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Injury Among Female Olympic Style Competitive Gymnasts
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Injury Among Female Olympic Style Competitive Gymnasts VALERIE A STEELE MSC MCSP DipTP Research: Master of Science, University of Salford, 1984 Housed at: University of Salford
THIS study was instigated to determine the incidence of injury among female competitive Olympic style gymnasts, and to examine whether injury-prone gymnasts can be identified using simple test procedures. A preliminary step involved an injury survey of female gymnasts to determine the nature, frequency and site of injuries that had been sustained during gymnastic performance. An injury rate of 1.1 per gymnast over a two-year period was recorded. Selected measures of hypermobility, peripheral joint flexibility, trunk flexibility and posture, anthropometry, muscle function and balance were performed on a group of gymnasts and control subjects. There were significant differences between the two groups in terms of some, but not all, of the measures performed. Twenty-two measures were completed on 4 0 gymnasts and a
Physiotherapy and the Care of the Elderly ANN M FINN XIEd hICSP DipTP Course: Master of Education, Trinity College, Dublin,
1983 Housed at: Trinity College, Dublin Publication: ‘Attitudes of physiotherapists towards geriatric care‘, Physiotherapy, 72, 3, 129-131
further seven measures were performed on a sub-group of 19. The injury score was devised arbitrarily to reflect prior injury and hypermobility traits in the manner employed by other workers. Intercorrelations between all the measures were determined and reported in correlation matrices. The results indicate that older gymnasts and those with relatively high body weight are particularly susceptible to injury during gymnastics. In order to examine the differences between gymnasts who had been attributed a high injury score (because of prior injury and hypermobility traits) and those with low injury score, the results of ten gymnasts representative of each of the two groups were compared. Seven measures were identified which resulted in statistically significant differences between the two groups, in addition to a further two measures where the differences were quite marked but not statistically significant. A subset of five measures were identified from the initial nine measures using stepwisehnultiple regression analysis which can predict high injury risk status gymnasts 70% of the time - namely weight, height, mesomorphy, lumbar posture and age (R=0.834, R 2 =0.704 511.04 SE). Thus, it appears that high injury risk status gymnasts can be identified in the field situation using simple tests without sophisticated equipment.
THIS study endeavours to discuss the role of the physiotherapist in relation to the care of the elderly and to establish the attitudes, knowledge, experience and interests of practising physiotherapists towards this area of care. Data were collected from physiotherapists by means of a postal questionnaire. The survey findings indicated that physiotherapists have positive attitudes, and are reasonably knowledgable about the social and medical problems. However, the majority of physiotherapists preferred not to work with the elderly, at least on a long-term basis. Several reasons for this lack of interest in working with elderly patients were identified. They included poor motivation and a slow response to treatment on the part of the patients, as well as the generally depressing environment in which these patients are managed. In addition the status of geriatric medicine was considered low, because it was not a medical, community or state priority.
Demand/Supply Analysis of Physiotherapists within the North East Thames Regional Health Authority ANN E HUNTER MA
MCSP
Course: Master of A r t s in Manpower Studies, School of Management Studies, Polytechnic of Central London,
1987 Housed at: CSP offices
THE purpose of this study is to analyse the demand and supply of physiotherapists within a specific health Region. The manpower in an inner city, outer city and rural areas are compared. The current stocks and flows are examined. Wastage rates between ages and grades are compared. The rate of progression of staff through the
204
structure are compared for the three areas using career progression diagrams. The current supply is projected to 1990 to estimate the probable manpower structure and the likely number of recruits required. The Delphi method is used to obtain consensus among experts of the profession on future developments which will have manpower implications. A survey was conducted of Regional District physiotherapists to discover which indicators they used for manpower planning and what developments, both local and national, would affect their manpower levels. The difference between the supply, which will remain relatively static, and the demand, which is .ever-increasing, is becoming greater. Development of the ‘priority’ and community services needs increased manpower levels. Lack of relevant data makes manpower planning a speculative exercise. Suggestions are made for improving the planning process. Recommendations are given for more imaginative approaches to recruitment and retention of staff.
