Evidence based prevention of acute injuries during physical exercise in a WHO safe community
2001 (English)In: British Journal of Sports Medicine, ISSN 0306-3674, Vol. 35, no 1, 20-27 p.Article in journal (Refereed) Published
Objective - To evaluate a community based programme for evidence based prevention of injuries during physical exercise. Design - Quasi-experimental evaluation using an intervention population and a non-random control population. Participants - Study municipality (population 41 000) and control municipality (population 26 000) in Sweden. Main outcome measures - Morbidity rate for sports related injuries treated in the health care system, severity classification according to the abbreviated injury scale (AIS). Results - The total morbidity rate for sports related injuries in the study area decreased by 14% from 21 to 18 injuries per 1000 population years (odds ratio 0.87, 95% confidence interval (CI) 0.79 to 0.96). No tendency towards a decrease was observed in people over 40. The rate of moderately severe injury (AIS 2) decreased to almost half (odds ratio 0.58, 95% CI 0.50 to 0.68), whereas the rate of minor injuries (AIS 1) increased (odds ratio 1.22, 95% CI 1.06 to 1.40). The risk of severe injuries (AIS 3-6) remained constant. The rate of total sports injury in the control area did not change (odds ratio 0.93, 95% CI 0.81 to 1.07), and the trends in the study and control areas were not statistically significantly different. Conclusion - An evidence based prevention programme based on local safety rules and educational programmes can reduce the burden of injuries related to physical exercise in a community. Future studies need to look at adjusting the programme to benefit all age groups.
Place, publisher, year, edition, pages
2001. Vol. 35, no 1, 20-27 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-26032DOI: 10.1136/bjsm.35.1.20Local ID: 10485OAI: oai:DiVA.org:liu-26032DiVA: diva2:246580