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Sports injury prevention in Swedish elite floorball players: evaluation of two consecutive floorball seasons

  • Sports Medicine
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The objective was to evaluate the effect of a psychological group-based injury prevention, which was implemented throughout the first season, after the second season, in Swedish elite floorball teams (males and females). The secondary objective was to evaluate the effect of the intervention over the two consecutive floorball seasons as a whole.

Methods

Twenty-three teams in the premier leagues for males and females volunteered and were allocated to an intervention group, n = 175 players, and a control group n = 171 players. The intervention group participated in psychological skills training during the first season. The control group did not receive any alternative treatment. Neither of the groups received any intervention during the second season. All injuries were registered and documented according to time-loss definition and classified into either traumatic or overuse injuries.

Results

Ninety-three players (27 %) sustained 119 injuries during the second season. The intervention group 0.31 (95 % CI 0.22–0.39) and the control group 0.41 (95 % CI 0.29–0.53) injuries/player. The injury incidence decreased in the intervention group and was lower than the control group. The analysis showed no statistical differences when comparing the intervention group and the control group neither after the second season nor after the two seasons together, Cohen’s d 0.2.

Conclusion

This group-based training showed a small effect size after the second year resulting in fewer injuries, especially severe injuries, in the intervention group compared to the control group. It is, therefore, important not to overlook the potential of a group-based psychological injury prevention programme.

Level of incidence

II.

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References

  1. Bahr R, Krosshaug T (2005) Understanding injury mechanisms: a key component of preventing injuries in sport. Br J Sports Med 39(6):324–329

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  2. Brooks JHM, Fuller CW, Kemp SPT, Reddin DB (2005) Epidemiology of injuries in English professional rugby union: part 1 match injuries. Br J Sports Med 39(10):757–766

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  3. Brooks JHM, Fuller CW, Kemp SPT, Reddin DB (2005) Epidemiology of injuries in English professional rugby union: part 2 training Injuries. Br J Sports Med 39(10):767–775

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  4. Chalmers DJ (2002) Injury prevention in sport: not yet part of the game? Inj Prev 8:22–25

    Article  Google Scholar 

  5. Clarsen B, Myklebust G, Bahr R (2013) Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: the Oslo Sports Trauma Research Centre (OSTRC) Overuse Injury Questionnaire. Br J Sports Med 47(8):495–502

    Article  PubMed  Google Scholar 

  6. Dunn E, Smith R, Smoll F (2001) Do sport-specific stressors predict athletic injury? J Sci Med Sport 4(3):283–291

    Article  CAS  PubMed  Google Scholar 

  7. 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

    PubMed Central  PubMed  Google Scholar 

  8. Emery CA (2007) Considering cluster analysis in sport medicine and injury prevention research. Clin J Sport Med 17(3):211–214

    Article  PubMed  Google Scholar 

  9. 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

    Article  PubMed  Google Scholar 

  10. Field A (2013) Discovering statistics using IBM SPSS statistics, 4th edn. Sage, London, pp 386–387

    Google Scholar 

  11. Finch C (2006) A new framework for research leading to sports injury prevention. J Sci Med Sport 9(1–2):3–9

    Article  PubMed  Google Scholar 

  12. Fritz CO, Morris PE, Richler JJ (2012) Effect size estimates: current use, calculations, and interpretation. J Exp Psychol Gen 141:2–18

    Article  PubMed  Google Scholar 

  13. Fuller CW, Bahr R, Dick RW, Meeuwisse WH (2007) A framework for recording recurrences, reinjuries, and exacerbations in injury surveillance. Clin J Sport Med 17(3):197–200

    Article  PubMed  Google Scholar 

  14. Gabbett TJ, Ullah S, Finch CF (2012) Identifying risk factors for contact injury in professional rugby league players—application of a frailty model for recurrent injury. J Sci Med Sport 15(6):496–504

    Article  PubMed  Google Scholar 

  15. Galambos S, Terry P, Moyle G, Locke S (2005) Psychological predictors of injury among elite athletes. Br J Sports Med 39(6):351–354

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  16. Hagglund M, Walden M, Ekstrand J (2006) Previous injury as a risk factor for injury in elite football: a prospective study over two consecutive seasons. Br J Sports Med 40(9):767–772

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  17. Hewett TE, Ford KR, Myer GD (2006) Anterior cruciate ligament injuries in female athletes—Part 2, a meta-analysis of neuromuscular interventions aimed at injury prevention. Am J Sports Med 34(3):490–498

    Article  PubMed  Google Scholar 

  18. Hodgson L, Gissane C, Gabbett TJ, King DA (2007) For debate: consensus injury definitions in team sports should focus on encompassing all injuries. Clin J Sport Med 17(3):188–191

    Article  PubMed  Google Scholar 

  19. Hootman JM, Dick R, Agel J (2007) Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train 42(2):311–319

    PubMed Central  PubMed  Google Scholar 

  20. Ivarsson A, Johnson U, Podlog L (2013) Psychological predictors of injury occurrence: a prospective investigation of professional Swedish soccer players. J Sport Rehabil 22:8

    Google Scholar 

  21. Johnson U, Ekengren J, Andersen MB (2005) Injury prevention in Sweden: helping soccer players at risk. J Sport Exerc Psychol 27(1):32–38

