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Willem H Meeuwisse

Publications and source records attributed to Willem H Meeuwisse.

At least 19 recordsLinked to original sources
PubMed2006

Injury rates, risk factors, and mechanisms of injury in minor hockey.

BACKGROUND: Hockey is one of the top sports for participation in youth in Canada. There are limited data on the epidemiology of injury in youth hockey. PURPOSE: Through implementation and validation of an injury surveillance system, youth ice hockey injury rates, risk factors, and mechanisms of injury will be examined. STUDY DESIGN: Descriptive epidemiology study. METHODS: During the 2004-2005 season in minor hockey in Calgary, Alberta, Canada, 71 hockey teams (N = 986) were studied, including teams from each age group (Atom, 9/10 years; Pee Wee, 11/12 years; Bantam, 13/14 years; Midget, 15/16 years) and division of play (7-10 divisions per age group). A certified athletic therapist or candidate did weekly assessments of any identified hockey injury. Injury definition included any injury occurring during the regular hockey season that required medical attention, removal from a session, or missing a subsequent session. RESULTS: Of the 986 participating players, 216 players sustained a total of 296 injuries in the 2004-2005 season. The overall injury rate was 30.02 injuries per 100 players per season (95% confidence interval, 27.17-32.99) or 4.13 injuries per 1000 player hours (95% confidence interval, 3.67-4.62). Forty-five percent of all injuries occurred during body checking. Compared with the youngest age group, Atom, the risk of injury was greater in Pee Wee (relative risk, 2.97; 95% confidence interval, 1.63-5.8), Bantam (relative risk, 3.72; 95% confidence interval, 2.08-7.14), and Midget (relative risk, 5.43; 95% confidence interval, 3.14-10.17) leagues. The risk of injury in Pee Wee was greatest in the most elite divisions (relative risk, 2.45; 95% confidence interval, 1.15-5.81). Concussion, shoulder sprain/dislocation, and knee sprain were the most common injuries. CONCLUSION: Significant differences in injury rates were found by age and division of play. The public health significance of body checking injury in minor hockey is great. Future research will include expansion of surveillance to further examine body checking injuries and prevention strategies in minor hockey.

Adolescent↗
PubMed2006

Knee angular impulse as a predictor of patellofemoral pain in runners.

BACKGROUND: Identification of mechanical factors associated with patellofemoral pain, the most prevalent running injury, is necessary to help in injury prevention, but unfortunately they remain elusive. HYPOTHESIS: Runners who develop patellofemoral pain have increased knee joint angular impulse in the frontal plane. STUDY DESIGN: Case control study; Level of evidence, 3. METHODS: A retrospective study compared knee abduction impulses of 20 patellofemoral pain patients with those of 20 asymptomatic patients. A second prospective study quantified knee angular impulses during the stance phase of running of 80 runners at the beginning of the summer running season. Epidemiologic data were then collected, recording the type and severity of injury of these runners during a 6-month running period. RESULTS: The patellofemoral pain patients in the retrospective study had significantly higher (P = .026) knee abduction impulses (17.0 +/- 8.5 Nms) than did the asymptomatic patients (12.5 +/- 5.5 Nms). Six patients developed patellofemoral pain during the prospective study. The prospective data showed that patients who developed patellofemoral pain had significantly higher (P = .042) knee abduction impulses (9.2 +/- 3.7 Nms) than did matched patients who remained uninjured (4.7 +/- 3.5 Nms). CONCLUSION: The data indicate that increased knee abduction impulses should be deemed risk factors that play a role in the development of patellofemoral pain in runners. CLINICAL RELEVANCE: Footwear and running style can influence knee angular impulse, and the appropriate manipulation of these variables may play a preventive role for patients who are predisposed to patellofemoral pain.

Adult↗
PubMed2006

Risk factors for injury in indoor compared with outdoor adolescent soccer.

