Projects

PHAROS: Prospective Hamstring Avulsion Registry for Outcome following Surgical and nonoperative treatment

PROJECT PARTNERS

· Amager-Hvidovre Hospital, IOC Research Center, Copenhagen, Denmark

· University college hospital, IOC Research Center, London, United Kingdom

· Aspetar Orthopedic and Sports Medicine Hospital, IOC Research Center, Doha, Qatar

FUNDING

No external funding

BACKGROUND

Full-thickness hamstring tendon injuries are severe injuries that substantially impact sports participation and activities of daily living. There is a lack of evidence to advise if and when operative or non-operative treatment is indicated. Evidence-based treatment indications and an optimal timeframe for operative intervention are unknown. These and other pressing clinical questions remain unanswered, partly due to the relative rarity of these injuries and isolated research efforts.

OBJECTIVES

PHAROS is developed to systematically gather prospective clinical data on full-thickness hamstring injury due to tendon avulsion or rupture on a large scale. By means of this international research collaboration, we expect to be able to answer the pressing clinical questions that have remained unanswered to date.

Redefining the Normal Triangular Fibrocartilage Complex in Children

PROJECT PARTNERS

· Amsterdam Movement Sciences (AMS) research institute

FUNDING

None

BACKGROUND

The triangular fibrocartilage complex (TFCC) is a soft tissue structure located between the distal ulna and carpal bones that provides distal radioulnar joint (DRUJ) stability, ulnocarpal stability, axial load distribution and enables complex movements of the wrist. Injury to this structure, chronic or acute, is considered a common cause of ulnar sided wrist pain.

Magnetic resonance imaging (MRI) is increasingly being used to diagnose TFCC injury based on signal intensity changes. However, the meaning of these signal changes is being questioned since high prevalence rates (38% up to 70%) of abnormal signal intensities are reported in asymptomatic subjects. In elite tennis players, no statistical difference in TFCC abnormalities on MRI was even found between symptomatic, asymptomatic and healthy control subjects. This implies that a substantial amount of signal abnormalities on MRI might not be associated with clinical symptoms.

Meanwhile, surgical intervention in children with suspected TFCC injury has become more prevailing. Multiple studies on surgical techniques and outcomes of wrist arthroscopy in children with TFCC injury have been published recently. Also, shorter immobilization and earlier intervention in young elite athletes with TFCC injury is encouraged in order to facilitate a more rapid return to sport, while the meaning of TFCC signal changes on MRI for this young patient group remains unclear.

OBJECTIVES

The aim of the study is to redefine the normal TFCC by studying the fetal morphologic TFCC development and systematically assessing the normal TFCC appearance on MRI in asymptomatic children and young gymnasts. By acquiring more knowledge on the normal TFCC, a better distinction can be made between pathologic and non-pathologic TFCC variations seen on diagnostic MRI and benefit the decision-making process for treatment. In order to do so, fetal TFCC development will be analyzed in a 3-dimensional manner and correlated with imaging. Also, a systematic score form will be developed and used to study normal TFCC appearance on MRI in healthy children and possible pre-pathological TFCC changes in young gymnasts. Additionally, a new MRI technique will be used to assess TFCC’s in healthy young adults, in order to study its feasibility to improve diagnostic accuracy of detecting TFCC pathology in the future.

Drake Football Study - Monitoring the health of transitioning professional footballers

PROJECT PARTNERS

· FIFPRO (Football Players Worldwide), Hoofddorp, the Netherlands

· Mehiläinen NEO Hospital, Turku, Finland

· Drake Foundation, London, UK

· Push Sports, Maastricht, the Netherlands

FUNDING

The Drake Football Study received seed funding from the Drake Foundation located in London (United Kingdom) and financial support from FIFPRO located in Hoofddorp (the Netherlands), Mehiläinen NEO Hospital located in Turku (Finland), from Sports Hospital Mehiläinen located in Helsinki (Finland) and from Push Sports located in Maastricht (the Netherlands).

