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Interventions to Prevent Sports and Recreation-Related Injuries

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Handbook of Injury and Violence Prevention

Participation in sports, recreation, and exercise is an important part of a healthy, physically active lifestyle; however, injuries due to sports and recreational activities are a significant public health problem. Injuries can occur as a result of organized sports activities in schools, clubs, or leagues; but many injuries also occur in informal settings, such as sports played in backyards or neighborhoods. In this chapter, we address injuries related to sports, such as basketball, football, and soccer; recreational activities, such as biking, skating, skiing, and playground activities; and exercise and training activities, such as weight training, aerobics, and jogging. Although swimming and other water sports are recreational activities, drowning prevention is addressed in another chapter.

Injury surveillance in the United States suggests that the sports and recreational activities most commonly associated with injuries vary by age but include basketball, bicycling, exercising (e.g., aerobics, jogging, and weight training), football, baseball/ softball, soccer, skating (ice/in-line/roller), snow sports, gymnastics/cheerleading, playground activities, and horseback riding. It is not currently possible to compare risks across activities because population-based participation estimates (or exposures) are not available. Given the fact that these are popular activities and public health mandates since the 1950’s include promotion of regular exercise, the potential exposure to injury risk associated with these activities is high.

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References

  • Albright, J. P., Saterbak, A., & Stokes, J. (1995). Use of knee braces in sports. Sports Medicine, 20, 281–301

    Article  PubMed  CAS  Google Scholar 

  • American Academy of Neurology. (1997). Practice parameter: The management of concussion in sports (summary statement). Neurology, 48, 581–585

    Google Scholar 

  • Arbogast, K. B., Cohen, J., Otoya, L., & Winston, F. K. (2001). Protecting the child’s abdomen: A retractable bicycle handlebar. Accident Analysis & Prevention, 33 (6), 753–757

    Article  CAS  Google Scholar 

  • Barrios, L. C., Sleet, D. A., & Mercy, J. A. (2003). CDC school health guidelines to prevent unintentional injuries and violence. American journal of Health Education, 34 (5), S62–S64

    Google Scholar 

  • Benson, B. W., Mohtadi, N. G., Rose, M. S., & Meeuwisse, W. H. (1999). Head and neck injuries among ice hockey players wearing full face shields vs half face shields. Journal of the American Medical Association, 282, 2328–2332

    Article  PubMed  CAS  Google Scholar 

  • Bixler, B., & Jones, R. L. (1992). High-school football injuries: effects of a post-halftime warm-up and stretching routine. Family Practice Research Journal, 12 (2), 131–139

    PubMed  CAS  Google Scholar 

  • Blyth, C. S., & Mueller, F. O. (1974). Football injury survey 3. Injury rates vary with coaching. Physician & Sportsmedicine, 2 (10), 71–78

    Google Scholar 

  • Cahill, B. R., & Griffith, E. H. (1978). Effect of pre-season conditioning on the incidence and severity of high school football knee injuries. American Journal of Sports Medicine, 6 (4), 180–184

    Article  PubMed  CAS  Google Scholar 

  • Cantu, R. C. (1998a). Second-impact syndrome. Clinics in Sports Medicine, 17(1), 37–44

    Article  PubMed  CAS  Google Scholar 

  • Cantu, R. C. (1998b). Return to play guidelines after a head injury. Clinics in Sports Medicine, 17 (1), 45–60

    Article  PubMed  CAS  Google Scholar 

  • Caraffa, A., Cerulli, G., Porjetti, M., Aisa, G., & Rizzo, A. (1996). Prevention of anterior cruciate ligament injuries in soccer. A prospective controlled study of proprioceptive training. Knee Surgery, Sports Traumatology, Arthroscopy, 4 (1), 19–21

    Article  PubMed  CAS  Google Scholar 

  • Centers for Disease Control and Prevention. (1993). Mandatory bicycle helmet use—Victoria, Australia. Morbidity & Mortality Weekly Report, 42 (18), 359–363

    Google Scholar 

  • Centers for Disease Control and Prevention. (1995). Injury-control recommendations: Bicycle helmets. Morbidity & Mortality Weekly Report, Recommendations & Reports, 44 (RR-1), 1–18

    Google Scholar 

  • Centers for Disease Control and Prevention. (1997). Sports-related recurrent brain injuries—United States. Morbidity & Mortality Weekly Report, 46 (10), 224–227

    Google Scholar 

  • Centers for Disease Control and Prevention. (2001). School health guidelines to prevent unintentional injuries and violence. Morbidity & Mortality Weekly Report, Recommendations & Reports 50 (RR-22), 1–46

