Abstract
Purpose
The main purpose of the study was to evaluate a psychological skills training intervention at group level aiming to prevent injuries, separated in traumatic and overuse, in male and female elite floorball players.
Methods
Twenty-three teams in the premiere leagues for males and females were volunteered, and the teams were allocated to an intervention group (n = 11, males n = 94, females n = 99) and a control group (n = 12, males n = 109, females n = 99). The teams in the intervention group participated in a psychological skills training programme consisting of six meetings with each team. The control group received no substitute. All injuries were registered and documented according to the time-loss definition and classified into either traumatic or overuse.
Results
In total, 142 players (35 %) out of the 401 players sustained 197 injuries, 0.49 injury/player: in the intervention group 0.45 injury/player and in the control group 0.53 injury/player. The analyses revealed no significant differences in injuries between intervention groups and control groups. The effect size of the influence of the psychological skills training in overuse injuries was considered to be small, Cohen’s d 0.2.
Conclusions
This study comprised the whole team for a group intervention and did not screen for at-risk athletes, e.g. scoring high in anxiety or low in coping skills, which might have influenced the result. A psychological injury prevention intervention forward to a whole team might not influence the injury occurrence significantly. Thus, this psychological intervention decreased the injury incidence which is of clinical interest.
Level of incidence
Level II.
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References
Andersen MB, Williams JM (1999) Athletic injury, psychosocial factors and perceptual changes during stress. J Sports Sci 17(9):735–741
Arnason A (2005) No effect of a video-based awareness program on the rate of soccer injuries. Am J Sports Med 33(1):77–84
Bahr R, Krosshaug T (2005) Understanding injury mechanisms: a key component of preventing injuries in sport. Br J Sports Med 39(6):324–329
Bahr R, Lian Ö, Bahr I (1997) A twofold reduction in the incidence of acute ankle sprains in volleyball after the introduction of an injury prevention program: a prospective cohort study. Scand J Med Sci Sports 7:172–177
Cohen J (1992) A power primer. Psychol Bull 112:155–159
Dunn E, Smith R, Smoll F (2001) Do sport-specific stressors predict athletic injury? J Sci Med Sport 4(3):283–291
Dunn EC, Smith RE, Smoll FL (2001) Do sport-specific stressors predict athletic injury? J Sci Med Sport 4(3):283–291
Edvardsson A, Ivarsson A, Johnson U (2012) Is a cognitive-behavioural biofeedback intervention useful to reduce injury risk in junior football players? J Sports Sci Med 11(2):331–338
Emery CA, Rose MS, McAllister JR, Meeuwisse WH (2007) A prevention strategy to reduce the incidence of injury in high school basketball: a cluster randomized controlled trial. Clin J Sport Med 17(1):17–24
Finch C (2006) A new framework for research leading to sports injury prevention. J Sci Med Sport 9(1–2):3–9
Fritz CO, Morris PE, Richler JJ (2012) Effect size estimates: current use, calculations, and interpretation. J Exp Psychol Gen 141:2–18
Fuller CW, Ekstrand J, Junge A, Andersen TE, Bahr R, Dvorak J, Hagglund M, McCrory P, Meeuwisse WH (2006) Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Clin J Sport Med 16(2):97–106
Galambos S, Terry P, Moyle G, Locke S (2005) Psychological predictors of injury among elite athletes. Br J Sports Med 39(6):351–354
Gottschalk A (2011) Epidemiology of sports injury in pediatric athletes. Sports Med Arthrosc 19(1):2–6
Hanin YL (2000) Emotions in Sport. Human Kinetics, Champaign
