Groin pain and hip range of motion is different in Indigenous compared to non-Indigenous young...
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e44 Abstracts / Journal of Science and Medicine in Sport 12 (2010) e1–e232 variables it was possible to correctly classify 72% of the players into the injury and non injury groups. These results suggest that reduced range of hip and ankle motion may adversely affect the lower kinetic chain. In contrast, the exces- sive motion in the foot and through the thoracic region may represent an adaptation to reduced motion in other regions. These results also provide direction for rehabilitation pro- grams designed to reduce injury and provide a means for monitoring the physical status of cricket athletes over the course of a season. doi:10.1016/j.jsams.2009.10.092 92 Groin pain and hip range of motion is different in Indigenous compared to non-Indigenous young Aus- tralian football players C. Taylor 1,2,∗ , J. Cook 2 , T. Pizzari 1 , N. Ames 3,4 , T. Wood 5 , B. Gabbe 6 , M. Makdissi 7 , E. Scase 8 , J. McNeil 6 , J. Orchard 9 1 School of Physiotherapy, LaTrobe University 2 Exercise and Nutritional Sciences, Deakin University 3 AIS-AFL Academy 4 Geelong Football Club 5 AFL Medical Officers Association 6 Epidemiology and Preventive Medicine, Monash University 7 Centre for Health, Exercise and Sports Medicine, University of Melbourne 8 Australian Institute of Sport 9 School of Public Health, University of Sydney Introduction: Anecdotally, Indigenous (I) Australian foot- ball (AF) players are more likely to suffer from soft tissue injuries compared with their non-Indigenous (non-I) team- mates, and there is some evidence that being of Aboriginal descent is associated with an increased risk of hamstring injury. The current study aimed to investigate if standard hip and groin screening tests would reveal differences between Indigenous and non-Indigenous players. Methods: Two hundred and seventy elite junior Australian football players at the Under 16 National Championships and AFL Draft Camp were screened using a battery of mus- culoskeletal tests. The following hip and groin tests were undertaken: supine passive hip internal rotation at 90 ◦ , supine active hip internal rotation and external rotation in neutral, prone passive hip internal rotation, adductor squeeze test at 90 ◦ and 0 ◦ knee flexion (measuring pressure (mmHg) and pain rating (1–10)). Results: Thirty three players (12%) were Indigenous and of these players, 58% (n = 19) played in the North- ern Territory. Independent groups t-test, Mann–Whitney U and Person Chi-Square tests comparing means and rank- ings of the Indigenous group to the non-Indigenous group demonstrated significant differences between the two groups for right prone hip internal rotation (I X = 27.60 ± 9.16, non-I X = 33.39 ± 8.88, p = .00) and left prone hip inter- nal rotation (I X = 25.83 ± 10.25, non-I X = 31.36 ± 8.75, p = .00), pressure on squeeze test with knees at 90 ◦ (I X = 165.71 ± 40.32, non-I X = 188.17 ± 62.32 p = .001) and pressure on squeeze tests with knees at 0 ◦ (I X = 172.57 ± 35.98, non-I X = 202.57 ± 49.14 p = .049), and pain provocation during squeeze test with knees at 90 ◦ (I X = 3.19 ± 2.26, non-I X = 1.03 ± 1.78). There were no sig- nificant differences between groups for supine passive hip internal rotation at 90 ◦ , or supine active hip internal and external rotation in neutral. Conclusion: The Indigenous players screened displayed significantly less range of hip passive hip internal rotation with the hip in neutral, reduced adductor squeeze force and higher levels of groin pain with the squeeze test at 90 ◦ . The differences observed between Indigenous and non- Indigenous players may indicate that the Indigenous players are at greater risk of hip and groin injuries in AF. This increased risk may be a result of training, playing, environ- mental or genetic differences between the groups. Based on this preliminary evidence, young Indigenous players should be screened and managed for hip and groin injury. Further research is needed to confirm if Indigenous players are more at risk during senior football. doi:10.1016/j.jsams.2009.10.093 93 In season shoulder instability episodes in professional Australian Rules football P. Jarman 1,∗ , G. Hoy 1,2 1 Australian Orthopaedic Association 2 Melbourne Orthopaedic Group Introduction: It has been well documented that the natural history of shoulder dislocation is to encounter further shoul- der instability, especially in the young male playing a contact sport. Further, it has been documented that glenohumeral arthritis is a consequence of repeated shoulder dislocation in a third of more of cases. Australian Rules Football is the dominant winter sport at a national level. It is also unique in being a largely overhead, contact sport. We present an audit of in-season shoulder instability at AFL Level. We sought to determine the true incidence of shoulder instability injuries (including non-dislocation instability episodes) at 15 of 16 AFL clubs during season 2007. Method: We contacted all participating team doctors weekly to determine the cases of shoulder instability and dis- location episodes. We prospectively followed players who returned to elite level football following treatment, profiling performance after return to play post therapy. We compared their pre injury performance indicators to their performance after their return, and that of the following season.