    Google Scholar 

  • Centers for Disease Control and Prevention. (2002). CDC injury research agenda. Atlanta, GA: National Center for Injury Prevention and Control

    Google Scholar 

  • Centers for Disease Control and Prevention. (2003). Heads up: Brain injury in your practice. Atlanta, GA: National Center for Injury Prevention and Control

    Google Scholar 

  • Centers for Disease Control and Prevention. (2005a). Heads up: Concussion in high school sports. Atlanta, GA: National Center for Injury Prevention and Control

    Google Scholar 

  • Centers for Disease Control and Prevention, National Centers for Injury Prevention and Control. (2005b). Web-based injury statistics query and reporting system (WISQARS). Retrieved August 26, 2005, from http://www.cdc.gov/ncipc/wisqars

  • Conn, J. M., Annest, J. L., Gilchrist, J. (2003). Sports and recreation related injury episodes in the US population, 1997–99. Injury Prevention, 9, 117–123

    Article  PubMed  CAS  Google Scholar 

  • Crisco, J. J., Hendee, S. P., & Greenwald, R. M. (1997). The influence of baseball modulus and mass on head and chest impacts: A theoretical study. Medicine & Science in Sports & Exercise, 29, 26–36

    CAS  Google Scholar 

  • Feller, J. (2004). Anterior cruciate ligament rupture: Is osteoarthritis inevitable? British Journal of Sports Medicine, 38, 383–384

    Article  PubMed  CAS  Google Scholar 

  • Finch, C., Owen, N., & Price, R. (2001). Current injury or disability as a barrier to being more physically active. Medicine & Science in Sports & Exercise, 33 (5), 778–782

    Article  CAS  Google Scholar 

  • Gilchrist, J., Jones, B. H., Sleet, D. A., & Kimsey, C. D. (2000). Exercise related injuries among women: Strategies for prevention from military and civilian studies. Morbidity & Mortality Weekly Report, Recommendations & Reports, 49 (RR-2), 13–33

    Google Scholar 

  • Gilchrist, J., Mandelbaum, B. R., Melancon, H., Ryan, G. W., Griffin, L. Y., Silvers, H. J., Watanabe, D. S., & Dick, R. W. (2004). A Randomized controlled trial to prevent non-contact anterior cruciate ligament injuries in female collegiate soccer players. Paper presented at the American Orthopedic Society for Sports Medicine Annual Meeting. San Francisco, CA

    Google Scholar 

  • Gotsch, K., Annest, J. L., Holmgreen, P., & Gilchrist, J. (2002). Nonfatal sports- and recreation-related injuries treated in emergency departments, United States, July 2000-June 2001. Morbidity & Mortality Weekly Report, 51 (33), 736–740

    Google Scholar 

  • Griffin, L. Y., Agel, J., Albohm, M. J., Arendt, E. A., Dick, R. W., Garrett, W. E., Garrick, J. G., Hewett, T. E., Huston, L., Ireland, M. L.Johnson, R. J., Kibler, W. B., Lephart, S., Lewis, J. L., Lindenfeld, T. N., Mandelbaum, B. R., Marchak, P., Teitz, C. C., & Wojtys, E. M. (2000). Noncontact anterior cruciate ligament injuries: Risk factors and prevention strategies. Journal of the American Academy of Orthopaedic Surgeons, 8, 141–150

    PubMed  CAS  Google Scholar 

  • Guskiewicz, K. M., Bruce, S. L., Cantu, R. C., Ferrara, M. S., Kelly, J. P., McCrea, M., Putukian, M., & McLeod, T. C. (2004). Recommendations on management of sport-related concussion: Summary of the National Athletic Trainers’ Association position statement. Neurosurgery, 55 (4), 891–895

    Article  PubMed  Google Scholar 

  • Guskiewicz, K. M., McCrea, M., Marshall, S. W., Cantu, R. C., Randolph, C., Barr, W., Onate, J. A., & Kelly, J. P. (2003). Cumulative effects associated with recurrent concussion in collegiate football players: The NCAA concussion study. Journal of the American Medical Association, 290, 2549–2555

    Article  PubMed  CAS  Google Scholar 

  • Harborview Injury Prevention and Research Center. (2005). Best practices: Recreational injuries. Retrieved August 26, 2005, from http://depts.washington.edu/hiprc/practices/topic/recreation/index.html

  • Hauser, W. (1989). Experimental prospective skiing injury study. In C. D. Mote Jr., R. J. Johnson, & M. H. Binet (Eds.), Skiing trauma and safety: Seventh international symposium, ASTM STP 1022 (pp. 18–24). Philadelphia: American Society for Testing and Materials