BACKGROUND

Transitioning out of professional football is a challenging time in most players’ lives. During these pre- and post-retirement years, professional footballers may struggle with their mental, musculoskeletal, neurocognitive and cardiovascular health. Currently, longitudinal data about these health conditions is lacking.

OBJECTIVES

The aims of the study are (i) to gather epidemiological evidence about the onset and course of mental, musculoskeletal, neurocognitive and cardiovascular health conditions in professional footballers during their pre- and post-retirement years, comparing them to matched controls from the non-elite sport population (if applicable), and (ii) to evaluate the associations between risk indicators  and the onset and course of mental, musculoskeletal, neurocognitive and cardiovascular health conditions in professional footballers during their pre- and post-retirement years.

An observational prospective cohort study with repeated measurements over a follow-up period of 10 years is conducted among professional footballers (male). Mental health will be explored by assessing symptoms of distress, anxiety, depression, sleep disturbance, alcohol misuse, drug misuse and disordered eating. Musculoskeletal health will be explored by assessing severe joint injury and related surgery, clinical and radiological osteoarthritis, and joint function (hips, knees, ankles). Neurocognitive health will be explored by assessing concussion, brain structure and functioning, and neurocognitive functioning. Cardiovascular health will be explored by assessing blood pressure, lipid profile and electrocardiogram abnormalities.

OUTBACK Trial: Treating Osteochondral Lesions of the Talus

PROJECT PARTNERS

· Academic Center for Evidence based Sports medicine (ACES)

· Oklahoma Medical Center, Department of Orthopedic Surgery

· Flevoziekenhuis, Department of Orthopedic Surgery

· Amphia Hospital, Department of Orthopedic Surgery

· Sanquin, Diagnostic Services, Research Department

· Amsterdam UMC, Location VUmc, VU Department of Public and Occupational Health

FUNDING

· Department of Orthopedic Surgery, Amsterdam UMC

· Foundation Friends of Aces

BACKGROUND

Small osteochondral lesions of the talus that undergo bone marrow stimulation show 75% success rate on the mid- to long-term. In order to increase this success rate, bone marrow aspirate concentrate in addition to the bone marrow stimulation may be beneficial. However, no randomized, blinded study has ever proven this.

OBJECTIVES

There are multiple objectives. The main objective of the present study is to compare the clinical outcome of bone marrow stimulation alone versus bone marrow stimulation and bone marrow aspirate concentrate (BMAC) for small osteochondral lesions of the talus at 2 years follow-up. Other objectives are to study the cost-effectiveness of the study, the sport and work-outcomes of the trial, and to study the radiological outcomes as well as cell characteristics.

Why don't we treat eSports Participants as Athletes?

PROJECT PARTNERS

· Portugal Football School, Portuguese Football Federation, Oeiras, Portugal

· Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, University Institute of Maia, Maia, Portugal

· VU University Medical Center Amsterdam, The Netherlands.

FUNDING

The study has the Portugal Football School support.

BACKGROUND

eSports (or electronic sports or virtual sports) are a worldwide phenomenon. Generally, eSports comprise a number of different videogame modalities, played competitively (at professional or recreational level) on controlled environments, with structure and regulations similar to the traditional sports (e.g. leagues, ladders and tournaments), being Virtual football an example. Over the past decade, eSports have grown exponentially and now also reaches competitively into the realm of traditional sports. The time schedules, professionalization and training needed to achieve elite positions, along with the possibility of participating in major eSports events require domain-specific skills, precision, coordination and rapid response, perceptual-cognitive abilities and ethical aptness. As the popularity and stakes raise, concerns about the health and emerging risks of eSports participation might arise, since little is known about the demands of eSports competitions and continuous training. Therefore, different areas of expertise are trying to fundament and elaborate on the topic, and the field of exercise and sports medicine is not an exception.

