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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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  • PublicationAccès libre
    Comparing the characteristics of snowboarders injured in a terrain park who present to the ski patrol, the emergency department or both
    (2013-06-26) Russell, Kelly; Goulet, Claude; Meeuwisse, Willem; Nettel-Aguirre, Alberto; Emery, Carolyn; Wishart, Jillian; Romanow, Nicole; Rowe, Brian H; Hagel, Brent E
    Ski patrol report forms are a common data source in ski/snowboard research, but it is unclear if those who only present to the emergency department (ED) are systematically different from those who see the ski patrol. To determine the proportion and characteristics of injured snowboarders who bypass the ski patrol before presenting to the ED, three groups of injured snowboarders were compared: presented to the ED only, ski patrol only and ski patrol and ED. Data were collected from ski patrol Accident Report Forms (ARFs), ED medical records and telephone interviews. There were 333 injured snowboarders (ED only: 34, ski patrol only: 107, both: 192). Ability, time of day, snow conditions or drugs/alcohol predicted ED only presentation. Concussions (RRR: 4.66; 95% CI: 1.83, 11.90), sprains/strains (RRR: 4.22; 95% CI: 1.87, 9.49), head/neck (RRR: 2.90; 95% CI: 1.48, 5.78), trunk (RRR: 4.17; 95% CI: 1.92, 9.09) or lower extremity (RRR: 3.65; 95% CI: 1.32, 10.07) injuries were significantly more likely to present to ski patrol only versus ski patrol and ED. In conclusion, snowboarders who presented to the ED only had similar injuries as those who presented to both.
  • PublicationAccès libre
    Feature-specific terrain park-injury rates and risk factors in snowboarders : a case–control study
    (BMJ Publishing Group, 2013-11-01) Russell, Kelly; Goulet, Claude; Meeuwisse, Willem; Nettel-Aguirre, Alberto; Emery, Carolyn; Wishart, Jillian; Romanow, Nicole; Rowe, Brian H.; Hagel, Brent E.
    Background : Snowboarding is a popular albeit risky sport and terrain park (TP) injuries are more severe than regular slope injuries. TPs contain man-made features that facilitate aerial manoeuvres. The objectives of this study were to determine overall and feature-specific injury rates and the potential risk factors for TP injuries. Methods : Case–control study with exposure estimation, conducted in an Alberta TP during two ski seasons. Cases were snowboarders injured in the TP who presented to ski patrol and/or local emergency departments. Controls were uninjured snowboarders in the same TP. κ Statistics were used to measure the reliability of reported risk factor information. Injury rates were calculated and adjusted logistic regression was used to calculate the feature-specific odds of injury. Results : Overall, 333 cases and 1261 controls were enrolled. Reliability of risk factor information was κ>0.60 for 21/24 variables. The overall injury rate was 0.75/1000 runs. Rates were highest for jumps and half-pipe (both 2.56/1000 runs) and lowest for rails (0.43/1000 runs) and quarter-pipes (0.24/1000 runs). Compared with rails, there were increased odds of injury for half-pipe (OR 9.63; 95% CI 4.80 to 19.32), jumps (OR 4.29; 95% CI 2.72 to 6.76), mushroom (OR 2.30; 95% CI 1.20 to 4.41) and kickers (OR 1.99; 95% CI 1.27 to 3.12). Conclusions : Higher feature-specific injury rates and increased odds of injury were associated with features that promote aerial manoeuvres or a large drop to the ground. Further research is required to determine ways to increase snowboarder safety in the TP.