    Chapter  Google Scholar 

  • Heidt, R. S. Jr., Sweeterman, L. M., Carlonas, R. L., Traub, J. A., & Tekulve, F. X. (2000). Avoidance of soccer injuries with preseason conditioning. American Journal of Sports Medicine, 28 (5), 659–662

    PubMed  Google Scholar 

  • Herbert, R. D., & Gabriel, M. (2002). Effects of stretching before and after exercising on muscle soreness and risk of injury: A systematic review. British Medical Journal, 325, 468–470

    Article  PubMed  Google Scholar 

  • Hewett, T. E., Lidenfeld, T. N., Riccobene, J. V., & Noyes, F. R. (1999). The effect of neuromuscular training on the incidence of knee injury in female athletes: A prospective study. American Journal of Sports Medicine, 27 (6), 699–706

    PubMed  CAS  Google Scholar 

  • Hootman, J. M., Macera, C. A., Ainsworth, B. E., Addy, C. L., Martin, M., & Blair, S. N. (2003). Epidemiology of musculoskeletal injuries among sedentary and physically active adults. Medicine & Science in Sports & Exercise, 34 (5), 838–844

    Article  Google Scholar 

  • Idzikowski, J. R., Janes, P. C., & Abbott, P. J. (2000). Upper extremity snowboarding injuries. Ten-year results from the Colorado snowboard injury survey. American Journal of Sports Medicine, 28 (6), 825–832

    PubMed  CAS  Google Scholar 

  • Institute of Medicine. (2002). Is soccer bad for children’s heads? Summary of the IOM workshop on neuropsychological consequences of head impacts in youth soccer. Washington, DC: National Academy Press

    Google Scholar 

  • Janda, D. H., Mackesy, D., Maguire, R., Hawkins, R. J., Fowler, P., & Boyd, J. (1993). Sliding-associated injuries in college and professional baseball — 1990–1991. Morbidity & Mortality Weekly Report, 42 (12), 229–230

    Google Scholar 

  • Janda, D. H., Wojtys, E. M., Hankin, F. M., & Benedict, M. E. (1988). Softball sliding injuries. A prospective study comparing standard and modified bases. Journal of the American Medical Association, 259, 1848–1850

    Article  PubMed  CAS  Google Scholar 

  • Jones, B. H., & Knapik, J. J. (1999). Physical training and exercise-related injuries: Surveillance, research, and injury prevention in military populations. Sports Medicine, 27, 111–125

    Article  PubMed  CAS  Google Scholar 

  • Jones, B. H., Reynolds, K. L., Rock, P. B., & Moore, M. P. (1993). Exercise-related musculoskeletal injuries: Risks, prevention and care. In J. L. Durstine, A. C. King, P. L. Painter, J. L. Roitman, L. D. Zwiren, & W. L. Kenny (Eds.), Resource manual for guidelines for exercise testing and prescription (pp. 378–393, 2nd ed.). Philadelphia: Lea & Febiger

    Google Scholar 

  • Koplan, J. P., Powell, K. E., Sikes, R. K., Shirley, R. W., & Campbell, C. C. (1982). An epidemiologic study of the benefits and risks of running. Journal of the American Medical Association, 248 (23), 3118–3121

    Article  PubMed  CAS  Google Scholar 

  • Labella, C. R., Smith, B. W., & Sigurdsson, A. (2002). Effect of mouthguards on dental injuries and concussions in college basketball. Medicine & Science in Sports & Exercise, 34 (1), 41–44

    Article  Google Scholar 

  • MacAuley, D., & Best, T. M. (2002). Reducing risk of injury due to exercise: Stretching before exercise does not help. British Medical Journal, 325, 451–452

    Article  PubMed  Google Scholar 

  • MacKay, M., & Liller, K. (2006). Behavioral considerations for sports and recreational injuries in children and youth. In A. C. Gielen, D. A. Sleet, & R. DiClemente (Eds.), Injury and violence prevention: Behavior change theories, methods and applications. San Francisco: Jossey-Bass

    Google Scholar 

  • Marshall, S. W., Mueller, F. O., Kirby, D. P., & Yang, J. (2003). Evaluation of safety balls and faceguards for prevention of injuries in youth baseball. Journal of the American Medical Association, 289 (5), 568–574

    Article  PubMed  Google Scholar 

  • Milburn, P. D., & Barry, E. B. (1998). Shoe-surface interaction and the reduction of injury in rugby union. Sports Medicine, 25, 319–327

