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A three-month prospective study of risk factors for stress fractures sustained by soldiers during basic trainingWood, Paola Silvia 31 May 2009 (has links)
Stress fractures represent one of the most common and serious overuse injuries in the military environment. The aim of this prospective study was to determine the incidence of stress fractures during 12 weeks of Basic Training (BT) by comparing the results of the intrinsic risk indicators obtained from a group of participants who suffered stress fractures, with the rest of the original group (controls) who did not suffer from any stress fractures, and to assess any changes in physical markers whilst following a progressive, scientifically designed, Physical Training (PT) Programme during the BT. The intrinsic risk factors investigated included sex, age, race (measured via questionnaire), foot morphology (wet test), Q angle, leg length discrepancy, bone density (dual-energy X-ray absorptiometry(DEXA), physical fitness (standardized military fitness test, isokinetic upper and lower leg strength, handgrip strength), flexibility (ankle plantarflexion and dorsiflexion, hip internal and external rotation), anthropometry (skinfold method and DEXA), female menstrual disturbances and lifestyle behaviours including smoking, female contraception use and medical history of previous injury (questionnaire). The cohort (n=183), also refered to as the Experimental Group (EG), was measured at the beginning and at the end of the BT period. The standardized physical fitness test was also completed in the fifth week of training. The latter’s results were compared to the results obtained by a Control Group (CG), who had undergone BT the year prior to this cohort. The size of the cohort, the intrinsic risk factor profile and the control of certain extrinsic risk factors may have contributed to zero incidences of stress fractures found. Within the intrinsic risk factor profile, sex, age, race, foot morphology, Q angle, hip external rotation and bone density were normal whilst the measured leg discrepancy and limited ankle dorsiflexion appeared to not have a sufficient risk for stress fracture development. The small sample of the cohort that reported having menstrual irregularities, smoked and had a history of previous fractures, did not place this cohort at risk for stress fracture development. The cohort did, however have lower isotonic, isokinetic and isometric strengths than the other cohorts who reported a relatively high stress fracture incidence. The BT period found statistically significant changes in bone density, flexibility, body composition, muscle strength and endurance. Female participants showed an increase in the T- and Z-scores of the left femur area, a deterioration in left ankle dorsiflexion and hip external rotation, whilst their plantarflexion increased. Their mesomorph component increased, and decreases in % body fat (BF) as well as in the ectomorph and endomorph component were also found. Male participants’ plantarflexion and hip external rotation decreased whilst their dorsiflexion increased. Lean body mass and mesomorph component increased whilst %BF, ectomorph and endomorph component decreased. The new cyclic-progressive PT programme controlled for risk of injury by allowing sufficient periods of recovery, by gradually increasing the duration, frequency, and intensity of training, by reducing repetitive weight-bearing activities and by including a variation of exercises. Running shoes, rather than combat boots, were also worn during PT. Marching on concrete was eliminated. Significant improvements were shown by both male and female participants in aerobic fitness and muscular endurance and muscular strength. Future research should include a larger size cohort, who developed stress fractures utilising BT groups from different corps and units in the South African Military environment. Other potential extrinsic risk factors, such as surface and equipment, should also be investigated. / Thesis (DPhil)--University of Pretoria, 2009. / Biokinetics, Sport and Leisure Sciences / unrestricted
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The contribution of selected biomechanical , postural and anthropometrical factors on the nature and incidence of injuries in rugby union players / E.J. BruwerBruwer, Erna-Jana January 2006 (has links)
Background:
The incidence of injuries in rugby union has increased on both professional and amateur
levels since the introduction of professionalism in 1995. Although rugby union is a body
contact sport with an expected high injury rate, limited research has been done regarding
the postural and biomechanical characteristics of the players and the effect these variables
have on the incidence and nature of rugby union injuries. Large body size is a significant
predictor of success in rugby union and the body mass and mesomorphy of players has
increased over the last years. It has, however, not been thoroughly investigated whether
changes in body composition have any effect on the incidence of rugby union injuries.
