Evidence map›Paper›PMID 28698928›Full record

Observational studyKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018

Severe musculoskeletal time-loss injuries and symptoms of common mental disorders in professional soccer: a longitudinal analysis of 12-month follow-up data.

Ö Kiliç, H Aoki, E Goedhart, M Hägglund, G M M J Kerkhoffs, P P F M Kuijer, M Waldén, V Gouttebarge

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ö KiliçAcademic Center for Evidence based Sports medicine (ACES), Academic Medical Center, Amsterdam, The Netherlands.
H AokiSt. Marianna University School of Medicine, Kawasaki, Japan.
E GoedhartRoyal Netherlands Football Association (KNVB), FIFA Medical Center of Excellence, Zeist, The Netherlands.
M HägglundFootball Research Group, Linköping, Sweden.
G M M J KerkhoffsAcademic Center for Evidence based Sports medicine (ACES), Academic Medical Center, Amsterdam, The Netherlands.
P P F M KuijerCoronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Academic Medical Center, Amsterdam, The Netherlands.
M WaldénFootball Research Group, Linköping, Sweden.
V GouttebargeAcademic Center for Evidence based Sports medicine (ACES), Academic Medical Center, Amsterdam, The Netherlands. v.gouttebarge@fifpro.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePsychological factors have shown to be predictors of injury in professional football. However, it seems that this is a two-way relationship, as severe musculoskeletal time-loss injuries have shown to be associated with the onset of symptoms of common mental disorders (CMD). There is no longitudinal study performed exploring this interaction between symptoms of CMD and injuries. The purpose of this study was to explore the interaction between severe musculoskeletal time-loss injuries and symptoms of CMD in professional football players over a 12-month period.

methodsPlayers were recruited by their national players' unions in five European countries. Symptoms of CMD included in the study were related to distress, anxiety/depression, sleep disturbance and adverse alcohol use.

resultsA total of 384 professional football players were enrolled in the study, of whom 262 (68%) completed the 12-month follow-up period. The mean age of the participants at baseline was 27 ± 5 years, and they had played professional football for 8 ± 5 years on average. Symptoms of CMD at baseline were not associated with the onset of severe musculoskeletal time-loss injuries during the follow-up period with relative risks (and 95% CI) ranging from 0.6 (0.3-1.0) to 1.0 (0.5-2.2). In contrast, severe musculoskeletal time-loss injuries reported at baseline were associated with the onset of symptoms of CMD during the follow-up period with relative risks ranging from 1.8 (0.8-3.7) to 6.9 (4.0-11.9).

conclusionNo relationship was found between symptoms of CMD and the onset of severe musculoskeletal time-loss injuries. However, professional football players who suffered from severe musculoskeletal time-loss injuries are likely to develop subsequent symptoms of CMD. This study emphasizes the need for an interdisciplinary medical approach, which not only focuses on the physical but also on the mental health of professional football players. An early identification of players at risk of symptoms of CMD, such as those suffering from severe musculoskeletal injuries, creates the opportunity for an interdisciplinary clinical medical team to treat the players timely and adequately. LEVEL OF EVIDENCE: Prospective cohort study, Level II.

Indexed as

AdultAlcoholismAnxietyAthletesAthletic InjuriesDepressionEuropeFollow-Up StudiesHumansMaleMusculoskeletal DiseasesProspective StudiesSleep Wake DisordersSoccerStress, PsychologicalSurveys and QuestionnairesCohort studyCommon mental disorderProfessional footballTime-loss injury

Identifiers

PMID28698928
PMCPMC5847204

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.