Faculty of Health Sciences
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Item An injury profile of high school soccer players on a synthetic surface at a private school in the eThekwini municipality(2024) Timul, Asthiq; Ally, FazilaBackground In South Africa, sport is a compulsory activity in the majority of schools and most of the population that play soccer at schools are amateur players. Many schools in Durban have astroturf courts on which the scholars play soccer. Astroturf is a synthetic surface that has gained much popularity due to it being cost effective and easy to maintain. Despite the benefits associated with playing on astroturf, one of the concerns is increased risk if injury to the players. Over the last decade, soccer injuries have become commonplace amongst scholars, with the most affected age group being between 13–15 years of age. The aim of this study is to determine the injury profile of amateur scholar soccer players playing on a synthetic surface at a private school in the eThekwini municipality. Methodology The research study is a quantitative study with a descriptive design. An organised, quantitative questionnaire was handed out to 108 registered learners at Al-Falaah College. The responses of the questionnaire were used to establish the demographic and injury profile of the soccer players in this study. Results A 100% response rate was recorded. The majority (n=24; 22.2%) of the learners were in the 14 year age group of Indian (n=98; 90.7%) ethnicity. The most common site of injury was recorded as the knee joint (n=54; 50%), followed by the ankle joint (n=36; 33.3%), wrist (n=29; 26.9%) and foot (n=28; 25.9%). The most common mechanism of injury reportedly occurred during tackling (n=61; 56.5%) and the least number of injuries were reported as occurring during heading (n=4; 3.7%). Most of the participants were found to be using incorrect footwear when playing on a synthetic surface, such as, studded boots (n=63; 58.3%) and sneakers (n=39; 36.1%). Conclusion The majority (79.6%) of the injuries reported were characterised as mild to moderate. The lower extremity was the most frequently injured, specifically the knee and ankle joint. Ligament and muscular injuries were the most common injury affecting the lower extremity. Younger individuals are more likely to face injury when playing soccer on a synthetic surface.Item The prevalence, risk factors and management of musculoskeletal injuries in male amateur indoor soccer players in the eThekwini Municipality(2022-05-13) Nair, Caleb; Abdul-Rasheed, Ashura; Prince, Cleo KirstyBackground: Soccer is a popular sport played and viewed globally. Furthermore, indoor soccer has been gaining popularity, especially in South Africa. Investigating the prevalence and risk factors of musculoskeletal injuries associated with indoor soccer, creates an awareness among health practitioners and players, especially when there is limited literature on this sport. Aim: The aim of this study was to determine the prevalence of musculoskeletal injuries, the associated risk factors and effective management of musculoskeletal injuries in amateur male indoor soccer players in the eThekwini Municipality, Durban, South Africa. Methodology: The study utilized a quantitative paradigm and a cross-sectional survey design. A total of 166 male participants, between the ages of 18 and 40 years, were recruited for this study. The sample population included amateur indoor soccer players from the eThekwini Municipality. The survey was distributed via links in which participants completed the survey. Data were analyzed using SPSS version 26 and exported into Microsoft Excel. Results: A total of 89 participants sustained musculoskeletal injuries due to indoor soccer. This resulted in a prevalence rate of 74.2% which indicates more than half of indoor soccer players sustain musculoskeletal injury. Muscle strains are seen as the most common injuries by accounting for 32.6% of the total injuries. The study further revealed that players are more likely to sustain an injury through twisting and turning playing mechanisms as 20.2% of injuries were sustained due to this mechanism of play. Playing with a chronic condition was regarded as a significant risk factor for musculoskeletal injuries. While 58.4% of injured participants implemented a management protocol, 38.5% utilized a home remedy as their management protocol. Conclusion: This study revealed that high musculoskeletal injury prevalence rate exists among amateur indoor soccer players, in the eThekwini Municipality. Male indoor soccer players are commonly prone to muscle strains and sprains with the knee being the most common site of injury. The twisting and turning playing mechanism utilized in indoor soccer appears to be a common mechanism that predisposes players to musculoskeletal injury. Players with chronic conditions should play with caution as chronic conditions may predispose players to injuries and exacerbate health conditions. Urgent measures are required to educate indoor soccer players on injuries and effective management as the results demonstrated high rates of injury and poor management protocols.Item The immediate effect of ipsilateral and contralateral sacroiliac joint manipulation on the hip range of motion and kicking velocity in soccer players(2015) Rehman, Zia ul Mustafa; Kretzmann, HeidiBackground There is a close biomechanical relationship that exists between the sacroiliac and hip joints. It is essential to have optimum hip range of motion originating from the pelvis in both the kicking and support limbs as both limbs play a role in achieving a high speed kicking