Terwilliger, V K; Pratson, L; Vaughan, C G; Gioia, G A
Additional Post-Concussion Impact Exposure May Affect Recovery in Adolescent Athletes Journal Article
In: Journal of Neurotrauma, vol. 33, no. 8, pp. 761–765, 2016.
Abstract | Links | BibTeX | Tags: Adolescent, Article, athlete, Athletes, brain concussion, Brain Injury, clinical article, Concussion, controlled study, CONVALESCENCE, Female, human, Male, mTBI, Parent, postconcussion syndrome, retrospective study, risk factor, sport injury
@article{Terwilliger2016,
title = {Additional Post-Concussion Impact Exposure May Affect Recovery in Adolescent Athletes},
author = {Terwilliger, V K and Pratson, L and Vaughan, C G and Gioia, G A},
doi = {10.1089/neu.2015.4082},
year = {2016},
date = {2016-01-01},
journal = {Journal of Neurotrauma},
volume = {33},
number = {8},
pages = {761--765},
abstract = {Repeat concussion has been associated with risk for prolonged and pronounced clinical recovery in athletes. In this study of adolescent athletes, we examined whether an additional head impact within 24 h of a sports-related concussion (SRC) is associated with higher symptom burden and prolonged clinical recovery compared with a single-injury group. Forty-two student-athletes (52% male, mean age = 14.9 years) diagnosed with an SRC in a concussion clinic were selected for this study: (1) 21 athletes who sustained an additional significant head impact within 24 h of the initial injury (additional-impact group); (2) 21 single-injury athletes, age and gender matched, who sustained only one discrete concussive blow to the head (single-injury group). Groups did not differ on initial injury characteristics or pre-injury risk factors. The effect of injury status (single-vs. additional-impact) was examined on athlete-and parent-reported symptom burden (at first clinic visit) and length of recovery (LOR). Higher symptom burden was reported by the athletes and parents in the additional-impact group at the time of first visit. The additional-impact group also had a significantly longer LOR compared with the single-injury group. These findings provide preliminary, hypothesis-generating evidence for the importance of immediate removal from play following an SRC to protect athletes from re-injury, which may worsen symptoms and prolong recovery. The retrospective study design from a specialized clinical sample points to the need for future prospective studies of the relationship between single-and additional-impact injuries on symptom burden and LOR. © 2016 Mary Ann Liebert, Inc.},
keywords = {Adolescent, Article, athlete, Athletes, brain concussion, Brain Injury, clinical article, Concussion, controlled study, CONVALESCENCE, Female, human, Male, mTBI, Parent, postconcussion syndrome, retrospective study, risk factor, sport injury},
pubstate = {published},
tppubtype = {article}
}
Hecimovicha, Mark; Kingb, Doug; Maraisc, Ida
Player and parent concussion knowledge and awareness in youth Australian Rules Football Journal Article
In: Sport Journal, pp. 1–19, 2016, ISBN: 15439518.
Abstract | BibTeX | Tags: *ACADEMIC achievement, *BRAIN -- Concussion, *FIRST aid in illness & injury, *FOOTBALL injuries, *SLEEP disorders, *SPORTS participation, *SYMPTOMS, ADOLESCENCE, Australia, Australian Rules football, AWARENESS, Concussion, DESCRIPTIVE statistics, HEALTH literacy, Parent, PARENTS -- Attitudes, PROBABILITY theory, Questionnaires, STATISTICAL significance, Treatment, Youth
@article{Hecimovicha2016,
title = {Player and parent concussion knowledge and awareness in youth Australian Rules Football},
author = {Hecimovicha, Mark and Kingb, Doug and Maraisc, Ida},
isbn = {15439518},
year = {2016},
date = {2016-01-01},
journal = {Sport Journal},
pages = {1--19},
