The impact of extra hours of physical education as a factor in the development of sports and leisure-time related injuries in primary school children

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1 The impact of extra hours of physical education as a factor in the development of sports and leisure-time related injuries in primary school children Eva Jespersen, PT, Ph.d Student, Centre of Research in Childhood Health, Southern University of Denmark. Syddansk Universitet 1

2 Sports related injuries in children Denmark 2008: emergency department visits for sports related injuries 7% 32 % 22 % years old years old years old Folkesundhed Kilde: Statens Institut for Syddansk Universitet 2

3 Sports and recreation related injuries US population ( ) Only emergency department visits: Estimated 3,7 million annually visits for sports and recreation related injuries National survey (NHIS): Estimated 7 million annually received medical attention for sports and recreation related injuries. Highest number was found in children aged 5-14 years: 59.3 injury episodes per 1000 persons Kilde: Conn et al; 2003 Syddansk Universitet 3

4 SMS-track as a method SMS question every Sunday: Did <pupils name> during the last week experience any pain in 1. Neck or back 2. Shoulder, arm or hand 3. Hip, leg or foot 4. No my child did not experience any pain

5 Extra hours of physical education risky business or protective? Syddansk Universitet 5

6 Preliminary results Acute injuries: the result of a specific impact or traumatic event Overuse injuries: the result of repetitive use, stress and trauma to the soft tissues of the body (muscles, tendons, bones and joints). Svendborgproject: Ratio 1:4 Syddansk Universitet 6

7 Preliminary results - injuries Intervention schools: 46 acute injuries, 191 overuse injuries Control schools: 20 acute injuries, 86 overuse injuries Acute injuries per 1000 hours of physical education: Intervention schools: 13,6 acute injuries Control schools: 23,2 acute injuries Overuse injuries per 1000 hours of physical education: Intervention schools: 54,4 overuse injuries Control schools: 104,3 overuse injuries Syddansk Universitet 7

8 Preliminary results - injuries Acute injuries per 1000 hours of physical education and sport in leisure-time: Intervention schools: 9 acute injuries Control schools: 12,6 acute injuries Overuse injuries per 1000 hours of physical education and sport in leisure-time: Intervention schools: 32 overuse injuries Control schools: 52 overuse injuries Syddansk Universitet 8

9 Hypermobile children and injuries? Prevalence in children: 18% hypermobile (211) 82% non-hypermobile (986) Odds-ratio for injuries in hypermobile children: Acute injury: 0.4 ( ) Overuse injury: 1.3 ( ) (adjusted for reported hours being physical active, gender, age and school) Syddansk Universitet 9

10 Perspectives or challenges Another year of collecting data on complaints and injuries Maintaining the goodwill amongst children, parents, schools (and ph.d students) Processing data choosing correct statistical methods (and maybe even understand them ) Syddansk Universitet 10

11 Niels Wedderkopp Karsten Froberg Hans Lund Lars Bo Andersen Niels Christian Møller Claudia Franz Christina Christiansen Heidi Klakk Tina Junge Malene Heidemann Acknowledgements Syddansk Universitet 11

12 Acknowledgements Syddansk Universitet Svendborg Kommune, SportsStudySydfyn Rygforskningscenteret, Ringe Pædiatrisk forskningsenhed, OUH University College Lillebælt Team DK Nordea Fonden IMK Almene Fond TRYG Fonden Østifterne Brd. Hartmann Region Syddanmarks Forskningsråd Syddansk Universitet 12

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