Injury and illness risk factors for elite athletes in training environment

Since 1998, elite athletes’ sport injuries have been monitored in single sport event, which leads to the development of first comprehensive injury surveillance system in multi-sport Olympic Games in 2008. However, injury and illness occurred in training phases have not been systematically studied due to its multi-facets, potentially interactive risk related factors. The present thesis aim to address issues of feasibility of establishing a validated measure for injury/illness, training environment and psychosocial risk factors by creating the evaluation tool namely risk of injury questionnaire (Risk-IQ) for elite athletes, which based on IOC consensus statement 2009 recommended content of preparticipation evaluation(PPE) and periodic health exam (PHE). A total of 335 top level athletes and a total of 88 medical care providers from Germany and Taiwan participated in tow “cross-sectional plus longitudinal” Risk-IQ and MCPQ surveys respectively. Four categories of injury/illness related risk factors questions were asked in Risk-IQ for athletes while injury risk and psychological related questions were asked in MCPQ for MCP cohorts. Answers were quantified scales wise/subscales wise before analyzed with other factors/scales. In addition, adapted variables such as sport format were introduced for difference task of analysis. Validated with 2-wyas translation and test-retest reliabilities, the Risk-IQ was proved to be in good standard which were further confirmed by analyzed results from official surveys in both Germany and Taiwan. The result of Risk-IQ revealed that elite athletes’ accumulated total injuries, in general, were multi-factor dependent; influencing factors including but not limited to background experiences, medical history, PHE and PPE medical resources as well as stress from life events. Injuries of different body parts were sport format and location specific. Additionally, medical support of PPE and PHE indicated significant difference between German and Taiwan. The result of the present thesis confirmed that it is feasible to construct a comprehensive evalua-tion instrument for heterogeneous elite athletes cohorts’ risk factor analysis for injury/illness oc-curred during their non-competition periods. In average and with many moderators involved, Ger-man elite athletes have superior medical care support yet suffered more severe injuries than Tai-wanese counterparts. Opinions of injury related psychological issues reflected differently on vari-ous MCP groups irrespective of different nationalities. In general, influencing factors and interac-tions existed among relevant factors in both studies which implied further investigation with multiple regression analysis is needed for better understanding.

Level thesis:degree_level

thesis.doctoral

Grantor dc:publisher

Universität Potsdam

Year

2016

Author dc:creator

• Wang, Victor-C.

Contributors dc:contributor

• Wippert, Pia-Maria
• Mayer, Frank

• injury and illness
• risk factors
• elite athlete
• sport training
• Germany
• Taiwan
• Risikofaktoren
• Verletzung
• Elite-Athleten
• Deutschland
• injury surveillance
• multi-sports
• IOC
• Olympic Games
• national Olympic committees (NOCs)
• international sport federations (IFs)
• international competition participation
• training phases
• interaction
• feasibility
• validated measure
• training environment
• psychosocial
• evaluation tool
• sport injury
• questionnaire
• Risk-IQ
• IOC consensus statement 2009
• pre-participation evaluation (PPE)
• periodic health exam (PHE)
• medical care providers (MCP)
• medical care providers questionnaire (MCPQ)
• cross-sectional
• longitudinal
• intra-class correlation coefficient (ICC)
• factor analysis
• scales
• sport format
• sport location
• 2-wyas translation
• forward and backward translation
• test-retest reliabilities
• multi-factor
• medical history
• medical resources
• stress
• inventory of life events (ILE)
• perceived stress scale (PSS)
• overtraining syndrome
• body parts
• medical education
• medical support
• comprehensive evaluation instrument
• heterogeneous cohorts
• non-competition periods
• moderators
• severe injury
• opinions
• nationalities
• interactions
• multiple logistic regression
• Colorado injury report system (CIRS)
• sport injury risk factors model
• TRIPP model
• stress and injury model
• Bland and Altman plot

Statement dc:rights

• Keine öffentliche Lizenz: Unter Urheberrechtsschutz

Repository record source_url

https://publishup.uni-potsdam.de/frontdoor/index/index/docId/10092

OAI identifier oai:identifier

oai:kobv.de-opus4-uni-potsdam:10092