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Weiss, N., Skillgate, E. & Axén, I. (2023). Psychological distress and musculoskeletal pain in manual therapists during the second wave of the COVID-19 pandemic in Sweden: A cross-sectional study. Chiropractic and Manual Therapies, 31, Article ID 34.
Open this publication in new window or tab >>Psychological distress and musculoskeletal pain in manual therapists during the second wave of the COVID-19 pandemic in Sweden: A cross-sectional study
2023 (English)In: Chiropractic and Manual Therapies, E-ISSN 2045-709X, Vol. 31, article id 34Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The COVID-19 pandemic had an unprecedented impact on healthcare, and the health of healthcare workers has been subject of much research. However, studies of health-related factors in manual therapists during the COVID-19 pandemic are scarce. Research in this field can provide valuable insights for future crises policy and guidelines, including in regions where the public health response to COVID-19 contrasts with that of most other international jurisdictions. The aim was to describe the prevalence of psychological distress and musculoskeletal pain, and to investigate factors potentially associated with high psychological distress and activity-limiting musculoskeletal pain in clinically active chiropractors and naprapaths during the second wave of the COVID-19 pandemic in Sweden.

METHODS: A cross-sectional survey was distributed to a representative sample of Swedish manual therapists, between November 2020 and January 2021. High psychological distress and activity-limiting musculoskeletal pain were investigated regarding associations with residing in a municipality with a high spread of infection, a previous/ongoing SARS-CoV-2 infection, clinical interferences and economic consequences associated with the pandemic. Generalized Linear Models with log link and binomial distribution were used, computing prevalence ratios (PR) with 95% confidence intervals (95% CI).

RESULTS: A total of 762 participants were included, representing 46% of the source population. The prevalence of depressive, anxiety, and stress symptoms was 17%, 7%, and 12%, respectively. Neck (50%), low back (46%), upper back (40%), and shoulders (39%) were the most prevalent musculoskeletal pain areas. Economic consequences due to the pandemic were associated with high psychological distress (PR = 2.30, 95% CI: 1.48-3.53).

CONCLUSIONS: During the second wave of the COVID-19 pandemic in Sweden, manual therapists primarily suffered from musculoskeletal pain related to the back and shoulders, while depressive symptoms were the most common symptom of psychological distress. Owners of businesses that suffered economic consequences had a higher prevalence of high psychological distress, which may call for targeted support of this group in future similar contexts. Future longitudinal studies during the pandemic are warranted to assess these associations further.

Keywords
Anxiety, Chiropractors, Depression, Naprapaths, SARS-CoV-2, Stress
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:shh:diva-5032 (URN)10.1186/s12998-023-00511-2 (DOI)37700309 (PubMedID)
Available from: 2023-10-13 Created: 2023-10-13 Last updated: 2024-01-09Bibliographically approved
Fältström, A., Skillgate, E., Weiss, N., Källberg, H., Lyberg, V., Waldén, M., . . . Tranaeus, U. (2022). Lifestyle characteristics in adolescent female football players: Data from the Karolinska football Injury Cohort. BMC Sports Science, Medicine & Rehabilitation, 14(1), 212, Article ID 212.
Open this publication in new window or tab >>Lifestyle characteristics in adolescent female football players: Data from the Karolinska football Injury Cohort
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2022 (English)In: BMC Sports Science, Medicine & Rehabilitation, ISSN 2052-1847, Vol. 14, no 1, p. 212-, article id 212Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Normative values of lifestyle characteristics in adolescent female football players may be used by clinicians and coaches to take actions because the potential important for well-being, performance on the pitch, and risk of injury. The aim was to report descriptive characteristics of lifestyle factors in adolescent female football players and potential changes over 1 year.

METHODS: We included 419 adolescent competitive female football players from 12 clubs and 27 teams (age 14 ± 1 years, range 12-17 years) and 286 were followed over 1 year. The players completed an extensive questionnaire regarding demographics, football-related factors, and lifestyle factors including tobacco consumption, alcohol use, medicine intake, eating and sleeping habits, well-being, stress, coping, and passion. Baseline data are presented for the total cohort and separately for 4 age groups (12, 13, 14, and 15-17 years).

