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SPORTS MEDICINE :
SPORTS: INJURIES :
MEDICAL: EPIDEMIOLOGY :
BIOMECHANICS :
MEDICAL: PREVENTIVE MEDICINE :
MEDICAL: RESEARCH:
Combining Epidemiology and Biomechanics in Sports Injury Prevention
Research: A New Approach for Selecting Suitable Controls
Combining Epidemiology and Biomechanics in Sports Injury Prevention
Research: A New Approach for Selecting Suitable Controls
Citation
Combining Epidemiology and Biomechanics in Sports Injury
Prevention Research: A New Approach for Selecting Suitable Controls
Finch, CF
Journal: Sports medicine (Auckland)
ISSN: 0112-1642 Date: 2011
Volume: 41 Issue: 1 Page: 59
Abstract:
Ingenta Connect
http://www.ingentaconnect.com/content/adis/
smd/2011/00000041/00000001/art00004
A shorter URL for the above link:
http://tinyurl.com/4hzcy5v
Several important methodological issues need to be considered when
designing sports injury case-control studies. Major design goals for
case-control studies include the accounting for prior injury risk
exposure, and optimal definitions of both cases and suitable controls are
needed to ensure this. This article reviews methodological aspects of
published sports injury case-control studies, particularly with regard to
the selection of controls. It argues for a new approach towards selecting
controls for case-control studies that draws on an interface between
epidemiological and biomechanical concepts. A review was conducted to
identify sport injury case-control studies published in the peer-review
literature during 1985-2008. Overall, 32 articles were identified, of
which the majority related to upper or lower extremity injuries. Matching
considerations were used for control selection in 16 studies. Specific
mention of application of biomechanical principles in the selection of
appropriate controls was absent from all studies, including those
purporting to evaluate the benefits of personal protective equipment to
protect against impact injury. This is a problem because it could lead to
biased conclusions, as cases and controls are not fully comparable in
terms of similar biomechanical impact profiles relating to the injury
incident, such as site of the impact on the body. The strength of the
conclusions drawn from case-control studies, and the extent to which
results can be generalized, is directly influenced by the definition and
recruitment of cases and appropriate controls.
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