THE INJURY PREVENTION AND IMPLEMENTATION LANDSCAPE: WHERE ARE WE NOW?
L. De Michelis Mendonça1,2, M. Constantinou3, M. Grygorowicz4, A.M. Killingmo2,5
All authors, affiliations and abstracts have been published as submitted.
1Universidade Federal de Minas Gerais, Physical Therapy, Belo Horizonte, Brazil, 2International Federation of Sports Physical Therapy, Utrecht, Netherlands, 3Associate Professor in Sports and Exercise Physiotherapy at Australian Catholic University, Australia, Sydney, Australia, 4Poznań University of Medical Sciences and Women's Football Science Research Group in Polish Football Association, Poznań, Poland, 5NOVA klinikken AS, Bjørkelangen, Norway
Learning objective 1: To gain knowledge on the barriers and the role of sports physiotherapists in implementing an evidence-based sports injury prevention program
Learning objective 2: To address the current gaps and outline evidence-based best practices in messaging for injury prevention interventions
Learning objective 3: To summarize the evidence about the effectiveness of an injury prevention intervention concerning its costs and benefits
Description: Sports participation is an integral part of modern society. It promotes physical fitness, provides a sense of community, and offers an outlet for social interaction. Sports are also a great vehicle for preventing injuries. By promoting a culture of safety, sports can help prevent injuries that would otherwise occur in unstructured environments. Injuries are a fact of life for sports participants of all ages. Thousands of athletes are suffering from injuries and limitations caused by previous physical exertion on any given day. Fortunately, most athletes can be brought back into playing shape with a little rest and rehabilitation.
This focused symposium aims to enhance physiotherapists' knowledge of sports injury prevention programs (IPPs) and critically evaluate the current scientific evidence on preventing injuries in sports. Speakers will also present existing barriers associated with the widespread implementation of sports injury reduction programs at different organizational levels. The symposium will also provide data related to the actual financial benefits gained by popularising the implementation of IPPs. The leading theme of the symposium is based on the results of papers published by speakers [1-5], as well as other relevant reports in sports injury prevention [6-9].
The focused symposium will be structured into three 15 minutes topics with the chair introduction.
Luciana will open the symposium by providing a background on the role of sports PT on IPP and introduce the speakers as well as moderate the session. Maria Constantinou will discuss the different types of barriers identified as the main obstacles to the broad implementation of IPPs. She will also indicate the responsibility of players, coaches, and club administrators in overcoming implementation obstacles. Alexander Killingmowill discuss the gaps in the literature in terms of IPPs. By examining the current research and identifying clinical strategies and research gaps, he will empower attendees with knowledge of where the IPPs literature is currently and where it is going in the future. Alexander will also tackle the issue of implementation and adherence to effective programs already established.
Monika Grygorowicz will provide current evidence regarding the cost-effectiveness of IPPs implemented in different sports concerning their costs and benefits. She will summarize the literature and provide information on the economic quality of IPPs since knowledge about the cost-effectiveness of evaluated prevention measures will help improve policymakers' and decision-makers stakeholders' acceptance and application of prevention initiatives.
Immediately after the symposium, there will be a "meet the panel" session allowing for continuing more informal conversation, so the attendees will have a chance to discuss issues raised by the speakers, as well as other topics. In the end, Luciana Mendonça will sum up and recap the main aspects of the symposium, embracing matters raised by the attendees. Implications/conclusions: It is crucial that the researchers and clinical physiotherapists are up to date with the knowledge addressing the importance of the consequences of sports injuries in a clinical and economic context. Although there is a wealth of data and publications supporting the effectiveness of IPP, there are still significant challenges in implementing IPPs as it requires multi-level and factorial commitment. We would like to strive to improve physiotherapists' understanding of the complexity of IPPs implementation, by bringing this topic to the community of physiotherapists. We also would like to give them the scientific background that physiotherapists can use when talking to relevant stakeholders (e.g., coaches, administrators working in sports clubs or health technology assessment specialists). We find topics discussed within the symposium as crucial for positively impacting athletes' careers through the sports physiotherapy specialists, regardless of athletes' age, sex, or level of sports participation. And thus, we hope to provide additional evidence and the rationale for including physiotherapists in the broader health care system so that we use to move our profession forward.
This focused symposium aims to enhance physiotherapists' knowledge of sports injury prevention programs (IPPs) and critically evaluate the current scientific evidence on preventing injuries in sports. Speakers will also present existing barriers associated with the widespread implementation of sports injury reduction programs at different organizational levels. The symposium will also provide data related to the actual financial benefits gained by popularising the implementation of IPPs. The leading theme of the symposium is based on the results of papers published by speakers [1-5], as well as other relevant reports in sports injury prevention [6-9].
The focused symposium will be structured into three 15 minutes topics with the chair introduction.
Luciana will open the symposium by providing a background on the role of sports PT on IPP and introduce the speakers as well as moderate the session. Maria Constantinou will discuss the different types of barriers identified as the main obstacles to the broad implementation of IPPs. She will also indicate the responsibility of players, coaches, and club administrators in overcoming implementation obstacles. Alexander Killingmowill discuss the gaps in the literature in terms of IPPs. By examining the current research and identifying clinical strategies and research gaps, he will empower attendees with knowledge of where the IPPs literature is currently and where it is going in the future. Alexander will also tackle the issue of implementation and adherence to effective programs already established.
