Skiing accidents in the past 15 years

For the last 15 years a statistical analysis of distances skied and of alpine skiing accidents has been performed in the Davos‐Klosters skiing area, a ‘closed’ skiing area, where every skier has to return from the top to the bottom station. Distance skied is measured by vertical drop in 10⁶ km determined by calculations from frequency surveys by lift‐operators. About 2.5 million km per season have been skied during the past years, a number remaining constant for the last 15 years. In the same time the requirement for rescue‐transports in this area has shown a decline of 46% to 288 transports per season due to a decrease of the number of injuries with initial immobilization. Therefore the so‐called transport‐quotient (one rescue‐transport per 10⁴ km of vertical drop skied) has decreased from its initial value of 4 to 1 per 10⁴ km. During the same time all winter sport injuries were analysed at the hospital of Davos. About 90% are injuries caused by alpine skiing resulting in a total of 17 246 alpine skiing injuries for the last 15 years. There is a great decline in the incidence of lower leg fractures with a contrary development of knee injuries. Today half of the lower leg injuries are knee injuries (280 knee injuries out of a total of 1250 alpine skiing accidents per season). There is a gradual increase of upper extremity injuries from 17% of all skiing injuries in 1972 to 35% in 1976. A Swiss multicentre study on skiing safety shows comparable injury patterns in other skiing areas. The average injury‐severity measured by several parameters is declining.

In a technical investigation of skiing equipment of 1072 persons who sustained an accident, only 32% had ski bindings with tolerable frontal release and 17% with tolerable torsional release. Parallel measurements of bindings of 600 non‐injured skiers gave the same alarming results. More research on the correlation between binding adjustment and knee injuries is needed.     

Aspects of traumatology in ice hockey

Ice hockey is the fastest team game played and is also considered to be one of the roughest of all sports, with a high injury incidence. Injuries and their causes were recorded by the questioning of players in the first league of the Federal Republic of Germany. Eighty‐eight out of a total of 207 first league players were included in this study. Head injuries were found to occur most frequently: however, lesions of the shoulders and of the upper and lower extremities had a more detrimental effect. The links between causes and mechanisms of the different kinds of injuries make it clear that a marked tightening of the rules and an improvement in protective clothing would serve to reduce the incidence of injuries in ice hockey.     

International conference on sport,leisure and ergonomics

Abstract

The aim of this study was to determine the physical demands of women’s rugby union match play using time–motion analysis and heart rate (HR) response. Thirty-eight premier club level female rugby players, ages 18–34 years were videotaped and HRs monitored for a full match. Performances were coded into 12 different movement categories: 5 speeds of locomotion (standing, walking, jogging, striding, sprinting), 4 forms of intensive non-running exertion (ruck/maul/tackle, pack down, scrum, lift) and 3 discrete activities (kick, jump, open field tackle). The main results revealed that backs spend significantly more time sprinting and walking whereas forwards spend more time in intensive non-running exertion and jogging. Forwards also had a significantly higher total work frequency compared to the backs, but a higher total rest frequency compared to the backs. In terms of HR responses, forwards displayed higher mean HRs throughout the match and more time above 80% of their maximum HR than backs. In summary, women’s rugby union is characterised by intermittent bursts of high-intensity activity, where forwards and backs have similar anaerobic energy demands, but different specific match demands.     

Urea production during prolonged swimming

Male interscholastic swimmers (n = 8) completed a 4572 m training swim in 62 ±1.1 min (x ± s.e.) with terminal heart rate and blood lactate of 152 ± 6 beats min^‐1 and 6.9±0.89 mM, respectively. Sweat rate (0.48±0.0951. h^‐1) was lower than similar intensity cycling (1.5±0.13 1. h^‐1) or running (1.1 ± 0.14 l.h^‐1). Post‐swim serum urea N (11.6±0.71 mM) was elevated (P<0.05) vs pre‐swim (4.6±0.39 mM). Post‐swim urine volume (860±75 ml 24 h^‐1) was reduced (P<0.07) and resulted in an elevated (P<0.05), but delayed (24–84 h), post‐exercise urea N excretion. Although the reduced urine and sweat production during the swim undoubtedly contributed to the elevated serum urea, there must be another explanation because together they could only account for 38% of the observed increase. On the basis of the magnitude of serum urea increase, it appears that the swim caused an increase in urea production (amino acid oxidation). The failure to observe larger increases in urinary urea during recovery indicates that either urea excretion following exercise continues for prolonged periods of time (>48 h) or another significant mode of nitrogen excretion exists.     