Intrinsic risk factors that have been identified to contribute to rugby union injuries are
Hyper-mobility of joints, lack of dynamic mobility and core stability, previous injuries,
aerobic and anaerobic fitness as well as the personalities and characteristics of players
which affect their on-field awareness. The findings of studies investigating the relation
between player characteristics and rugby union injuries are inconsistent because of the
differences in player characteristics under investigation and playing conditions, different
research methodologies used as well as differences in the way injury is defined. Therefore,
the need exists to determine the differences in the biomechanical, postural and
anthropometrical characteristics of injured and uninjured rugby union players by making
use of a prospective design and a standardized injury definition.
Objectives:
The objectives of this study were firstly, to determine the incidence and nature of injuries
among U/21 rugby union players at the Rugby Institute (RI) of the North-West University
(NWU) (South Africa) and secondly, to determine which of the selected biomechanical,
postural and anthropometrical characteristics contributed to musculoskeletal injuries
obtained during the first five months of the 2005 season.
Method: s
A prospective once-off subject availability study was performed that included forty-nine
U/21-rugby union players of the RI of the NWU. Biomechanical, postural and
anthropometrical assessments were performed on all subjects before the start of the 2005-
season. All the injuries sustained during the first five months of the 2005 season were
recorded by means of a validated rugby union injury report questionnaire. A stepwise
discriminant analysis identified the independent variables that discriminated mostly
between the players with and without injuries within the different body regions. Back-classification
by means of the "Jack-knife method" determined whether the independent
characteristics that were selected to contribute to injuries was valid and the effect size, I
("better than chance"), was then determined, with I > 0.3 accepted as practically
significant.
Results:
A total of 66 injuries with an injury rate of 8.611000 training hours and 61.811000 game
hours were reported. Severe injuries accounted for 53% of all injuries to forward players
with the ankle being the most injured anatomical region. In the backline severe injuries
accounted for 11% with the shoulder being the most injured region. The tackle was the
phase of play in which most injuries occurred. The statistical analysis identified uneven
hips, pronated feet, tight hamstrings, anatomical leg length differences, gait pronation and
a tall stature to be practically significant predictors for lower extremity injuries (I>0.3).
No practical significance was obtained for the selected biomechanical, postural and
anthropometrical characteristics related to shoulder girdle as well as back or spine injuries.
Conclusions:
The conclusions that can be drawn from this study are that the injury incidence of rugby
union players of the U/21-squad of the RI of the NWU is high in comparison with those of
other club level players and that postural and biomechanical imbalances of the lower
extremities may increase the risk for injury in this area. / Thesis (M.A. (Human Movement Science))--North-West University, Potchefstroom Campus, 2007.
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The contribution of selected biomechanical , postural and anthropometrical factors on the nature and incidence of injuries in rugby union players / E.J. BruwerBruwer, Erna-Jana January 2006 (has links)
Background:
The incidence of injuries in rugby union has increased on both professional and amateur
levels since the introduction of professionalism in 1995. Although rugby union is a body
contact sport with an expected high injury rate, limited research has been done regarding
the postural and biomechanical characteristics of the players and the effect these variables
have on the incidence and nature of rugby union injuries. Large body size is a significant
predictor of success in rugby union and the body mass and mesomorphy of players has
increased over the last years. It has, however, not been thoroughly investigated whether
changes in body composition have any effect on the incidence of rugby union injuries.
Intrinsic risk factors that have been identified to contribute to rugby union injuries are
Hyper-mobility of joints, lack of dynamic mobility and core stability, previous injuries,
aerobic and anaerobic fitness as well as the personalities and characteristics of players
which affect their on-field awareness. The findings of studies investigating the relation
between player characteristics and rugby union injuries are inconsistent because of the
differences in player characteristics under investigation and playing conditions, different
research methodologies used as well as differences in the way injury is defined. Therefore,
the need exists to determine the differences in the biomechanical, postural and
anthropometrical characteristics of injured and uninjured rugby union players by making
use of a prospective design and a standardized injury definition.
Objectives:
The objectives of this study were firstly, to determine the incidence and nature of injuries
among U/21 rugby union players at the Rugby Institute (RI) of the North-West University
(NWU) (South Africa) and secondly, to determine which of the selected biomechanical,
postural and anthropometrical characteristics contributed to musculoskeletal injuries
obtained during the first five months of the 2005 season.
