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Åman, M., Forssblad, M. & Larsén, K. (2019). National injury prevention measures in team sports should focus on knee, head, and severe upper limb injuries.. Knee Surgery, Sports Traumatology, Arthroscopy, 27(3), 1000-1008
Open this publication in new window or tab >>National injury prevention measures in team sports should focus on knee, head, and severe upper limb injuries.
2019 (English)In: Knee Surgery, Sports Traumatology, Arthroscopy, ISSN 0942-2056, E-ISSN 1433-7347, Vol. 27, no 3, p. 1000-1008Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To examine acute injuries in licensed floorball, football, handball, and ice hockey players in all ages nationwide in Sweden, and to identify the most common and severe injuries in each body location and recommend injury prevention measures.

METHODS: Using national sport insurance data from years 2006-2015 was the incidence and proportion of acute injuries, and injuries leading to permanent medical impairment (PMI), calculated in the four team sports. The most common injury type and injured body part was identified, with a particular focus of the severe injuries. Comparison between sexes was made.

RESULTS: In total, there were 92,162 registered injuries in all sports together. Knee injuries were most common, and also had the highest incidence of PMI, in all ball sports and in female ice hockey players. In male ice hockey, the most common injury was a dental and face injury, and PMI injuries were mostly in the shoulder. The most severe PMI injuries were rare and most often a face/eye injury in male floorball and ice hockey, a concussion in female ice hockey, and a knee injury in female floorball, and in both sexes in football and handball.

CONCLUSIONS: To achieve the greatest impact in reducing the adverse effects of acute sport injuries nationwide in Sweden, preventive measures should focus on knee injuries in all the investigated team sports. The severe head/face and upper limb injuries also need attention. Protective equipment, neuromuscular training programs, rules enforcements, and fair-play interventions may reduce the incidence of injuries.

Place, publisher, year, edition, pages
Springer, 2019
Keywords
Accidents, Floorball, Football, Handball, Ice hockey, Insurance, Medical impairment, Nationwide, Prevention, Severe injuries, Soccer, Sport
National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-5470 (URN)10.1007/s00167-018-5225-7 (DOI)000461251400042 ()30413861 (PubMedID)
Note

At the time of Malin Åman's dissertation the article was submitted with the titel 'Acute injuries in floorball, football, handball and ice hockey at a national level and recommended prevention measures'.

Available from: 2018-11-16 Created: 2018-11-16 Last updated: 2019-03-29
Åman, M., Larsen, K., Forssblad, M., Waldén, M. & Hägglund, M. (2018). A NATIONWIDE FOLLOW-UP ON THE EFFECTIVENESS OF AN IMPLEMENTED NEUROMUSCULAR TRAINING PROGRAM TO REDUCE SEVERE KNEE INJURIES IN FOOTBALL PLAYERS. In: British Journal of Sports Medicine, vol. 52, suppl. 1, abstr 18: . Paper presented at 14th Scandinavian Congress of Medicine and science in Sports, 2018. 1-3 February, Copenhagen (pp. A7). , 2
Open this publication in new window or tab >>A NATIONWIDE FOLLOW-UP ON THE EFFECTIVENESS OF AN IMPLEMENTED NEUROMUSCULAR TRAINING PROGRAM TO REDUCE SEVERE KNEE INJURIES IN FOOTBALL PLAYERS
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2018 (English)In: British Journal of Sports Medicine, vol. 52, suppl. 1, abstr 18, 2018, Vol. 2, p. A7-Conference paper, Oral presentation with published abstract (Other academic)
National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-5263 (URN)10.1136/bjsports-2018-099334.18 (DOI)
Conference
14th Scandinavian Congress of Medicine and science in Sports, 2018. 1-3 February, Copenhagen
Available from: 2018-05-25 Created: 2018-05-25 Last updated: 2018-05-25Bibliographically approved
Åman, M., Henriksson-Larsen, K., Forssblad, M., Näsmark, A., Waldén, M. & Hägglund, M. (2018). A Nationwide Follow-up Survey on the Effectiveness of an Implemented Neuromuscular Training Program to Reduce Acute Knee Injuries in Soccer Players. The Orthopaedic Journal of Sports Medicine, 6(12)
Open this publication in new window or tab >>A Nationwide Follow-up Survey on the Effectiveness of an Implemented Neuromuscular Training Program to Reduce Acute Knee Injuries in Soccer Players
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2018 (English)In: The Orthopaedic Journal of Sports Medicine, ISSN 2325-9671, Vol. 6, no 12Article in journal (Refereed) Published
Abstract [en]

Background: A cruciate ligament (CL) injury is a severe injury in soccer. Neuromuscular training programs have a well-documented preventive effect, but there are few studies on the effectiveness of such a program at a national level. The Swedish Knee Control Program (KCP) was found to be effective in preventing CL injuries in youth female soccer players. The KCP was implemented nationwide in Sweden in 2010.

Purpose: To evaluate the effectiveness of the Swedish KCP in reducing acute knee injuries in soccer players at a nationwide level.

Study Design: Descriptive epidemiology study.

Methods: All licensed soccer players in Sweden are covered by the same insurance company. Using this insurance database, around 17,500 acute knee injuries that were reported to the insurance company between 2006 and 2015 were included in the study. By matching the number of licensed soccer players with the number of reported injuries each year, the annual incidence of knee and CL injuries was able to be calculated. To evaluate the spread of the KCP nationally, a questionnaire was sent to all 24 Swedish district football associations (FAs) with questions regarding KCP education. The number of downloads of the KCP mobile application (app) was obtained.

