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Sinéad O’Keeffe, Niamh Ní Chéilleachair and Siobhán O’Connor

inherent risk of musculoskeletal injury. 5 Musculoskeletal injuries are defined as injuries resulting from direct trauma or overuse that are sustained during sports participation. 6 Injuries are common in male adolescent Gaelic footballers. Recent research reported that one third of all players sustain

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Amy R. Barchek, Shelby E. Baez, Matthew C. Hoch and Johanna M. Hoch

physical activity is musculoskeletal injury including injuries to the knee 5 – 7 and ankle. 8 Most often subjective measures of physical activity have been utilized in these populations, including the Tegner activity scale 9 and the Marx activity scale. 10 However, most recently objective measures of

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Mia Beck Lichtenstein, Claire Gudex, Kjeld Andersen, Anders Bo Bojesen and Uffe Jørgensen

of exercise withdrawal and reduced physical performance. However, we know little about the psychosocial effects of injury or how to identify exercisers who may develop emotional problems such as depression or stress after injury. Athletes with musculoskeletal injury have been found to express acute

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Mark R. Lafave, Nicholas G. Mohtadi and Denise S. Chan

Edited by Gary Wilkerson

Abstract

Evaluation of musculoskeletal injuries requires special knowledge and skills that are shared by different health professions, but the process used to establish a diagnosis is not necessarily the same. Medicine has employed the objective structured clinical exams (OSCE) to assess clinical competence. The performances of two Canadian athletic therapists were assessed by two different methods for assessment of clinical competence in the evaluation of knee injuries. On the basis of existing standards, both of the athletic therapists would have passed the examination using the Standardized Orthopedic Assessment Tool currently used to assess the clinical competence of athletic therapy students, but both would have failed using the Academy of Sport and Exercise Medicine OSCE for sport medicine physicians. The failure could be because the performances of only two subjects were assessed, but it could also be because different constructs are represented by the two methods. If we truly want to provide patient-centered care, it should be important to have similar standards, regardless of the clinician’s professional discipline.

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Monna Arvinen-Barrow, Kelsey DeGrave, Stephen Pack and Brian Hemmings

documenting the career-ending non-musculoskeletal injury experiences among male cricketers from England and Wales. By taking a qualitative approach, the study afforded participants opportunity to share personal narratives regarding career-ending sport injury experiences they considered as important. Methods

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Robert M. Kaplan, Alison K. Herrmann, James T. Morrison, Laura F. DeFina and James R. Morrow Jr.

Background:

Despite benefits of physical activity (PA), exercise is also associated with risks. Musculoskeletal injury (MSI) risk increases with exercise frequency/intensity. MSI is associated with costs including medical care and time lost from work.

Purpose:

To evaluate the economic costs associated with PA-related MSIs in community-dwelling women.

Method:

Participants included 909 women in the Women’s Injury Study reporting PA behaviors and MSI incidence weekly via the Internet for up to 3 years (mean follow-up 1.89 years). Participants provided consent to obtain health records. Costs were estimated by medical records and self-reports of medical care. Components included physician visits, medical facility contacts, medication costs, and missed work.

Results:

Of 909 participants, 243 reported 323 episodes of expenditure or contact with the health care system associated with PA. Total costs of episodes ranged from $0–$18,934. Modal cost was $0 (mean = $433 ± $1670). Costs were positively skewed with nearly all participants reporting no or very low costs.

Conclusions:

About 1 in 4 community-dwelling women who are physically active experienced a PA-related MSI. The majority of injuries were minor, and large expenses associated with MSI were rare. The long-term health benefits and costs savings resulting from PA likely outweigh the minor costs associated with MSI from a physically-active lifestyle.

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Christine Stopka

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J. Andrew Cagle, Kailyn B. Overcash, Daniel P. Rowe and Alan R. Needle

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David O. Draper, Kenneth L. Knight and Justin H. Rigby

Edited by Lindsey E. Eberman