RELIABILITY OF 3D FRONTAL PLANE KNEE AB/ADDUCTION RANGE OF MOTION DURING RUNNING IN YOUNG ATHLETES

This study quantified within-session and between-session reliability of 3D frontal plane knee ab/adduction range of motion during the stance phase of running gait calculated for 18 long term athlete development programme participants (10 males and 8 females, 11.5 ±1.4 years) during two testing sessions (spaced 10 weeks apart). Average mean differences in frontal plane knee ab/adduction between running trials (for the right or left side) within a session (week 1 or week 10) ranged from 0.2 to 7.2% (ES 0.01–0.26) which were acceptable differences. However, average mean differences between sessions for running trials (for the right or left side) ranged from 0.1 to 20% (ES 0.01–0.6). The mixed model resulted in estimates of knee ab/adduction range of motion for effects of limb side (3.6°), session (2.8°), run trial (0.2°) and subjects (4.5°). Within-session ICCs ranged from 0.80 to 0.92 and between-session ICCs ranged from 0.51 to 0.73. Based on these ICCs, within-session reliability of frontal plane knee ab/adduction is good and between-session reliability is average to good

Injury Risk Estimation Expertise Assessing the ACL Injury Risk Estimation Quiz

Background: Available methods for screening anterior cruciate ligament (ACL) injury risk are effective but limited in application as they generally rely on expensive and time-consuming biomechanical movement analysis. A potential efficient alternative to biomechanical screening is skilled movement analysis via visual inspection (ie, having experts estimate injury risk factors based on observations of athletes’ movements). Purpose: To develop a brief, valid psychometric assessment of ACL injury risk factor estimation skill: the ACL Injury Risk Estimation Quiz (ACL-IQ). Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: A total of 660 individuals participated in various stages of the study, including athletes, physicians, physical therapists, athletic trainers, exercise science researchers/students, and members of the general public in the United States. The ACL-IQ was fully computerized and made available online (www.ACL-IQ.org). Item sampling/reduction, reliability analysis, cross-validation, and convergent/discriminant validity analysis were conducted to optimize the efficiency and validity of the assessment. Results: Psychometric optimization techniques identified a short (mean time, 2 min 24 s), robust, 5-item assessment with high reliability (test-retest: r = 0.90) and consistent discriminability (average difference of exercise science professionals vs general population: Cohen d = 1.98). Exercise science professionals and general population individuals scored 74% and 53% correct, respectively. Convergent and discriminant validity was demonstrated. Scores on the ACL-IQ were most associated with ACL knowledge and various cue utilities and were least associated with domain-general spatial/decision-making ability, personality, or other demographic variables. Overall, 23% of the total sample (40% exercise science professionals; 6% general population) performed better than or equal to the ACL nomogram. Conclusion: This study presents the results of a systematic approach to assess individual differences in ACL injury risk factor estimation skill; the assessment approach is efficient (ie, it can be completed in\3 min) and psychometrically robust. The results provide evidence that some individuals have the ability to visually estimate ACL injury risk factors more accurately than other instrument-based ACL risk estimation methods (ie, ACL nomogram). The ACL-IQ provides the foundation for assessing the efficacy of observational ACL injury risk factor assessment (ie, does simple skilled visual inspection reduce ACL injuries?). It also provides a representative task environment that can be used to increase our understanding of the perceptual-cognitive mechanisms underlying observational movement analysis and to improve injury risk assessment performance

The Proportion of Lower Limb Running Injuries by Gender, Anatomical Location and Specific Pathology