BACKGROUND: There are limited data on the epidemiology of indoor soccer injuries. PURPOSE: Injury rates and risk factors for injury in adolescent indoor and outdoor soccer in the same cohort of players will be identified and compared. STUDY DESIGN: Cohort study (prevalence); Level of evidence, 2. METHODS: The study population was a random sample of 21 adolescent (ages 13-17 years) outdoor soccer teams (N = 317). The subcohort included players continuing to play in the indoor soccer season (n = 142). The injury definition included any injury occurring in soccer that resulted in medical attention, the inability to complete a session, and/or missing a subsequent session. RESULTS: The overall injury rate found in indoor soccer over 20 weeks was 4.45 injuries per 1000 player hours (95% confidence interval, 3.1-6.19). The overall injury rate found in the 13-week outdoor soccer season among a similar cohort was 5.59 injuries per 1000 player hours (95% confidence interval, 4.42-6.97). The relative risk of injury suggests that there was no significant difference between injury rates by age group or gender in indoor soccer compared with outdoor soccer. The risk of injury in the most elite division of play was greater in outdoor compared with indoor soccer (relative risk, 3.22; 95% confidence interval, 1.8-6.12). The most commonly injured body part in both indoor and outdoor soccer was the ankle, followed by the groin in indoor and the knee in outdoor soccer. CONCLUSION: There were no significant differences in overall injury rates found by gender or age group for indoor compared with outdoor soccer. Future research should focus on injury prevention strategies to reduce lower extremity injury in indoor and outdoor adolescent soccer.

Adolescent↗
PubMed2006

Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries.

BACKGROUND: Variations in definitions and methodologies have created differences in the results and conclusions obtained from studies of football (soccer) injuries; this has made interstudy comparisons difficult. PROCEDURE: An Injury Consensus Group was established under the auspices of Fédération Internationale de Football Association Medical Assessment and Research Centre. Using a nominal group consensus model approach, a working document that identified the key issues related to definitions, methodology, and implementation was discussed by members of the group during a 2-day meeting. After this meeting, iterative draft statements were prepared and circulated to the members of the group for comment before the final consensus statement was produced. RESULTS: Definitions of injury, recurrent injury, severity, and training and match exposures in football, together with criteria for classifying injuries in terms of location, type, diagnosis, and causation are proposed. Proforma for recording players' baseline information, injuries, and training and match exposures are presented. Recommendations are made on how the incidence of match and training injuries should be reported and a checklist of issues and information that should be included in published reports of studies of football injuries is presented. CONCLUSIONS: The definitions and methodology proposed in the consensus statement will ensure that consistent and comparable results will be obtained from studies of football injuries.

Athletic Injuries↗
PubMed2006

Survey of sport participation and sport injury in Calgary and area high schools.

OBJECTIVE: To examine (1) sport participation and (2) sport injury in adolescents. DESIGN, SETTING, AND PARTICIPANTS: This was a retrospective survey design. In total, 2873 adolescents were recruited from a random sample of classes from 24 Calgary and area high schools. Each subject completed an in-class questionnaire in March 2004. MAIN OUTCOME MEASUREMENTS: Overall and sport-specific participation rates (number of sport participants/number of students completing survey). Overall and sport-specific injury rates (number of injuries/number of participants). RESULTS: In the previous 1 year, 94% of students participated in sport. The top 5 sports by participation for males were basketball, hockey, football, snowboarding, and soccer, and for females, basketball, dance, volleyball, snowboarding, and soccer. The injury rate including only injuries requiring medical attention was 40.2 injuries/100 adolescents/y (95% CI, 38.4-42.1), presenting to a hospital emergency department was 8.1 injuries/100 adolescents/y (95% CI, 7.1-9.2), resulting in time loss from sport was 49.9 injuries/100 adolescents/y (95% CI, 48-51.8), and resulting in loss of consciousness was 9.3 injuries/100 adolescents/y (95% CI, 8.3-10.5). The greatest proportion of injuries occurred in basketball, hockey, soccer, and snowboarding. The top 5 body parts injured were the ankle, knee, head, back, and wrist. The top 5 injury types were sprain, contusion, concussion, fracture, and muscle strain. A previous injury was associated with 49% of the injuries and direct contact with 45% of injuries. CONCLUSIONS: Rates of participation in sport and sport injury are high in adolescents. Future research should focus on prevention strategies in sports with high participation and injury rates to maximize population health impact.

Adolescent↗
PubMed2005

Evaluation of risk factors for injury in adolescent soccer: implementation and validation of an injury surveillance system.

