Fysioterapeuten 8-2018

26 FYSIOTERAPEUTEN 8/18 studien tilfører kvalitativ kunnskap til forsk- ning om skadeforebygging i idrett, og bidrar til større forståelse av frivillige treneres er- faringer, ønsker og behov knyttet til skade- forebygging i ungdoms- og breddeidretten. Funn fra studien kan brukes til å inkludere fysioterapeuter tydeligere i det skadefore- byggende arbeidet innen ungdomsidretten på områder som praktisk gjennomføring og opplæring, systematikk og standardisering, forskning og kunnskapsdeling. Det ser ut til å være nødvendig å løfte temaet skade- forebygging i ungdomsidretten på helse- og idrettspolitiske arenaer. Samarbeid mellom fysioterapeuter, idrettsmiljø, forskere og det offentlige vil kunne øke helsegevinsten av skadeforebygging, men det er økonomiske utfordringer knyttet til hvem som i så fall skal betale for fysioterapeutenes bidrag. Arbeidet med studien har avdekket flere interessante områder å se nærmere på. Kon- krete samfunnsøkonomiske beregninger burde være interessant. Det er også viktig å forstå mer om hvordan kunnskap om skade- forebygging kan gjøres lettere tilgjengelig og anvendbart for idrettsmiljøene. Referanseliste 1. NOU 2016: #Ungdomshelse – regjeringens strategi for ungdomshelse 2016-2021. Oslo: Helse- og Om- sorgsdepartementet; 2016 . 2. Mukherjee S. Sports Injuries in Youth Athletes: T he past and present continuous concern . Sport Exerc Med Open J. 2016; SE(2): Se1-Se4. 3. Kjønniksen L, Anderssen N, Wold B. Organized youth sport as a predictor of physical activity in adulthood . Scand J Med Sci Sports. 2009; 19: 646–654. 4. Stracciolini A, Casciano R, Levey FH et al. Pediatric sports injuries: An age comparison of children versus adolescents . Am J Sports Med. 2014; 41(8): 1922-1929. 5. Bahr R, Engebretsen L. Handbook of sports medicine and science: Sports injury prevention. West Sussex UK: Wiley Blackwel; 2009. 6. Kiani A, Hellquist E, Ahlqvist K et al. Prevention of soccer-related knee injuries in teenaged girls . 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Comprehen- sive warm-up programme to prevent injuries in young female footballers: cluster randomised trial . BMJ. 2008; 337: a2469. 13. Olsen OE, Myklebust G, Engebretsen L et al. Exercises to prevent lower limb injuries in youth sports: cluster randomised controlled trial . BMJ. 2005; 330: 449-455. 14. Joy EA, Taylor JL, Novak MA et al. Factors influencing the implementation of anterior cruciate ligament injury prevention strategies by girls’ soccer coaches . J Strength Cond Res. 2013; 27: 2263-2269. 15. Frank BS, Register-Mihalik J, Padua DA. High levels of coach intent to integrate an ACL injury prevention program into training does not translate to effective implementation . J Sci Med Sport. 2015; 18: 400-406. 16. Myklebust G, Skjølberg A, Bahr R. ACL injury incidens in female handball 10 years after the Norwegian ACL prevention study: important lessons learned . BJSM. 2013; 47: 476-479. 17. Donaldson A, Finch CF. Planning for implementation and translation: seek first to understand the end-users’ perspectives . BJSM. 2012; 46(5): 306-307. 18. Lov om kommunale helse- og omsorgstjeneste . Oslo: Helse- og omsorgsdepartementet; 2011. 19. Folkehelseloven . Oslo: Helse- og omsorgsdeparte- mentet; 2011. 20. Norges Idrettsforbund. Retningslinjer for ungdomsi- drett: https://www.idrettsforbundet.no/tema/ungdoms- idrett/retningslinjer-for-ungdomsidrett/ [sitert 21.05.18] 21. Helse- og Omsorgsdepartementet. Samhandlingsre- formen . Oslo: Helse- og Omsorgsdepartementet; 2009. 22. Steffen K, Meeuwisse WH, Romiti M et al: Evaluation of how different implementation strategies of an injury prevention programme (FIFA 11+) impact team adhe- rence and injury risk in Canadian female youth football players . BJSM. 2013; 00: 1-8. 23. Soligard T, Nilstad A, Steffen K et al. Compliance with a comprehensive warm-up programme to prevent injuries in youth football . BJSM. 2010; 44: 787-793. 24. Hägglund M, Atroshi I, Wagner P et al. Superior compliance with a neuromuscular training programme is associated with fewer acute knee injuries in female adolescent football players . BJSM 2013; 47: 974-979. 25. White PE, Otago L, Saunders N et al. Ensuring imple- mentation success: how should coach injury prevention education be improved if we want coaches to deliver safety programmes during training sessions? BJSM. 2014; 48: 402-403. 26. Twomey D, Finch C, Roediger E et al. Preventing lower limb injuries: Is the latest evidence being translated into the football field? J Sci Med Sport 2009; 12: 452- 456. 27. Orr B, Brown C, Hemsing J et al. Female soccer knee injury: Observed knowledge gaps in injury prevention among players/parents/coaches and current evidence . Scand J Med Sci Sports 2013; 23: 271-280. 28. Malterud K. Kvalitative forskningsmetoder for medisin og helsefag. 4. utgave. Oslo: Universitetsforlaget; 2017. 29. McKay CD, Steffen K, Romiti M et al. The effect of co- ach and player injury knowledge, attitudes and beliefs on adherence to the fifa 11+ programme in female youth soccer . BJSM. 2014; 0:1-7. 30. Finch CF. Getting sports injury prevention on to pu- blic health agendas – adressing the shortfalls in current information sources . BJSM. 2012; 46:70-74. FAG VITENSKAPELIG ARTIKKEL Title: Coaches’ perspectives of injury prevention in youth sports. A qualitative study Abstract n Purpose: Many adolescents participating in organized handball and football are subject to injuries and subsequent repercussions. Injury prevention strategies have been shown to be effective in reducing injury rates, but implementation and compliance are incon- sistent. The aim of this study is to use coaches’ experiences to enhance the knowledge of how physiotherapists can contribute to injury prevention in youth sports. n Method: Two in-depth interviews of coaches were conducted using a semi-structured interview guide. The interviews were recorded, transcribed and analysed. n Results: The results are presented in two categories: “Utilizing knowledge in voluntary service” and “The physiotherapist – a valuable, but arbitrary resource”. Analysis of the interviews shows that coaches have differing levels of knowledge of injury prevention. Their responsibilities for injury prevention are unclear, and common prevention strate- gies are not implemented. Physiotherapists are perceived as valuable collaborators, but more reliable access is desired. n Conclusion: The study adds insights to the field of injury prevention in youth sports. Coaches would like physiotherapists to be included in injury prevention strategies, but responsibilities are not specified. Public health and injury prevention strategies are prioritized in health and sport policies, but implementation of this in organized youth sport remains unclear. n Keywords: Injury prevention, youth health, physiotherapy, public health, ball sports. Velferdsteknologi Fysioterapeuten nr. 9 er årets fagutgivelse, og utgis 7. desember. Årets tema er velferdsteknologi.

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