abstract = {Purpose: The purpose of this study was to measure concussion knowledge and awareness of youth Australian Rules Football players and parents. Secondary aims were examining if player's maturity in age, history of concussion and years played and parents who have undergone first aid and concussion training would increase knowledge. Methods: 1,441 parents and 284 youth ARF players completed a 23-item concussion knowledge survey consisting of three areas: concussion symptoms, management, and return-to-play criteria. Results: There was significant difference in knowledge of concussion management and return-to play criteria between players and parents (p= less than 0.01). Players age, years played and history of concussion did not increase knowledge, however, parents with concussion training had significantly higher scores than those without (p= less than 0.01). Some return-to-play criteria and signs and symptom not thought to be associated with concussion such as disturbed sleeping and difficulty studying were difficult for both groups to associate as related to concussion. Conclusions: Future concussion education opportunities for player and parents need to focus on return-to-play criteria and uncommon signs and symptoms such as sleep disturbances and problems studying. Applications in sport: The findings reflect certain areas that need to be incorporated into educational opportunities for players and parents, especially those who have limited access to qualified health care professionals such as ATC's. Although there is minimal evidence supporting concussion educational opportunities, awareness and knowledge of concussion is the greatest positive influence for symptom reporting among young athletes. However, the ideal delivery mode and educational content for interventions appropriate to each group has yet to be identified so steps such as defining the target group, measuring their level of awareness and knowledge, and monitoring of effectiveness. Overall, the goal should be to provide at least the basic information regarding concussion but as the results of this study demonstrate ensure lesser known aspects such as return-to-play criteria and signs and symptoms such as sleep disturbances and difficulty studying or concentrating are incorporated. ABSTRACT FROM AUTHOR},
keywords = {*ACADEMIC achievement, *BRAIN -- Concussion, *FIRST aid in illness \& injury, *FOOTBALL injuries, *SLEEP disorders, *SPORTS participation, *SYMPTOMS, ADOLESCENCE, Australia, Australian Rules football, AWARENESS, Concussion, DESCRIPTIVE statistics, HEALTH literacy, Parent, PARENTS -- Attitudes, PROBABILITY theory, Questionnaires, STATISTICAL significance, Treatment, Youth},
pubstate = {published},
tppubtype = {article}
}
Brown, J C; Viljoen, W; Lambert, M I; Readhead, C; Fuller, C; Van Mechelen, W; Verhagen, E
The economic burden of time-loss injuries to youth players participating in week-long rugby union tournaments Journal Article
In: Journal of Science & Medicine in Sport, vol. 18, no. 4, pp. 394–399, 2015.
Abstract | Links | BibTeX | Tags: Absenteeism, Adolescent, adult, Article, Athletic Injuries, Back Injuries, biokinetics, bone, Child, competition, Concussion, contusion, Craniocerebral Trauma, economic evaluation, economics, follow up, football, Football/economics, Football/economics/cost analysis, Football/injuries (MeSH terms), fracture, Fractures, head injury, Health, health care cost, Health Care Costs, health insurance, human, Humans, Injuries, injury, injury scale, Insurance, laceration, legal guardian, Lower Extremity, lower limb, major clinical study, Male, MEDICAL care, muscle cramp, muscle strain, Neck Injuries, neck injury, Occupational Therapy, Parent, physical medicine, physiotherapy, radiodiagnosis, rugby, skin bruising, SOUTH Africa, sport injury, Trauma Severity Indices, Upper Extremity, upper limb, Wounds and Injuries
@article{Brown2015b,
title = {The economic burden of time-loss injuries to youth players participating in week-long rugby union tournaments},
author = {Brown, J C and Viljoen, W and Lambert, M I and Readhead, C and Fuller, C and {Van Mechelen}, W and Verhagen, E},
doi = {10.1016/j.jsams.2014.06.015},
year = {2015},
date = {2015-01-01},
journal = {Journal of Science \& Medicine in Sport},
volume = {18},
number = {4},
pages = {394--399},
abstract = {Objectives: Rugby Union ("rugby") is a popular sport with high injury risk. Burden of injury is described by the incidence and severity of injury. However reports have ignored the monetary cost of injuries. Therefore the aim of this study was to describe the monetary cost associated with youth rugby injuries. Design: This descriptive study quantified medical treatments of injured players at the South African Rugby Union Youth tournaments in 2011/2012 and the days of work parents missed as a result of the injuries. A health insurer used these data to calculate associated costs. Methods: Legal guardians of the 421 injured players were contacted telephonically on a