OBJECTIVES

In this project, we aim to develop a baseline study on the quality of sports medical care in people formally engaged with eSports. For that purpose, we will study virtual football players participating in official tournaments included in the Portuguese Football Federation (FPF) agenda, during one competitive season. We expect to provide novel scientifically-based arguments on demographic characteristics, diseases and injuries, mental health, lifestyle behaviour (i.e. substances consume, physical activity, sleep, screen time) of eSports participants. Given the exponential growth of eSports, awareness on this topic is of upmost importance, and the current project can therefore open a new field for research and professional activity in sports sciences and medicine.

Breaking the High Load: Overhead Sports Injuries Management

PROJECT PARTNERS

This project is a cooperative effort between:

· Royal Netherlands Baseball and Softball Federation.

· Royal Netherlands Lawn Tennis Association.

· Vrije Universiteit Amsterdam.

· Delft University of Technology.

· Manual Fysion.

· PLUX.

FUNDING

The project is funded by the NWO Domain Applied and Engineering Sciences (AES) under project number [R/003635].

BACKGROUND

In both baseball and tennis, throwing and hitting a ball is a fast pre-planned action based on engrained motor patterns that involve the whole body. In these motions ​correct relative timing of body part motions is essential. Despite the current body of knowledge regarding hitting biomechanics on the one hand and injury-prone structures on the other, no useful guidelines regarding the prevention of overload injuries or the ‘correct’ throwing or hitting technique have been developed.

The key reasons for this are:

  1. The lack of measurement systems that allow for fast and unhindered recording of motion ​timing​;

  2. The missing link between motion timing and mechanical loading of anatomical structures;

  3. The missing link between mechanical loading, intersegmental coordination and injury risk.

Since in tennis and baseball performance is highly dependent on (highly repetitive!) fast pre-planned full-body actions that can only marginally be modified during the action itself, pain, injury or weakness somewhere in the kinetic chain can lead to faulty coordination and related injury elsewhere in the chain, usually more distally at the level of the arm or elbow. Proper retraining of ‘correct coordination’ is essential to be able to return to the sport (RTS). While to date the focus in retraining is on identification of strength imbalance and limitations in range of motion, these are likely only secondary factors in the correct coordination. ​Correct relative timing, is believed to be the key factor​. This applies especially to the motion of the scapula, as the bridge between trunk motion (the motor) and arm motion (the ‘whip’). Up till now relative timing has had low attention in rehabilitation practice. In this project we will develop (1) a feedback system on motion timing, link this system to a platform for the monitoring of athlete health status and develop an algorithm for the (interactive) quantification of injury risk (accumulated value) and stroke or throw performance (incidental value); (2) an integrated method, requiring online monitoring of progress, for the detailed quantification of relative timing in and after upper extremity injury to improve rehabilitation, modify injury risk, and facilitate the RTS process.

OBJECTIVES

The project goal is to break the high load due to bad coordination in overhead sports injuries, by developing a system for risk identification and modification through new feedback applications based on motion timing.

FURTHER INFORMATION

For further information and current updates on the project please refer to our website: https://www.tudelft.nl/en/3me/research/check-out-our-science/playing-scientifically-sound-baseball-and-tennis/

Trailblazer: Identification of risk factors related to trail running

PROJECT PARTNERS

· VU University Medical Center Amsterdam, The Netherlands.

· Department of Physiotherapy, University of Pretoria, South Africa.

· Section Sports Medicine, University of Pretoria, South Africa.

FUNDING

· University of Pretoria, South Africa and VU University Medical Center Amsterdam, The Netherlands

BACKGROUND

Trail running involves running outdoors on varying off-road terrains. It is a highly popular and fast-growing sport. Even though running as a form of physical activity has positive health benefits, it also presents with a high risk for injury. The nature of trail running requires a specific endurance effort affected by altitude, large elevation gains/losses, distance covered and varying uneven surfaces. Therefore, the injury profile will differ between road and trail runners. A lack of literature on injuries among trail runners exists, limiting our understanding of injuries in this specific field. Trail runs are mostly hosted in remote geographical regions where medical care is challenging. A trail running injury screening tool (TRISI), based on risk factors related to trail running can help identify runners at higher risk and guide future risk management strategies.