  • PublicationRestreint
    Discordance in injury reporting between youth-athletes, their parents and coaches
    (Elsevier, 2008-07-24) Shrier, Ian; Goulet, Claude; Feldman, Debbie; Khelia, Imen; Akakpo, Huguette; Mazer, Barbara; Meeuwisse, Willem; Swaine, Bonnie Ruth
    Hiring experienced health professionals to collect data on sport injuries is expensive, limits resources, and may be prohibitive for surveillance studies. The objective of this study was to obtain pilot data on whether youth self-report deserves further study. We followed 67 recreational and elite soccer players aged 11–17 for one season and compared responses of injured players with those of their parents/coaches. We defined our main outcome of discordance as any disagreement in responses between the youth, parent and coach (triad). When one person didn’t know the answer, we categorised the responses as “concordance” if the other two members agreed. We omitted data when two people responded “Don’t Know”. Of 10 injuries that could be analysed, 29/30 interviews occurred within 21 days. For factual questions analysed, there was 100% concordance for the type and side of injury, and place where the injury occurred. There were 1–2 discordant triads for each of time of day, activity during injury and specific body part injured. There were greater discordances for date of injury, first-aid treatment, and opinions concerning underlying reasons for the injury. Interview-report by youth themselves should be explored as a possible low cost method of documenting youth sport injuries.
  • PublicationAccès libre
    Risk of injury associated with body checking among youth ice hockey players
    (American Medical Association, 2010-06-09) Emery, Carolyn; Goulet, Claude; Kang, Jian; Shrier, Ian; Hagel, Brent E.; Benson, Brian W.; Nettel-Aguirre, Alberto; McAllister, Jenelle; Hamilton, Gavin M.; Meeuwisse, Willem
    Context: Ice hockey has one of the highest sport participation and injury rates in youth in Canada. Body checking is the predominant mechanism of injury in leagues in which it is permitted. Objective: To determine if risk of injury and concussion differ for Pee Wee (ages 11-12 years) ice hockey players in a league in which body checking is permitted (Alberta, Canada) vs a league in which body checking is not permitted (Quebec, Canada). Design, Setting, and Participants: Prospective cohort study conducted in Alberta and Quebec during the 2007-2008 Pee Wee ice hockey season. Participants (N = 2154) were players from teams in the top 60% of divisions of play. Main Outcome: Measures Incidence rate ratios adjusted for cluster based on Poisson regression for game- and practice-related injury and concussion. Results: Seventy-four Pee Wee teams from Alberta (n = 1108 players) and 76 Pee Wee teams from Quebec (n = 1046 players) completed the study. In total, there were 241 injuries (78 concussions) reported in Alberta (85 077 exposure-hours) and 91 injuries (23 concussions) reported in Quebec (82 099 exposure-hours). For game-related injuries, the Alberta vs Quebec incidence rate ratio was 3.26 (95% confidence interval [CI], 2.31-4.60 [n = 209 and n = 70 for Alberta and Quebec, respectively]) for all injuries, 3.88 (95% CI, 1.91-7.89 [n = 73 and n = 20]) for concussion, 3.30 (95% CI, 1.77-6.17 [n = 51 and n = 16]) for severe injury (time loss, >7 days), and 3.61 (95% CI, 1.16-11.23 [n=14 and n=4]) for severe concussion (time loss, >10 days). The estimated absolute risk reduction (injuries per 1000 player-hours) that would be achieved if body checking were not permitted in Alberta was 2.84 (95% CI, 2.18-3.49) for all game-related injuries, 0.72 (95% CI, 0.40-1.04) for severe injuries, 1.08 (95% CI, 0.70-1.46) for concussion, and 0.20 (95% CI, 0.04-0.37) for severe concussion. There was no difference between provinces for practice-related injuries. Conclusion: Among 11- to 12-year-old ice hockey players, playing in a league in which body checking is permitted compared with playing in a league in which body checking is not permitted was associated with a 3-fold increased risk of all game-related injuries and the categories of concussion, severe injury, and severe concussion.
