School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia.
Australian Centre for Research into Injury in Sport and its Prevention, Federation University Australia, Ballarat, Victoria, Australia.
Br J Sports Med. 2019 Apr;53(8):487-492. doi: 10.1136/bjsports-2018-099488. Epub 2018 Sep 14.
Exercise-training programmes have reduced lower limb injuries in trials, but their population-level effectiveness has not been reported in implementation trials. This study aimed to demonstrate that routinely collected hospital data can be used to evaluate population-level programme effectiveness.
A controlled ecological design was used to evaluate the effect of FootyFirst, an exercise-training programme, on the number of hospital-treated lower limb injuries sustained by males aged 16-50 years while participating in community-level Australian Football. FootyFirst was implemented with 'support' (FootyFirst+S) or 'without support' (FootyFirst+NS) in different geographic regions of Victoria, Australia: 22 clubs in region 1: FootyFirst+S in 2012/2013; 25 clubs in region 2: FootyFirst+NS in 2012/2013; 31 clubs region 3: control in 2012, FootyFirst+S in 2013. Interrupted time-series analysis compared injury counts across regions and against trends in the rest of Victoria.
After 1 year of FootyFirst+S, there was a non-statistically significant decline in the number of lower limb injuries in region 1 (2012) and region 3 (2013); this was not maintained after 2 years in region 1. Compared with before FootyFirst in 2006-2011, injury count changes at the end of 2013 were: region 1: 20.0% reduction (after 2 years support); region 2: 21.5% increase (after 2 years without support); region 3: 21.8% increase (after first year no programme, second year programme with support); rest of Victoria: 12.6% increase.
Ecological analyses using routinely collected hospital data show promise as the basis of population-level programme evaluation. The implementation and sustainability of sports injury prevention programmes at the population-level remains challenging.
运动训练计划已在试验中减少了下肢损伤，但尚未在实施试验中报告其人群水平的有效性。本研究旨在证明常规收集的医院数据可用于评估人群水平计划的有效性。
采用对照性生态设计评估 FootyFirst（一种运动训练计划）对参与社区级澳大利亚足球的 16-50 岁男性下肢损伤的数量的影响。FootyFirst 在澳大利亚维多利亚州的不同地理区域实施了“支持”（FootyFirst+S）或“无支持”（FootyFirst+NS）：第 1 区的 22 个俱乐部：2012/2013 年实施 FootyFirst+S；第 2 区的 25 个俱乐部：2012/2013 年实施 FootyFirst+NS；第 3 区的 31 个俱乐部：2012 年为对照，2013 年实施 FootyFirst+S。中断时间序列分析比较了不同区域的受伤人数与维多利亚州其他地区的趋势。
在实施 FootyFirst+S 的第 1 年，第 1 区（2012 年）和第 3 区（2013 年）下肢损伤数量出现了无统计学意义的下降；在第 1 区的第 2 年未保持这种下降。与 2006-2011 年 FootyFirst 前相比，2013 年底的受伤人数变化如下：第 1 区：2 年后减少 20.0%（支持 2 年后）；第 2 区：2 年后增加 21.5%（无支持 2 年后）；第 3 区：无计划第 1 年，第 2 年有计划（支持）后增加 21.8%；维多利亚州其他地区：增加 12.6%。
使用常规收集的医院数据进行的生态分析有望成为人群水平计划评估的基础。在人群水平上实施和维持运动损伤预防计划仍然具有挑战性。
