{"id":2777,"date":"2012-04-17T07:12:08","date_gmt":"2012-04-17T06:12:08","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=2777"},"modified":"2012-04-17T07:37:02","modified_gmt":"2012-04-17T06:37:02","slug":"injury-prevention-in-high-level-snowboard-a-need-to-return-to-first-principles","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2012\/04\/17\/injury-prevention-in-high-level-snowboard-a-need-to-return-to-first-principles\/","title":{"rendered":"Injury prevention in high level snowboard: A need to return to first principles?"},"content":{"rendered":"

\u00a0Guest blog by\u00a0@CarolineFinch<\/a><\/h3>\n

\"\"In the recent BJSM blog\u00a0Is high level snowboard too dangerous to allow your children to participate?<\/a> Prof Engebretsen raises an important\u00a0question, namely how to prevent injuries in a sport where pushing the extremes of\u00a0physical performance in challenging and harsh environments is both an individual\u00a0athlete and sporting organisation goal.[1]<\/p>\n

Most recent advances in sports injury prevention have tended\u00a0to focus directly on the athletes, themselves, with the aim of making them more\u00a0resilient to the injury risks they are faced with in their chosen sport. I\u00a0wonder if, for sports such as snowboarding where most injuries result from\u00a0acute energy exchange beyond the body\u2019s tolerance, it is time to go back to\u00a0first principles for injury prevention and revisit the application of Haddon\u2019s 10\u00a0countermeasure strategies.[2] In this hierarchy of injury control,\u00a0\u201cMake what is to be protected more resistant to damage from the hazard\u201d is only\u00a0the eighth strategy. There are seven higher order control strategies that could\u00a0(and should) be applied to also reduce injury risks and hazards.<\/p>\n

Engebretsen [1]also queries whether leaders of the sport really have\u00a0true awareness of the risks in elite snowboarding. The fact that so little ongoing\u00a0attention seems to have been given to identifying and implementing solutions\u00a0meeting many of the higher-order Haddon countermeasure strategies would seem to\u00a0support this. Interestingly, a recent blog by Laura Robinson at\u00a0playthegame.org<\/a>\u00a0also queries whether \u201csports officials’ tendencies to put the fight for new\u00a0viewers by making the sports more dangerous and exciting\u201d are more favoured\u00a0than the safety of the athletes of snow sports.[3]<\/p>\n

We published a review of the evidence\u00a0for preventing snowboarding injuries in 1999, with the main focus on\u00a0recreational participants of this sport as it was still a very new activity in\u00a0Australia.[4] At that time, the sport was\u00a0considered similar to other snow sports and so most safety advice was derived\u00a0from that for more general snow\/ski safety. One of our conclusions was:<\/p>\n

\u201cthe\u00a0rapid international growth of the sport has not been matched by a detailed\u00a0epidemiological evaluation of the injuries specific to snowboarding or of the\u00a0countermeasures to prevent them\u201d<\/strong><\/span> (page 118).<\/p>\n

It would seem that the situation\u00a0has not changed that much.\u00a0All sports injuries occur within an\u00a0ecological context in which multiple levels of the sports delivery system\u00a0interact with the physical environments in which sports are undertaken and the specific\u00a0characteristics of the athletes who participate in them.[5] This applies equally well to high\u00a0performance and professional sport as it does to the more recreational forms. Future\u00a0safety gains for snowboarding, as indeed other sports, will only be achieved if\u00a0all stakeholder groups:<\/p>\n

    \n
  1. are engaged and united from the outset;<\/li>\n
  2. share\u00a0common goals for the ongoing development of the sport;<\/li>\n
  3. prioritise the safety\u00a0of their athletes; and<\/li>\n
  4. jointly invest in the development, implementation and\u00a0evaluation of cost-effective injury prevention solutions according to Haddon\u2019s\u00a0hierarchy of control as translated to this sport.<\/li>\n<\/ol>\n

    References<\/strong><\/p>\n

    1.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Engebretsen L. Is high level snowborrd too dangerous to\u00a0allow your children to partcipate? Posted 1\/03\/2012.: BJSM blog – social
    \nmedia’s leading SEM voice; 2012.<\/a><\/p>\n

    2.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Haddon WJ. Energy damage and the 10\u00a0countermeasure strategies. 1973;13:321-31.<\/p>\n

    3.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Robinson L. Faster, Higher … Deader.\u00a0Posted\u00a023\/03\/2012.\u00a0playthegame.org; 2012.<\/a><\/p>\n