  • PublicationRestreint
    Risk of injury associated with bodychecking experience among youth hockey players
    (Canadian Medical Association, 2011-08-09) Emery, Carolyn; Goulet, Claude; Kang, Jian; Shrier, Ian; Hagel, Brent E.; Benson, Brian; Nettel-Aguirre, Alberto; McAllister, Jenelle; Meeuwisse, Willem
    Background: In a previous prospective study, the risk of concussion and all injury was more than threefold higher among Pee Wee ice hockey players (ages 11–12 years) in a league that allows bodychecking than among those in a league that does not. We examined whether two years of bodychecking experience in Pee Wee influenced the risk of concussion and other injury among players in a Bantam league (ages 13–14) compared with Bantam players introduced to bodychecking for the first time at age 13. Methods: We conducted a prospective cohort study involving hockey players aged 13–14 years in the top 30% of divisions of play in their leagues. Sixty-eight teams from the province of Alberta (n = 995), whose players had two years of bodychecking experience in Pee Wee, and 62 teams from the province of Quebec (n = 976), whose players had no bodychecking experience in Pee Wee, participated. We estimated incidence rate ratios (IRRs) for injury and for concussion. Results: There were 272 injuries (51 concussions) among the Bantam hockey players who had bodychecking experience in Pee Wee and 244 injuries (49 concussions) among those without such experience. The adjusted IRRs for game-related injuries and concussion overall between players with bodychecking experience in Pee Wee and those without it were as follows: injury overall 0.85 (95% confidence interval [CI] 0.63 to 1.16); concussion overall 0.84 (95% CI 0.48 to 1.48); and injury resulting in more than seven days of time loss (i.e., time between injury and return to play) 0.67 (95% CI 0.46 to 0.99). The unadjusted IRR for concussion resulting in more than 10 days of time loss was 0.60 (95% CI 0.26 to 1.41). Interpretation: The risk of injury resulting in more than seven days of time loss from play was reduced by 33% among Bantam hockey players in a league where bodychecking was allowed two years earlier in Pee Wee compared with Bantam players introduced to bodychecking for the first time at age 13. In light of the increased risk of concussion and other injury among Pee Wee players in a league where bodychecking is permitted, policy regarding the age at which hockey players are introduced to bodychecking requires further consideration.
  • PublicationAccès libre
    Characteristics of injuries sustained by snowboarders in a terrain park
    (Wolters Kluwer, 2013-05-01) Russell, Kelly; Goulet, Claude; Meeuwisse, Willem; Nettel-Aguirre, Alberto; Emery, Carolyn; Wishart, Jillian; Romanow, Nicole; Rowe, Brian H.; Hagel, Brent E.
    OBJECTIVE: To determine injured body regions and injury type resulting from snowboarding on aerial and nonaerial terrain park features and the accuracy of ski patrol assessments compared with physician diagnoses. DESIGN: Case series study. SETTING: An Alberta terrain park during the 2008-2009 and 2009-2010 seasons. PATIENTS: There were 333 snowboarders injured on features (379 injuries). ASSESSMENT OF RISK FACTORS: Aerial or nonaerial terrain park feature used at injury, injured body region, injury type, and additional risk factors were recorded from ski patrol Accident Report Forms, emergency department medical records, and telephone interviews. MEASURES: Odds of injury to body regions and injury types on aerial versus nonaerial features were calculated using multinomial logistic regression. Accuracy of ski patrol injury assessments was examined through sensitivity, specificity, and kappa (κ) statistics. RESULTS: The wrist was the most commonly injured body region (20%), and fracture was the most common injury type (36%). Compared with the upper extremity, the odds of head/neck [odds ratio (OR), 2.58; 95% confidence interval (CI), 1.37-4.85] and trunk (OR, 3.65; 95% CI, 1.68-7.95) injuries were significantly greater on aerial features. There was no significant association between aerial versus nonaerial feature and injury type. The accuracy of ski patrol injury assessment was higher for injured body region (κ = 0.65; 95% CI, 0.54-0.75) than for injury type (κ = 0.29; 95% CI, 0.22-0.37). CONCLUSIONS: Snowboarders were significantly more likely to sustain head/neck or trunk injuries than upper extremity injuries on aerial features. Investigators should acknowledge potential misclassification when using ski patrol injury assessments.
  • PublicationRestreint
    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.