Personne :
Goulet, Claude

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Université Laval. Département d'éducation physique
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Voici les éléments 1 - 5 sur 5
  • Publication
    Listening to a personal music player is associated with fewer but more serious injuries among snowboarders in a terrain park : a case-control study
    (Butterworths, 2014-12-15) Russell, Kelly; Goulet, Claude; Meeuwisse, Willem; Nettel-Aguirre, Alberto; Emery, Carolyn; Gushue, Shantel; Wishart, Jillian; Romanow, Nicole; Rowe, Brian H.; Hagel, Brent E.
    Background Some snowboarders listen to music on a personal music player and the objective was to determine if listening to music was associated with injury in a terrain park. Methods A case–control study was conducted at a terrain park in Alberta, Canada during the 2008–2009 and 2009–2010 winter seasons. Cases were snowboarders who were injured in the terrain park and presented to either the ski patrol and/or a nearby emergency department (ED). Demographic, environmental and injury characteristics were collected from standardised ski patrol Accident Report Forms, ED medical records and telephone interviews. Controls were uninjured snowboarders using the same terrain park and were interviewed as they approached the lift-line on randomly selected days and times. Multivariable logistic regression determined if listening to music was associated with the odds of snowboard injury. Results Overall, 333 injured cases and 1261 non-injured controls were enrolled; 69 (21%) cases and 425 (34%) controls were listening to music. Snowboarders listening to music had significantly lower odds of injury compared with those not listening to music (adjusted odds ratio (OR) 0.68; 95% CI 0.48 to 0.98). Snowboarders listening to music had significantly higher odds of presenting to the ED versus ski patrol only compared with those not listening to music (adjusted OR 2.09; 95% CI 1.07 to 4.05). Conclusions While listening to music decreased the odds of any injury in the terrain park, it increased the odds of an injury resulting in ED presentation.
  • Publication
    The effect of helmet use on injury severity and crash circumstances in skiers and snowboarders
    (Elsevier, 2004-09-11) Hagel, Brent E.; Goulet, Claude; Pless, Ivan Barry; Platt, Robert W.; Robitaille, Yvonne
    The aim of this study was to examine the effect of helmet use on non-head–neck injury severity and crash circumstances in skiers and snowboarders. We used a matched case-control study over the November 2001 to April 2002 winter season. 3295 of 4667 injured skiers and snowboarders reporting to the ski patrol at 19 areas in Quebec with non-head, non-neck injuries agreed to participate. Cases included those evacuated by ambulance, admitted to hospital, with restriction of normal daily activities (NDAs) >6 days, with non-helmet equipment damage, fast self-reported speed, participating on a more difficult run than usual, and jumping-related injury. Controls were injured participants without severe injuries or high-energy crash circumstances and were matched to cases on ski area, activity, day, age, and sex. Conditional logistic regression was used to relate each outcome to helmet use. There was no evidence that helmet use increased the risk of severe injury or high-energy crash circumstances. The results suggest that helmet use in skiing and snowboarding is not associated with riskier activities that lead to non-head–neck injuries.
  • Publication
    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.
  • Publication
    Helmet use and risk of neck injury in skiers and snowboarders
    (School of Hygiene and Public Health of the Johns Hopkins University, 2010-04-20) Hagel, Brent E.; Goulet, Claude; Russell, Kelly; Nettel-Aguirre, Alberto; Pless, Ivan B. (Ivan Barry)
    In a case-control study, the authors examined the relation between helmet use and neck injury among Québec, Canada, skiers and snowboarders using 10 years of ski patrol data (1995–1996 to 2004–2005). Cases were defined as persons with any neck injury (n = 2,986), an isolated neck injury requiring ambulance evacuation (n = 522), or a cervical spine fracture or dislocation (n = 318). The control group included persons with non-head, non-neck injuries (n = 97,408) in an unmatched analysis. The authors also matched cases with controls injured at the same ski area, during the same activity (skiing vs. snowboarding), and during the same season. Helmet use was the primary exposure variable. For the unmatched analysis, the authors used unconditional logistic regression and adjusted for clustering by ski area and other covariates. They used conditional logistic regression for the matched analysis. Multiple imputation was used to address missing values. The adjusted odds ratio was 1.09 (95% confidence interval (CI): 0.95, 1.25) for any neck injury, 1.28 (95% CI: 0.96, 1.71) for isolated ambulance-evacuated neck injuries, and 1.02 (95% CI: 0.79, 1.31) for cervical spine fractures or dislocations. Similar results were found in the conditional logistic regression analysis and in analyses restricted to children under age 11 years. These results do not suggest that helmets increase the risk of neck injuries among skiers and snowboarders.
  • Publication
    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.