    4.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Finch C, Kelsall H. Preventing\u00a0snowboarding injuries – what is the evidence? 1999;6:117-26.<\/p>\n

    5.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Finch CF, Donaldson A. A sports setting\u00a0matrix for understanding the implementation context for community sport. Br J
    \nSports Med. 2010;44:973-8.<\/a><\/p>\n

     <\/p>\n

    *************************************************************<\/p>\n

    Caroline Finch<\/strong> is an injury prevention researcher from the\u00a0Australian Centre for Research into Injury in Sport and its Prevention (ACRISP)\u00a0within the Monash Injury Research Centre, Monash University, Australia.\u00a0 She specialises in implementation and\u00a0dissemination science applications for sports injury prevention.\u00a0 She is the Senior Associate Editor for\u00a0Implementation & Dissemination for the British Journal of Sports Medicine\u00a0and a member of the Editorial Board of Injury Prevention; both journals are<\/em>
    \n published by the BMJ Group.<\/em><\/p>\n

    Caroline can\u00a0be followed on Twitter @CarolineFinch<\/a><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

    \u00a0Guest blog by\u00a0@CarolineFinch In the recent BJSM blog\u00a0Is high level snowboard too dangerous to allow your children to participate? Prof Engebretsen raises an important\u00a0question, namely how to prevent injuries in a sport where pushing the extremes of\u00a0physical performance in challenging and harsh environments is both an individual\u00a0athlete and sporting organisation goal.[1] Most recent advances in […]<\/p>\n

    Read More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[173,1,187,1811,198],"tags":[8272],"class_list":["post-2777","post","type-post","status-publish","format-standard","hentry","category-debates","category-uncategorized","category-hot-topic","category-injury-prevention","category-reader-reply","tag-injury-prevention"],"yoast_head":"\nInjury prevention in high level snowboard: A need to return to first principles? - BJSM blog - social media's leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2012\/04\/17\/injury-prevention-in-high-level-snowboard-a-need-to-return-to-first-principles\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Injury prevention in high level snowboard: A need to return to first principles? - BJSM blog - social media's leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"\u00a0Guest blog by\u00a0@CarolineFinch In the recent BJSM blog\u00a0Is high level snowboard too dangerous to allow your children to participate? Prof Engebretsen raises an important\u00a0question, namely how to prevent injuries in a sport where pushing the extremes of\u00a0physical performance in challenging and harsh environments is both an individual\u00a0athlete and sporting organisation goal.[1] Most recent advances in [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bjsm\/2012\/04\/17\/injury-prevention-in-high-level-snowboard-a-need-to-return-to-first-principles\/\" \/>\n<meta property=\"og:site_name\" content=\"BJSM blog - social media's leading SEM voice\" \/>\n<meta property=\"article:published_time\" content=\"2012-04-17T06:12:08+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2012-04-17T06:37:02+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2012\/04\/3355944203_6661ed75da.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2012\\\/04\\\/17\\\/injury-prevention-in-high-level-snowboard-a-need-to-return-to-first-principles\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2012\\\/04\\\/17\\\/injury-prevention-in-high-level-snowboard-a-need-to-return-to-first-principles\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Injury prevention in high level snowboard: A need to return to first principles?\",\"datePublished\":\"2012-04-17T06:12:08+00:00\",\"dateModified\":\"2012-04-17T06:37:02+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2012\\\/04\\\/17\\\/injury-prevention-in-high-level-snowboard-a-need-to-return-to-first-principles\\\/\"},\"wordCount\":670,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2012\\\/04\\\/17\\\/injury-prevention-in-high-level-snowboard-a-need-to-return-to-first-principles\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/files\\\/2012\\\/04\\\/3355944203_6661ed75da.jpg\",\"keywords\":[\"Injury prevention\"],\"articleSection\":[\"Debates\",\"General\",\"Hot Topic\",\"Injury prevention\",\"Reader Reply\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2012\\\/04\\\/17\\\/injury-prevention-in-high-level-snowboard-a-need-to-return-to-first-principles\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2012\\\/04\\\/17\\\/injury-prevention-in-high-level-snowboard-a-need-to-return-to-first-principles\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2012\\\/04\\\/17\\\/injury-prevention-in-high-level-snowboard-a-need-to-return-to-first-principles\\\/\",\"name\":\"Injury prevention in high level snowboard: A need to return to first principles? 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