    Article  PubMed  CAS  Google Scholar 

  • Mueller, F. O., Cantu, R. C., & Van Camp, S. P. (1996). Catastrophic injuries in high school and college sports. Campaign, IL: Human Kinetics

    Google Scholar 

  • Myklebust, G., Engebretsen, L., Brækken, I. H., Skjølberg, A., Olsen, O. E., & Bahr, R. (2003). Prevention of anterior cruciate ligament injuries in female team handball players: A prospective intervention study over three seasons. Clinical Journal of Sports Medicine, 13, 71–78

    Article  Google Scholar 

  • Norton, C., Nixon, J., & Sibert, J. R. (2004). Playground injuries to children. Archives of Disease in Childhood, 89, 103–108

    Article  PubMed  CAS  Google Scholar 

  • Olsen, O. E., Myklebust, G., Engebretsen, L., Holme, I., & Bahr, R. (2005). Exercises to prevent lower limb injuries in youth sports: Cluster randomized controlled trial. British Medical Journal, 330 (7489), 449

    Google Scholar 

  • Pollock, M. L., Gettman, L. R., Milesis, C. A., Bah, M. D., Durstine, L., &Johnson, R. B. (1977). Effects of frequency and duration of training on attrition and incidence of injury. Medicine & Science in Sports & Exercise, 9, 31–36

    CAS  Google Scholar 

  • Roberts, W. O., Brust, J. D., Leonard, B., & Herbert, B. J. (1996). Fair-play rules and injury reduction in ice hockey. Archives of Pediatrics & Adolescent Medicine, 150 (2), 140–145

    CAS  Google Scholar 

  • Robey, J. M., Blyth, C. S., & Mueller, F. O. (1971). Athletic injuries: Application of epidemiologic methods. Journal of the American Medical Association, 217, 184–189

    Article  PubMed  CAS  Google Scholar 

  • Saluja, G., Marshall, S. W., Gilchrist, J., & Schroeder, T. (2006). Sports and recreational injuries. In Liller, K. (Ed). Injury prevention for children and adolescents (pp 253–254). Washington, DC: American Public Health Association

    Google Scholar 

  • Scanlan, A., MacKay, M., Reid, D., Olsen, L., Clark, M., McKim, K., & Raina, P. (2001). Sports and recreation injury prevention strategies: Systematic review and best practices. Retrieved August 25, 2005, from http://www.injuryresearch.bc.ca/Publications/Reports/SportSystematicReport.pdf

  • Schieber, R. A., Branche-Dorsey, C. M., Ryan, G. W., Rutherford, G. W. Jr., Stevens, J. A., & O’Neil, J. (1996). Risk factors for injuries from in-line skating and the effectiveness of safety gear. New England Journal of Medicine, 335 (22), 1630–1635

    Article  PubMed  CAS  Google Scholar 

  • Schieber, R. A., Gilchrist, J., & Sleet, D. A. (2000). Legislative and regulatory strategies to reduce childhood unintentional injuries. Future of Children, 10 (1), 111–136

    Article  PubMed  CAS  Google Scholar 

  • Sendre, R. A., Keating, T. M., Hornak, J. E., & Newitt, P. A. (1994). Use of the hollywood impact base and standard stationary base to reduce sliding and base-running injuries in baseball and Softball. American Journal of Sports Medicine, 22, 450–453

    Article  PubMed  CAS  Google Scholar 

  • Shrier, I. (1999). Stretching before exercise does not reduce the risk of local muscle injury: A critical review of the clinical and basic science literature. Clinical Journal of Sports Medicine, 9, 221–227

    Article  CAS  Google Scholar 

  • Sleet, D. A. (1994). Injury prevention. In P. Cortese & K Middleton (Eds.), The comprehensive school health challenge: Promoting health through education. (pp. 443–489). Santa Cruz, CA: ETR Associates

    Google Scholar 

  • Thacker, S. B., Gilchrist, J., Stroup, D. F., &Kimsey, C. D. (2002). The prevention of shin splints in sports: A systematic review of literature. Medicine & Science in Sports & Exercise, 34 (1), 32–40

    Article  Google Scholar 

  • Thacker, S. B., Gilchrist, J., Stroup, D. F., & Kimsey, C. D. (2004). The impact of stretching on sports injury risk: A systematic review of the literature. Medicine & Science in Sports & Exercise, 36 (3), 371–378

    Article  Google Scholar 

  • Thacker, S. B., Stroup, D. F., Branche, C. M., Gilchrist, J., Goodman, R. A., & Porter-Kelling, E. (2003). Prevention of knee injuries in sports. A systematic review of the literature. Journal of Sports Medicine & Physical Fitness, 43 (2), 165–179