weekly basis until they returned to play. Treatments costs were estimated in South African Rands based on 2013 insurance rates and converted to US$ using purchasing power parities. Results: Of the 3652 players, 2% (n=71) sought medical care after the tournament. For these players, average treatment costs were high (US$731 per player, 95% CI: US$425-US$1096), with fractures being the most expensive type of injury. Players with medical insurance had higher costs (US$937, 95% CI: US$486-US$1500) than those without (US$220, 95% CI: US$145-US$302). Conclusions: Although a minority of players sought follow-up treatment after the tournaments, the cost of these injuries was high. Players without medical insurance having lower costs may indicate that these players did not receive adequate treatment for their injuries. Injury prevention efforts should consider injuries with high costs and the treatment of players without medical insurance. © 2014 Sports Medicine Australia.},
keywords = {Absenteeism, Adolescent, adult, Article, Athletic Injuries, Back Injuries, biokinetics, bone, Child, competition, Concussion, contusion, Craniocerebral Trauma, economic evaluation, economics, follow up, football, Football/economics, Football/economics/cost analysis, Football/injuries (MeSH terms), fracture, Fractures, head injury, Health, health care cost, Health Care Costs, health insurance, human, Humans, Injuries, injury, injury scale, Insurance, laceration, legal guardian, Lower Extremity, lower limb, major clinical study, Male, MEDICAL care, muscle cramp, muscle strain, Neck Injuries, neck injury, Occupational Therapy, Parent, physical medicine, physiotherapy, radiodiagnosis, rugby, skin bruising, SOUTH Africa, sport injury, Trauma Severity Indices, Upper Extremity, upper limb, Wounds and Injuries},
pubstate = {published},
tppubtype = {article}
}
Terwilliger, V K; Pratson, L; Vaughan, C G; Gioia, G A
Additional Post-Concussion Impact Exposure May Affect Recovery in Adolescent Athletes Journal Article
In: Journal of Neurotrauma, vol. 33, no. 8, pp. 761–765, 2016.
@article{Terwilliger2016,
title = {Additional Post-Concussion Impact Exposure May Affect Recovery in Adolescent Athletes},
author = {Terwilliger, V K and Pratson, L and Vaughan, C G and Gioia, G A},
doi = {10.1089/neu.2015.4082},
year = {2016},
date = {2016-01-01},
journal = {Journal of Neurotrauma},
volume = {33},
number = {8},
pages = {761--765},
abstract = {Repeat concussion has been associated with risk for prolonged and pronounced clinical recovery in athletes. In this study of adolescent athletes, we examined whether an additional head impact within 24 h of a sports-related concussion (SRC) is associated with higher symptom burden and prolonged clinical recovery compared with a single-injury group. Forty-two student-athletes (52% male, mean age = 14.9 years) diagnosed with an SRC in a concussion clinic were selected for this study: (1) 21 athletes who sustained an additional significant head impact within 24 h of the initial injury (additional-impact group); (2) 21 single-injury athletes, age and gender matched, who sustained only one discrete concussive blow to the head (single-injury group). Groups did not differ on initial injury characteristics or pre-injury risk factors. The effect of injury status (single-vs. additional-impact) was examined on athlete-and parent-reported symptom burden (at first clinic visit) and length of recovery (LOR). Higher symptom burden was reported by the athletes and parents in the additional-impact group at the time of first visit. The additional-impact group also had a significantly longer LOR compared with the single-injury group. These findings provide preliminary, hypothesis-generating evidence for the importance of immediate removal from play following an SRC to protect athletes from re-injury, which may worsen symptoms and prolong recovery. The retrospective study design from a specialized clinical sample points to the need for future prospective studies of the relationship between single-and additional-impact injuries on symptom burden and LOR. © 2016 Mary Ann Liebert, Inc.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Hecimovicha, Mark; Kingb, Doug; Maraisc, Ida
Player and parent concussion knowledge and awareness in youth Australian Rules Football Journal Article
In: Sport Journal, pp. 1–19, 2016, ISBN: 15439518.
