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Personne :
Goulet, Claude

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Goulet

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Claude

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Université Laval. Département d'éducation physique

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ncf10178460

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  • PublicationRestreint
    The Effect of Wrist Guard Use on Upper-Extremity Injuries in Snowboarders
    (Oxford University Press, 2005-07-15) Hagel, Brent E.; Goulet, Claude; Pless, Ivan B.
    The objective of this investigation was to determine the effect of wrist guard use on all upper-extremity injuries in snowboarders. This matched case-control study was conducted at 19 ski areas in Quebec, Canada. Cases were 1,066 injured snowboarders who reported upper-extremity injuries to the ski patrol during the 2001–2002 season. Controls were 970 snowboarders with non-upper-extremity injuries who were matched to cases on ski area and the nearest date, age, and sex, in that order. The response rate was 71.8% (73.5% for cases and 70.1% for controls). Cases were compared with controls with regard to wrist guard use. The prevalence of wrist guard use among snowboarders with hand, wrist, or forearm injuries was 1.6%; for those with elbow, upper arm, or shoulder injuries, it was 6.3%; and for controls, it was 3.9%. Thus, wrist guard use reduced the risk of hand, wrist, or forearm injury by 85% (adjusted odds ratio ¼ 0.15, 95% confidence interval: 0.05, 0.45). However, the adjusted odds ratio for elbow, upper arm, or shoulder injury was 2.35 (95% confidence interval: 0.70, 7.81). These results provide evidence that use of wrist guards reduces the risk of hand, wrist, and forearm injuries but may increase the risk of elbow, upper arm, and shoulder injuries.
  • PublicationRestreint
    Self-reported skill level and injury severity in skiers and snowboarders
    (2010-01-01) Goulet, Claude; Hagel, Brent E.; Hamel, Denis; Légaré, Gilles
    There is evidence to suggest that the rate of injury is lower for expert skiers and snowboarders than for beginners. A better understanding of the relation between injury severity and skill level is also needed for planning injury prevention strategies. Our objective was to examine the severity and location of injuries sustained by self-reported expert and beginner skiers and snowboarders. A case-control study design was used. Injured skiers and snowboarders had to report their skill level on a 5 point scale (1: "beginner"; 5: "expert"). Two sets of severely injured cases were defined based on the type of injury and ambulance evacuation. Controls were those who did not sustain severe injuries. Logistic regression analyses were performed to relate injury severity to skill level. Subjects were 22 078 injured skiers and snowboarders who reported to the ski patrol with an injury sustained on the slopes of an alpine ski centre of the Canadian province of Québec during the seasons 2001-2002 to 2004-2005. Compared with beginners, experts had an increased risk of suffering from a severe injury (adjusted odds ratio [AOR]: 1.88; 95% CI: 1.58-2.23). Expert snowboarders were also more likely to suffer from a severe injury or be evacuated by ambulance (AOR: 1.18; 95% CI: 1.02-1.38). Results suggest that the type of activities or manoeuvres performed by expert skiers and snowboarders may increase the risk of sustaining a severe injury compared with beginner participants.
  • PublicationRestreint
    Risk factors associated with serious ski patrol-reported injuries sustained by skiers and snowboarders in snow-parks and on other slopes
    (Canadian Public Health Association, 2007-09-01) Goulet, Claude; Hagel, Brent E.; Hamel, Denis; Légaré, Gilles
    BACKGROUND : Over the past years, the rate of injuries sustained at the alpine ski hills in Québec significantly increased. This raises concern over a possible increase in risk of severe injuries associated with snow-park use. The main objective of this study was to examine the severity of injuries sustained by skiers and snowboarders in snow-parks compared with other slopes from 2001 to 2005. METHODS : A case-control study design was used. Subjects were injured skiers and snowboarders who reported to the ski patrol with an injury. Two sets of severely injured cases were defined based on the type of injury and ambulance evacuation. Injured controls were those who did not sustain severe injuries. 50,593 injury report forms were analyzed. A logistic regression analysis was performed to relate the severity of injury to the type of slope used when the injury occurred. All analyses were controlling for age, sex, skill level, helmet use, season, and type of activity. RESULTS : There was evidence to suggest that, for skiers (adjusted OR = 1.36; 95% CI: 1.21-1.53) and snowboarders (adjusted OR = 1.14, 95% CI: 1.05-1.23), participation in a snow-park increased the risk of being evacuated by ambulance. Severe injuries in skiers were also more likely to occur in snow-parks, but snowboarders had similar risk of severe injury in snow-parks and on other slopes. CONCLUSIONS : These results provide evidence that the type of activities performed in snow-parks may increase the risk of sustaining a severe injury compared with participation on other slopes.