    CAS  Google Scholar 

  • Thacker, S. B., Stroup, D. F., Branche, C. M., Gilchrist, J., Goodman, R. A., & Weitman, E. A. (1999). The prevention of ankle sprains in sports: A systematic review of the literature. American Journal of Sports Medicine, 27 (6), 753–760

    PubMed  CAS  Google Scholar 

  • Thompson, D. C., Rivara, F. P., & Thompson, R. (2000). Helmets for preventing head and facial injuries in bicyclists (CD001855). Cochrane Database of Systematic Reviews, (2)

    Google Scholar 

  • Thompson, N.J., Sleet, D., & Sacks, J. J. (2002). Increasing the use of bicycle helmets: Lessons from behavioral science. Patient Education and Counseling, 46 (3), 191–197

    Article  PubMed  Google Scholar 

  • Thurman, D. J., Alverson C., Dunn, K. A., Guerrero, J., & Sniezek, J. E. (1999). Traumatic brain injury in the United States: A public health perspective. Journal of Head Trauma Rehabilitation, 14 (6), 602–615

    Article  PubMed  CAS  Google Scholar 

  • U.S. Consumer Product Safety Commission. (1999). Skiing helmets: An evaluation of the potential to reduce head injury. Washington, DC: Author

    Google Scholar 

  • U.S. Consumer Product Safety Commission. (2003). Handbook for public playground safety (Publication No. 325). Washington, DC: Author

    Google Scholar 

  • U.S. Consumer Product Safety Commission. (2006). Which helmet for which activity? Washington, DC: Author

    Google Scholar 

  • Vinger, P. F., Parver, L., Alfaro, D. V. 3rd., Woods, T., & Abrams, B. S. (1997). Shatter resistance of spectacle lenses. Journal of the American Medical Association, 277(2), 142–144

    Article  PubMed  CAS  Google Scholar 

  • Watson, R. C., Singer, C. D., & Sproule, J. R. (1996). Checking from behind in ice hockey: A study of injury and penalty data in the Ontario University Athletic Association Hockey League. Clinical Journal of Sport Medicine, 6(2), 108–111

    Article  PubMed  CAS  Google Scholar 

  • Watson, R. C., Nystrom, M. A., & Buckolz, E. (1997). Safety in Canadian junior ice hockey: The association between ice surface size and injuries and aggressive penalties in the Ontario Hockey League. Clinical Journal of Sport Medicine, 7(3), 192–195

    Article  PubMed  CAS  Google Scholar 

  • Wedderkopp, N., Kaltoft, M., Holm, R., & Froberg, K (2003). Comparison of two intervention programmes in young female players in European handball—With and without ankle discs. Scandinavian Journal of Medicine & Science in Sports, 13 (6), 371–375

    Article  CAS  Google Scholar 

  • Winston, F. K., Shaw, K. N., Kreshak, A. A., Schwarz, D. F., Gallagher, P. R., & Cnaan, A. (1998). Hidden spears: Handlebars as injury hazards to children. Pediatrics, 102 (3, part 1), 596–601

    Article  PubMed  CAS  Google Scholar 

  • Winston, F. K., Weiss, H. B., Nance, M. L., Vivarelli-O’Neill, C., Strotmeyer, S., Lawrence, B. A., & Miller, T. R. (2002). Estimates of the incidence and costs associated with handlebar-related injuries in children. Archives of Pediatrics &? Adolescent Medicine, 156 (9), 922–928

    Google Scholar 

  • Yang, J., Marshall, S. W., Bowling, J. M., Runyan, C. W., Mueller, F. O., & Lewis, M. A. (2005). Use of discretionary protective equipment and rate of lower extremity injury in high school athletes. American Journal of Epidemiology, 161 (6), 511–519

    Article  PubMed  Google Scholar 

  • Zvijac, J., & Thompson, W. (1996). Basketball. In D. J. Caine, C. G. Caine, & K.J. Lindner (Eds.), Epidemiology of Sports Injuries (pp. 86–97). Champaign, IL: Human Kinetics Publishers, Inc

    Google Scholar 

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Correspondence to Julie Gilchrist MD , Gitanjali Saluja PhD or Stephen W. Marshall PhD .

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Gilchrist, J., Saluja, G., Marshall, S.W. (2008). Interventions to Prevent Sports and Recreation-Related Injuries. In: Doll, L.S., Bonzo, S.E., Sleet, D.A., Mercy, J.A. (eds) Handbook of Injury and Violence Prevention. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-29457-5_7

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