@article{Hecimovicha2016,
title = {Player and parent concussion knowledge and awareness in youth Australian Rules Football},
author = {Hecimovicha, Mark and Kingb, Doug and Maraisc, Ida},
isbn = {15439518},
year = {2016},
date = {2016-01-01},
journal = {Sport Journal},
pages = {1--19},
abstract = {Purpose: The purpose of this study was to measure concussion knowledge and awareness of youth Australian Rules Football players and parents. Secondary aims were examining if player's maturity in age, history of concussion and years played and parents who have undergone first aid and concussion training would increase knowledge. Methods: 1,441 parents and 284 youth ARF players completed a 23-item concussion knowledge survey consisting of three areas: concussion symptoms, management, and return-to-play criteria. Results: There was significant difference in knowledge of concussion management and return-to play criteria between players and parents (p= less than 0.01). Players age, years played and history of concussion did not increase knowledge, however, parents with concussion training had significantly higher scores than those without (p= less than 0.01). Some return-to-play criteria and signs and symptom not thought to be associated with concussion such as disturbed sleeping and difficulty studying were difficult for both groups to associate as related to concussion. Conclusions: Future concussion education opportunities for player and parents need to focus on return-to-play criteria and uncommon signs and symptoms such as sleep disturbances and problems studying. Applications in sport: The findings reflect certain areas that need to be incorporated into educational opportunities for players and parents, especially those who have limited access to qualified health care professionals such as ATC's. Although there is minimal evidence supporting concussion educational opportunities, awareness and knowledge of concussion is the greatest positive influence for symptom reporting among young athletes. However, the ideal delivery mode and educational content for interventions appropriate to each group has yet to be identified so steps such as defining the target group, measuring their level of awareness and knowledge, and monitoring of effectiveness. Overall, the goal should be to provide at least the basic information regarding concussion but as the results of this study demonstrate ensure lesser known aspects such as return-to-play criteria and signs and symptoms such as sleep disturbances and difficulty studying or concentrating are incorporated. ABSTRACT FROM AUTHOR},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Brown, J C; Viljoen, W; Lambert, M I; Readhead, C; Fuller, C; Van Mechelen, W; Verhagen, E
The economic burden of time-loss injuries to youth players participating in week-long rugby union tournaments Journal Article
In: Journal of Science & Medicine in Sport, vol. 18, no. 4, pp. 394–399, 2015.
@article{Brown2015b,
title = {The economic burden of time-loss injuries to youth players participating in week-long rugby union tournaments},
author = {Brown, J C and Viljoen, W and Lambert, M I and Readhead, C and Fuller, C and {Van Mechelen}, W and Verhagen, E},
doi = {10.1016/j.jsams.2014.06.015},
year = {2015},
date = {2015-01-01},
journal = {Journal of Science \& Medicine in Sport},
volume = {18},
number = {4},
pages = {394--399},
abstract = {Objectives: Rugby Union ("rugby") is a popular sport with high injury risk. Burden of injury is described by the incidence and severity of injury. However reports have ignored the monetary cost of injuries. Therefore the aim of this study was to describe the monetary cost associated with youth rugby injuries. Design: This descriptive study quantified medical treatments of injured players at the South African Rugby Union Youth tournaments in 2011/2012 and the days of work parents missed as a result of the injuries. A health insurer used these data to calculate associated costs. Methods: Legal guardians of the 421 injured players were contacted telephonically on a weekly basis until they returned to play. Treatments costs were estimated in South African Rands based on 2013 insurance rates and converted to US$ using purchasing power parities. Results: Of the 3652 players, 2% (n=71) sought medical care after the tournament. For these players, average treatment costs were high (US$731 per player, 95% CI: US$425-US$1096), with fractures being the most expensive type of injury. Players with medical insurance had higher costs (US$937, 95% CI: US$486-US$1500) than those without (US$220, 95% CI: US$145-US$302). Conclusions: Although a minority of players sought follow-up treatment after the tournaments, the cost of these injuries was high. Players without medical insurance having lower costs may indicate that these players did not receive adequate treatment for their injuries. Injury prevention efforts should consider injuries with high costs and the treatment of players without medical insurance. © 2014 Sports Medicine Australia.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Terwilliger, V K; Pratson, L; Vaughan, C G; Gioia, G A
Additional Post-Concussion Impact Exposure May Affect Recovery in Adolescent Athletes Journal Article
In: Journal of Neurotrauma, vol. 33, no. 8, pp. 761–765, 2016.