Hanton S, Fletcher D, Coughlan G (2005) Stress in elite sport performers: a comparative study of competitive and organizational stressors. J Sport Sci 23(10):1129–1141
Hayen A (2006) Clustered data in sports research. J Sci Med Sport 9(1–2):165–168
Johnson U (2007) Psychosocial antecedents of sport injury, prevention, and intervention: an overview of theoretical approaches and empirical findings. Int J Sport Exerc Psychol 5(4):352–369
Johnson U, Ekengren J, Andersen MB (2005) Injury prevention in Sweden: helping soccer players at risk. J Sport Exerc Psychol 27(1):32–38
Johnson U, Ivarsson A (2011) Psychological predictors of sport injuries among junior soccer players. Scand J Med Sci Sports 21(1):129–136
Junge A (2000) The influence of psychological factors on sports injuries. Review of the literature. Am J Sports Med 28(5 Suppl):S10–S15
Kerr G, Goss J (1996) The effects of a stress management program on injuries and stress levels. J Appl Sport Psychol 8(1):109–117
Lysens RJ, Deweerdt W, Nieuwboer A (1991) Factors associated with injury proneness. Sports Med 12(5):281–289
Maddison R, Prapavessis H (2005) A psychological approach to the prediction and prevention of athletic injury. J Sport Exerc Psychol 27(3):289–310
Meichenbaum D (2007) Stress inoculation training. A preventative and treatment approach. In: Lehrer P, Woolfolk R, Sime W (eds) Principles and Practice of Stress Management, 3edn. Guilford Press, New York, pp 497–511
Pasanen K, Parkkari J, Kannus P, Rossi L, Palvanen M, Natri A, Jarvinen M (2008) Injury risk in female floorball: a prospective one-season follow-up. Scand J Med Sci Sports 18(1):49–54
Pasanen K, Parkkari J, Pasanen M, Hiilloskorpi H, Makinen T, Jarvinen M, Kannus P (2008) Neuromuscular training and the risk of leg injuries in female floorball players: cluster randomised controlled study. Br J Sports Med 42(10):802–805
Pasanen K, Parkkari J, Pasanen M, Kannus P (2009) Effect of a neuromuscular warm-up programme on muscle power, balance, speed and agility: a randomised controlled study. Br J Sports Med 43(13):1073–1078
Schaal K, Tafflet M, Nassif H, Thibault V, Pichard C, Alcotte M, Guillet T, El Helou N, Berthelot G, Simon S, Toussaint J (2011) Psychological balance in High Level Athletes: Gender-based Differences and Sport-Specific Patterns. PLoS One 6(5). doi:10.1371/journal.pone.0019007
Snellman K, Parkkari J, Kannus P, Leppala J, Vuori I, Jarvinen M (2001) Sports injuries in floorball: a prospective one-year follow-up study. Int J Sports Med 22(7):531–536
Tranaeus U, Johnson U, Engström B, Skillgate E, Werner S (2014) Psychological antecedents of overuse injuries in Swedish elite floorball players. Athl Insight 6(2):155–172
Williams JM, Andersen MB (1998) Psychosocial antecedents of sport injury: review and critique of the stress and injury model. J Appl Sport Psychol 10(1):5–25
Williams JM, Andersen MB (2007) Psychosocial antecedents of sport injury and interventions for risk reduction. In: Tenenbaum G, Eklund R (eds) Handbook of Sport Psychology, 3rd edn. Wiley, New York, pp 379–403
Yang JZ, Tibbetts AS, Covassin T, Cheng G, Nayar S, Heiden E (2012) Epidemiology of overuse and acute injuries among competitive collegiate athletes. J Athl Train 47(2):198–204
Acknowledgments
Grants: Swedish National Centre for research in Sports, Swedish Naprapathic Association, Swedish Sports Confederation, Sophiahemmet Foundation. Thanks to Swedish Floorball Federation and all the participating coaches, players, and the medical staff.
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Tranaeus, U., Johnson, U., Engström, B. et al. A psychological injury prevention group intervention in Swedish floorball. Knee Surg Sports Traumatol Arthrosc 23, 3414–3420 (2015). https://doi.org/10.1007/s00167-014-3133-z
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DOI: https://doi.org/10.1007/s00167-014-3133-z