[THE SPORTS MEDICAL COMMISSION ON SPORTS FOR THE DISABLED].
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We analyzed the accidents in many different forms of sport during the period from 1964 to 1980. In soccer, 12% of all injuries were located on the head of the player, 15% on the chest or back, 18% on the arms, and 53% on the legs. In cycling, 20% of all accidents affected the head of the cyclist. 47% of the injured handball players damaged their arms. It is interesting to note that from all the so-called swimming accidents only 45% happened in the water and 55% outside the swimming-pool. The frequency of ski accidents declined, especially in children.
The development of preventive provisions is an important topic of sport accident research. We demonstrate the stepwise procedure of judging a provision taking the analysis of a gymnastic exercise. This includes determination of the inner and outer reasons of accidents, the biomechanical conditions of the exercise and leads to mathematical and experimental simulation of the dangerous movement. The specific exercise we studied was the efficiency of a coach in protecting position for the handstand somersault with 1 1/2 breakneck leap. The reaction ability of the coach during the exercise and his force capacity to prevent an accident is explored by a newly developed reaction time analyzer and by a catapult apparatus throwing a dummy. Our results show the inadequacy of the prevention provision of a coach in protecting position for the special gymnastic exercise.
Physical and psychic vulnerability in children performing competitive sports may turn an accidental injury into a starting-point for chronic pain. This pain may give rise to serious physical and social restraints. The case histories of two fourteen years old girls are presented. Both patients suffered from overburdening. This phenomenon had not been recognized, or was not explicitly stated at least. Probably, too high expectations from medical help by parents and child played a crucial role. Expectations were twofold: the chronic pain should fit a specific defect caused by the injury, or it should be due to a (serious) disease. Both types of expectations led to disappointments, repeated diagnostic procedures and ineffective therapies. A comprehensive assessment without delay by a multidisciplinary pediatric team is recommended.
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