title: Validity of the SMS, Phone, and medical staff Examination sports injury surveillance system for time-loss and medical attention injuries in sports.
abstract: The accurate measurement of sport exposure time and injury occurrence is key to effective injury prevention and management. Current measures are limited by their inability to identify all types of sport-related injury, narrow scope of injury information, or lack the perspective of the injured athlete. The aims of the study were to evaluate the proportion of injuries and the agreement between sport exposures reported by the SMS messaging and follow-up telephone part of the SMS, Phone, and medical staff Examination (SPEx) sports injury surveillance system when compared to measures obtained by trained on-field observers and medical staff (comparison method). We followed 24 elite adolescent handball players over 12 consecutive weeks. Eighty-six injury registrations were obtained by the SPEx and comparison methods. Of them, 35 injury registrations (41%) were captured by SPEx only, 10 injury registrations (12%) by the comparison method only, and 41 injury registrations (48%) by both methods. Weekly exposure time differences (95% limits of agreement) between SPEx and the comparison method ranged from -4.2 to 6.3 hours (training) and -1.5 to 1.0 hours (match) with systematic differences being 1.1 hours (95% CI 0.7 to 1.4) and -0.2 (95% CI -0.3 to -0.2), respectively. These results support the ability of the SPEx system to measure training and match exposures and injury occurrence among young athletes. High weekly response proportions (mean 83%) indicate that SMS messaging can be used for player measures of injury consequences beyond time-loss from sport. However, this needs to be further evaluated in large-scale studies.
authors.affiliation: Department of Public Health, Section of Sport Science, Aarhus University, Aarhus, Denmark.
authors.forename: M
authors.identifier: http://orcid.org/0000-0001-7514-0399
authors.initials: M
authors.lastname: Møller
authors.affiliation: Sport Medicine Clinic, Orthopaedic Department Hospital of Lillebaelt, Institute of Regional Health Service Research and Centre for Research in Childhood Health, IOB, University of Southern Denmark, Odense, Denmark.
authors.forename: N
authors.initials: N
authors.lastname: Wedderkopp
authors.affiliation: Oslo Sports Trauma Research Centre, Norwegian School of Sport Sciences, Oslo, Norway.
authors.forename: G
authors.identifier: http://orcid.org/0000-0002-0692-7494
authors.initials: G
authors.lastname: Myklebust
authors.affiliation: Division of Sportstraumatology, Aarhus University Hospital, Aarhus, Denmark.
authors.forename: M
authors.initials: M
authors.lastname: Lind
authors.affiliation: Department of Public Health, Section of Sport Science, Aarhus University, Aarhus, Denmark.
authors.forename: H
authors.initials: H
authors.lastname: Sørensen
authors.affiliation: School of Psychology and Exercise Science, Murdoch University, Murdoch, Western Australia, Australia.|Faculty of Kinesiology, University of New Brunswick, Fredericton, New Brunswick, Canada.
authors.forename: J J
authors.initials: JJ
authors.lastname: Hebert
authors.affiliation: Faculty of Kinesiology, Sport Injury Prevention Research Centre, Calgary, Canada.|Sport Injury Prevention Research Centre, University of Calgary, Edmonton, Canada.
authors.forename: C A
authors.initials: CA
authors.lastname: Emery
authors.affiliation: Department of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark.
authors.forename: J
authors.initials: J
authors.lastname: Attermann
mesh_terms: D000293:Adolescent; D056352:Athletes; D001265:Athletic Injuries / Q000175:diagnosis / Q000453:epidemiology*; D003718:Denmark; D005260:Female; D006801:Humans; D008297:Male; D008503:Medical Staff; D011446:Prospective Studies; D012042:Registries; D013177:Sports; D017216:Telemedicine; D060145:Text Messaging; D013997:Time Factors
keywords: athletic injury; handball; injury registration; surveillance; validation study