Background Sports injuries are highly disadvantageous for Physical Education (PE) students, because they can lead to physical discomfort, and absence from sports classes resulting in higher study career costs.Objective To investigate the magnitude of the injury problem in PE students and to explore risk factors for sustaining an injury.Design A prospective cohort study with six months follow up.Participants and setting 280 Dutch freshmen PE students.Assessment of risk factors Prior to the start of the school year, all students underwent a medical examination to assess height, weight, percentage of body fat, blood pressure, visual acuity, muscle-skeletal functioning, and cardio-respiratory endurance. During the six months follow up, an online questionnaire was conducted on a weekly basis to monitor injuries and illnesses (OSTRC Overuse Injury Questionnaire). Furthermore, every two weeks an online questionnaire (POMS and RESTQ-Sports) was administered to measure mood and perceived stress and recovery of the students.Main outcome measures Frequencies and characteristics of injuries and illnesses.Results According to the OSTRC Overuse Injury Questionnaire, 22.5% of the students had physical problems regarding injuries during the first month of the school year, and 11.2% of the students were ill. Data collection will end in February 2014. We will perform a logistic regression analysis to test whether the injured students differ significantly from non injured students based on characteristics such as age, sex, body composition, and muscle-skeletal functioning.Conclusions Preliminary results showed that the risk of sustaining an injury and becoming ill is high for freshmen PE students. Screening at the start of the school year may play an important role in identifying the students at risk.
PURPOSE: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients.METHODS: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis.RESULTS: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9-27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6-16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score < 19, ICU stay > 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2-1.8), stage II (OR 1.6; 95% CI 1.4-1.9), and stage III or worse (OR 2.8; 95% CI 2.3-3.3).CONCLUSION: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat.A correction on this original article is published in February 2021.
Runners often sustain lower extremity injuries (19-79%) (van Gent et al, 2007). In a theoretical model it has been described that a disturbance in perceived stress and recovery can increase the risk of sustaining an injury (Williams & Andersen, 1998). Therefore, the purpose of this study was to investigate changes in perceived stress and recovery preceding an injury of competitive runners.Methods: Twenty-four competitive runners were monitored over one full training season (46 weeks). Every week, the runners filled an on-line RESTQ-sport (Nederhof et al, 2008). Furthermore, runners and their coaches kept a log with injuries and physical complaints. A non-traumatic injury was defined as any pain, soreness or injury that was not caused by trauma and resulted from training and led to a decrease in training duration or training intensity for at least one week (Jacobsson et al, 2013). Because baseline levels of perception of stress and recovery vary largely between runners, the 19 scales of the RESTQ-Sport were normalized to Z-scores based on the runner’s individual average and standard deviation of the whole season (excl. injured periods). The normalized scores of 1, 2 and 3 weeks before the first sustained injury were compared to 0, which is the average normalized score, by repeated measures ANOVA’s.Results: Twenty-two runners sustained a non-traumatic lower extremity injury. Eight of these runners filled out the RESTQ-Sport all 3 weeks preceding the injury and their data was used for further analysis. The injuries sustained were non-traumatic injuries of the knee, Achilles tendon, ankle, foot and shin. It was shown that 1 week preceding the injury, runners scored lower than the average normalized score on “Success” (Z-score: -0.68±0.62) and 2 weeks preceding the injury runners scored higher than their average on “Fitness/Injuries” (Z-score: 1.04±1.12).Discussion: A decrease in perceived success may be a marker to predict a non-traumatic lower extremity injury. Also an increase in the perception of muscle ache, soreness, pain and vulnerability to injury (“Fitness/Injury”) preceded injuries. Thereby, monitoring changes in individual stress and recovery may help to prevent non-traumatic injuries.