Running is associated with a higher risk of overuse injury than other forms of aerobic exercise such as walking, swimming and cycling. An accurate description of the proportion of running injuries per anatomical location and where possible, per specific pathology, for both genders is required. The aim of this review was to determine the proportion of lower limb running injuries by anatomical location and by specific pathology in male and female runners (≥800m - ≤ marathon). The Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines were followed for this review. A literature search was performed with no restriction on publication year in Web of Science, Scopus, Sport-Discus, PubMed, and CINAHL up to July 2017. Retrospective, cross-Sectional, prospective and randomised-controlled studies which surveyed injury data in runners were included. 36 studies were included to report the overall proportion of injury per anatomical location. The overall proportion of injury by specific pathology was reported from 11 studies. The knee (28%), ankle-foot (26%) and shank (16%) accounted for the highest proportion of injury in male and female runners, although the proportion of knee injury was greater in women (40% vs. 31%). Relative to women, men had a greater proportion of ankle-foot (26% vs. 19%) and shank (21% vs. 16%) injuries. Patellofemoral pain syndrome (PFPS; 17%), Achilles tendinopathy (AT; 10%) and medial tibial stress syndrome (MTS; 8%) accounted for the highest proportion of specific pathologies recorded overall. There was insufficient data to sub-divide specific pathology between genders. The predominate injury in female runners is to the knee. Male runners have a more even distribution of injury between the knee, shank and ankle-foot complex. There are several methodological issues, which limit the interpretation of epidemiological data in running injury

Managing concussion in the real world: Stakeholder perspectives of New Zealand Rugby's concussion management pathway

The potential adverse consequences associated with poor concussion management highlights the need to improve the translation of concussion guidelines into consistent use in real-world sport settings. To facilitate this process, New Zealand Rugby developed a community concussion management pathway to support concussion recognition, diagnosis, and management. This study adopted a pragmatic, descriptive qualitative approach to explore key stakeholders’ perceptions of the concussion management pathway, with the aim to inform policy and practice. Interviews were conducted with 123 participants, including players, parents, coaches, healthcare professionals, and school and provincial union representatives. The framework method was used to analyze data. Themes were organized according to the principles of realist process evaluation that considers contextual factors and mechanisms influencing a program's operation to produce specific outcomes. Contextual factors influencing the concussion management pathway's implementation included governing bodies’ support, existing local resources, general concussion attitudes, or concussion severity. The optimal functioning of the concussion management pathway (mechanism) was influenced by (i) pathway resources, (ii) roles and relationships, (iii) buy-in and support towards the concussion management pathway, and (iv) diligence and communication. Outcomes identified included (i) hitting the target (optimally managed and enhanced awareness) or (ii) missing the mark (dissatisfaction or management gaps). Overall, participants found the concussion management pathway valuable. However, the acceptability of certain policy-related aspects and the underlying attitudes associated with these perceptions, are some areas requiring further investigation and support. Tailoring programs according to end-users’ perceptions is crucial in developing context-sensitive interventions appropriate for a specific setting. These findings may act as a foundation for investigations of concussion management in other settings

Quest for clarity: investigating concussion-related responsibilities across the New Zealand Rugby Community System

There is a growing concern around concussions in rugby union, at all levels of the game. These concerns highlight the need to better manage and care for players. However, consistency around concussion-related responsibilities of stakeholders across the community rugby system remains challenging. Taking a systems thinking approach, this pragmatic, qualitative descriptive study explored key stakeholder groups within New Zealand’s community rugby system’s perceptions of their own and others’ concussion-related responsibilities. Participants included players from schools and clubs, coaches, parents, team leads and representatives from four provincial unions. A total of 155 participants (67 females and 88 males) were included in the study. Focus groups and individual interviews were conducted. Thematic content analysis was used to analyse data. Thirty concussion-related responsibilities were identified. These responsibilities were contained within four themes: (1) policies and support (responsibilities which influence policy, infrastructure, human or financial resources); (2) rugby culture and general management (responsibilities impacting players’ welfare and safety, attitudes and behaviour, including education, injury reporting and communication); (3) individual capabilities (responsibilities demonstrating knowledge and confidence managing concussion, leadership or role/task shifting) and (4) intervention following a suspected concussion (immediate responsibilities as a consequence of a suspected concussion). The need for role clarity was a prominent finding across themes. Additionally, injury management initiatives should prioritise communication between stakeholders and consider task-shifting opportunities for stakeholders with multiple responsibilities. How concussions will realistically be managed in a real-world sports setting and by whom needs to be clearly defined and accepted by each stakeholder group. A ‘framework of responsibilities’ may act as a starting point for discussion within different individual community rugby contexts on how these responsibilities translate to their context and how these responsibilities can be approached and assigned among available stakeholders

What do South Island dairy farmers want out of the new Lincoln University dairy farm?