BACKGROUND: There are limited data on the epidemiology of adolescent soccer injury across all levels of play. HYPOTHESIS: Through implementation and validation of an injury surveillance system in adolescent soccer, risk factors for injury will be identified. STUDY DESIGN: Descriptive epidemiology study. METHODS: The study population was a random sample of 21 adolescent soccer teams (ages 12-18). A certified athletic therapist completed preseason baseline measurements and did weekly assessments of any identified soccer injury. The injury definition included any injury occurring in soccer that resulted in 1 or more of the following: medical attention, the inability to complete a session, or missing a subsequent session. RESULTS: Based on completeness of data in addition to validity of time loss, this method of surveillance has proven to be effective. The overall injury rate during the regular season was 5.59 injuries per 1,000 player hours (95% confidence interval, 4.42-6.97). Soccer injury resulted in time loss from soccer for 86.9% of the injured players. Ankle and knee injuries were the most common injuries reported. Direct contact was reported to be involved in 46.2% of all injuries. There was an increased risk of injury associated with games versus practices (relative risk = 2.89; 95% confidence interval, 1.69-5.21). The risk of injury in the under 14 age group was greatest in the most elite division. Having had a previous injury in the past 1 year increased the risk of injury (relative risk = 1.74; 95% confidence interval, 1.0-3.1). CONCLUSION: There were significant differences in injury rates found by division, previous injury, and session type (practice vs game). Future research should include the use of such a surveillance system to examine prevention strategies for injury in adolescent soccer.

Adolescent↗
PubMed2005

Effectiveness of patellar bracing for treatment of patellofemoral pain syndrome.

OBJECTIVE: To determine the effectiveness of patellar bracing for treatment of patellofemoral pain syndrome (PFPS). DESIGN: Prospective, randomized, single-blinded clinical trial. SETTING: Subjects recruited from the general population of the city of Calgary. SUBJECTS: A total of 136 subjects (79 females and 57 males with a total of 197 affected knees) diagnosed with PFPS. INTERVENTION: Subjects were randomly assigned to 1 of 4 treatment groups: (1) home exercise program, (2) patellar bracing, (3) home exercise program with patellar bracing, and (4) home exercise program with knee sleeve. OUTCOME MEASURES: The outcome measurements were knee function (KF) and 10-cm visual analogue scale (VAS) pain ratings for 3 different situations: knee pain during sport activity, knee pain 1 hour after sport activity, and knee pain after sitting with knees bent for 30 minutes. The outcome measurements were assessed at baseline and at 3, 6, and 12 weeks. The investigators were blinded to the treatment group of each subject. Calculations were made for 95% confidence intervals for the change in KF and VAS pain ratings from baseline measurement to 12 weeks. RESULTS: There was no difference in the 95% confidence intervals in the change of KF and VAS pain ratings among the 4 treatment groups over 12 weeks. CONCLUSIONS: Symptoms of PFPS improved over time in terms of pain and knee function regardless of the treatment group. Patellar bracing did not improve the symptoms of PFPS more quickly when added to a home program of leg strengthening. However, patellar bracing alone can improve the symptoms of PFPS.

Adolescent↗
PubMed2005

Ice hockey injuries.

OBJECTIVE: This article reviews the distribution and determinants of injuries reported in the pediatric ice hockey literature, and suggests potential injury prevention strategies and directions for further research. DATA SOURCES: Thirteen electronic databases, the ISI Web of Science, and 'grey literature' databases were searched using a combination of Medical Subject Headings and text words to identify potentially relevant articles. The bibliographies of selected studies were searched to identify additional articles. Studies were selected for review based on predetermined inclusion and exclusion criteria. MAIN RESULTS: A comparison between studies on this topic area was difficult due to the variability in research designs, definition of injury, study populations, and measurements used to assess injury. The majority of injuries were sustained during games compared with practices. The two most commonly reported injuries were sprains/strains and contusions. Players competing at the Minor hockey, High School, and Junior levels of competition sustained most of their injuries to the upper extremity, head, and lower extremity, respectively. The primary mechanism of injury was body checking, followed by stick and puck contact. The frequency of catastrophic eye injuries has been significantly reduced with the world-wide mandation of full facial protection for all Minor hockey players. CONCLUSIONS: Specific hockey-related injury risk factors are poorly delineated and rarely studied among pediatric ice hockey players leaving large gaps in the knowledge of appropriate prevention strategies. Risk management strategies should be focused at avoiding unnecessary foreseeable risk, and controlling the risks inherent to the sport. Suggestions for injury prevention and future research are discussed.

Adolescent↗
PubMed2004

Preparticipation evaluation: an evidence-based review.

