INJURY RISK DURING DUTCH PHYSICAL EDUCATION TEACHER EDUCATION: A PROSPECTIVE COHORT STUDY OVER THE PERIOD 2000–2014

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Abstract

Background

Injury risk is high during 4-year PE teacher education (PETE). However, recent studies have focussed on injury risk during the first year only.

Objective

To compare the overall, intra- and extracurricular injury risk per sex and curriculum year, and trends over time in Dutch PETE.

Design

Prospective cohort study.

Setting

A Dutch polytechnic for PETE.

Patients (or Participants)

PE students (male n=635, female n=448), who completed their full curriculum between 2000 and 2014.

Assessment of Risk Factors

Sport setting (intra- versus extracurricular), sex, curriculum year and (consecutive) cohorts.

Main Outcome Measurements

Any musculoskeletal complaint related to sports participation for which medical advice was sought. Intracurricular iincidence rates (injuries/1000 hours) were calculated using the scheduled time table. Overall/extracurricular exposure time was calculated in months from the start of the curriculum until injury or graduation date of individual students. Clinical incidence (CI; injuries/student) was calculated as well. Risk was compared using Cox regression analysis or Relative Risk (RR) and their 95% Confidence Intervals (95%CI).

Results

Overall 599 (55.3%, 95% CI 51.1–59.9%) students sustained at least one injury. Female students had a significantly higher risk for overall (RR 1.34, 95% CI 1.23–1.47) and for intracurricular injuries (RR 1.60, 95% CI 1.43–1.79). CI for intracurricular injuries was significantly higher than for extracurricular injuries (RR 2.27, 95% CI 1.98–2.61), specifically in female students during their first year (RR 4.29, 95% CI 3.13–5.88). Compared to the first year, overall CI dropped significantly during the 2nd (RR 0.62, 95% CI 0.54–0.71) and consecutive years. Injury risk increased over the period from 2000 to 2014 (RR 1.59, 95% CI 1.36–1.86).

Conclusions

Injury risk in Dutch PETE is increasing. Risk factors for the relatively high intracurricular injury risk found for the first year and for female students, should be investigated in prospective multi-center research.

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