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1.
Nervenarzt ; 94(12): 1123-1128, 2023 Dec.
Article in German | MEDLINE | ID: mdl-37594495

ABSTRACT

Magnetic resonance imaging (MRI) is of exceptional importance in the diagnostics and monitoring of multiple sclerosis (MS); however, a close interdisciplinary cooperation between neurologists in private practice, (neuro)radiological practices, hospitals or specialized MS centers is only rarely established. In particular, there is a lack of standardized MRI protocols for image acquisition as well as established quality parameters, which guarantee the comparability of MRI records; however, this is a fundamental prerequisite for an effective application of MRI in the treatment of MS patients, e.g., for making the diagnosis or treatment monitoring. To address these challenges a group of neurologists and (neuro)radiologists developed a consensus proposal for standardization of image acquisition, interpretation and transmission of results and for improvement in interdisciplinary cooperation. This pilot project in the metropolitan area of Essen used a modified Delphi process and was based on the most up to date scientific knowledge. The recommendation takes the medical, economic, temporal and practical aspects of MRI in MS into consideration. The model of interdisciplinary cooperation between radiologists and neurologists with the aim of a regional standardization of MRI could serve as an example for other regions of Germany in order to optimize MRI for MS.


Subject(s)
Multiple Sclerosis , Humans , Multiple Sclerosis/diagnosis , Consensus , Pilot Projects , Magnetic Resonance Imaging/methods , Neurologists
2.
Sportverletz Sportschaden ; 37(3): 141-147, 2023 08.
Article in English | MEDLINE | ID: mdl-37524094

ABSTRACT

Rink Hockey is a high-speed low-contact sport with a widely recognized injury potential. Played with a hard ball by players wearing little or no protective gear, the rates of concussions and head injuries are of high interest. In this study, we reviewed and investigated injuries sustained by 108 German National League rink hockey players. We conducted an epidemiological cross-sectional study to determine sport-specific injuries and injury patterns in female and male rink hockey players. Data were collected by a standardized questionnaire. A total of 108 players participated in the study. The combined rate of injuries were 9.4/1000 athlete exposures. There was no significant difference between injury rates during games and practice. A sexspecific difference was not detected. Head injuries were the most frequent type (20.8 % of all injuries). Concussions made up 7 % of all head injuries with a rate of 0.76/1000 athlete exposure. Ball contact was the cause for 31 % of injuries, while player contact generated 26.2 % of all injuries. High rates of ball-contact-related injuries resulted in time loss and medical consultations. Head injuries were frequent, however did not result in significant time loss as compared to other injuries. The use of protective gear should be recommended.


Subject(s)
Athletic Injuries , Brain Concussion , Craniocerebral Trauma , Cumulative Trauma Disorders , Hockey , Female , Humans , Male , Athletic Injuries/epidemiology , Athletic Injuries/etiology , Brain Concussion/epidemiology , Cross-Sectional Studies , Cumulative Trauma Disorders/epidemiology , Cumulative Trauma Disorders/complications , Hockey/injuries , Incidence
3.
Int J Sports Med ; 42(2): 132-137, 2021 Feb.
Article in English | MEDLINE | ID: mdl-32854123

ABSTRACT

Rink Hockey is a high-speed low-contact sport with a widely recognized injury potential. Played with a hard ball by players wearing little or no protective gear, the rates of concussions and head injuries are of high interest. In this study, we reviewed and investigated injuries sustained by 108 German National League rink hockey players. We conducted an epidemiological cross-sectional study to determine sport-specific injuries and injury patterns in female and male rink hockey players. Data were collected by a standardized questionnaire. A total of 108 players participated in the study. The combined rate of injuries were 9.4/1000 athlete exposures. There was no significant difference between injury rates during games and practice. A sex-specific difference was not detected. Head injuries were the most frequent type (20.8% of all injuries). Concussions made up 7% of all head injuries with a rate of 0.76/1000 athlete exposure. Ball contact was the cause for 31% of injuries, while player contact generated 26.2% of all injuries. High rates of ball-contact-related injuries resulted in time loss and medical consultations. Head injuries were frequent, however did not result in significant time loss as compared to other injuries. The use of protective gear should be recommended.


Subject(s)
Athletic Injuries/epidemiology , Cumulative Trauma Disorders/epidemiology , Hockey/injuries , Cross-Sectional Studies , Female , Germany/epidemiology , Humans , Male , Surveys and Questionnaires
4.
Sportverletz Sportschaden ; 34(4): 212-216, 2020 Dec.
Article in German | MEDLINE | ID: mdl-32854130

ABSTRACT

In Germany, Inline Skater Hockey (ISH) is played by about 7500 active players on inline skates with equipment comparable to ice hockey using a hard-plastic ball. The aim of this retrospective epidemiological cross-sectional study is to record the frequency and types of injuries in this sport, for which there is a lack of medically adequate studies in the literature. A questionnaire comprising 112 items was used to collect demographic data, injuries in eight body regions and defined overuse injuries. 274 ISH players with an average age of 24.5 ± 6.2 years and an exposure time of 2787 ±â€Š2063 hours were examined. 5701 injuries were recorded, 60.5 % of which were minor bruises, abrasions and wounds. The total injury rate per 1000 hours was 9.6 ±â€Š17.7, with an injury-related break of 12.8 ±â€Š21.8 weeks per player. Field players with visors had highly significantly fewer head injuries (2.8 ±â€Š6.1 vs. 8.9 ± 13.1; p < 0.001) with highly significantly (p < 0.001) fewer lacerations, nasal bone fractures, eye injuries and dental injuries. There was a weak negative correlation between facial protection and number of head injuries (r = -0.386, p < 0.001). In conclusion, frequency and types of injuries in ISH are comparable to ice hockey during training. In accordance with ice hockey, protective equipment in ISH can significantly reduce the occurrence of head injuries. Preventive attention should be paid to the wearing of a full visor and to education about the occurrence of concussions despite the use of a protective helmet.


Subject(s)
Athletic Injuries/epidemiology , Hockey/injuries , Adolescent , Adult , Cross-Sectional Studies , Female , Germany/epidemiology , Humans , Incidence , Male , Retrospective Studies , Young Adult
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