velocity. Due to the strenuous activity of soccer players, both hip ranges of motion may be decreased, thus predisposing the player to injuries. This may also affect the kicking velocity. The effects of sacroiliac joint manipulation on hip range of motion and kicking velocity were investigated. Objectives The objective of this study was to determine the effect of ipsilateral sacroiliac joint manipulation versus contralateral sacroiliac joint manipulation on bilateral hip range of motion and kicking velocity. Methods There were three groups of twenty soccer players. The ipsilateral sacroiliac joint manipulation group, the contralateral sacroiliac joint manipulation group, and the sham laser intervention group. The case history, physical, regional, lumbar and hip exams were done in the Chiropractic Day Clinic. The hip ranges of motion were measured pre- and post- Chiropractic manipulation in all three groups on both limbs in the Fred Crookes Sports Centre (Durban University of Technology). Hip ranges of motion were measured by the Saunders (The Saunders Group, Chaska, MN) digital inclinometer. The kicking velocity of all players were measured pre- and post- manipulation by a speed sport radar gun (Bushnell Speedster Speed Gun; Bushnell Inc, Lenexa, KS). This was a purposive, investigational study trial where the data was reduced and analysed with the help of a statistician, using the statistical software SPSS version 20.0.The statistical aspect of the research encompassed the following: descriptive statistics used Fischer values, Eta tests, frequency, cross-tabulation tables and various types of graphs (bar charts, scatter graphs etc.); Inferential statistics used Pearson’s and/or Spearman’s correlations at a significance level of 0.05; testing of hypotheses used chi-square tests for nominal data and ordinal data at a level of significance of 0.05. Results The ipsilateral group showed statistically significant results for the right hip in flexion, extension, internal rotation and external rotation, as well as for extension, internal rotation and external rotation in the left hip. The contralateral group showed statistically significant results for the right hip in extension, internal rotation and external rotation, as well as for extension and internal rotation in the left hip. There was a statistically significant improvement in the kicking velocity of the ipsilateral and contralateral group after treatment. There was a strong association between the perception changes to the actual kicking velocity in the soccer players. There was a correlation between the change in hip range of motion and change in kicking velocity, however statistically it was not significant. Conclusion The manipulation of ipsilateral or contralateral sacroiliac joint has an effect on the right and left hip range of motionItem The epidemiology of injuries of female high school soccer players in the eThekwini district(2015) Sentsomedi, Keamogetse Refilwe; Puckree, Threethambal; Kell, ColetteIntroduction: Participation of young females in soccer has started to increase in the past few years. Females participating in soccer are more vulnerable to injuries than males due to the nature of the sport especially because the sport is characterised as a vigorous, high intensity, intermittent ball and contact activity. Objective: This study sought to determine the epidemiology of injuries in high school female soccer players in the eThekwini district. Method: A quantitative approach using a cross sectional survey was used to determine the epidemiology of injuries in female high school soccer players in the eThekwini district. One-hundred-and-ninety-seven female high school soccer players, between the ages of 14 to 19 years who have played soccer for at least one season, from 27 female high schools in the eThekwini district were invited to participate. A self-administered questionnaire was used to determine the demographic profile of the players and the reported prevalence of injuries in the soccer players. The study also determined the profile of soccer related injuries, management of injuries, identified risk factors for injury, and compared injuries occurring during training and during matches. Results: Out of a total of 85 respondents only 31 sustained injuries. The injury prevalence for the season was 36.5%. Only 61 injuries (71.8%) were reported by the injured players. The rate of injury was 90 per 1000 athlete exposure hours during the season. Only two female players reported the five injuries while all 29 female players sustained at least one injury. The defenders (31.7%) and midfielders (28.6%) sustained the most injuries. Most injuries reported were contact in nature (12.9%). More injuries occurred during training (12.9%) rather than during matches (8.2%). The lower extremity (77.8%) was injured more than the upper extremity (22.2%). The knee (22.2%) and ankle (15.9%) were the most frequently injured body parts. Muscle injury (23.5%) was the most commonly reported followed by bruising (10.6%). Conclusion: Prevalence of injuries was high in the cohort studied. The lower limb, specifically the knee and ankle were most commonly injured. Muscle injury and bruising were the most common injury affecting the lower extremity. It is recommended that the study be extended to a larger cohort of school children.Item The relationship between postural stability sway, balance, and injury in adolescent female soccer players in the eThekwini district of KwaZulu-Natal(2014-07-24) Koenig, Jean-Pierre; Puckree, ThreethambalBackground: Poor balance is a risk factor for injury in adolescent sport including soccer. Despite the rapid growth