    Google Scholar 

  22. Johnson U, Ivarsson A (2011) Psychological predictors of sport injuries among junior soccer players. Scand J Med Sci Sports 21(1):129–136

    Article  CAS  PubMed  Google Scholar 

  23. Johnson U, Tranaeus U, Ivarsson A (2014) Current status and future challenges in psychological research of sport injury prediction and prevention: a methodological perspective. Revista De Psicologia Del Deporte 23(2):401–409

    Google Scholar 

  24. 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

    Article  Google Scholar 

  25. Maddison R, Prapavessis H (2005) A psychological approach to the prediction and prevention of athletic injury. J Sport Exerc Psychol 27(3):289–310

    Google Scholar 

  26. Mandelbaum BR, Silvers HJ, Watanabe DS et al (2005) Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes—2-year follow-up. Am J Sports Med 33(7):1003–1010

    Article  PubMed  Google Scholar 

  27. Myklebust G, Engebretsen L, Braekken IH, Skjolberg A, Olsen OE, Bahr R (2003) Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med 13(2):71–78

    Article  PubMed  Google Scholar 

  28. Myklebust G, Skjolberg A, Bahr R (2013) ACL injury incidence in female handball 10 years after the Norwegian ACL prevention study: important lessons learned. Br J Sports Med 47(8):476–479

    Article  PubMed  Google Scholar 

  29. Nippert A, Smith A (2008) Psychologic stress related to injury and impact on sport performance. Phys Med Rehabil Clin N Am 19(2):399–418

    Article  PubMed  Google Scholar 

  30. Noh YE, Morris T, Andersen MB (2007) Psychological intervention programs for reduction of injury in ballet dancers. Res Sports Med 15(1):13–32

    Article  PubMed  Google Scholar 

  31. Olsen OE, Myklebust G, Engebretsen L, Holme I, Bahr R (2005) Exercises to prevent lower limb injuries in youth sports: cluster randomised controlled trial. BMJ 330(7489):449–452

    Article  PubMed Central  PubMed  Google Scholar 

  32. 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

    Article  CAS  PubMed  Google Scholar 

  33. 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. BMJ 337(7661):96–102

    Google Scholar 

  34. Perna F, Antoni M, Baum A, Gordon P, Schneiderman N (2003) Cognitive behavioral stress management effects on injury and illness among competitive athletes: a randomized clinical trial. Ann Behav Med 25(1):66–73

    Article  PubMed  Google Scholar 

  35. Renstrom P, Ljungqvist A, Arendt E et al (2008) Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement. Br J Sports Med 42(6):394–412

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  36. Shrier I, Steele RJ, Verhagen E, Herbert R, Riddell CA, Kaufman JS (2014) Beyond intention to treat: what is the right question? Clin Trials 11(1):28–37

    Article  PubMed  Google Scholar 

  37. 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

    Article  CAS  PubMed  Google Scholar 

  38. 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

    Google Scholar 

  39. Tranaeus U, Johnson U, Engström B, Skillgate E, Werner S (2014) A psychological injury prevention group intervention in Swedish floorball. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-014-3133-z

    Google Scholar 

  40. Vanmechelen W, Hlobil H, Kemper HCG (1992) Incidence, severity, etiology and prevention of sports injuries—a review of concepts. Sports Med 14(2):82–99

    Article  CAS  Google Scholar 

  41. Verhagen E, van Stralen MM, van Mechelen W (2010) Behaviour, the key factor for sports injury prevention. Sports Med 40(11):899–906

    Article  PubMed  Google Scholar 

  42. 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

    Article  Google Scholar 

  43. Wong P, Hong Y (2005) Soccer injury in the lower extremities. Br J Sports Med 39(8):473–482

    Article  PubMed Central  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

Grants to accomplish this study were provided from Sophiahemmet Foundation, the Swedish Naprapathic Association, and Swedish National Centre for research in Sports. Thanks to the Swedish Floorball Federation and the participating coaches, players, and their medical staff.

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Authors and Affiliations

  1. Center of Research on Welfare, Health and Sport, Halmstad University, Halmstad, Sweden

    Ulrika Tranaeus, Urban Johnson & Andreas Ivarsson

  2. Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm, Sweden

    Ulrika Tranaeus, Björn Engström & Suzanne Werner

  3. Capio Artro Clinic, Sophiahemmet, Box 5605, 114 86, Stockholm, Sweden

    Ulrika Tranaeus, Björn Engström & Suzanne Werner

  4. Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden

    Eva Skillgate

  5. Scandinavian College of Naprapathic Manual Medicine, Stockholm, Sweden

    Eva Skillgate

Authors
  1. Ulrika Tranaeus
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  2. Urban Johnson
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  3. Andreas Ivarsson
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  4. Björn Engström
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  5. Eva Skillgate
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  6. Suzanne Werner
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Correspondence to Ulrika Tranaeus.

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Tranaeus, U., Johnson, U., Ivarsson, A. et al. Sports injury prevention in Swedish elite floorball players: evaluation of two consecutive floorball seasons. Knee Surg Sports Traumatol Arthrosc 23, 899–905 (2015). https://doi.org/10.1007/s00167-014-3411-9

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  • DOI: https://doi.org/10.1007/s00167-014-3411-9

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