Publications by authors named "Merete Moller"

Article Synopsis
  • Sports injuries can occur without visible damage to tissues, and pain or reduced performance is considered an injury even without objective signs.
  • Pain commonly happens in sports, regardless of whether there’s actual tissue damage, leading to varied management approaches for athletes.
  • The editorial suggests a practical definition of sports-related pain to aid clinicians in understanding and managing athletes' pain, especially when there’s no visible injury.
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Article Synopsis
  • A study was conducted on 679 elite Danish handball players aged 14-18 to assess the prevalence and impact of shoulder, knee, and ankle injuries over the past year and during the season.
  • Nearly half (46%) reported prior injuries, with a weekly injury prevalence of 21% and an illness prevalence of 2%. The injury rate was calculated at 9.4 injuries per 1,000 hours played.
  • Females experienced greater injury burden from knee injuries, while males were most affected by shoulder injuries; health professionals were consulted for most injuries, but players often made their own return-to-play decisions.
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Objectives: This study aimed to identify facilitators for implementing injury prevention initiatives in youth handball, and to assess stakeholders' perceptions of their importance and feasibility.

Design: Mixed-method concept mapping study.

Methods: Four stakeholder groups - coaches, administrators, health staff and players - participated in this mixed-method concept mapping study.

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Objectives: Investigate the association between injury severity and sports-related analgesic use, and explore the types and reasons for analgesic use in Danish youth elite athletes.

Design: 4-week prospective cohort study.

Methods: 713 youth elite athletes (44 % female) aged 15-20 years provided information on demographics, sports specific questions, and injury severity.

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Objective: To investigate if a combination of an online and onsite implementation strategy was superior to an online-only strategy in enhancing the use of an injury prevention exercise programme (IPEP) and in reducing the risk of shoulder, knee and ankle injuries in youth community handball players (age 11-17) over a handball season.

Methods: In this 30-week hybrid effectiveness-implementation cluster randomised type 3 study, 20 youth handball clubs were randomly assigned 1:1 to either a combined online and onsite implementation strategy (coach workshop using the health action process approach behaviour change model and health service provider (HSP) support) or an online-only strategy (control group). The primary implementation outcome was coach-reported adherence, measured as the average IPEP exercise usage by the team over 30 weeks.

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Anterior cruciate ligament (ACL) injury is a concerning problem in the paediatric population, impacting joint health and longevity. Moreover, ACL injury hampers physical activity, which is important for children's social network and general well-being. Recent data demonstrates a rise in paediatric ACL reconstructions, affecting both girls and boys.

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Injuries are recognised in sports and exercise medicine as not isolated incidents but complex outcomes. This is because an athlete's health trajectory is understood to be shaped by dynamic, complex linkages between individual performance, biology, and the wider social and cultural contexts and systems in which individuals perform. Despite this recognition, little attention has been paid to how interpersonal and contextual dynamics can potentially affect the risk of injury by influencing the choices and decisions made by coaches, parents and athletes.

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To investigate analgesic use in a cohort of Danish youth elite athletes and compare weekly analgesic use over 36 weeks to student controls. We also investigated and compared reasons for analgesic use and types of analgesics used. Prospective cohort study.

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Article Synopsis
  • - The study evaluated groin injuries in the Norwegian women's premier football league over the 2020 and 2021 seasons, reporting a prevalence of 3.9% and a significant burden with an incidence rate of 1.6 injuries per 1000 hours of play.
  • - The majority (78%) of reported injuries led to time loss, with adductor-related injuries being the most common (55%), while pubic-related injuries resulted in the highest average time lost (24 days).
  • - MRI examinations revealed mostly nonacute findings, indicating that while injuries are frequent, many may not be acute, highlighting the need for further understanding and management of these injuries.
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Objectives: This study prospectively investigated injury prevalence, incidence, and burden in male elite under-17 football players (= 223 during a full season.

Methods: The players weekly completed a standardized web-based injury survey (OSTRC-H2) and a physical exposure report throughout the study.

Results: Average weekly response rate was 89.

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Objectives: To describe the prevalence, incidence and burden of all health problems in the Norwegian women's premier league.

Methods: During the 2020 and 2021 seasons, players in the Norwegian women's premier league reported all health problems (sudden-onset injuries, gradual-onset injuries and illnesses) weekly, using the Oslo Sports Trauma Research Centre Questionnaire on Health Problems. Team medical staff diagnosed reported problems using the Sport Medicine Diagnostic Coding System.

