychological characteristics are important for understanding sports injury mechanisms. We examined the relevance of psychological factors in an integrated model of overuse injury risk in athletics/track and field. METHODS: Swedish track and field athletes (n=278) entering a 12-month injury surveillance in March 2009 were also invited to complete a psychological survey. Simple Cox proportional hazards models were compiled for single explanatory variables. We also tested multiple models for 3 explanatory variable groupings: an epidemiological model without psychological variables, a psychological model excluding epidemiological variables and an integrated (combined) model. RESULTS: The integrated multiple model included the maladaptive coping behaviour self-blame (p=0.007; HR 1.32; 95% CI 1.08 to 1.61), and an interaction between athlete category and injury history (p<0.001). Youth female (p=0.034; HR 0.51; 95% CI 0.27 to 0.95) and youth male (p=0.047; HR 0.49; 95% CI 0.24 to 0.99) athletes with no severe injury the previous year were at half the risk of sustaining a new injury compared with the reference group. A training load index entered the epidemiological multiple model, but not the integrated model. CONCLUSIONS: The coping behaviour self-blame replaced training load in an integrated explanatory model of overuse injury risk in athletes. What seemed to be more strongly related to the likelihood of overuse injury was not the athletics load per se, but, rather, the load applied in situations when the athlete's body was in need of rest. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
Authors: Neeru Jayanthi; Stacey Schley; Sean P Cumming; Gregory D Myer; Heather Saffel; Tim Hartwig; Tim J Gabbett Journal: Sports Health Date: 2021-11-11 Impact factor: 3.843
Authors: Katherine E Hekman; Brian P Sullivan; Michael Bronsert; Kevin Z Chang; Amy Reed; Gabriela Velazquez-Ramirez; Max V Wohlauer Journal: J Vasc Surg Date: 2021-03-03 Impact factor: 4.860
Authors: Jan Ekstrand; Daniel Lundqvist; Lars Lagerbäck; Marc Vouillamoz; Niki Papadimitiou; Jon Karlsson Journal: Br J Sports Med Date: 2017-10-22 Impact factor: 13.800