RESULTS: 12% skipped breakfast, 8% skipped lunch and 11% used protein supplements several days per week. 16% slept less than 8 h/night, 8% had impaired sleep with daytime consequences, and 22% stated that they were tired in daily activities several days per week. 32% experienced stress some or most days/week and 24% were classified as having psychological distress. Medicine intake (23% vs. 34%), skipping breakfast or lunch several days per week (10% vs. 47% and 20 vs. 33%), tiredness (20% vs. 27%), stress (26% vs. 40%), and psychological distress (27% vs. 37%) increased significantly (P = 0.031 to < 0.001) at the 1-year follow-up.

CONCLUSION: Many adolescent female football players skip breakfast and lunch, have insufficient sleep, experience stress and are classified as having psychological distress. These factors increased over 1 year.

Keywords
Coping, Passion, Soccer, Stress, Youth
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:shh:diva-4696 (URN)10.1186/s13102-022-00603-1 (DOI)36517880 (PubMedID)
Available from: 2022-12-20 Created: 2022-12-20 Last updated: 2023-01-02Bibliographically approved
Fältström, A., Skillgate, E., Tranaeus, U., Weiss, N., Källberg, H., Lyberg, V., . . . Asker, M. (2022). Normative values and changes in range of motion, strength, and functional performance over 1 year in adolescent female football players: Data from 418 players in the Karolinska football Injury Cohort study.. Physical Therapy in Sport, 58, 106-116, Article ID S1466-853X(22)00135-3.
Open this publication in new window or tab >>Normative values and changes in range of motion, strength, and functional performance over 1 year in adolescent female football players: Data from 418 players in the Karolinska football Injury Cohort study.
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2022 (English)In: Physical Therapy in Sport, ISSN 1466-853X, E-ISSN 1873-1600, Vol. 58, p. 106-116, article id S1466-853X(22)00135-3Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To study normative values of range of motion (ROM), strength, and functional performance and investigate changes over 1 year in adolescent female football players.

DESIGN: Cross-sectional.

PARTICIPANTS: 418 adolescent female football players aged 12-17 years.

MAIN OUTCOME MEASURES: The physical characteristic assessments included (1) ROM assessment of the trunk, hips, and ankles; (2) strength measures (maximal isometric and eccentric strength for the trunk, hips, and knees, and strength endurance for the neck, back, trunk and calves), and (3) functional performance (the one-leg long box jump test and the square hop test).

RESULTS: Older players were stronger, but not when normalized to body weight. Only small differences in ROM regarding age were found. ROM increased over 1 year in most measurements with the largest change in hip external rotation, which increased by 6-7° (Cohen's d = 0.83-0.87). Hip (d = 0.28-1.07) and knee (d = 0.38-0.53) muscle strength and the square hop test (d = 0.71-0.99) improved over 1 year.

CONCLUSIONS: Normative values for ROM and strength assessments of neck, back, trunk, hips, knees, calves and ankles are presented for adolescent female football players. Generally, fluctuations in ROM were small with little clinical meaning, whereas strength improved over 1 year.

Keywords
Performance, Screening, Soccer, Strength, Women, Youth
National Category
Physiotherapy
Identifiers
urn:nbn:se:shh:diva-4669 (URN)10.1016/j.ptsp.2022.10.003 (DOI)36270044 (PubMedID)
Available from: 2022-12-09 Created: 2022-12-09 Last updated: 2022-12-09Bibliographically approved
Tranaeus, U., Weiss, N., Lyberg, V., Hagglund, M., Waldén, M., Johnson, U., . . . Skillgate, E. (2022). Study protocol for a prospective cohort study identifying risk factors for sport injury in adolescent female football players: The Karolinska football Injury Cohort (KIC). BMJ Open, 12(1), Article ID e055063.
Open this publication in new window or tab >>Study protocol for a prospective cohort study identifying risk factors for sport injury in adolescent female football players: The Karolinska football Injury Cohort (KIC)
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2022 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 12, no 1, article id e055063Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Football is a popular sport among young females worldwide, but studies concerning injuries in female players are scarce compared with male players. The aim of this study is to identify risk factors for injury in adolescent female football players.