Horse riding falls under the “Sport for Life” disciplines, where a long-term equestrian development can provide a clear pathway of developmental stages to help individuals, inclusive of those with a disability, to pursue their goals in sport and physical activity, providing long-term health benefits. However, the biomechanical interaction between horse and (disabled) rider is not wholly understood, leaving challenges and opportunities for the horse riding sport. Therefore, the purpose of this KIEM project is to start an interdisciplinary collaboration between parties interested in integrating existing knowledge on horse and (disabled) rider interaction with any novel insights to be gained from analysing recently collected sensor data using the EquiMoves™ system. EquiMoves is based on the state-of-the-art inertial- and orientational-sensor system ProMove-mini from Inertia Technology B.V., a partner in this proposal. On the basis of analysing previously collected data, machine learning algorithms will be selected for implementation in existing or modified EquiMoves sensor hardware and software solutions. Target applications and follow-ups include: - Improving horse and (disabled) rider interaction for riders of all skill levels; - Objective evidence-based classification system for competitive grading of disabled riders in Para Dressage events; - Identifying biomechanical irregularities for detecting and/or preventing injuries of horses. Topic-wise, the project is connected to “Smart Technologies and Materials”, “High Tech Systems & Materials” and “Digital key technologies”. The core consortium of Saxion University of Applied Sciences, Rosmark Consultancy and Inertia Technology will receive feedback to project progress and outcomes from a panel of international experts (Utrecht University, Sport Horse Health Plan, University of Central Lancashire, Swedish University of Agricultural Sciences), combining a strong mix of expertise on horse and rider biomechanics, veterinary medicine, sensor hardware, data analysis and AI/machine learning algorithm development and implementation, all together presenting a solid collaborative base for derived RAAK-mkb, -publiek and/or -PRO follow-up projects.
Alcohol use disorder (AUD) is a major problem. In the USA alone there are 15 million people with an AUD and more than 950,000 Dutch people drink excessively. Worldwide, 3-8% of all deaths and 5% of all illnesses and injuries are attributable to AUD. Care faces challenges. For example, more than half of AUD patients relapse within a year of treatment. A solution for this is the use of Cue-Exposure-Therapy (CET). Clients are exposed to triggers through objects, people and environments that arouse craving. Virtual Reality (VRET) is used to experience these triggers in a realistic, safe, and personalized way. In this way, coping skills are trained to counteract alcohol cravings. The effectiveness of VRET has been (clinically) proven. However, the advent of AR technologies raises the question of exploring possibilities of Augmented-Reality-Exposure-Therapy (ARET). ARET enjoys the same benefits as VRET (such as a realistic safe experience). But because AR integrates virtual components into the real environment, with the body visible, it presumably evokes a different type of experience. This may increase the ecological validity of CET in treatment. In addition, ARET is cheaper to develop (fewer virtual elements) and clients/clinics have easier access to AR (via smartphone/tablet). In addition, new AR glasses are being developed, which solve disadvantages such as a smartphone screen that is too small. Despite the demand from practitioners, ARET has never been developed and researched around addiction. In this project, the first ARET prototype is developed around AUD in the treatment of alcohol addiction. The prototype is being developed based on Volumetric-Captured-Digital-Humans and made accessible for AR glasses, tablets and smartphones. The prototype will be based on RECOVRY, a VRET around AUD developed by the consortium. A prototype test among (ex)AUD clients will provide insight into needs and points for improvement from patient and care provider and into the effect of ARET compared to VRET.
The traffic safety of cyclists is under pressure. The number of fatalities and injuries is increasing, and the number of single-bicycle accidents is on the rise. However, from a traffic safety perspective, the most concerning trend is the growing number of incidents between motorized vehicles and cyclists. In addition to infrastructural solutions, such as more segregated and wider bike lanes, both industry and government are exploring technological developments to better safeguard cyclist safety. One of the technological solutions being considered is the use of C-V2X communication. C-V2X, Cellular Vehicle-to-X, is a technology that enables short-range signal exchanges between road users, informing them of each other's presence. C-V2X can be used, for example, to alert drivers via dedicated in-car information systems about the presence of cyclists on the road (e.g. at crossings). Although the technology and chipsets have been developed, the application of C-V2X to improve cyclist safety has not yet been thoroughly investigated. Therefore, HAN, Gazelle, and ARK Infomotives are researching the impact of C-V2X (on cyclist safety). Using advanced simulations with a digital twin in an urban environment and rural environment, the study will analyze how drivers respond to cyclist presence signals and determine the maximum penetration rate of ‘connected’ cyclists. Based on this, a pilot study will be conducted in a controlled environment on HAN terrain to validate the direction of the simulation results. The project aligns with the Missiegedreven Innovatiebeleid and the KIA Sleuteltechnologieën, specifically within application of digital and information technologies. This proposal aligns with the innovation domain of Semiconductor Technologies by applying advanced sensor and digital connectivity solutions to enhance cyclist safety. The project fits within the theme of Sleuteltechnologieën en Duurzame Materialen of the strategic research agenda of the VH by utilizing digital connectivity, sensor fusion, and data-driven decision-making for safer mobility solutions.
