In Canada, falls are one of the leading causes of injury and deaths for seniors. These types of injuries can typically be avoided through falls prevention programs, and past studies suggest that these health services have significantly reduced seniors’ falls risk and rates in Canada. Despite the abundance of falls prevention research, practices and programs available in the country, Aboriginal Elders remain overrepresented in fall-related injury and fatality rates. The elevated rates of falls for Aboriginal Elders indicate that current falls prevention programs and standards may not be reaching those most vulnerable to fall hazards and injuries. My thesis is written in the publishable paper format and is comprised of two papers. Using an exploratory case study methodology in paper one, I investigated the social determinants of health that Inuvialuit Elders and LFPPs identify as factors that increase, decrease, or have no effect on the likelihood of an Inuvialuit Elder experiencing a fall. Together, we found that personal health status and conditions, personal health practices and coping skills, physical environments, social support networks, and access to health services increase Inuvialuit Elders likelihood of experiencing a fall, health practices and coping skills and access to health services decrease Inuvialuit Elders likelihood of experiencing a fall, and culture has no affect on the likelihood of Inuvialuit Elders experiencing a fall. In paper two, I used a participatory action research approach informed by postcolonial theory to examine what current falls prevention recommendations are offered by local falls prevention programmers (LFPPs) in order to reduce fall rates among Inuvialuit Elders in Inuvik, Northwest Territories, Canada; and to understand how falls prevention programs for Inuvialuit Elders can be co-created with participants to be culturally safe. In it, I provide the recommended strategies of developing and implementing a culturally safe falls prevention program for Inuvialuit Elders, as suggested by the LFPPs and Inuvialuit Elders who participated in the research. Taken together, the papers in this thesis make it apparent that research concerning falls prevention for Aboriginal Elders and falls prevention programs continues to be influenced by colonial practices. As a result, there is a demonstrated need for program development and research in this area to work towards reducing health disparities and challenging colonial practices.

Magister Scientiae - MSc / Background: Three epidemiological studies conducted in Rwanda have highlighted that many people at different levels in the community of soccer do not implement accepted control measures for reducing the risk of injuries. However, little is known about what soccer community members themselves know about injury prevention. Purpose: The aim of this study was to identify perceptions of factors influencing the implementation of soccer injury prevention strategies in Rwanda. / South Africa

No description available.

Injuries are one of the leading causes of death for individuals in Canada. Most injuries are predictable and preventable events that may be reduced by health promotion and injury prevention strategies. In particular, boating fatalities are a leading cause of injury death for men, particularly Aboriginal men, in northern Canada. Despite decades of water safety campaigns, Aboriginal men remain overrepresented in boating fatality statistics. Elevated rates of boating fatalities for Aboriginal men in northern Canada indicate that current water safety messages and initiatives may not be reaching those most vulnerable to boating incidents. My thesis, which is written in the publishable paper format and is comprised of two papers, investigates Aboriginal men’s boating incidents in Inuvik, Northwest Territories, Canada. In paper one, I use a community-based participatory research methodology informed by postcolonial feminist theory to investigate the risk factors that Aboriginal male residents identified as contributing to boating incidents in Inuvik, Northwest Territories. Together, we found that sex and gender, age, place, and lack of boating safety education are the most prominent risk factors for boating incidents. In paper two, I argue that community members are key holders of local knowledge and their expertise should thus be drawn upon by academic researchers and health programmers for the co-creation of injury prevention programs. In it, I provide an overview of the process that led to the co-creation of a boating education poster campaign in Inuvik. Together, the two papers in this thesis demonstrate that community-based strategies should be employed to address health inequities in boating incidents faced by Aboriginal men in the Northwest Territories.

