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23-27 oktober 2006 Vitenskapelige forhandlinger Abstrakt nr: 211 PREVENTION OF INJURIES AMONG MALE FOOTBALL PLAYERS – A PROSPECTIVE, RANDOMIZED INTERVENTION STUDY TARGETING PLAYERS WITH PREVIOUS INJURIES OR REDUCED FUNCTION Engebretsen AH, Myklebust G, Holme I, Engebretsen L, Bahr R Oslo Sports Trauma Research Center, NiH Objectives To examine the effect of targeted exercise programs to prevent injuries among male football players with a history of previous injury or reduced function in the ankle, knee, hamstring or groin Materials and methods A total of n=508 players representing 31 teams in the Norwegian 1 st , 2 nd or 3 rd division were included in the study. Based on a questionnaire with the inclusion criteria previous acute injury during the last 12 months to the ankle, knee, hamstring or groin or a reduced function with an average score less than 80% in either of the above mentioned four body parts, the players fulfilling any of the inclusion criteria for any of the four body parts, were divided into the high risk (HR) group (n=388), the rest in the low risk (LR) group. The high risk players were randomized individually, but within each team into two groups, the HR intervention group (n=193) and the HR control group (n=195), resulting in each team having players from all three group (HR intervention, HR control, and LR control). Each intervention player received training programs and equipment needed for the body part causing inclusion, and was instructed by the team physiotherapist to train three times a week for a ten weeks period in the preseason. Training/match exposure and injuries were reported for all players in the team throughout the season 2004. Results A total of 505 injuries were reported, sustained by 283 (55.7%) of the 508 players included in the study. The total incidence of injuries for all groups taken together was 4.7 injuries per 1000 playing hours [4.3 to 5.1], 11.9 [10.4 to 13.5] for match injuries and 2.7 [2.3 to 3.1] for training injuries. For the different groups, the total injury incidence was 3.2 [2.5 to 3.9] in the LR control group, 5.3 [4.6 to 6.0] in the HR control group (P=0.0001 vs the LR control group), Z-test) and 4.9 [4.3 to 5.6] in the HR intervention group (P=0.50 vs the HR control group). For the main outcome measure, the sum of injuries to the ankle, knee, hamstrings and groin, the total incidence was 2.3 injuries per 1000 playing hours [2.1 to 2.6]. The corresponding figure was 1.3 [0.9 to 1.8] for the LR control group, 2.8 [2.3 to 3.3] in the HR control group and 2.6 [2.1 to 3.0] in the HR intervention group. There was a significantly lower injury risk in the LR control group compared to the two other groups (P=0.0002 vs the HR control group, P=0.001 vs the HR intervention group). However, there was no difference between the HR intervention group and the HR control group (P=0.57). In intention-to-treat and per-protocol analyses, we found no significant difference between the compliant HR intervention players and the HR control group in any of the four body parts. Conclusions We were able to identify the players with a significantly increased risk of injury through a questionnaire on previous injuries and joint and muscle function only. The introduction of specific preventive training programs did not affect the injury risk. This may be partly explained by a low compliance in the HR intervention group and the fact that 19 of the 31 teams trained preventive exercises on a team basis, resulting in HR control group players carrying out the same exercises as the HR intervention group.
23-27 oktober 2006 Vitenskapelige forhandlinger Abstrakt nr: 212 EN WEB-BASERT METODEBOK… DEL 1 Eric Franssen Kirurgisk Avdeling, Sentral Sykehuset i Rogaland Ved Kirurgisk Avdeling, Stavanger Universitet Sykehus, har vi tatt i bruk en internettbasert metodebok. Den er tenkt og utviklet av en sluttbruker og derfor spesielt tilpasset legers behov. Målet var å lage et system som kunne brukes for lett å finne frem i all den informasjon som ligger i en metodebok. Vi ønsket også at den skulle kunne oppdateres på en enkel, men kontrollert måte. Vi mener å ha oppnåd disse målene. Den gir mulighet for webpublisering og dokumenthåndtering. Dokumentene kan redigeres, kommenteres og historisk etterspores i detalj. Innholdet vil produseres på nettet og vil dermed kunne brukes på forskjellige måter. For eksempel til presentasjoner, direkte utskrift og nedlasting til mobile enheter. Og her vil vår metodebok pga sitt format kunne tilpasses ulike behov. Vår metodebok er tilgjengelig på følgende internett adresse: www.metodeboken.no Vi ønsker å presentere vår løsning i løpet av 2 seanser. Første seanse blir brukt til å vise ulike måter å navigere i vår internettbasert metodebok, mens andre seanse blir brukt for å demonstrere hvordan vi legger til materiale samt webpublisering. Man vil også poengtere videre utviklingsmuligheter.
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