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POSTER ABSTRACTS - ISAKOS

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forces involved and little concern is given to<br />

potential morbidity.<br />

MATERIAL AND METHODS<br />

We conducted a study to investigate the frequency<br />

and type of musculoskeletal injuries of taekwondo<br />

among 220 national team players between the<br />

years 1996 and 2003. The records of the Turkish<br />

National Taekwondo Federation were<br />

retrospectively scanned.<br />

Interviews or mail-questionnaires were performed<br />

with players and instructors/trainers who were<br />

involved in national team in the given period. The<br />

relationship between injuries and the type of the<br />

performance (competition or training), age and<br />

sex of the player were investigated.<br />

RESULTS<br />

There were 220 national team players including<br />

111 males with an average age of 21.3 during<br />

participation in the national team, and 109<br />

females with an average age of 18.7.<br />

The injuries mostly happened during a<br />

competition or training were minor skin and<br />

muscle injuries causing pain and rigidity. Minor<br />

skin and muscle injuries included sprain, strain,<br />

spasm, inflammation and high jumper’s strain.<br />

Other than skin and muscle injuries, bone and<br />

joint injuries were encountered with a less<br />

frequency.<br />

The most frequent serious injury was found to be<br />

contusion of the dorsum of the foot (54 cases),<br />

which clearly explained the necessity of foot<br />

taping. We encountered ankle sprains in 27<br />

players. Knee injuries were considerably high in<br />

frequency; 15 medial meniscus lesions, 8 ACL<br />

injuries, 7 lateral meniscus lesions, 3 medial<br />

collateral ligament lesions, and 2 PCL injuries.<br />

Shoulder dislocations were detected in three<br />

players, one of which recurred many times and<br />

necessitated a reconstructive surgical procedure.<br />

There were also 3 Colles fractures, one mandible<br />

fracture, one partial rupture of adductor femoris<br />

tendon, and a case of complete rupture of<br />

extensor hallucis communis tendon.<br />

CONCLUSION<br />

The relatively significant rates of injury among<br />

high-level taekwondo players increase the<br />

responsibility of team physicians. It also<br />

implicates the necessity of using protective gear.<br />

E-poster #1104<br />

Epidemiological Analysis of Injuries in J-league<br />

Football Players<br />

Minoru Shiraishi, JAPAN, Presenter<br />

Jikei University School of Medicine, Minatoku,<br />

Tokyo, JAPAN<br />

Introduction:<br />

To prevent injury and improve condition is very<br />

important to achieve good results in professional<br />

sports. But the previous epidemiologic study did<br />

not clarified daily conditioning problems in detail.<br />

Purpose:<br />

This study was designed to analyze deteriorated<br />

performance of the professional football players<br />

in JAPAN(J-league).<br />

Materials and Methods:<br />

We have examined injuries(trauma and disorder)<br />

that occurred to the professional football<br />

players(50 males, average age 24.7 years; range<br />

18-36) in Nagoya Grampus Eight Football Club<br />

during 3 seasons(1999~2001). All data were<br />

obtained daily by one full-time team doctor who<br />

performed medical examination every pre- and<br />

post-training. Injuries were classified into Poor<br />

Condition group(PC; players can continue normal<br />

training instead of performance level down for<br />

some days after injured while undergoing medical<br />

care) and No Training Group (NT; players who<br />

stop normal training after injured). The statistical<br />

procedures were performed using Stat View (SAS<br />

Institute, Inc., North Carolina). The level of<br />

significance was 5%.<br />

Results:<br />

A total of 457(PC; 172, NT; 285) injuries occurred.<br />

In the PC group, the injury rate per 1000 exercise<br />

hours was; 6.3 cases during a game, 8.3 cases<br />

during a preseason camp, and 1.8 cases during<br />

daily training(average 3.1 cases). On the other<br />

hand, in the NT group, the injury rate per 1000<br />

exercise hours was; 13.4 cases during a game, 7.7<br />

cases during a preseason camp, and 2.8 cases<br />

during daily training(average 5.3 cases). Injury rate<br />

of the NT group was statistically lower than F-<br />

MARC’s study. There is no other comparable<br />

report with PC group. In both groups, about 70%<br />

of the injuries were involving lower extremities<br />

and injury rate according to location was different<br />

by the year. Of the 33 severe injuries that occurred<br />

during the investigation period, 16 required<br />

surgery. In NT group, head, upper extremities and<br />

knee injuries were statistically more frequent than<br />

F-MARC’s study. In NT group, more injuries<br />

occurred during game and through sprain<br />

mechanism than PC group. Many injuries were<br />

caused by intrinsic factors; muscular<br />

problems(PC; 31%, NT; 44%), past injuries and<br />

inadequate rehabilitation(PC; 24%, NT; 33%) or by

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