Ice hockey is a sport known for its speed and skill. However, its intensely physical nature is associated with the potential risk of injury, which has become a major public controversy in Canada (Cusimano, Sharma, Lawrence, et al., 2013; Emery et al., 2010). Epidemiological research has adequately documented the frequency and severity of injury (King & LeBlanc, 2006; Yard & Comstock, 2006). Yet, because of methodological limitations and the lack of systematic and mandatory injury prevention strategies implemented nationwide, injuries remain high (Cusimano, Nastis, & Zuccaro, 2013; Emery et al, 2010). An alternative methodology, combined with broadening injury definitions can provide a more detailed assessment of the risks of, and circumstances, around injury. A methodology, based primarily on observational techniques, was utilized to examine injury in body checking hockey when it is first introduced to youth players. Injury was defined as ‘any physical trauma that has occurred as a result of participation in an organized competition’ including four categories of injury severity. In a comparison of Ontario Peewee (ages 11-12) with Québec Bantam (ages 13-14) boys hockey, no significant differences were found in overall injury (χ2: 0.22; p:0.64), however, there were significant differences in frequency of body checking related injury; 76% versus 59% (χ2:4.76; p:0.03). The odds of being injured due to body checking are 2.158 times higher in Peewee (βex 2.158; 95%CI: 1.07-4.34; p:0.03) indicating no increased risk of injury when body checking is introduced later while delaying introduction reduces the frequency of body checking related injury. Ongoing public debate in Canada concerning safety in youth hockey is understood through the theoretical lens of discourse (Foucault, 1972, 1990). The dominant discourse in Canada around hockey is based in a traditional, physically dominant model, where intense physical contact is not only inevitable but desirable. The reverse discourse prioritizes the safety of participants over the potential of lessening the intense physicality of the Canadian style of play. These competing discourses create tension and ambivalence amongst safety advocates and conservative hockey practitioners and enthusiasts. The emotionality of hockey stakeholders often overwhelms logic regarding safety decisions, ultimately impacting progressive injury prevention initiatives.

Bakgrund: Det finns i tidigare studier beskrivna problem så som implementering och följsamhet när det gäller skadeförebyggande träningsprogram (SPP) för fotbollsspelare.   Syfte: Syftet med studien är att kartlägga och undersöka om kvinnliga och manliga fotbollslag i Stockholm utför ett SPP samt om det finns något samband med deras tillgång till medicinsk personal. Syftet är också att undersöka om det finns någon skillnad på tillgången till medicinsk personal och utförande av SPP mellan kvinnliga och manliga fotbollsspelare.   Metod: Enkäten skickades ut till 133 manliga och kvinnliga fotbollsspelare från samma fotbollsklubb. Enkäten innehöll 14 frågor om tillgång till medicinsk personal, information om skadeförebyggande träning samt utförande av SPP.   Resultat: Totalt 82 fotbollsspelare besvarade enkäten.  Majoriteten av deltagarna uppgav att de har tillgång till medicinsk personal. Fler manliga än kvinnliga fotbollsspelare har tillgång till medicinsk personal (P=0,018). Ingen korrelation visades mellan att ha tillgång till medicinsk personal och att ha fått information om skadeförebyggande träning (P=0,45). 66% av deltagarna angav att de utför ett SPP. Tillgång till medicinsk personal korrelerade med utförande av ett SPP (P=0,04).   Slutsats: Medicinsk personal verkar ha en betydelse när det gäller utförande av ett skadeförebyggande träningsprogram. Vidare forskning krävs inom området för att motivera fotbollslag att ta hjälp av medicinsk personal / Background: There are described problems with implementation and compliance in previous studies when it comes to Injury Prevention Programs (IPP) for soccer players.   Aim: The aim of this study was to examine if female and male soccer teams in Stockholm are performing an IPP in relation to their access to medical staff. The aim was also to examine if there are any difference between male and female soccer players in their access to medical staff and performing of an IPP.   Method: The survey was delivered to 133 male and female soccer players from the same soccer club. The survey involved 14 questions about medical staff, information about injury prevention training and performance of an IPP.   Results: Totally 82 soccer players answered the survey. The majority of the participants indicated that they have access to medical staff. More male than female soccer players indicated access to medical staff (P=0,018). No correlation was found between access to medical staff and have gotten information about injury prevention training (P=0,45). 66% of the participants indicated that they were performing an IPP. The access to medical staff correlated to the performing of an IPP (P=0,04).   Conclusion: Medical staff seems to have an impact when it comes to performing of an IPP. Further research is needed to motivate soccer teams to take advantage of medical staff with their injury prevention training.