Elite golfers' kinematic sequence in full-swing and partial-swing shots

The aim of this study was to investigate whether kinematic proximal-to-distal sequencing (PDS) and speed-summation are common characteristics of both partial and full-swing shots in golf players of different skill levels and genders. A total of 45 golfers participated, 11 male tournament professionals, 21 male and 13 female elite amateurs. They performed partial shots with a wedge to targets at three submaximal distances, 40, 55 and 70 m, and full-swing shots with a 5 iron and a driver for maximal distance. Pelvis, upper torso and hand movements were recorded in 3D with an electromagnetic tracking system (Polhemus Liberty) at 240 Hz and the magnitude of the resultant angular velocity vector of each segment was computed. The results showed a significant proximal-to-distal temporal relationship and a concomitant successive increase in maximum (peak) segment angular speed in every shot condition for both genders and levels of expertise. A proximal-to-distal utilization of interaction torques is indicated. Using a common PDS movement strategy in partial and full-swing golf shots appears beneficial from mechanical and control points of view and could serve the purpose of providing both high speed and accuracy.     

Validity of an upper-body-mounted accelerometer to measure peak vertical and resultant force during running and change-of-direction tasks

This study assessed the validity of a tri-axial accelerometer worn on the upper body to estimate peak forces during running and change-of-direction tasks. Seventeen participants completed four different running and change-of-direction tasks (0°, 45°, 90°, and 180°; five trials per condition). Peak crania-caudal and resultant acceleration was converted to force and compared against peak force plate ground reaction force (GRF) in two formats (raw and smoothed). The resultant smoothed (10 Hz) and crania-caudal raw (except 180°) accelerometer values were not significantly different to resultant and vertical GRF for all running and change-of-direction tasks, respectively. Resultant accelerometer measures showed no to strong significant correlations (r = 0.00–0.76) and moderate to large measurement errors (coefficient of variation [CV] = 11.7–23.9%). Crania-caudal accelerometer measures showed small to moderate correlations (r = ? 0.26 to 0.39) and moderate to large measurement errors (CV = 15.0–20.6%). Accelerometers, within integrated micro-technology tracking devices and worn on the upper body, can provide a relative measure of peak impact force experienced during running and two change-of-direction tasks (45° and 90°) provided that resultant smoothed values are used.     

Alterations in kinematics and muscle activation patterns with the addition of a kipping action during a pull-up activity

Recently, addition of a gymnastics glide kip to a standard pull-up (SPU) has resulted in the kipping pull-up (KPU). Changes in muscle activation and kinematics were evaluated with eleven athletes performing sets of 5 SPU and 5 KPU. Surface electromyography of upper body and lower body muscles was recorded along with movement kinematics obtained via markers and motion tracking software. Most kinematic variables were significantly higher in the KPU including (KPU minus SPU deg): Max hip angle (48.8° ± 6.8°, p < 0.001) and max knee angle (56.5° ± 11.3°, p < 0.001). The recruitment of core and lower body muscles was significantly higher in the KPU (% MVIC increase): rectus abdominis (28.7 ± 4.7%, p < 0.001), external oblique (21.8 ± 4.1%, p < 0.001), iliopsoas (26.1 ± 5.5%, p = 0.001) and tensor fasciae latae (13.5 ± 2.3%, p < 0.001). Correspondingly, the biceps brachii had lower activation in the KPU (% MVIC decrease): (26.7 ± 0.6%, p = 0.006). Depending on the athlete’s goal, they may elect to perform an SPU for higher upper body muscle activation; or the KPU for more full-body activation with the potential to perform more repetitions through reduced upper body fatigue.     

Effect of exercise and nasal splinting on static and dynamic measures of nasal airflow

The main aim of this study was to assess the separate and combined effects of exercise and nasal splinting on static and dynamic measures of nasal airflow. In a randomized crossover design, 12 healthy participants (6 men, 6 women) performed static and dynamic spirometric nasal airflow assessment tests, with or without nasal splinting (Breathe-Right?), before and after a maximal oxygen uptake (VO 2max ) treadmill test. At least 7 days later, the V O 2max and nasal airflow tests were repeated. The results showed that the measured variables were not significantly different with and without nasal splinting. We conclude that the absence of significantly enhanced nasal patency observed for nasal splinting and after exercise suggest that these factors have a minimal impact on nasal airflow volume and rate.     

An examination of psychosocial variables moderating the relationship between life stress and injury time-loss among athletes of a high standard

Based on Williams and Andersen's model of stress and athletic injury, six psychosocial variables were assessed as possible moderators of the relationship between life stress and injury among 121 athletes (65 males, 56 females) competing in a variety of sports at state, national or international level. No significant effects of the sex of the participants were evident. Correlational analyses revealed moderator effects of several variables. Specifically, dispositional optimism and hardiness were related to decreased injury time-loss in athletes when positive life change increased, and global self-esteem was associated with decreased injury time-loss when both negative life change and total life change increased. The results indicate that athletes with more optimism, hardiness or global self-esteem may cope more effectively with life change stress, resulting in reduced injury vulnerability and recovery rates.