OBJECTIVE: To review available evidence establishing the validity of the preparticipation evaluation (PPE) as a method for screening health risk prior to participation in exercise and sport. Specific emphasis was placed on reviewing original research evaluating methods to screen participants for risk of sudden cardiovascular death. Literature on the current state of the PPE as a screening tool for athletic participation was examined. DATA SOURCES: Electronic databases were searched for articles relating to mass screening for sports participation and sudden cardiac death in athletes published up to January 2004. Databases searched included Medline (OVID Web, 1966-2004), PubMed (1966-2004), Sport Discuss (1975-2004), Current Contents, CISTI Source (1993-2004), Cochrane Database of Systematic Reviews, and EBM Reviews. Additional references from the bibliographies of retrieved articles were also reviewed. SELECTION CRITERIA: All study designs were retrieved, but only those studying athletes and/or student-athletes under age 36 years were reviewed. Of the original research retrieved, the majority of the articles sought to establish incidence or prevalence of cardiovascular causes of sudden death in athletes or the validity of various screening tools. Original research articles seeking to establish the current use of the PPE in all its various forms were also reviewed. All of the articles selected for review consisted of type II, population-based data. DATA EXTRACTION AND SYNTHESIS: The initial literature search identified 639 papers. Of these, 310 articles that met the selection criteria were reviewed, and 25 articles were identified as original research directly relating to the PPE. All of these contained type II evidence-population-based clinical studies. The majority of the literature on the PPE consists of type III evidence-case-based opinion papers and position papers from respected authors and sports medicine societies and reports of expert committees. This literature was also reviewed, but only original research relevant to the PPE is reported in this article. The majority of these studies examined cardiovascular diseases and screening procedures. RESULTS: The 5 studies that assessed the format or effectiveness of the PPE concluded that it was inadequate. The format of the PPE is not standardized and does not consistently address the American Heart Association recommendations for cardiovascular screening history and physical exams. A variety of health care professionals, some without proper training, administer the PPE. The 12 original studies that looked at specific cardiovascular screening techniques were divided on the effectiveness of history, physical examination, electrocardiogram, and echocardiography for detecting cardiovascular risks for sudden death in athletes. CONCLUSIONS: A PPE is required by most sport organizations in America, but research as to its effectiveness is very limited. PPEs have been mandatory in Italy for many years, and we can draw on some the data recorded over this time. Otherwise, very few studies in America or elsewhere have been performed on the PPE process. The research available indicates that the PPE is not implemented adequately or uniformly. An opportunity exists to create a standardized, validated PPE that meets medical standards for quality and provides sensitive, specific screening of potential participants in sport and exercise.

Athletic Injuries↗
PubMed2003

Injury risk in men's Canada West University football.

Injury and participation information was collected over 5 years (1993-1997) on varsity men's football players in the Canada West Universities Athletic Association. The locations of acute time-loss injuries or neurologic injures were coded as head and neck, upper extremity (shoulder to hand), or lower extremity (hip to foot). Poisson regression-based generalized estimating equations were used to estimate rate ratios and 95% confidence intervals. Injury rates were higher during games as compared with practice periods (for the head and neck, rate ratio (RR) = 9.75 (95% confidence interval (CI): 7.50, 12.67); for upper extremities, RR = 5.76 (95% CI: 4.46, 7.45); and for lower extremities, RR = 7.06 (95% CI: 6.03, 8.25)). In dry-field game situations, head and neck injury rates were 1.59 times higher on artificial turf than on natural grass (95% CI: 1.04, 2.42). Lower extremity game injury rates were higher on artificial turf than on natural grass under both dry (RR = 1.83, 95% CI: 1.35, 2.48) and wet (RR = 2.31, 95% CI: 1.18, 4.52) field conditions. Injury rates increased with every additional year of participation. Past injury increased the rate of subsequent injury. The effect of an artificial field surface may be related to infrequent use. Risk factors for injury included participation in a game, playing on artificial turf, being a veteran player, and having a past injury.

Adult↗
PubMed2003

What price progress?

Explore the source record for details and available documents.

Burnout, Professional↗
PubMed2002

Effect of experience on rodeo injury.

