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Sports Injury Prevention is Complex: We Need to Invest in Better Processes, Not Singular Solutions
Sports Medicine ( IF 9.3 ) Pub Date : 2019-11-18 , DOI: 10.1007/s40279-019-01232-4
Jason C. Tee , Shaun J. McLaren , Ben Jones

In recent years, an understanding has developed that sports injuries are the emergent outcomes of complex, dynamic systems. Thus, the influence of local contextual factors on injury outcomes is increasingly being acknowledged. These realisations place injury prevention research at a crossroads. Currently, injury prevention researchers develop universally applicable injury prevention solutions, but the adoption of these solutions in practice is low. This occurs because implementation contexts are both unique and dynamic in nature, and as a result singular, static solutions are often incompatible. In contrast, practitioners address injury prevention through iterative cycles of trial and error, aiming to optimise the injury prevention process within their own unique contexts. The purpose of this critical review is to draw attention to the misalignment between research and practice-based approaches to injury prevention. In light of this, we propose alternative research approaches that acknowledge the process-driven nature of injury prevention in practice. We propose that a core focus of sport injury prevention research should be to provide practitioners with useful and relevant information to support their decision making around their localised injury prevention practice. Through this approach, injury prevention research ceases to be about what works, and begins to engage with understanding what works in what contexts and why?



中文翻译:

预防运动损伤很复杂:我们需要投资于更好的过程,而不是单一的解决方案

近年来,人们已经认识到运动损伤是复杂,动态系统的新兴结果。因此,人们日益认识到局部环境因素对伤害结果的影响。这些认识使伤害预防研究处于十字路口。当前,伤害预防研究人员正在开发普遍适用的伤害预防解决方案,但是在实践中采用这些解决方案的比例很低。发生这种情况是因为实现上下文本质上既是唯一的又是动态的,结果,单一的静态解决方案通常是不兼容的。相反,从业人员通过反复试验和反复尝试来解决伤害预防问题,目的是在自己独特的环境下优化伤害预防过程。这篇重要评论的目的是提请人们注意研究与基于实践的伤害预防方法之间的失调。有鉴于此,我们提出了替代研究方法,这些方法在实践中认识到伤害预防的过程驱动性质。我们建议运动损伤预防研究的核心重点应该是为从业者提供有用和相关的信息,以支持他们围绕本地化损伤预防实践做出的决策。通过这种方法,伤害预防研究不再是关于什么有效的研究,而是开始了解在什么情况下以及在什么情况下什么是有效的?我们提出了替代的研究方法,这些方法在实践中认识到伤害预防的过程驱动性质。我们建议运动损伤预防研究的核心重点应该是为从业者提供有用和相关的信息,以支持他们围绕本地化损伤预防实践做出的决策。通过这种方法,伤害预防研究不再是关于什么有效的研究,而是开始了解在什么情况下以及在什么情况下什么是有效的?我们提出了替代的研究方法,这些方法在实践中认识到伤害预防的过程驱动性质。我们建议运动损伤预防研究的核心重点应该是为从业者提供有用和相关的信息,以支持他们围绕本地化损伤预防实践做出的决策。通过这种方法,伤害预防研究不再是关于什么有效的研究,而是开始了解在什么情况下以及在什么情况下什么是有效的?

更新日期:2020-04-22
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