Saulo Delfino Barboza1,2, Joske Nauta1,2, Carolyn Emery3, Willem van Mechelen1,2,4,5, Vincent Gouttebarge2,5,6,7, Evert Verhagen1,2,5. 1. Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, the Netherlands. 2. Amsterdam Collaboration on Health and Safety in Sports, Academic Medical Center/VU University Medical Center IOC Research Center, the Netherlands. 3. Sport Injury Prevention Research Centre, Faculty of Kinesiology, and Department of Pediatrics, Alberta Children's Hospital Research Institute for Child and Maternal Health, and Department of Community Health Sciences Cumming School of Medicine, University of Calgary, Canada. 4. School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, University of Queensland, Brisbane, Australia, and School of Public Health, Physiotherapy and Population Sciences, University College Dublin, Belfield, Ireland. 5. Division of Exercise Science and Sports Medicine, University of Cape Town, South Africa. 6. Dutch Consumer Safety Institute, Amsterdam, the Netherlands. 7. Academic Center for Evidence Based Sports Medicine, Academic Medical Center, Amsterdam, the Netherlands.
Abstract
CONTEXT: Field hockey is popular worldwide; however, it entails a risk of injury. Injuries hamper players' participation in the sport and impose a burden on public health. OBJECTIVE: To investigate the effectiveness of a structured exercise program among youth field hockey players on the injury rate, severity, and burden. DESIGN: Quasi-experimental study. SETTING: On field during 1 season of field hockey (October 2016 through June 2017). PATIENTS OR OTHER PARTICIPANTS: A convenience sample of 22 teams (291 players): 10 teams (135 players, mean age = 11.5 years [95% confidence interval (CI) = 11.2, 11.7 years]) in the intervention group and 12 teams (156 players, mean age = 12.9 years [95% CI = 12.6, 13.2 years]) in the control group. INTERVENTION(S): The Warming-up Hockey program, a sex- and age-specific, structured, evidence-informed warm-up program consisting of a preparation phase (ie, agility and cardiovascular warm-up exercises), movement skills (ie, stability and flexibility exercises), and sport-specific skills (ie, speed and strength exercises in field hockey situations). Participants in the control group performed their usual warm-up routines. MAIN OUTCOME MEASURE(S): Injury rate (ie, the number of injuries per 1000 player-hours of field hockey exposure), severity (ie, days of player time-loss), and burden on athletes' availability to play (ie, days of time loss due to injury per 1000 player-hours of field hockey exposure). RESULTS: The injury rate was lower in the intervention group (hazard ratio of 0.64 [95% CI = 0.38, 1.07]); however, this result was not statistically significant. The severity of injuries was similar in both groups (t statistic P = .73). The burden of injuries on players' field hockey participation was lower in the intervention group (difference of 8.42 [95% CI = 4.37, 12.47] days lost per 1000 player-hours of field hockey). CONCLUSIONS: Exposure to the Warming-up Hockey program was not significantly associated with a lower injury rate. No reduction was observed in the severity of injuries alone; however, the burden of injuries on players' field hockey participation was lower in the intervention group.
RCT Entities:
CONTEXT: Field hockey is popular worldwide; however, it entails a risk of injury. Injuries hamper players' participation in the sport and impose a burden on public health. OBJECTIVE: To investigate the effectiveness of a structured exercise program among youth field hockey players on the injury rate, severity, and burden. DESIGN: Quasi-experimental study. SETTING: On field during 1 season of field hockey (October 2016 through June 2017). PATIENTS OR OTHER PARTICIPANTS: A convenience sample of 22 teams (291 players): 10 teams (135 players, mean age = 11.5 years [95% confidence interval (CI) = 11.2, 11.7 years]) in the intervention group and 12 teams (156 players, mean age = 12.9 years [95% CI = 12.6, 13.2 years]) in the control group. INTERVENTION(S): The Warming-up Hockey program, a sex- and age-specific, structured, evidence-informed warm-up program consisting of a preparation phase (ie, agility and cardiovascular warm-up exercises), movement skills (ie, stability and flexibility exercises), and sport-specific skills (ie, speed and strength exercises in field hockey situations). Participants in the control group performed their usual warm-up routines. MAIN OUTCOME MEASURE(S): Injury rate (ie, the number of injuries per 1000 player-hours of field hockey exposure), severity (ie, days of player time-loss), and burden on athletes' availability to play (ie, days of time loss due to injury per 1000 player-hours of field hockey exposure). RESULTS: The injury rate was lower in the intervention group (hazard ratio of 0.64 [95% CI = 0.38, 1.07]); however, this result was not statistically significant. The severity of injuries was similar in both groups (t statistic P = .73). The burden of injuries on players' field hockey participation was lower in the intervention group (difference of 8.42 [95% CI = 4.37, 12.47] days lost per 1000 player-hours of field hockey). CONCLUSIONS: Exposure to the Warming-up Hockey program was not significantly associated with a lower injury rate. No reduction was observed in the severity of injuries alone; however, the burden of injuries on players' field hockey participation was lower in the intervention group.
Authors: Evert Verhagen; Allard van der Beek; Jos Twisk; Lex Bouter; Roald Bahr; Willem van Mechelen Journal: Am J Sports Med Date: 2004-07-20 Impact factor: 6.202
Authors: Pablo Prieto-González; Jose Luis Martínez-Castillo; Luis Miguel Fernández-Galván; Arturo Casado; Sergio Soporki; Jorge Sánchez-Infante Journal: Int J Environ Res Public Health Date: 2021-05-02 Impact factor: 3.390