Results: The incidence of CL injuries decreased during the study period for both male (from 2.9 to 2.4 per 1000 player-years) and female players (from 4.9 to 3.9 per 1000 player-years). The overall incidence of knee injuries decreased in both male (from 5.6 to 4.6 per 1000 player-years) and female players (from 8.7 to 6.4 per 1000 player-years). Comparing before and after the nationwide implementation of the KCP, there was a decrease in the incidence of CL injuries by 6% (rate ratio [RR], 0.94 [95% CI, 0.89-0.98]) in male players and 13% (RR, 0.87 [95% CI, 0.81-0.92]) in female players and a decrease in the incidence of knee injuries by 8% (RR, 0.92 [95% CI, 0.89-0.96]) and 21% (RR, 0.79 [95% CI, 0.75-0.83]), respectively (P < .01 for all). This trend corresponded to a reduction of approximately 100 CL injuries each year in Sweden. A total of 21 of 24 district FAs held organized KCP educational courses during the study period. The percentage of district FAs holding KCP courses was between 46% and 79% each year. There were 101,236 downloads of the KCP app.

Conclusion: The KCP can be considered partially implemented nationwide, and the incidence of knee and CL injuries has decreased in both sexes at a nationwide level.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
injury prevention, cruciate ligament, coach education, insurance data, nationwide implementation
National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-5517 (URN)10.1177/2325967118813841 (DOI)000454055700001 ()30622995 (PubMedID)
Note

At the time of Malin Åman's dissertation this article was a submitted manuscript with the title: A nationwide follow-up survey on the effectiveness of an implemented neuromuscular training program to reduce severe knee injuries in football players

Available from: 2019-01-07 Created: 2019-01-07 Last updated: 2019-01-16
Åman, M., Forssblad, M. & Henriksson-Larsén, K. (2016). Incidence and severity of reported acute sports injuries in 35 sports using insurance registry data. Scandinavian Journal of Medicine and Science in Sports, 26(4), 451-462
Open this publication in new window or tab >>Incidence and severity of reported acute sports injuries in 35 sports using insurance registry data
2016 (English)In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 26, no 4, p. 451-462Article in journal (Refereed) Published
Abstract [en]

Acute injuries in sport are still a problem where limited knowledge of incidence and severity in different sports at national level exists. In Sweden, 80% of the sports federations have their mandatory injury insurance for all athletes in the same insurance company and injury data are systematically kept in a national database. The aim of the study was to identify high-risk sports with respect to incidence of acute and severe injuries in 35 sports reported to the database. The number and incidences of injuries as well as injuries leading to permanent medical impairment (PMI) were calculated during 2008–2011. Each year approximately 12 000 injuries and 1 162 660 licensed athletes were eligible for analysis. Eighty-five percent of the injuries were reported in football, ice hockey, floorball, and handball. The highest injury incidence as well as PMI was in motorcycle, handball, skating, and ice hockey. Females had higher risk of a PMI compared with males in automobile sport, handball, floorball, and football. High-risk sports with numerous injuries and high incidence of PMI injuries were motorcycle, handball, ice hockey, football, floorball, and automobile sports. Thus, these sports ought to be the target of preventive actions at national level.

National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-3816 (URN)10.1111/sms.12462 (DOI)000373356600010 ()25850826 (PubMedID)
Available from: 2015-05-19 Created: 2015-05-19 Last updated: 2017-12-14Bibliographically approved
Åman, M., Forssblad, M. & Henriksson-Larsén, K. (2014). Insurance claims data: a possible solution for a national sports injury surveillance system? An evaluation of data information against ASIDD and consensus statements on sports injury surveillance.. BMJ Open, 4(6), e005056
Open this publication in new window or tab >>Insurance claims data: a possible solution for a national sports injury surveillance system? An evaluation of data information against ASIDD and consensus statements on sports injury surveillance.
2014 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 4, no 6, p. e005056-Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Before preventive actions can be suggested for sports injuries at the national level, a solid surveillance system is required in order to study their epidemiology, risk factors and mechanisms. There are guidelines for sports injury data collection and classifications in the literature for that purpose. In Sweden, 90% of all athletes (57/70 sports federations) are insured with the same insurance company and data from their database could be a foundation for studies on acute sports injuries at the national level.

OBJECTIVE: To evaluate the usefulness of sports injury insurance claims data in sports injury surveillance at the national level.

METHOD: A database with 27 947 injuries was exported to an Excel file. Access to the corresponding text files was also obtained. Data were reviewed on available information, missing information and dropouts. Comparison with ASIDD (Australian Sports Injury Data Dictionary) and existing consensus statements in the literature (football (soccer), rugby union, tennis, cricket and thoroughbred horse racing) was performed in a structured manner.

RESULT: Comparison with ASIDD showed that 93% of the suggested data items were present in the database to at least some extent. Compliance with the consensus statements was generally high (13/18). Almost all claims (83%) contained text information concerning the injury.

CONCLUSIONS: Relatively high-quality sports injury data can be obtained from a specific insurance company at the national level in Sweden. The database has the potential to be a solid base for research on acute sports injuries in different sports at the national level.

National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-3437 (URN)10.1136/bmjopen-2014-005056 (DOI)24928588 (PubMedID)
Available from: 2014-09-17 Created: 2014-09-17 Last updated: 2017-12-14
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-6483-1394

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