OBJECTIVES

The aim of this project will be to develop a TRISI. The project consists of two phases. Phase 1 will aim to increase our understanding of trail running injuries through 1) prospectively recording injuries among trail runners, 2) analysing a large data set of injury data collected over three years among trail running race entrants, and 3) investigating trail runners’ opinions relating to trail running injury risk factors. The data obtained will be used to develop a TRISI. In phase two, an injury screening instrument will be developed based on the risk factors identified in phase 1. The developed screening instrument will be peer-reviewed through Human Judgement Modelling and adjusted accordingly. Phase 2 will consist of two expert panels that will firstly establish a final list of relevant risk factors, and then give weighting to each risk factor in the TRISI.

PIE=M: Physicians Implement Exercise = Medicine

FUNDING

  • The Netherlands Organisation for Health Research and Development (ZonMw)

PROJECT PARTNERS

  • University Medical Center Groningen (UMCG)

  • Huis voor de Sport Groningen

  • Gemeente Groningen

  • Lifelines

  • Hanze Hogeschool Groningen

  • Genomics Coordination Center UMCG

  • EPIC UMCG

  • Kenniscentrum Sport 

BACKGROUND

Although prescription of physical activity in clinical care has been advocated worldwide through the ‘exercise is medicine’ (E=M) paradigm. E=M currently has no position in general routine hospital care, which is hypothesized to be due to attitudinal and practical barriers to implementation. This study aims to create E=M implementation strategies to reduce practical barriers to enforcing E=M in hospital care.

OBJECTIVES

Firstly, this project will perform a mixed methods study (questionnaire and interviews) to investigate the current implementation status of E=M in clinical care as well as its facilitators and barriers to implementation among clinicians and hospital managers. In the second phase of the project, strategies will be developed in order to facilitate the implementation of E=M in clinical care. One of the strategies is the development of an E=M tool that will facilitate prescription of individually tailored E=M advice based on the combination of individual patient characteristics and data from earlier research. In the final stage of the project, the feasibility of the developed E=M implementation strategies will be investigated with a process evaluation. A pilot-study will, therefore, integrate the E=M implementation strategies in routine care in at least four clinical departments in two Dutch university hospitals. 


Injury prevention in volleyball and field hockey - Implementation of two efficacious warm-up programmes

FUNDING

  • The Netherlands Organisation for Health Research and Development (ZonMw)

PROJECT PARTNERS

  • Nevobo

  • KNHB

  • UMC Groningen

  • University of Bath (Department for Health)

  • Livewall

  • Dotcomsport Nederland

BACKGROUND

In the Netherlands, volleyball is in the top 5 sports with the highest number of injuries and field hockey in the top 5 sports with the most severe (medically treated) injuries. Therefore, the Dutch Volleyball Federation (Nevobo) and the Royal Dutch Hockey Association (KNHB) have allied few years ago in order to work towards injury prevention in recreational volleyball and field hockey. As a consequence, ‘VolleyVeilig’ and ‘Warming-up Hockey’ were developed as exercise-based warm-up programmes to reduce or prevent injuries. Two recent studies showed that both ‘VolleyVeilig’ and ‘Warming-up Hockey’ were efficacious for reducing or preventing injuries in recreational volleyball and field hockey. The logical next step is to work towards the implementation of both programmes in the Netherlands.

Objectives

  1. Develop a structured and evidence-based implementation (delivery) plan tailored to volleyball and field hockey contexts to promote the structured implementation of ‘VolleyVeilig’ / ‘Warming-up Hockey’.