Abstract | Links | BibTeX | Tags: Adolescent, Article, athlete, Athletes, brain concussion, Brain Injury, clinical article, Concussion, controlled study, CONVALESCENCE, Female, human, Male, mTBI, Parent, postconcussion syndrome, retrospective study, risk factor, sport injury
@article{Terwilliger2016,
title = {Additional Post-Concussion Impact Exposure May Affect Recovery in Adolescent Athletes},
author = {Terwilliger, V K and Pratson, L and Vaughan, C G and Gioia, G A},
doi = {10.1089/neu.2015.4082},
year = {2016},
date = {2016-01-01},
journal = {Journal of Neurotrauma},
volume = {33},
number = {8},
pages = {761--765},
abstract = {Repeat concussion has been associated with risk for prolonged and pronounced clinical recovery in athletes. In this study of adolescent athletes, we examined whether an additional head impact within 24 h of a sports-related concussion (SRC) is associated with higher symptom burden and prolonged clinical recovery compared with a single-injury group. Forty-two student-athletes (52% male, mean age = 14.9 years) diagnosed with an SRC in a concussion clinic were selected for this study: (1) 21 athletes who sustained an additional significant head impact within 24 h of the initial injury (additional-impact group); (2) 21 single-injury athletes, age and gender matched, who sustained only one discrete concussive blow to the head (single-injury group). Groups did not differ on initial injury characteristics or pre-injury risk factors. The effect of injury status (single-vs. additional-impact) was examined on athlete-and parent-reported symptom burden (at first clinic visit) and length of recovery (LOR). Higher symptom burden was reported by the athletes and parents in the additional-impact group at the time of first visit. The additional-impact group also had a significantly longer LOR compared with the single-injury group. These findings provide preliminary, hypothesis-generating evidence for the importance of immediate removal from play following an SRC to protect athletes from re-injury, which may worsen symptoms and prolong recovery. The retrospective study design from a specialized clinical sample points to the need for future prospective studies of the relationship between single-and additional-impact injuries on symptom burden and LOR. © 2016 Mary Ann Liebert, Inc.},
keywords = {Adolescent, Article, athlete, Athletes, brain concussion, Brain Injury, clinical article, Concussion, controlled study, CONVALESCENCE, Female, human, Male, mTBI, Parent, postconcussion syndrome, retrospective study, risk factor, sport injury},
pubstate = {published},
tppubtype = {article}
}
Hecimovicha, Mark; Kingb, Doug; Maraisc, Ida
Player and parent concussion knowledge and awareness in youth Australian Rules Football Journal Article
In: Sport Journal, pp. 1–19, 2016, ISBN: 15439518.
Abstract | BibTeX | Tags: *ACADEMIC achievement, *BRAIN -- Concussion, *FIRST aid in illness & injury, *FOOTBALL injuries, *SLEEP disorders, *SPORTS participation, *SYMPTOMS, ADOLESCENCE, Australia, Australian Rules football, AWARENESS, Concussion, DESCRIPTIVE statistics, HEALTH literacy, Parent, PARENTS -- Attitudes, PROBABILITY theory, Questionnaires, STATISTICAL significance, Treatment, Youth
@article{Hecimovicha2016,
title = {Player and parent concussion knowledge and awareness in youth Australian Rules Football},
author = {Hecimovicha, Mark and Kingb, Doug and Maraisc, Ida},
isbn = {15439518},
year = {2016},
date = {2016-01-01},
journal = {Sport Journal},
pages = {1--19},
abstract = {Purpose: The purpose of this study was to measure concussion knowledge and awareness of youth Australian Rules Football players and parents. Secondary aims were examining if player's maturity in age, history of concussion and years played and parents who have undergone first aid and concussion training would increase knowledge. Methods: 1,441 parents and 284 youth ARF players completed a 23-item concussion knowledge survey consisting of three areas: concussion symptoms, management, and return-to-play criteria. Results: There was significant difference in knowledge of concussion management and return-to play criteria between players and parents (p= less than 0.01). Players age, years played and history of concussion did not increase knowledge, however, parents with concussion training had significantly higher scores than those without (p= less than 0.01). Some return-to-play criteria and signs and symptom not thought to be associated with concussion such as disturbed sleeping and difficulty studying were difficult for both groups to associate as related to concussion. Conclusions: Future concussion education opportunities for player and parents need to focus on return-to-play criteria and uncommon signs and symptoms such as sleep disturbances and problems studying. Applications in sport: The findings reflect certain areas that need to be incorporated into educational opportunities for players and parents, especially those who have limited access to qualified health care professionals such as ATC's. Although there is minimal evidence supporting concussion educational opportunities, awareness and knowledge of concussion is the greatest positive influence for symptom reporting among young athletes. However, the ideal delivery mode and educational content for interventions appropriate to each group has yet to be identified so steps such as defining the target group, measuring their level of awareness and knowledge, and monitoring of effectiveness. Overall, the goal should be to provide at least the basic information regarding concussion but as the results of this study demonstrate ensure lesser known aspects such as return-to-play criteria and signs and symptoms such as sleep disturbances and difficulty studying or concentrating are incorporated. ABSTRACT FROM AUTHOR},
keywords = {*ACADEMIC achievement, *BRAIN -- Concussion, *FIRST aid in illness \& injury, *FOOTBALL injuries, *SLEEP disorders, *SPORTS participation, *SYMPTOMS, ADOLESCENCE, Australia, Australian Rules football, AWARENESS, Concussion, DESCRIPTIVE statistics, HEALTH literacy, Parent, PARENTS -- Attitudes, PROBABILITY theory, Questionnaires, STATISTICAL significance, Treatment, Youth},
pubstate = {published},
tppubtype = {article}
}
Brown, J C; Viljoen, W; Lambert, M I; Readhead, C; Fuller, C; Van Mechelen, W; Verhagen, E
The economic burden of time-loss injuries to youth players participating in week-long rugby union tournaments Journal Article
In: Journal of Science & Medicine in Sport, vol. 18, no. 4, pp. 394–399, 2015.