in female adolescent soccer especially in South Africa, the association between balance and injury in this population has not been fully explored. This study aimed to determine the relationship between injury and balance. Static and dynamic balance was monitored as sway index (SI) and limits of stability direction control (LOSDC). Objectives: The objectives of this study were to determine the body mass index of adolescent female soccer players; to determine the prevalence of injury in adolescent female soccer players; to determine static balance as revealed by the sway index (SI); to determine dynamic stability as revealed by limits of stability direction control (LOSDC) and to correlate body mass index (BMI) to sway index and limits of stability. Method: Eighty adolescent female soccer players, between the ages of fourteen and eighteen, were recruited through convenience sampling from schools in the eThekwini district of KwaZulu-Natal. After obtaining informed consent and assent, participants completed questionnaires and were scheduled for the balance and BMI assessments. The objective data for each participant consisted of height, weight, Sway Index (SI) and Limits of Stability Direction Control (LOSDC) readings, measured using a stadiometer, electronic scale and Biodex Biosway Balance System (Biodex Medical Systems Inc., Shirley, New York) respectively. The subjective and objective data were analyzed using SPSS version 21.0 (SPSS Inc. Chicago, Ill, USA). Statistical tests included descriptive statistics using frequency and cross-tabulation. Inferential statistics using t-tests and Pearson’s correlations at a significance level of 0.05 was also incorporated. The testing of hypotheses was performed using Fisher’s Exact tests for nominal data and ordinal data. A p value of < 0.05 was considered as statistically significant. The statistical analysis also included Odds Ratio calculations. Results: The mean body mass index of the injured participants was 23.54±3.56 kg/m2 and the mean body mass index of the uninjured participants was 23.00±4.63. Only 27.5% of the participants sustained an injury. Injured participants performed poorly on average in the SI assessment involving their eyes open when standing on a soft surface. The results were similar for the LOSDC in the overall, right, left, backward-right and backward-left directions. However, there were no significant correlations calculated. Significant relationships existed between BMI and the SI assessments in the injured participants which involved standing on a firm surface with their eyes open (p = 0.05), their eyes closed when also standing on a firm surface (p = 0.05), their eyes open when standing on a soft surface (p = 0.02), and their eyes closed when standing on a soft surface (p = 0.04). A significant relationship also existed between BMI and LOS right direction control (p = 0.02). Conclusion: This research paper revealed that the body mass index as investigated in this study is similar to other studies involving female adolescents; soccer injury as investigated in this study is similar to other studies involving female adolescents; poor static and dynamic balance is not associated with injury in adolescent female soccer players and lastly, body mass index is linked to the balance of an individual.Item A profile of soccer injuries in selected league amateur indoor and outdoor soccer players in the greater Durban area(2008) Archary, Nigel Wayne; Korporaal, Charmaine MariaObjectives: To determine a profile of soccer injuries prevalent in amateur Indoor and Outdoor soccer players in the greater Durban areas. Methods: This study used the Outdoor Supersport corporate league and the Kwa-Zulu Natal (KZN) Indoor soccer league. A total of 103 out of a possible 147 players participated in the study which included 41 Outdoor and 62 Indoor players. The Indoor soccer players were contacted to complete the questionnaire at their match days at the Gale street Indoor soccer arena and the Outdoor players were contacted during their training sessions and/or match days. The researcher was present to answer any questions posed by the participants. In the case of participants having difficulty in understanding English, a bilingual Zulu translator accompanied the researcher in every interaction with the participants. Results: Out of a total of 103 participants, the foot/ankle (62.1%) was the most frequently injured site. This was followed closely by the knee (55.3%). The rest of the sites in descending order were wrist, back, head, elbow, shoulder, chest, genital and abdomen. All participants reported a first injury, 69 participants reported a second injury and 27 participants reported a third injury. Outdoor soccer players reported the knee as being the most affected area, while Indoor soccer players injured the foot/ankle frequently. Furthermore, age was stated as a significant positive correlation when compared with number of sessions missed, meaning the older the participants, the more sessions they missed. The findings suggest that the use of protective equipment can decrease injury rates due to the use of ankle guards decreasing missed sessions. Conclusion: The profile of soccer injuries in selected amateur league Indoor and Outdoor soccer players in the greater Durban area has been described in this study. In terms of number of injuries, there seems to be no significant differences iv between Indoor and Outdoor soccer players. With regard to site of injuries, the lower limb was affected more than any other body part. The Outdoor players showed more knee injuries than the Indoor players who showed higher incidences of foot/ankle injuries.