Monika Grygorowicz will provide current evidence regarding the cost-effectiveness of IPPs implemented in different sports concerning their costs and benefits. She will summarize the literature and provide information on the economic quality of IPPs since knowledge about the cost-effectiveness of evaluated prevention measures will help improve policymakers' and decision-makers stakeholders' acceptance and application of prevention initiatives.
Immediately after the symposium, there will be a "meet the panel" session allowing for continuing more informal conversation, so the attendees will have a chance to discuss issues raised by the speakers, as well as other topics. In the end, Luciana Mendonça will sum up and recap the main aspects of the symposium, embracing matters raised by the attendees. Implications/conclusions: It is crucial that the researchers and clinical physiotherapists are up to date with the knowledge addressing the importance of the consequences of sports injuries in a clinical and economic context. Although there is a wealth of data and publications supporting the effectiveness of IPP, there are still significant challenges in implementing IPPs as it requires multi-level and factorial commitment. We would like to strive to improve physiotherapists' understanding of the complexity of IPPs implementation, by bringing this topic to the community of physiotherapists. We also would like to give them the scientific background that physiotherapists can use when talking to relevant stakeholders (e.g., coaches, administrators working in sports clubs or health technology assessment specialists). We find topics discussed within the symposium as crucial for positively impacting athletes' careers through the sports physiotherapy specialists, regardless of athletes' age, sex, or level of sports participation. And thus, we hope to provide additional evidence and the rationale for including physiotherapists in the broader health care system so that we use to move our profession forward.
References: 1. Dix C, et al. Perceived barriers to implementation of injury prevention programs among collegiate women's soccer coaches. J Sci Med Sport. 2021 Apr;24(4):352-356.
2. Mendonça LM, et al. Sports injury prevention programmes from the sports physical therapist's perspective: An international expert Delphi approach. Phys Ther Sport. 2022 Apr 7;55:146-154.
3. Mendonça LD, et al. How injury prevention programs are being structured and implemented worldwide: An international survey of sports physical therapists. Phys Ther Sport. 2022 Jan;53:143-150.
4. Arundale AJH, et al. ACL injury prevention: Where have we come from and where are we going? J Orthop Res. 2022 Jan;40(1):43-54.
5. Grygorowicz M, et al. Systematic Review of Cost-Effectiveness of Injury Prevention Interventions in Soccer-Evidence Why Health Agencies Should Address It. Int J Environ Res Public Health. 2021 Nov 12;18(22):11901.
6. Lutter C, et al Does prevention pay off? Economic aspects of sports injury prevention: a systematic review. Br J Sports Med. 2022 Apr;56(8):470-476.
7. Chesterton P, et al. The Uptake of Nordic Hamstring Exercise Program for Injury Prevention in Major League Soccer and Its Barriers to Implementation in Practice. J Sport Rehabil. 2022 Mar 10:1-6.
8. Nauta J, et al. Facilitators and barriers for the implementation of exercise are medicine in routine clinical care in Dutch university medical centres: a mixed methodology study on clinicians' perceptions. BMJ Open. 2022 Mar15;12(3):e052920.
9. Owoeye OBA, et al. Dissemination and implementation research in sports and exercise medicine and sports physical therapy:translating evidence to practice and policy. BMJ Open Sport & Exercise Medicine2020;6:e000974.
2. Mendonça LM, et al. Sports injury prevention programmes from the sports physical therapist's perspective: An international expert Delphi approach. Phys Ther Sport. 2022 Apr 7;55:146-154.
3. Mendonça LD, et al. How injury prevention programs are being structured and implemented worldwide: An international survey of sports physical therapists. Phys Ther Sport. 2022 Jan;53:143-150.
4. Arundale AJH, et al. ACL injury prevention: Where have we come from and where are we going? J Orthop Res. 2022 Jan;40(1):43-54.
5. Grygorowicz M, et al. Systematic Review of Cost-Effectiveness of Injury Prevention Interventions in Soccer-Evidence Why Health Agencies Should Address It. Int J Environ Res Public Health. 2021 Nov 12;18(22):11901.
6. Lutter C, et al Does prevention pay off? Economic aspects of sports injury prevention: a systematic review. Br J Sports Med. 2022 Apr;56(8):470-476.
7. Chesterton P, et al. The Uptake of Nordic Hamstring Exercise Program for Injury Prevention in Major League Soccer and Its Barriers to Implementation in Practice. J Sport Rehabil. 2022 Mar 10:1-6.
8. Nauta J, et al. Facilitators and barriers for the implementation of exercise are medicine in routine clinical care in Dutch university medical centres: a mixed methodology study on clinicians' perceptions. BMJ Open. 2022 Mar15;12(3):e052920.
9. Owoeye OBA, et al. Dissemination and implementation research in sports and exercise medicine and sports physical therapy:translating evidence to practice and policy. BMJ Open Sport & Exercise Medicine2020;6:e000974.
Funding acknowledgements: Not applicable.
All authors, affiliations and abstracts have been published as submitted.