  2. Initiate and evaluate the implementation of ‘VolleyVeilig’ / ‘Warming-up Hockey’ in volleyball and field hockey.

The implementation of ‘VolleyVeilig’ / ‘Warming-up Hockey’ is initiated in volleyball and field hockey for the 2019-2020 season. A quasi-experimental study based on a one-group design with repeated measurements is conducted to evaluate the implementation of the programmes in volleyball and field hockey, using the RE-AIM Sport Setting Matrix framework. For the evaluation, two convenient samples of clubs (one sample in volleyball and one sample in field hockey) are included: 10 volleyball clubs (in total 100 trainers/coaches and 20 technical policy/decision makers) and 10 field hockey clubs (in total 100 trainers/coaches and 20 technical policy/decision makers).


IPPON: Injury prevention and performance optimisation in judo athletes

FUNDING

  • The Netherlands Organisation for Health Research and Development (ZonMw)

PROJECT PARTNERS

  • Judobond Nederland

  • Sportmedisch adviescentrum Jessica Gal Sportartsen

  • VeiligheidNL

BACKGROUND

With a top-3 position on the priority list of sports with the highest incidence rate of injuries (4.3 per 1,000 hours) and top-5 position on both absolute number of injuries (180,000) and injuries presenting at the emergency department (4,400) in the Netherlands, combat sports should be a priority for injury prevention interventions.

For judo, the most practiced combat sports, a specific prevention program based on existing proven effective exercises has been developed by experts who are both strongly embedded in judo practice, and world leading experts in judo research: the Judo 9+. Although sport-specific neuromuscular training programs have been shown to effectively reduce injury rates in various sports, the effectiveness and implementation of the judo 9+ program has not been studied yet.

OBJECTIVES

1. Translation of the Judo 9+ exercise programme to the Dutch recreational judo practice: the NL-Judo9+

2. Evaluation of the effectiveness of the NL-Judo9+ exercise programme on injury risk profiles and injury rates

3. Preparation for national implementation of the NL-Judo9+ in recreational judo (if proven effective).


Effectiveness of VolleyVeilig: the prevention of injury among youth volleyball players

FUNDING

  • The Netherlands Organisation for Health Research and Development (ZonMw)

PROJECT PARTNERS

  • Nevobo

  • VeiligheidNL

  • UMC Groningen

  • Dotcomsport

BACKGROUND

Volleyball is played by around 500,000 Dutch youth and adult residents. In the Netherlands, volleyball is in the top 5 sports with the highest number of injuries. Therefore, the Dutch Volleyball Federation (Nevobo) initiated the development of a warm-up programme called ‘VolleyVeilig’ for youth and adult volleyball players to prevent injuries.

The effectiveness of ‘VolleyVeilig’ has been recently assessed through a randomized prospective controlled trial among recreational adult volleyball players. The logical next step is to evaluate the effectiveness of the intervention for youth volleyball players.

Objective of the project is to evaluate the effectiveness of ‘VolleyVeilig’ over one-season (2019-2020) on injury rate, severity, and burden among recreational youth volleyball players using a prospective controlled design. Secondary aim is to evaluate the delivery and use of the programme within the context of the effectiveness study, in order to explain programme outcomes and gain insight in facilitators and barriers that influence the uptake of the programme by youth volleyball trainers/coaches (process evaluation). Results will be used to optimize the programme for post-trial implementation and nationwide release by Nevobo.


Skating on thick ice: Systematic development and implementation of injury prevention measures in long track speed skating in the Netherlands

PROJECT PARTNERS

  • KNSB (Koninklijke Nederlandsche Schaatsenrijders Bond)

BACKGROUND

Long track speed skating is the most famous and successful competitive winter sport for the Netherlands. Dutch speed skaters won 16 out of 42 speed skating medals at the 2018 Olympics in PyeongChang. About 22.000 athletes are regularly competing in speed skating in the Netherlands.   

Speed skating is a physically highly demanding sport with a unique movement patternplacing a high mechanical load on the muscular- skeletal system. A skater adopts an aero dynamical, crouched body posture, characterized by a small knee angles and a nearly horizontal trunk position. In this position, the skater generates a powerful sideward directed impulse of the lower extremity to create a high forward speed.  

