Int J Sports Med 2018; 39(11): 860-866
DOI: 10.1055/a-0577-4639
Clinical Sciences
© Georg Thieme Verlag KG Stuttgart · New York

The Effect of Injury Definition and Surveillance Methodology on Measures of Injury Occurrence and Burden in Elite Volleyball

Kerry J. MacDonald
1   University of Calgary Faculty of Kinesiology, Kerry MacDonald, Calgary, Canada
,
Luz Maria Palacios-Derflingher
1   University of Calgary Faculty of Kinesiology, Kerry MacDonald, Calgary, Canada
,
Carolyn A. Emery
2   University of Calgary, Kinesiology and medicine, Calgary, Canada
,
Willem H. Meeuwisse
3   University of Calgary, Sport Injury Prevention Research Centre, Calgary, Canada
› Author Affiliations
Further Information

Publication History



accepted 02 February 2018

Publication Date:
13 August 2018 (online)

Abstract

A time-loss injury definition continues to be the most widely used injury definition despite evidence that it fails to accurately capture overuse injuries. An overuse injury questionnaire, using an “all complaints” definition has been created to address the limitation of a time-loss definition. The main aim of this work was to determine the effect that injury definition and registration methodology has on the collection of knee injuries among elite level volleyball players. To reach this goal, seventy-two volleyball players were prospectively followed over 32-weeks. Time-loss injuries were captured using an individual injury report form (IIRF). Study participants completed an overuse injury questionnaire (mOIQ) via a weekly short message service (SMS). The IIRF captured 15 time-loss knee injuries in 72 study participants (20%). Based on the mOIQ, 84.7% of participants reported having a knee problem and 66.7% sustained a substantial knee problem. All IIRF knee injuries captured were also registered by the mOIQ. Agreement on the specific diagnosis occurred for 66.7% of injuries resulting in a moderate Kappa score of 0.51. In conclusion, an overuse injury questionnaire provided a greater understanding of the magnitude and burden of knee injuries in this population.

 
  • References

  • 1 Bahr R. No injuries, but plenty of pain? On the methodology for recording overuse symptoms in sports. Br J Sports Med 2009; 43: 966-972
  • 2 Clarsen B, Bahr R. Matching the choice of injury/illness definition to study setting, purpose and design: one size does not fit all!. Br J Sports Med 2014; 48: 510-512
  • 3 Clarsen B, Bahr R, Heymans MW, Engedahl M, Midtsundstad G, Rosenlund L, Thorsen G, Myklebust G. The prevalence and impact of overuse injuries in five Norwegian sports: Application of a new surveillance method. Scand J Med Sci Sports 2013; 47: 495-502
  • 4 Clarsen B, Myklebust G, Bahr R. 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 2015; 25: 323-330
  • 5 Clarsen B, Ronsen O, Myklebust G, Florenes TW, Bahr R. The oslo sports trauma research center questionnaire on health problems: a new approach to prospective monitoring of illness and injury in elite athletes. Br J Sports Med 2013; 48: 754-760
  • 6 Ekegren C, Gabbe B, Finch C. Injury reporting via sms text messaging in community sport. Inj Prev 2014; 20: 266-271
  • 7 Fuller CW, Bahr R, Dick RW, Meeuwisse WH. A framework for recording recurrences, reinjuries, and exacerbations in injury surveillance. Clin J Sport Med 2007; 17: 197-200
  • 8 Fuller CW, Ekstrand J, Junge A, Andersen TE, Bahr R, Dvorak J, Hagglund M, McCrory P, Meeuwisse WH. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Clin J Sport Med 2006; 16: 97-106
  • 9 Fuller CW, Molloy MG, Bagate C, Bahr R, Brooks JH, Donson H, Kemp SP, McCrory P, McIntosh AS, Meeuwisse WH, Quarrie KL, Raftery M, Wiley P. Consensus statement on injury definitions and data collection procedures for studies of injuries in rugby union. Clin J Sport Med 2007; 17: 177-181
  • 10 Gisslen K, Gyulai C, Soderman K, Alfredson H. High prevalence of jumper's knee and sonographic changes in Swedish elite junior volleyball players compared to matched controls. Br J Sports Med 2005; 39: 298-301
  • 11 Harriss DJ, Macsween A, Atkinson G. Standards for ethics in sport and exercise science research: 2018 Update. Int J Sports Med 2017; 38: 1126-1131
  • 12 Hodgson L, Gissane C, Gabbett TJ, King DA. For debate: Consensus injury definitions in team sports should focus on encompassing all injuries. Clin J Sport Med 2007; 17: 188-191
  • 13 Kettunen JA, Kvist M, Alanen E, Kujala UM. Long-term prognosis for jumper's knee in male athletes. A prospective follow-up study. Am J Sports Med 2002; 30: 689-692
  • 14 Orchard J, Hoskins W, Chiro M. For debate: Consensus injury definitions in team sports should focus on missed playing time. Clin J Sport Med 2007; 17: 192-196
  • 15 Visnes H, Bahr R. Training volume and body composition as risk factors for developing jumper’s knee among young elite volleyball players. Scand J Med Sci Sports 2013; 23: 607-613