physiotherapy, April 1988, vol 74, no 4
Injury Among Female Olympic Style Competitive Gymnasts VALERIE A STEELE MSC MCSP DipTP Research: Master of Science, University of Salford, 1984 Housed at: University of Salford
THIS study was instigated to determine the incidence of injury among female competitive Olympic style gymnasts, and to examine whether injury-prone gymnasts can be identified using simple test procedures. A preliminary step involved an injury survey of female gymnasts to determine the nature, frequency and site of injuries that had been sustained during gymnastic performance. An injury rate of 1.1 per gymnast over a two-year period was recorded. Selected measures of hypermobility, peripheral joint flexibility, trunk flexibility and posture, anthropometry, muscle function and balance were performed on a group of gymnasts and control subjects. There were significant differences between the two groups in terms of some, but not all, of the measures performed. Twenty-two measures were completed on 4 0 gymnasts and a
Physiotherapy and the Care of the Elderly ANN M FINN XIEd hICSP DipTP Course: Master of Education, Trinity College, Dublin,
1983 Housed at: Trinity College, Dublin Publication: ‘Attitudes of physiotherapists towards geriatric care‘, Physiotherapy, 72, 3, 129-131
further seven measures were performed on a sub-group of 19. The injury score was devised arbitrarily to reflect prior injury and hypermobility traits in the manner employed by other workers. Intercorrelations between all the measures were determined and reported in correlation matrices. The results indicate that older gymnasts and those with relatively high body weight are particularly susceptible to injury during gymnastics. In order to examine the differences between gymnasts who had been attributed a high injury score (because of prior injury and hypermobility traits) and those with low injury score, the results of ten gymnasts representative of each of the two groups were compared. Seven measures were identified which resulted in statistically significant differences between the two groups, in addition to a further two measures where the differences were quite marked but not statistically significant. A subset of five measures were identified from the initial nine measures using stepwisehnultiple regression analysis which can predict high injury risk status gymnasts 70% of the time - namely weight, height, mesomorphy, lumbar posture and age (R=0.834, R 2 =0.704 511.04 SE). Thus, it appears that high injury risk status gymnasts can be identified in the field situation using simple tests without sophisticated equipment.
THIS study endeavours to discuss the role of the physiotherapist in relation to the care of the elderly and to establish the attitudes, knowledge, experience and interests of practising physiotherapists towards this area of care. Data were collected from physiotherapists by means of a postal questionnaire. The survey findings indicated that physiotherapists have positive attitudes, and are reasonably knowledgable about the social and medical problems. However, the majority of physiotherapists preferred not to work with the elderly, at least on a long-term basis. Several reasons for this lack of interest in working with elderly patients were identified. They included poor motivation and a slow response to treatment on the part of the patients, as well as the generally depressing environment in which these patients are managed. In addition the status of geriatric medicine was considered low, because it was not a medical, community or state priority.
Demand/Supply Analysis of Physiotherapists within the North East Thames Regional Health Authority ANN E HUNTER MA
MCSP
Course: Master of A r t s in Manpower Studies, School of Management Studies, Polytechnic of Central London,
1987 Housed at: CSP offices
THE purpose of this study is to analyse the demand and supply of physiotherapists within a specific health Region. The manpower in an inner city, outer city and rural areas are compared. The current stocks and flows are examined. Wastage rates between ages and grades are compared. The rate of progression of staff through the
204
structure are compared for the three areas using career progression diagrams. The current supply is projected to 1990 to estimate the probable manpower structure and the likely number of recruits required. The Delphi method is used to obtain consensus among experts of the profession on future developments which will have manpower implications. A survey was conducted of Regional District physiotherapists to discover which indicators they used for manpower planning and what developments, both local and national, would affect their manpower levels. The difference between the supply, which will remain relatively static, and the demand, which is .ever-increasing, is becoming greater. Development of the ‘priority’ and community services needs increased manpower levels. Lack of relevant data makes manpower planning a speculative exercise. Suggestions are made for improving the planning process. Recommendations are given for more imaginative approaches to recruitment and retention of staff.
physiotherapy, April 1988, vol 74, no 4