While clinically experience indicates that acute and overuse injuries are common in this physically highly demanding sport, there is little sport specific scientific data on injury epidemiology and injury prevention. Consequently, measures to prevent injuries are mainly based on clinical experience and knowledge of experts in this sport.  

The aim of this research project is therefore (i) to develop an evidence based, sport specific injury prevention program for young talented speed skaters in the Netherlands. Here, a broad research focus will be applied by including external evidence as well as (clinical) experience of experts in the field of speed skating injuries.  (ii) to implement this program in real-life sporting context and (iii) to evaluate its effectiveness. To initiate this, first the existing gaps in sport specific injury prevention knowledge needs to be closed by conducting a comprehensive analysis of relevant acute and overuse injuries in speed skating. 

Insights from this project will contribute to protect the health of talented Dutch speed skaters and, therefore, promote long term and healthy participation in speed skating. 


The effects of sports injuries on the brain

When an athlete suffered an injury in the past, the main focus of both researchers and clinicians was mainly directed to the affected peripheral structures. However, the current view of the World Health Organization (WHO) shifted this focus towards a more holistic rehabilitation approach with the introduction of the biopsychosocial model. This paradigm shift in patient care became also very present in sports rehabilitation and led to the development of a general Return-To-Sport-Algorithm. Nevertheless, current scientific research within this complex vision has made significant steps forward and contributed to new insights within this domain, but is still in its initial phase. This line of research will explore and document the function of the brain after (sports) injuries and its interactions with fatigue.


Fatigue & the athlete's injury risk profile

Sports injury prevention is becoming increasingly important in organised sports. This domain has evolved rapidly in the last decades, leading to a better understanding of peripheral risk factors and injury mechanisms. This line of research focuses on the role of the brain in the context of primary sports injury prevention and the influence of fatigue on the injury risk profile of athletes.


Run-Work-Sleep-Repeat: 24/7 monitoring for healthy running

FUNDING

  • The Netherlands Organization for Scientific Research (NWO)

PARTNERS

  • 2M Engineering

  • Golazo Sports

  • Inno Sports Lab

  • City of Eindhoven

  • Fontys University of Applied Sciences

  • School of Sport Studies

BACKGROUND

The prevailing lifestyle in the Western world (immobility, unhealthy eating, smoking and drinking habits) is an important factor in the etiology of many chronic diseases. Physical activity through sports participation helps to reduce this risk but introduces new risk factors associated with exercise related injuries. The aim of the program ‘Citius, Altius, Sanius’ is to stimulate people at all performance levels to engage in and sustain physical activity through sports and fitness, improve their performance and prevent injuries by providing informative and motivating information using advanced sensor and data science techniques. The information provided is tailored to the individual user, by taking into account his or her characteristics, and by using effective, personalized feedback methods. Innovative unobtrusive wearable sensors (in clothing, and advanced cameras) will be used to estimate the mechanical and physiological load. Data science techniques will relate the load to injury mechanisms and provide an individual training advice to stimulate the athlete and prevent injuries or return to sports and exercise quicker. Six applied projects are defined incorporating the activities that are associated with most injuries. Sports associations, sports medicine and physical therapy, but also many small-to-medium-sized companies are involved to commercialize this innovative approach for recreational and elite athletes, but also for rehabilitation patients.

Physical activity is the best medicine to prevent health problems across the lifespan: it is more efficient than cure or rehabilitation, both from a health and an economic perspective. The goal of the present program is to stimulate people to start and continue participating in sports by providing motivational and informational cues about their performance, using (big) data science and unobtrusive sensor technology. Simultaneously, personalized information, based on a combination of individual and cohort data, will be provided to recreational and elite athletes to reduce the risk of injury and overload. There is a clear trend towards individualized sports participation. Tailoring information to individual needs concerning physical activity is therefore crucial. Modern sensor technology and data science, as well as web solutions and apps like Strava, provide opportunities for obtaining this tailored information. The internet enables comparison with peers of the same age, gender, experience, training and performance objectives, etc., as well as the full history of previous performances in the cloud. Knowledge about performance improvement is a highly stimulating factor that contributes to lasting engagement and attaining higher performance levels.