Much of the current literature related to injuries in sport has addressed the influence of a particular exercise intervention on a specific type of injury without considering changes in sport performance. The purpose of this research was to investigate an interdisciplinary approach to athlete development and its initial effects on injury rates and measures of performance in collegiate baseball. In October 2008, an NCAA Division I baseball team began working with a sport performance enhancement group (SPEG) which consists of a collaborative effort between sport coaches, sport medicine and sport science departments. Injury rates were calculated for each academic year from 2006/2007 through 2010/2011. As part of the athlete monitoring program provided through SPEG, peak force was measured using an isometric mid-thigh pull from 2008/2009 through 2010/2011. Team win percentage and home runs were also reported from 2003/2004 through 2010/2011. Compared to 2006/2007 and 2007/2008, injury rates during 2008/2009 decreased 40% and 16%, 2009/2010 decreased 64% and 48%, while 2010/2011 decreased 33% and 6%. Team mean allometrically scaled isometric peak force (IPFa) increased each year from 2008/2009 through 2010/2011 (200.6 N, 229.6 N, 244.2 N). IPFa during 2009/2010 and 2010/2011 were significantly greater than 2008/2009 (p = .001 and .002). Win percentage increased from 2008/2009 through 2010/2011 (47%, 53%, 63%) and the 2010/2011 win percentage was higher than any other year since 2003/2004. Total team home runs during 2009/2010 and 2010/2011 were higher than any other season since 2003/2004. These results seem to indicate that the collaborative efforts of SPEG were able to substantially reduce injury rates while increasing lab based and on-field performance.

Untersuchung von insgesamt 1537 Schulunfällen von Kindern und Jugendlichen im Alter von 6 bis einschließlich 17 Jahren, die in den Jahren 1998 und 1999 an den Kliniken für Unfall- und Wiederherstellungschirurgie und für Kinderchirurgie am Universitätsklinikum Dresden behandelt wurden. Auswertung unter Einbeziehung von Geschlecht, Alter, Schulart, Art der schulischen Veranstaltung, Wegeunfälle, Unfallort, Unfallmechanismus, Unfallumstände, Verletzungslokalisation, Verletzungsart, Diagnose, Behandlungsdauer, Diagnostik, Therapie, Verletzungsfolgen, usw. / Examination of 1537 school accidents of pupils aged between 6 and 17 years who where treated at the university hospital of Dresden in the years 1998 and 1999. Analysis of sex, age, type of school, type of school activity during which injury occured, accident on the way to school, place of accident, mode of accident, backgrounds of accident, localization of injury, type of injury, diagnosis, duration of treatment, clinical diagnostics, therapy, consequences of injury, etc.

No description available.

Although occupant protection laws exist, limited research has been conducted on how current child passenger safety (CPS) issues and CPS marketing strategies relate to child passenger safety seat (CPSS) usage. The purpose of this cross-sectional study was to analyze the relationship between parents' perception and knowledge of CPS issues and CPSS usage rates. The diffusion of innovation and the social marketing theories provided the frameworks for this study. The overall research question for the study examined the correlation between parents' knowledge of CPS issues and CPSS usage. Data (participants' surveys, car seat check-up information, and observational statistics) were collected from events that occurred in 3 locations across the county. The population consisted of a convenience sample of adults (parents of children 8-years-old and younger) from each of the locations. The study survey was distributed to 93 participants and only 71 surveys (76.34%) were received for analysis. Data analysis methods included deductive coding, Cronbach's alpha, descriptive statistics, hypotheses testing, linear regression, and Pearson Correlation. The overall test results showed that there were no significant relationships between the independent variable predictors (parents' knowledge of proper CPSS installation techniques, CPS laws and regulations, and marketing strategies) and the dependent variable (CPSS usage rates). The overall study was not statistically significant. The study should be replicated, however modified (on a larger scale for a longer period). Thus, having a stronger possibility to impact the community (producing noteworthy results and promoting social change).