Method: s
A prospective once-off subject availability study was performed that included forty-nine
U/21-rugby union players of the RI of the NWU. Biomechanical, postural and
anthropometrical assessments were performed on all subjects before the start of the 2005-
season. All the injuries sustained during the first five months of the 2005 season were
recorded by means of a validated rugby union injury report questionnaire. A stepwise
discriminant analysis identified the independent variables that discriminated mostly
between the players with and without injuries within the different body regions. Back-classification
by means of the "Jack-knife method" determined whether the independent
characteristics that were selected to contribute to injuries was valid and the effect size, I
("better than chance"), was then determined, with I > 0.3 accepted as practically
significant.
Results:
A total of 66 injuries with an injury rate of 8.611000 training hours and 61.811000 game
hours were reported. Severe injuries accounted for 53% of all injuries to forward players
with the ankle being the most injured anatomical region. In the backline severe injuries
accounted for 11% with the shoulder being the most injured region. The tackle was the
phase of play in which most injuries occurred. The statistical analysis identified uneven
hips, pronated feet, tight hamstrings, anatomical leg length differences, gait pronation and
a tall stature to be practically significant predictors for lower extremity injuries (I>0.3).
No practical significance was obtained for the selected biomechanical, postural and
anthropometrical characteristics related to shoulder girdle as well as back or spine injuries.
Conclusions:
The conclusions that can be drawn from this study are that the injury incidence of rugby
union players of the U/21-squad of the RI of the NWU is high in comparison with those of
other club level players and that postural and biomechanical imbalances of the lower
extremities may increase the risk for injury in this area. / Thesis (M.A. (Human Movement Science))--North-West University, Potchefstroom Campus, 2007.
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權益連結壽險之動態避險:風險極小化策略與應用 / Dynamic Hedging for Unit-linked Life Insurance Policies: Risk Minimization Strategy and Applications陳奕求, Chen, Yi-Chiu Unknown Date (has links)
傳統人壽保險契約之分析利用等價原則(principal of equivalience) 來對商品評價。即保險人所收保費之現值等於保險人未來責任(保險金額給付)之現值。然而對於權益連結壽險商品而言,其結合傳統商品之風險(如利率風險、死亡率風險等)與財務風險,故更增加其評價困難性。過去研究中在假設預定利率為常數與死亡率為給定的情況下,利用Black-Scholes (1973)評價公式推導出公式解。然而Black-Scholes評價公式是建構在完全市場上,對於權益連結壽險商品而言其已不符合完全市場之假設,因此本文放寬完全市場之假設來對此商品重新評價與避險。
在財務市場上,對於不完全市場(incomplete markets)下請求權(contingent claims)之評價與避險,已發展出數個不同評價方法。本文利用均數變異避險(mean-variance hedging)方法(Follmer&Sondermann ,1986)所衍生之風險極小化(risk-minimization)觀念來對此保險衍生性金融商品評價與避險,並找到一風險衡量測度(Moller , 1996、1998a、2000)來評估發行此商品保險人需承受多少風險。 / In this study, actuarial equivalent principle and no-arbitrage pricing theory are used in pricing and valuation for unit-linked life insurance policies. Since their market values cannot be replicated through the self-finance strategies due to market incompleteness, the theoretical setup in Black and Scholes (1973) and Follmer and Sondermann (1986) are adopted to develop the pricing and hedging strategies. Counting process is employed to characterize the transition pattern of the policyholder and the linked assets are modeled through the geometric Brownian motions. Equivalent martingale measures are adapted to derive the pricing formulas. Since the benefit payments depend on the performance of the underlying portfolios and the health status of the policyholder, mean-variance minimization criterion is employed to evaluate the financial risk. Finally pricing and hedging issues are examined through the numerical illustrations. Monte Carlo method is implemented to approximate the market premiums according to the payoff structures of the policies. In this paper, we show that the risk-minimization criterion can be used to determine the hedging strategies and access the minimal intrinsic risks for the insurers.
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