The challenges in promoting healthy participation in physical exercise are twofold: (1), to provide engaging information about the athlete’s physical and performance improvement, and (2) to ensure that no injuries will occur. Although injuries prevail in many sports (see Section 4.1), little is known about their relationship with physical load.

Hence, there is a clear need to strengthen the information chain from sensor information, via data science and analysis, to informative feedback applications, which we will pursue in three fundamentally oriented projects. This not only requires innovative research regarding each of these components, but also regarding the effectiveness of the resulting information chains. For the latter purpose, we will perform research in six sports-related domains with a high prevalence of injuries. The general relationship between physical exercise and injury incidence in these domains will be investigated by acquiring large amounts of data using new sensor technology and will then be tuned to individual athletes using their individual data. The resulting individualized information will be fed back to the athlete to improve performance in a healthy manner. The feedback in question will be based on novel technological possibilities, including virtual and augmented realities, as well as novel psychological insights into mechanisms of behavioral changes.

Within each of the fundamental projects, innovative devices or mathematical approaches will be developed. Within the applied projects, these innovations will be combined, and applied to six different sport specific domains to motivate athletes and improve their performance, as well as to prevent injuries. This general approach adopted in the program as a whole is unprecedented, both in terms of its interdisciplinary and translational nature and in terms of its scale and scope.


Who Stays Fit?

FUNDING

  • SIA RAAK

  • NWO Comenius

PARTNERS

  • Codarts Rotterdam

  • Amsterdam University of Applied Sciences

BACKGROUND

Sport injuries are one of the main causes of poor physical performance and physical discomfort in sport active populations. Physical Education Teacher Education (PETE) students are sport active population who are, as part of their education and besides their own sport participation, confronted with curricular sport participation of approximately eleven hours a week in six different sports. Due to this high amount and variety of additional sport participations PETE students have a relative high sport incidence. Therefore this population is very suitable for research on the etiology of sport injuries and provides need for the development and implementation of preventive interventions. The main goal of the ‘Who stays fit’ project is to increase insight in the incidence and etiology of sport injuries of PETE students. Within this project we research the incidence of sport injuries, risk factors of medial tibial stress syndrome, risk factors of ankle injuries, psychological risk factors of injuries, injury mechanisms, and the prevention of sport injuries.


Long term effects of marathon running on cardiac health

FUNDING

  • Indonesia Endowment Fund for Education

BACKGROUND

In the last two decades, there has been a dramatic increase in the number of athletes training for and participating in organized and recreational long-long-distance running, such as marathons. However, while the beneficial cardiovascular effects long-distance running are well documented, little is known about potential negative cardiac effects of long-term repetitive marathon running. Observational data have shown elevated cardiac markers among marathoner runners, leading to the hypothesis that myocardial injury due to prolonged hypoxemia might take place, potentially leading to myocardial fibrosis (MF), but with a highly variable incidence. There is an urgent need for awareness among runners of potential detrimental cardiac effects of long-distance running.

OBJECTIVES

To assess the proportion of subjects who has myocardial fibrosis using late gadolinium enhancement (LGE) on cardiac magnetic resonance imaging (MRC) among long term (> 5 years) marathon runners, compared to sedentary age matched controls.

RESEARCH QUESTIONS

Does repetitive long term marathon running cause myocardial fibrosis?

STUDY DESIGN

Case control study in a defined specific endurance running population compared to a matched controls. Consecutive sampling is used for the exposed subjects who meet the inclusion criteria. Dose of training (kilometers), participation hours, and cardiac findings (LGE on MRI) will be taken for analysis.


