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Mitigating risk of injury in alpine skiing in the Pyeongchang 2018 Paralympic Winter Games: the time is now!
  1. Wayne Derman1,2,
  2. Cheri Blauwet3,
  3. Nick Webborn4,
  4. Martin Schwellnus2,5,
  5. Peter Van de Vliet6,
  6. Dimitrije Lazarovski6
  1. 1 Institute of Sport and Exercise, Department of Surgical Sciences, Stellenbosch University, Cape Town, South Africa
  2. 2 IOC Research Center, South Africa
  3. 3 Kelley Adaptive Sports Research Institute, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
  4. 4 Center for Sport and Exercise Medicine and Science, University of Brighton, Brighton, UK
  5. 5 Sport, Exercise Medicine and Lifestyle Institute, University of Pretoria, Pretoria, South Africa
  6. 6 International Paralympic Committee, Bonn, Germany
  1. Correspondence to Professor Wayne Derman, Institute of Sport and Exercise Medicine, Department of Orthopaedic Surgical Sciences, IOC Research Center, Stellenbosch University, Cape Town 7505, South Africa; ewderman{at}iafrica.com

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The sport of Para alpine skiing at the Sochi 2014 Paralympic Winter Games has been under the spotlight as having the highest injury incidence rate (IR) compared with other sports on the programme,1 and also compared with alpine skiing at any previous Paralympic Winter Games.2 3 A secondary analysis of the Paralympic Injury and Illness Survey for the Sochi Games has allowed for a more detailed reporting of injury mechanism.

In Sochi, a total of 175 athletes (131 male, 44 female) participated in the Para alpine skiing competitions. This comprised 65 seated athletes and 110 standing athletes. The overall injury IR in alpine skiing was 48.3 (95% CI 40.1 to 56.4) injuries per 1000 athlete-days, while the overall injury proportion was 30.9 (95% CI 24.0 to 37.7) injuries per 100 athletes. The comparative injury IR in the different athlete categories is shown in figure 1.

Figure 1

Injury incidence rate (IR) in Para alpine skiing at the Sochi 2014 Paralympic Winter Games.

Upon further analysis of the data, …

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