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Background: Nordic hamstring test devices are commonly used to measure maximal eccentric hamstring force. The ability to control the final phase of the exercise has been adopted as a criterion to add weight when testing, without substantial evidence. We investigated if adding weight affected the maximal force measured, and if there were differences between players who could and could not control the final phase.

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Objectives: To assess the association between analgesic use and willingness to compete hurt (WCH) in Danish youth elite athletes, and to explore factors associated with such willingness.

Design: 4-week prospective cohort study.

Methods: 592 Danish youth elite athletes (15-20 years) completed a baseline questionnaire assessing demographic information, sport history, and WCH, and provided weekly reports on analgesic use for 4 weeks via text messages.

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Objectives: To better comprehend the initial injury experience and care requirements of knee-injured individuals, as well as healthcare professionals' interactions with early care.

Design: Qualitative interviews.

Setting: Public healthcare in Denmark.

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Pedersen, A, Randers, MB, Luteberget, LS, and Møller, M. Validity of session rating of perceived exertion for measuring training load in youth team handball players. J Strength Cond Res 37(1): 174-180, 2023-Session rating of perceived exertion (sRPE) is a subjective self-reported measure of training load and is a popular method in several different team sports.

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Background: Studies on structured skills training groups have indicated beneficial, although still inconclusive, effects on core symptoms of ADHD in adults. This trial examined effects of Dialectical Behavioral Therapy-based group treatment (DBT-bGT) on the broader and clinically relevant executive functioning and emotional regulation in adults with ADHD.

Methods: In a multicenter randomized controlled trial, adult patients with ADHD were randomly assigned to receive either weekly DBT-bGT or treatment as usual (TAU) during 14 weeks.

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Objectives: To identify the prevalence, frequency, adverse effects, and reasons for analgesic use in youth athletes.

Design: Systematic review and meta-analysis.

Methods: Systematic searches in Embase, Medline, and SPORT-Discus from inception to September 2021, screening of reference lists, and citation tracking were performed to identify observational studies including athletes aged 15-24 years and reporting data on prevalence and/or frequency of analgesic use.

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The evidence-based hamstring strengthening programme for prevention of hamstring injuries is not adopted by football teams because of its high training volume. This study on female football players investigated if high-volume training with the Nordic hamstring exercise is more effective on hamstring strength, jump height, and sprint performance than low-volume training. We also examined the time course of changes in muscle strength during the intervention period.

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Although it is advocated that end-users are engaged in developing evidence-based injury prevention training to enhance the implementation, this rarely happens. The 'Implementing injury Prevention training ROutines in TEams and Clubs in youth Team handball (I-PROTECT)' uses an ecological participatory design incorporating the perspectives of multiple stakeholders throughout the project. Within the I-PROTECT project, the current study aimed to describe the development of holistic injury prevention training specifically for youth handball players through using knowledge from both end-users (coaches and players) and researchers/handball experts.

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There is an absence of high-quality evidence to support rehabilitation and return-to-sport decisions following shoulder injuries in athletes. The Athlete Shoulder Consensus Group was convened to lead a consensus process that aimed to produce best-practice guidance for clinicians, athletes, and coaches for managing shoulder injuries in sport. We developed the consensus via a 2-round Delphi process (involving more than 40 content and methods experts) and an in-person meeting.

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Shoulder injuries are a common problem in handball. One likely cause of such injuries is excessive throwing. However, it is difficult to measure the number of player throws in large cohort studies using existing methods accurately.

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Objectives: We aimed to determine the use of injury prevention exercises and injury prevention exercise programs in Danish youth handball and investigate coach and player experiences, beliefs and attitudes of injury and their prevention.

Design: A mixed-methods design consisting of cross-sectional quantitative surveys and qualitative interviews.

Methods: We surveyed 481 youth (14-18 years old) handball players and their 33 coaches about their use of injury prevention exercises, and attitudes towards injury and their prevention.

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Throwing speed is likely a key determinant of shoulder-specific load. However, it is difficult to estimate the speed of throws in handball in field-based settings with many players due to limitations in current technology. Therefore, the purpose of this study was to develop a novel method to estimate throwing speed in handball using a low-cost accelerometer-based device.

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Objective: To investigate change in shoulder rotation strength from preseason to midseason during a competitive season in youth elite handball players without shoulder problems.

Design: Prospective cohort study.

Methods: Players (n = 292, 45% female, 14-18 years of age) without shoulder problems from Danish youth elite handball clubs were assessed in the preseason and midseason.

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