METHODS AND ANALYSIS: The Karolinska football Injury Cohort (KIC) is an ongoing longitudinal study that will include approximately 400 female football academy players 12-19 years old in Sweden. A detailed questionnaire regarding demographics, health status, lifestyle, stress, socioeconomic factors, psychosocial factors and various football-related factors are completed at baseline and after 1 year. Clinical tests measuring strength, mobility, neuromuscular control of the lower extremity, trunk and neck are carried out at baseline. Players are followed prospectively with weekly emails regarding exposure to football and other physical activity, health issues (such as stress, recovery, etc), pain, performance and injuries via the Oslo Sports Trauma Research Center Overuse Injury Questionnaire (OSTRC-O). Players who report a substantial injury in the OSTRC-O, that is, not being able to participate in football activities, or have reduced their training volume performance to a moderate or major degree, are contacted for full injury documentation. In addition to player data, academy coaches also complete a baseline questionnaire regarding coach experience and education.

ETHICS AND DISSEMINATION: The study was approved by the Regional Ethical Review Authority at Karolinska Institutet, Stockholm, Sweden (2016/1251-31/4). All participating players and their legal guardians give their written informed consent. The study will be reported in accordance with the Strengthening the Reporting of Observational studies in Epidemiology. The results will be published in peer-reviewed academic journals and disseminated to the Swedish football movement through stakeholders and media.

Keywords
Epidemiology, Orthopaedic sports trauma, Sports medicine
National Category
Physiotherapy
Identifiers
urn:nbn:se:shh:diva-4344 (URN)10.1136/bmjopen-2021-055063 (DOI)35022175 (PubMedID)
Available from: 2022-03-09 Created: 2022-03-09 Last updated: 2023-08-28Bibliographically approved
Tranaeus, U., Ivarsson, A., Johnson, U., Weiss, N., Samuelsson, M. & Skillgate, E. (2021). The role of the results of functional tests and psychological factors on prediction of injuries in adolescent female football players. International Journal of Environmental Research and Public Health, 19(1), Article ID 143.
Open this publication in new window or tab >>The role of the results of functional tests and psychological factors on prediction of injuries in adolescent female football players
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2021 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 1, article id 143Article in journal (Refereed) Published
Abstract [en]

Football is a popular sport among adolescent females. Given the rate of injuries in female footballers, identifying factors that can predict injuries are important. These injuries are often caused by complex reasons. The aim of this study was to investigate if the combination of demographic (age, number of training and match play hours/week), psychosocial (perceived stress, adaptive coping strategies) and physiological factors (functional performance) can predict a traumatic injury in adolescent female footballers. A cohort consisting of 419 female football players aged 13-16 years was established. Baseline questionnaires covered potential risk factors for sport injuries, and measurements included football-related functional performance tests. Data were collected prospectively with a weekly online questionnaire for 52 weeks covering, e.g., injuries, training, and match play hours/week. A total of 62% of the players reported at least one traumatic injury during the 52 weeks. The coping strategy "positive reframing" had the strongest association with the risk of traumatic injuries. The combination of more frequent use of the coping strategy, positive reframing, and high levels of physical performance capacity may prevent a traumatic injury in adolescent female footballers. Coaches are encouraged to adopt both physiological and psychological factors when preventing injuries in young female footballers.

Keywords
Athletic injury, Coping, Girls, Soccer
National Category
Physiotherapy
Identifiers
urn:nbn:se:shh:diva-4287 (URN)10.3390/ijerph19010143 (DOI)35010400 (PubMedID)
Available from: 2022-01-17 Created: 2022-01-17 Last updated: 2022-01-17Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1814-020x

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