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Biomedical subjects

Brent Hagel

Publications and source records attributed to Brent Hagel.

10 recordsLinked to original sources
PubMed2006

Risk-compensation behavior in children: myth or reality?

OBJECTIVE: To assess risk compensation and risk homeostasis theory in children. DESIGN: We used a case-control study design in children aged 8 to 18 years who had an injury while participating in an activity that did or could entail the use of protective equipment (PE). SETTING: Montreal Children's Hospital emergency department from December 1, 2001, to November 30, 2002. PARTICIPANTS: We interviewed consenting children and compared the reports of risk-taking behaviors in those who did and those who did not report using PE. MAIN OUTCOME MEASURES: Indicators of risk-taking behavior and injury severity. RESULTS: A total of 674 children presented with injuries during the study, and 394 were interviewed (235 PE users and 159 nonusers). There was no evidence of an association between indicators of risk-taking behavior and PE use after adjusting for age, sex, personality, and type of activity and no relationship between injury severity and PE use. CONCLUSIONS: Results of this study provide no support for hypotheses about risk homeostasis theory among children using PE. The validity of the theory appears highly doubtful for children in this age range.

Adolescent↗
PubMed2006

Injury prevention in child and adolescent sport: whose responsibility is it?

OBJECTIVE: Sport and recreational injuries are a leading cause of morbidity in youth. There is a significant body of literature on risk factors for sport-related injuries and a growing body of research supporting the effectiveness of sport-specific prevention strategies in youth. Given the predictability and preventability of injuries in youth sport, the purpose of this article is to develop a model that considers societal responsibility for injury prevention in youth sport, and to discuss the evidence that supports this model. DATA SOURCES/SYNTHESIS: Previously published papers have provided a basis for expert opinion to discuss an approach to examining the shared societal responsibility for implementing countermeasures to reduce the risk of injury to youth during sports. RESULTS: Based on a historical perspective, broad conceptual framework, and specific evidence for prevention strategies in youth sport, the authors have developed and supported a theoretical model that defines a responsibility hierarchy in preventing injuries in youth sport. An argument has been made for a hierarchy of responsibility, with the lowest level of responsibility assigned to the child, and the highest level to those organizations or groups with the potential to effect the most change. The justification for this approach has been discussed in the context of the desirability of passive prevention strategies, the limited evidence for the effectiveness of strategies relying solely on behavior change in children and parents, and the level of perceptual and cognitive development in children that inadequately prepares them to take primary responsibility for their own safety in sport. CONCLUSIONS: The development of effective programs to reduce the burden of sport injury among youth necessitates a scientific approach, the identification of key risk factors for injury, a thorough examination of how factors interact to affect risk, and the identification of potential barriers to the effectiveness of injury-prevention programs.

Athletic Injuries↗
PubMed2005

The effect of wrist guard use on upper-extremity injuries in snowboarders.

The objective of this investigation was to determine the effect of wrist guard use on all upper-extremity injuries in snowboarders. This matched case-control study was conducted at 19 ski areas in Quebec, Canada. Cases were 1,066 injured snowboarders who reported upper-extremity injuries to the ski patrol during the 2001-2002 season. Controls were 970 snowboarders with non-upper-extremity injuries who were matched to cases on ski area and the nearest date, age, and sex, in that order. The response rate was 71.8% (73.5% for cases and 70.1% for controls). Cases were compared with controls with regard to wrist guard use. The prevalence of wrist guard use among snowboarders with hand, wrist, or forearm injuries was 1.6%; for those with elbow, upper arm, or shoulder injuries, it was 6.3%; and for controls, it was 3.9%. Thus, wrist guard use reduced the risk of hand, wrist, or forearm injury by 85% (adjusted odds ratio = 0.15, 95% confidence interval: 0.05, 0.45). However, the adjusted odds ratio for elbow, upper arm, or shoulder injury was 2.35 (95% confidence interval: 0.70, 7.81). These results provide evidence that use of wrist guards reduces the risk of hand, wrist, and forearm injuries but may increase the risk of elbow, upper arm, and shoulder injuries.

Adolescent↗
PubMed2005

The effect of helmet use on injury severity and crash circumstances in skiers and snowboarders.

The aim of this study was to examine the effect of helmet use on non-head-neck injury severity and crash circumstances in skiers and snowboarders. We used a matched case-control study over the November 2001 to April 2002 winter season. 3295 of 4667 injured skiers and snowboarders reporting to the ski patrol at 19 areas in Quebec with non-head, non-neck injuries agreed to participate. Cases included those evacuated by ambulance, admitted to hospital, with restriction of normal daily activities (NDAs) >6 days, with non-helmet equipment damage, fast self-reported speed, participating on a more difficult run than usual, and jumping-related injury. Controls were injured participants without severe injuries or high-energy crash circumstances and were matched to cases on ski area, activity, day, age, and sex. Conditional logistic regression was used to relate each outcome to helmet use. There was no evidence that helmet use increased the risk of severe injury or high-energy crash circumstances. The results suggest that helmet use in skiing and snowboarding is not associated with riskier activities that lead to non-head-neck injuries.