Injury incidence and patterns in U10-U15 soccer players

FUNDING

PhD fellowship fundamental research of Research Foundation Flanders (FWO), Belgium

PROJECT PARTNERS

  • Vrije Universiteit Brussel (Belgium)

  • Ghent Univeristy (Belgium)

BACKGROUND

The development of youth soccer players in the academies of professional clubs involves specialized training from a very young age onwards. These development programs characterized by their high training loads and high training frequency, are developed to prepare talented young players for the increasing demands of contemporary professional match play. Football is a complex contact sport, characterized by intermittent, explosive actions, and is associated with a high risk of acute and overuse injuries in elite level youth players. Injury incidence and risk factors are well known in older adolescent and adult players, but these are thought to be different in (pre)pubertal players due to a different susceptibility of the immature muscular-skeletal system. Moreover, during puberty, players appear to be even more susceptible for injuries due to the changing body proportions and physical characteristics, as well as the temporary motor awkwardness associated with the adolescent growth spurt. 

To date, epidemiological research in (pre)pubertal elite level football players from 9 to 15 years of age is limited and often faces methodological shortcomings leading to inconclusive evidence. Also, the determinant role of growth, maturation, physical fitness and motor coordination in the risk for sustaining injuries is not fully understood. Therefore, the overall aim of this three-year large scale prospective cohort study in Belgian U10 to U15 elite level football players, is to provide a detailed overview of the injury incidence and patterns. Furthermore, the risk for sustaining injuries in relation to growth, maturation, physical fitness, and motor coordination will be investigated in detail using different, state-of-the art methods of analysis. 


CHOiCE: Choosing the Healthy Option in a Choice Environment

FUNDING

Internal funding from the Department of Public and Occupational Health, VU University Medical Center

BACKGROUND

Technological and economic advances in the past decades have nowadays resulted in people living a lifestyle that is characterized by high rates of sitting and low levels of physical activity,  which increases people’s risk for non-communicable diseases. A promising approach to change health behaviors is the use of ‘choice architecture’. The term refers to practice of influencing behaviors by organizing the context in which people make choices. 

The aim of the CHOiCE project is to investigate which choice architecture interventions effectively (1) foster active health choices (that engender commitment towards specific health goals); and (2) support maintenance of health behaviors (by promoting habit formation), with choices and behaviors being in line with individuals’ beliefs, needs, values and preferences. The project focusses on two different populations: (a) sedentary, physically inactive healthy individuals and (b) individuals at increased risk for cardiovascular disease. 

The project consists of three main stages, with each new stage building on the insights derived in the previous stage(s):

  1. A systematic literature review on choice architecture interventions that promote physical activity and discourage sedentary behavior;

  2. Qualitative studies on people’s beliefs, needs, values and preferences in the context of choices about health behavior;

  3. Quantitative, experimental proof-of-principle studies on the effects of different types of choice architecture.

 The ultimate aim of the project is to empower people to make healthy choices and to engage in health behaviors in the long term.  


Injuries and their aetiology in Physical Education students

BACKGROUND

Worldwide many students participate in physical activity and sports related studies. During the course of these studies a high level of physical activity and exercise skills is demanded. In physical education teacher education (PE) studies, during the first three years on average more than 250 hours per year are spent on practical sports classes. In addition, most PE students participate in extracurricular sports as well. Therefore, these students are at high risk of sustaining a sports injury during the course of their studies. Recent studies covered injuries during the freshman year only. 

This research project covers the first two steps of the “sequence of prevention” in PE studies.

The first aim is to describe the prevalence of injuries during the first three years of PE studies and to compare injury risks between curriculum periods (years and semesters) and between sexes in PE students. Injuries in PE students over the period 2000-2014 are investigated for this purpose. 

The second aim of this project is to identify possible risk factors for injuries in PE students. In a three-year prospective cohort study, intrinsic and extrinsic risk factors for injuries in freshman PE students are investigated. In a qualitative study, the perspectives from PE students on risk factors for injuries during the first three years of their study are investigated from a socio-ecological perspective.