OBJECTIVES: To document injury rates, severity, and relative risk during five competitive seasons of Canadian professional rodeo, between experienced (saddle bronc [SB], bareback [BB], and bull riders [BR]) and inexperienced (novice saddle bronc [NSB], novice bareback [NBB], and boys' steer riders [BSR]) rough stock competitors. DESIGN: Prospective cohort study. SETTING: Canadian professional rodeo competition. SUBJECTS: Experienced competitors included professional cowboys from Australia, Brazil, New Zealand, the United States, and Canada. Inexperienced competitors included cowboys from Canada and the United States. METHODS: Data was gathered prospectively at 63 of 323 professional rodeos in Canada from 1995 to 1999, constituting 30.8% of all professional rodeo performances during this time period. Injury data (severity and body part affected) was included when the injury occurred to a registered contestant, at a Canadian professional rodeo, at which the Canadian Professional Rodeo Sport Medicine Team was officially present and providing services. Data were collected by certified athletic therapists. MAIN RESULTS: Inexperienced rough stock competitors had a lower overall rate of injury in comparison to experienced competitors. In addition, inexperienced rough stock competitors had a lower injury rate of severe injuries, and a lower rate of injury to most body parts when compared with experienced competitors. Inexperienced competitors had a high rate of injury to the hand, wrist, and forearm. Most of these injuries to inexperienced contestants occurred to NBB (46%) and BSRs (31%). The relative risk of injury to inexperienced competitors did not differ from experienced competitors in the horse riding events (NSB vs. SB, NBB vs. BB), but the relative risk of injury to BSRs was one-half that of BR (0.49). CONCLUSIONS: Inexperienced competitors in rodeo rough stock events do not have increased rates of severe injury, or of injury to specific body parts (in general). Inexperienced competitors do have a greater rate of injury to the arm, hand, and wrist. The relative risk of BSR is one-half the risk of BR.

Accidents, Occupational↗
PubMedDate not supplied

Epidemiologic analysis of injury in five years of Canadian professional rodeo.

Longitudinal studies of rodeo injuries are rare. We prospectively investigated injuries in professional rodeo in Canada over a 5-year period. Our specific interests included injury incidence density in specific rodeo events, risk factors such as past injury, and the incidence of head injury. Of 323 professional rodeos from 1995 through 1999, 63 rodeos provided a convenience sample. These rodeos were selected because the Canadian Professional Rodeo Sport Medicine Team was in attendance at these events, thus providing both competitor health care and data collection. Four hundred fifty-one injuries were reported during 30,564 competitor-exposures. The greatest injury frequency and injury incidence density were in the rough stock events (bull riding, bareback riding, and saddle bronc). Bull riding accounted for the greatest injury frequency (141) and incidence density (32.2 injuries per 1000 competitor-exposures). Bull riding had a relative injury risk of 1.32 when compared with bareback riding; bareback riding had a relative injury risk of 1.39 when compared with saddle bronc riding. Concussions accounted for 8.6% of all reported injuries. Concussions and other head injuries (65) were second only to knee injuries (76) in frequency of injury to specific body parts. This concussion frequency is higher than has previously been reported.

Athletic Injuries↗
PubMedDate not supplied

Injury rates and profiles in female ice hockey players.

BACKGROUND: Little data exist on injury rates and profiles in female ice hockey players. OBJECTIVE: To examine the incidence of injury in female ice hockey players and compare injury rates with those of male players. STUDY DESIGN: Prospective cohort study. METHODS: Six male and six female teams from the Canada West Universities Athletic Association were followed prospectively for one varsity season. Preseason medical history forms were completed by each player. Injury report forms and attendance records for each team session were submitted by team therapists. RESULTS: Male players reported 161 injuries, whereas female players reported 66 injuries. However, the overall injury rates for male (9.19 injuries per 1000 athlete-exposures) and female (7.77 injuries per 1000 athlete-exposures) players did not differ significantly. Ninety-six percent of injuries in female players and 79% in male players were related to contact mechanisms, even though intentional body checking is not allowed in female ice hockey. Women were more likely than men to be injured by contacting the boards or their opponent. Men sustained more severe injuries than women and missed about twice as many sessions (exposures) because of injury. Concussions were the most common injury in female players, followed by ankle sprains, adductor muscle strains, and sacroiliac dysfunction. CONCLUSION: Although the injury rate in female ice hockey players was expected to be lower than that in male players because of the lack of intentional body checking, the injury rates were found to be similar.

Adult↗