High incidence of injury at the Sochi 2014 Winter Paralympic Games: a prospective cohort study of 6564 athlete days

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Derman, Wayne, Schwellnus, Martin P., Jordaan, Esmè, Runciman, P., Van de Vliet, Peter, Blauwet, Cheri A., Webborn, Nick, Willick, Stuart E. and Stomphorst, Jaap (2016) High incidence of injury at the Sochi 2014 Winter Paralympic Games: a prospective cohort study of 6564 athlete days British Journal of Sports Medicine, 50. pp. 1069-1074. ISSN 0306-3674

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Abstract

Objective.  To describe the epidemiology of injuries at the Sochi 2014 Winter Paralympic Games.  Methods.  A total of 547 athletes from 45 countries were monitored daily for 12 days during the Sochi 2014 Winter Paralympic Games (6564 athlete days). Daily injury data were obtained from teams with their own medical support (32 teams, 510 athletes) and teams without their own medical support (13 teams, 37 athletes) through electronic data capturing systems.  Results.  There were 174 total injuries reported, with an injury incidence rate (IR) of 26.5 per 1000 athlete days (95% CI 22.7% to 30.8%). There was a significantly higher IR recorded in alpine skiing/snowboarding (IR of 41.1 (95% CI 33.7% to 49.6%) p=0.0001) compared to cross-country skiing/biathlon, ice sledge hockey or wheelchair curling. Injuries in the shoulder region were the highest single-joint IR (IR of 6.4 (95% CI 4.6% to 8.6%)), although total upper and lower body IR were similar (IR 8.5 vs 8.4 (95% CI 6.4% to 11.1%)). Furthermore, the IR of acute injuries was significantly higher than other types of injury onset (IR of 17.8 (95% CI 14.7% to 21.4%)).  Conclusions.  In a Winter Paralympic Games setting, athletes report higher injury incidence than do Olympic athletes or athletes in a Summer Paralympic Games setting. The highest incidence of injury was reported in the alpine skiing/snowboarding sporting category. There was a similar incidence of injury in the upper and lower limbs. The joint with the greatest rate of injury reported was the shoulder joint. Our data can inform injury prevention programmes and policy considerations regarding athlete safety in future Winter Paralympic Games.

Item Type: Journal article
Uncontrolled Keywords: Paralympic; impairment; disability; injury; international sporting events; athletes
Subjects: C000 Biological and Biomedical Sciences > C600 Sport and Exercise Science
B000 Health Professions > B100 Anatomy Physiology and Pathology > B120 Physiology
B000 Health Professions > B100 Anatomy Physiology and Pathology
B000 Health Professions > B100 Anatomy Physiology and Pathology > B190 Anatomy, Physiology and Pathology not elsewhere classified
L000 Social Sciences > L300 Sociology > L340 Disability
N000 Business and Management > N800 Travel, Tourism and Transport Management > N820 Event Management
B000 Health Professions > B400 Nutrition > B420 Sports Nutrition
H000 Engineering > H300 Mechanical Engineering > H380 Sports Technology
L000 Social Sciences > L300 Sociology > L311 Sport and Leisure
C000 Biological and Biomedical Sciences > C800 Psychology > C813 Sport and Exercise Psychology
N000 Business and Management > N200 Management studies > N260 Sport, Leisure and Recreation Management
DOI (a stable link to the resource): 10.1136/bjsports-2016-096214
Depositing User: Converis
Date Deposited: 08 Jul 2016 03:01
Last Modified: 26 Sep 2016 10:45
URI: http://eprints.brighton.ac.uk/id/eprint/15727

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