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44 Abstracts / Journal of Science an
ariables it was possible to correctly classify 72% of thelayers into the injury and non injury groups. These resultsuggest that reduced range of hip and ankle motion maydversely affect the lower kinetic chain. In contrast, the exces-ive motion in the foot and through the thoracic region mayepresent an adaptation to reduced motion in other regions.hese results also provide direction for rehabilitation pro-rams designed to reduce injury and provide a means foronitoring the physical status of cricket athletes over the
ourse of a season.
oi:10.1016/j.jsams.2009.10.092
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roin pain and hip range of motion is different inndigenous compared to non-Indigenous young Aus-ralian football players
. Taylor 1,2,∗, J. Cook 2, T. Pizzari 1, N. Ames 3,4, T.ood 5, B. Gabbe 6, M. Makdissi 7, E. Scase 8, J. McNeil 6,
. Orchard 9
School of Physiotherapy, LaTrobe UniversityExercise and Nutritional Sciences, Deakin UniversityAIS-AFL AcademyGeelong Football ClubAFL Medical Officers AssociationEpidemiology and Preventive Medicine, Monash UniversityCentre for Health, Exercise and Sports Medicine, Universityf MelbourneAustralian Institute of SportSchool of Public Health, University of Sydney
Introduction: Anecdotally, Indigenous (I) Australian foot-all (AF) players are more likely to suffer from soft tissuenjuries compared with their non-Indigenous (non-I) team-
ates, and there is some evidence that being of Aboriginalescent is associated with an increased risk of hamstringnjury. The current study aimed to investigate if standard hipnd groin screening tests would reveal differences betweenndigenous and non-Indigenous players.
Methods: Two hundred and seventy elite junior Australianootball players at the Under 16 National Championshipsnd AFL Draft Camp were screened using a battery of mus-uloskeletal tests. The following hip and groin tests werendertaken: supine passive hip internal rotation at 90◦, supinective hip internal rotation and external rotation in neutral,rone passive hip internal rotation, adductor squeeze test at0◦ and 0◦ knee flexion (measuring pressure (mmHg) andain rating (1–10)).
Results: Thirty three players (12%) were Indigenousnd of these players, 58% (n = 19) played in the North-
rn Territory. Independent groups t-test, Mann–Whitney Und Person Chi-Square tests comparing means and rank-ngs of the Indigenous group to the non-Indigenous groupemonstrated significant differences between the two groupsrpta
cine in Sport 12 (2010) e1–e232
or right prone hip internal rotation (I X = 27.60 ± 9.16,on-I X = 33.39 ± 8.88, p = .00) and left prone hip inter-al rotation (I X = 25.83 ± 10.25, non-I X = 31.36 ± 8.75,= .00), pressure on squeeze test with knees at 90◦
I X = 165.71 ± 40.32, non-I X = 188.17 ± 62.32 p = .001)nd pressure on squeeze tests with knees at 0◦ (I= 172.57 ± 35.98, non-I X = 202.57 ± 49.14 p = .049), and
ain provocation during squeeze test with knees at 90◦ (I= 3.19 ± 2.26, non-I X = 1.03 ± 1.78). There were no sig-
ificant differences between groups for supine passive hipnternal rotation at 90◦, or supine active hip internal andxternal rotation in neutral.
Conclusion: The Indigenous players screened displayedignificantly less range of hip passive hip internal rotationith the hip in neutral, reduced adductor squeeze force
nd higher levels of groin pain with the squeeze test at0◦. The differences observed between Indigenous and non-ndigenous players may indicate that the Indigenous playersre at greater risk of hip and groin injuries in AF. Thisncreased risk may be a result of training, playing, environ-
ental or genetic differences between the groups. Based onhis preliminary evidence, young Indigenous players shoulde screened and managed for hip and groin injury. Furtheresearch is needed to confirm if Indigenous players are moret risk during senior football.
oi:10.1016/j.jsams.2009.10.093
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n season shoulder instability episodes in professionalustralian Rules football
. Jarman 1,∗, G. Hoy 1,2
Australian Orthopaedic AssociationMelbourne Orthopaedic Group
Introduction: It has been well documented that the naturalistory of shoulder dislocation is to encounter further shoul-er instability, especially in the young male playing a contactport. Further, it has been documented that glenohumeralrthritis is a consequence of repeated shoulder dislocationn a third of more of cases. Australian Rules Football is theominant winter sport at a national level. It is also unique ineing a largely overhead, contact sport. We present an auditf in-season shoulder instability at AFL Level. We sought toetermine the true incidence of shoulder instability injuriesincluding non-dislocation instability episodes) at 15 of 16FL clubs during season 2007.Method: We contacted all participating team doctors
eekly to determine the cases of shoulder instability and dis-ocation episodes. We prospectively followed players who
eturned to elite level football following treatment, profilingerformance after return to play post therapy. We comparedheir pre injury performance indicators to their performancefter their return, and that of the following season.