Head Protective Devices↗
PubMed2005

Hamstring injuries in Australian football.

OBJECTIVE: To identify risk factors for hamstring injury in community-level Australian football players. DESIGN: Cohort study. SETTING: The preseason and 2000 season of 4 adult Victorian Amateur Football Association clubs. PARTICIPANTS: All players in the clubs who were training at the time of the baseline assessment were invited to participate (n = 148). Players who were injured and unable to participate in the baseline assessment were excluded (22 players; 15%). ASSESSMENT OF RISK FACTORS: During 3 weeks before preseason practice, each player had a series of musculoskeletal tests and completed a questionnaire. The musculoskeletal screening included flexibility tests of the hamstrings, lower extremities, quadriceps, and iliopsoas; range of motion assessments of the lumbar spine and hip rotation; and the active slump test of neural mobility. Testing was done after a brief warm up by 4 trained screeners. A questionnaire with pre-established validity and reliability included information on playing experience, injury history, and training habits. MAIN OUTCOME MEASURES: The main outcome measure was a first hamstring injury that resulted in missed participation time and/or treatment from a health professional in relation to predictive factors. Criteria defining a hamstring injury were sudden onset of posterior thigh pain, and tenderness on palpation with or without pain on stretching or contracting the hamstring muscle group. Through the season, the clubs' coaching staff collected information on exposure (hours of match and training participation). MAIN RESULTS: A total of 26 hamstring injuries occurred (incidence, 4 injuries per 1000 player hours). More injuries were sustained during competition (77%) than training. Rapid acceleration during running or sprinting was the primary mechanism of injury (81%), with the remainder occurring as the player kicked the ball. After adjustment for exposure, younger age was associated with a lower relative risk (RR) of injury (RR for age > or =23 years, 3.8; 95% CI, 1.1-14.0), as were quadriceps flexibility (RR for >51 degree knee flexion, 0.3; CI, 0.1-0.8) and active knee extension range of motion (RR for >27 degree knee flexion, 2.8; CI, 0.9-8.5; not significant). Frequency of off-season running, body height, and neural mobility were not significantly associated with hamstring injury. CONCLUSIONS: Hamstring injuries in amateur Australian football players most commonly occurred with sprinting and were more frequent in players older than 23 years or with lesser quadriceps flexibility.

Journal Article↗
PubMed2005

Skiing and snowboarding injuries.

OBJECTIVE: To critically examine the literature on skiing and snowboarding injuries in children and adolescents. DATA SOURCES: Searched English language articles from: Medline, SPORTDiscus, Cumulative Index to Nursing and Allied Health Literature, Current Contents, and HealthSTAR. The table of contents for Ski Trauma and Skiing Safety Series published by the American Society for Testing and Materials were also examined. MeSH headings included: Sports, Athletic Injuries, and Accidents. Keywords used within these headings were Skiing and/or Snowboarding with focus on children, adolescents, youth, students, or age group-related comparisons. MAIN RESULTS: The patterns and rates of injury differed markedly by activity and study design. Most studies were case-series investigations providing little useful information on risk factors. Intrinsic risk factors included: lower ability, younger age, past injury, and female sex. Extrinsic risk factors were improper binding adjustment, no helmet, certain slope characteristics, and no wrist guards. The literature on the effect of activity, equipment ownership and lessons on injury risk was equivocal. CONCLUSIONS: Suggestions for injury prevention include the use of helmets and wrist guards, participation on appropriate runs for ability level, proper fit and adjustment of bindings and other equipment, and taking lessons with the goal of increasing ability and learning hill etiquette. Many areas requiring further research are identified and discussed. New methodological approaches hold promise in advancing the field of ski and snowboard injury research.

Adolescent↗
PubMedDate not supplied

Epidemiologic analysis of injury in five years of Canadian professional rodeo.

Longitudinal studies of rodeo injuries are rare. We prospectively investigated injuries in professional rodeo in Canada over a 5-year period. Our specific interests included injury incidence density in specific rodeo events, risk factors such as past injury, and the incidence of head injury. Of 323 professional rodeos from 1995 through 1999, 63 rodeos provided a convenience sample. These rodeos were selected because the Canadian Professional Rodeo Sport Medicine Team was in attendance at these events, thus providing both competitor health care and data collection. Four hundred fifty-one injuries were reported during 30,564 competitor-exposures. The greatest injury frequency and injury incidence density were in the rough stock events (bull riding, bareback riding, and saddle bronc). Bull riding accounted for the greatest injury frequency (141) and incidence density (32.2 injuries per 1000 competitor-exposures). Bull riding had a relative injury risk of 1.32 when compared with bareback riding; bareback riding had a relative injury risk of 1.39 when compared with saddle bronc riding. Concussions accounted for 8.6% of all reported injuries. Concussions and other head injuries (65) were second only to knee injuries (76) in frequency of injury to specific body parts. This concussion frequency is higher than has previously been reported.

Athletic Injuries↗