The Injury/Illness Performance Project (IIPP): A Novel Epidemiological Approach for Recording the Consequences of Sports Injuries and Illnesses.
Bottom Line: For athlete illnesses (n = 378), the majority (P < 0.01) resulted in time-loss (270) compared with performance-restriction (101) (7 unclassified).Conclusions.Including a performance-restriction classification could provide a deeper understanding of injuries/illnesses and better informed prevention initiatives.
Affiliation: University of Nottingham, Nottingham, UK.
Background. Describing the frequency, severity, and causes of sports injuries and illnesses reliably is important for quantifying the risk to athletes and providing direction for prevention initiatives. Methods. Time-loss and/or medical-attention definitions have long been used in sports injury/illness epidemiology research, but the limitations to these definitions mean that some events are incorrectly classified or omitted completely, where athletes continue to train and compete at high levels but experience restrictions in their performance. Introducing a graded definition of performance-restriction may provide a solution to this issue. Results. Results from the Great Britain injury/illness performance project (IIPP) are presented using a performance-restriction adaptation of the accepted surveillance consensus methodologies. The IIPP involved 322 Olympic athletes (males: 172; female: 150) from 10 Great Britain Olympic sports between September 2009 and August 2012. Of all injuries (n = 565), 216 were classified as causing time-loss, 346 as causing performance-restriction, and 3 were unclassified. For athlete illnesses (n = 378), the majority (P < 0.01) resulted in time-loss (270) compared with performance-restriction (101) (7 unclassified). Conclusions. Successful implementation of prevention strategies relies on the correct characterisation of injury/illness risk factors. Including a performance-restriction classification could provide a deeper understanding of injuries/illnesses and better informed prevention initiatives.
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Related in: MedlinePlus
Mentions: The progression of an athlete's return to full fitness from a period of performance-restriction will depend on the level of performance-restriction at DOI and/or COS. Few injuries/illnesses display a truly linear return to fitness with time, and Figure 3 represents a conceptual schematic of this recovery relationship. The performance-restriction recovery envelope can be used to compare the recovery of an athlete experiencing (i) a rapid early progression followed by a final slower period of progression with an athlete experiencing (ii) a slow early progression followed by a rapid end-phase recovery to full fitness.
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