Abstract | Links | BibTeX | Tags: Absenteeism, Adolescent, adult, Article, Athletic Injuries, Back Injuries, biokinetics, bone, Child, competition, Concussion, contusion, Craniocerebral Trauma, economic evaluation, economics, follow up, football, Football/economics, Football/economics/cost analysis, Football/injuries (MeSH terms), fracture, Fractures, head injury, Health, health care cost, Health Care Costs, health insurance, human, Humans, Injuries, injury, injury scale, Insurance, laceration, legal guardian, Lower Extremity, lower limb, major clinical study, Male, MEDICAL care, muscle cramp, muscle strain, Neck Injuries, neck injury, Occupational Therapy, Parent, physical medicine, physiotherapy, radiodiagnosis, rugby, skin bruising, SOUTH Africa, sport injury, Trauma Severity Indices, Upper Extremity, upper limb, Wounds and Injuries
@article{Brown2015b,
title = {The economic burden of time-loss injuries to youth players participating in week-long rugby union tournaments},
author = {Brown, J C and Viljoen, W and Lambert, M I and Readhead, C and Fuller, C and {Van Mechelen}, W and Verhagen, E},
doi = {10.1016/j.jsams.2014.06.015},
year = {2015},
date = {2015-01-01},
journal = {Journal of Science \& Medicine in Sport},
volume = {18},
number = {4},
pages = {394--399},
abstract = {Objectives: Rugby Union ("rugby") is a popular sport with high injury risk. Burden of injury is described by the incidence and severity of injury. However reports have ignored the monetary cost of injuries. Therefore the aim of this study was to describe the monetary cost associated with youth rugby injuries. Design: This descriptive study quantified medical treatments of injured players at the South African Rugby Union Youth tournaments in 2011/2012 and the days of work parents missed as a result of the injuries. A health insurer used these data to calculate associated costs. Methods: Legal guardians of the 421 injured players were contacted telephonically on a weekly basis until they returned to play. Treatments costs were estimated in South African Rands based on 2013 insurance rates and converted to US$ using purchasing power parities. Results: Of the 3652 players, 2% (n=71) sought medical care after the tournament. For these players, average treatment costs were high (US$731 per player, 95% CI: US$425-US$1096), with fractures being the most expensive type of injury. Players with medical insurance had higher costs (US$937, 95% CI: US$486-US$1500) than those without (US$220, 95% CI: US$145-US$302). Conclusions: Although a minority of players sought follow-up treatment after the tournaments, the cost of these injuries was high. Players without medical insurance having lower costs may indicate that these players did not receive adequate treatment for their injuries. Injury prevention efforts should consider injuries with high costs and the treatment of players without medical insurance. © 2014 Sports Medicine Australia.},
keywords = {Absenteeism, Adolescent, adult, Article, Athletic Injuries, Back Injuries, biokinetics, bone, Child, competition, Concussion, contusion, Craniocerebral Trauma, economic evaluation, economics, follow up, football, Football/economics, Football/economics/cost analysis, Football/injuries (MeSH terms), fracture, Fractures, head injury, Health, health care cost, Health Care Costs, health insurance, human, Humans, Injuries, injury, injury scale, Insurance, laceration, legal guardian, Lower Extremity, lower limb, major clinical study, Male, MEDICAL care, muscle cramp, muscle strain, Neck Injuries, neck injury, Occupational Therapy, Parent, physical medicine, physiotherapy, radiodiagnosis, rugby, skin bruising, SOUTH Africa, sport injury, Trauma Severity Indices, Upper Extremity, upper limb, Wounds and Injuries},
pubstate = {published},
tppubtype = {article}
}