Developing a population-wide system for the longitudinal surveillance of musculoskeletal health in netball players
Silvia Manzanero, AIS
Netball Health for Life
NETISM Netball International Study on Musculoskeletal health
Netball
Over 1 in 20 Australian women
play netball.
It involves:
muscular endurance
bursts of rapid acceleration
sudden and rapid changes in direction in combination with jumping
(Steele and Milburn 1987)
11 to 15 injuries/1000 player hours in recreational and sub-elite
participants.
Ankle injuries more frequent, knee injuries more severe.
ACL rupture – responsible for 17% of hospital admissions in female netballers.
Reported associated factors:
prior injury jumping ability
warm-up anaerobic fitness
training foot type
position hypermobility
age footwear
Netball injury
Goals
Injury surveillance
Knee and lower leg injury in pathway, community and high-performance netball players
Mechanisms and associated factors
To inform injury prevention plans at all levels of participation.
Positive health impact
Health-related, personal and lifestyle factors associated with netball practice.
Degree of netball participation associated with well-being in older age.
Understanding osteoarthritis
Knee and ankle osteoarthritis in current and former netball players.
Association of injury and other factors with osteoarthritis.
Study design priorities
Monitoring at the
population level to ensure solid results
Online platform to ensure ease of use, economy and reach
Collecting data directly from the athlete to measure perceived severity
Data collection on
acute and overuse,
major and minorforms of injury
Longitudinal – yearly data collection
Follow-up of individual injuries, to assess recurrence, reinjury, exacerbation
Emphasis on reportingand dissemination
Research team designed so the implementers are included in the early stages to ensure that the outputs:
are population-specific, and reach acceptance criteria
The project
Participants
Community, pathway and high-performance netball players aged 13 and over
Former netball players
3 nations: Australia, New Zealand and UK
Method
Online survey
Maximum 30 minutes
Outputs
Yearly reports to partner organisations:
• Injury rates
• Health and well-being
• Lifestyle
• Quality of life
Data collection
Current netball players
5 year study, yearly data collection
additional surveys for specific groups (e.g. burden of ACL injury)
Former netball players
2.5 year study, cross-sectional
single survey
16 17 18 19 20 21
Survey modules – injury
Module 1 - Demographics
Module 2 - Netball experience
Module 3 – Injury
Previous year
Injuries Netball-related
(>1 missed training session/game)
knee
bel
ow
kn
ee
Non-netball related
(>2 weeks missed training/games)
Minor
issues
Netball-related only
(no missed training sessions/games
but affecting performance)
Prior to previous
year
Injuries Netball related
(>3 months missed training/games)
Non-netball related
(>3 months missed training/games)
Survey modules – health
Module 4 – Current health
Module 5 – Female health
Module 6 – Knees
- Knee injury and OA Outcome Score Physical Function Shortform (KOOS-PS)
Module 7 – Ankles
- Cumberland ankle instability tool- Ankle OA scale
Module 8 – Fingers
Module 9 – Quality of life
- SF-36 survey. Only for participants aged 30 and over
Our VisionNETISM will contribute to a healthier Australia by enhancing sustainable participation in Australia’s most popular female team sport.
The Research Team
Australian Institute of Sport Dr David HughesDr Nicole VlahovichDr Michael DrewDr Bronwyn JonathanDr Silvia Manzanero
Netball Australia Ms Laura JuliffMs Alanna AntcliffDr Sophie Armstrong
University of Canberra Prof Gordon WaddingtonDr Marijke WelvaertDr Phillip Newman
La Trobe University Prof Kay CrossleyMs Brooke Patterson
The University of Sydney Prof David Hunter
Federation University Prof Caroline FinchDr Lauren Fortington
Arthritis Research UK Centre for Sport, Prof Mark BattExercise & Osteoarthritis
High Performance Sport New Zealand Dr Bruce Hamilton