Lincoln is relocating its current dairy farm from the existing 108 ha property on Springs Road to a property next to the University’s cropping farm. The new location will be much more representative of South Island dairy farms, with a range of lighter soils than the present farm. The total area is 184 ha and of this 169 ha will be irrigated. The farm consists of two main blocks to the north and south of the Ellesmere Junction Road which are linked by an underpass. Each block has a state-of-the-art centre pivot irrigator installed. The farm will milk 510 cows in the first season, 600 cows in year two, and 650 from year three

The association between sport specialisation and movement competency in youth: a systematic review

Negative long-term outcomes have been reported following sport specialisation including increased injury risk. The underlying mechanisms remain unclear; however, fewer exposures to broad ranging movement patterns and reductions in movement competency have been suggested. This review synthesised the evidence to examine if an association is present between sport specialisation and movement competency. A systematic electronic database search was conducted using combinations of the key words early speciali?ation, sport speciali?ation, early sport speciali?ation, single sport, high school, youth, adolescen*, movement competenc*, movement ability, movement control, movement pattern, physical performance, coordination, fitness, motor skill, motor development, movement performance, neuromuscular control, balance, asymmetr*. Thirteen articles met the inclusion criteria and were included. Four studies reported no significant differences in movement competency based on specialisation status, while seven showed some measures of movement competency differed but not others. The remaining two studies concluded that adult athletes who participated in two or more sports during high school exhibited better movement competence than those who specialised in a single sport. Multisport athletes commonly displayed improved jump mechanics and performance compared to those competing in a single sport (6/9 studies). Consistent differences in movement competence based on level of sport specialisation were not shown; however, sport specialisation may result in poorer jump mechanics/performance than playing multiple sports. Further research is needed across a greater range of sports, and consistent definitions of both movement competence and the level of sport specialisation are required to improve our ability to compare and contrast different studies

Knowledge and Attitudes (KA) Surveys on Concussion in Sports: Parents September 2017 Survey. Third Report to Accident Compensation Corporation (ACC)

OVERVIEW This report is the third in a series presenting baseline Knowledge and Attitudes (KA) around concussion in sport. The first report (Reid et al., 2017) focused on referees’ and the second report focused on secondary school students’ knowledge and attitudes about concussion (Reid et al., 2018). This third report focuses on the parents of secondary school students and is termed the “Parents Survey September 2017 Survey”. The ‘Sports Concussion in New Zealand ACC National Guideline’ was released in 2014. The KA studies aim to assess current knowledge and attitudes of secondary school students involved in sports and referees and parents towards concussion in sport following release of the guideline. The results from the Parents September 2017 Survey suggest that the parents of school children involved in coached sports (69/100 = 69% response rate) have some knowledge regarding concussion and show positive attitudes towards correct management of the injury. However, parents expressed a need to know more about how concussion happens, and its prevention and management. The participants in this study have large gaps in their ability to recognise key symptoms and the safe time frame to return to play. Parents reported receiving most information on concussion from medical professionals and their school. Only a small percentage (13%) recognised ACC as source of information and guidance for concussion. Recommendations: • Further education of parents is required to increase understanding of some of the symptoms of sports concussion including amnesia, nausea and insomnia. Changes to simpler terms may be needed. • Further education of parents is needed with regards to the fact that onset of symptoms of concussion may not be evident immediately following injury and can emerge up to several days following injury. • Further education of parents is needed regarding the time frames to return to sport. • Further education of parents is required regarding the potential impacts of multiple concussions. • Further education of parents is required regarding avoiding the use of devices that may affect cognitive function after concussion. • Continuing education programmes for parents are required to ensure the current overall moderate levels of knowledge in the parent group improve

Knowledge Attitudes and Behaviours (KAB) Surveys on Concussion in Sport: Secondary School Students September 2018 Survey. Report # 1 to Accident Compensation Corporation.

Accident Compensatio