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  1. Maarten Barendrecht1,
  2. Carl Barten2,
  3. Bouwien Smits-Engelsman3,
  4. Evert Verhagen4
  1. 1Avans+ Improving Professionals, Breda, The Netherlands
  2. 2Haagsche Hogeschool, Academie voor Sportstudies, The Hague, The Netherlands
  3. 3University of Cape Town, Department of Health and Rehabilitation Sciences, Cape Town, South Africa
  4. 4Afdeling Sociale Geneeskunde, EMGO+ Instituut, VU Medisch Centrum, Amsterdam, The Netherlands


    Background Injury risk is high during 4-year PE teacher education (PETE). However, recent studies have focussed on injury risk during the first year only.

    Objective To compare the overall, intra- and extracurricular injury risk per sex and curriculum year, and trends over time in Dutch PETE.

    Design Prospective cohort study.

    Setting A Dutch polytechnic for PETE.

    Patients (or Participants) PE students (male n=635, female n=448), who completed their full curriculum between 2000 and 2014.

    Assessment of Risk Factors Sport setting (intra- versus extracurricular), sex, curriculum year and (consecutive) cohorts.

    Main Outcome Measurements Any musculoskeletal complaint related to sports participation for which medical advice was sought. Intracurricular iincidence rates (injuries/1000 hours) were calculated using the scheduled time table. Overall/extracurricular exposure time was calculated in months from the start of the curriculum until injury or graduation date of individual students. Clinical incidence (CI; injuries/student) was calculated as well. Risk was compared using Cox regression analysis or Relative Risk (RR) and their 95% Confidence Intervals (95%CI).

    Results Overall 599 (55.3%, 95% CI 51.1–59.9%) students sustained at least one injury. Female students had a significantly higher risk for overall (RR 1.34, 95% CI 1.23–1.47) and for intracurricular injuries (RR 1.60, 95% CI 1.43–1.79). CI for intracurricular injuries was significantly higher than for extracurricular injuries (RR 2.27, 95% CI 1.98–2.61), specifically in female students during their first year (RR 4.29, 95% CI 3.13–5.88). Compared to the first year, overall CI dropped significantly during the 2nd (RR 0.62, 95% CI 0.54–0.71) and consecutive years. Injury risk increased over the period from 2000 to 2014 (RR 1.59, 95% CI 1.36–1.86).

    Conclusions Injury risk in Dutch PETE is increasing. Risk factors for the relatively high intracurricular injury risk found for the first year and for female students, should be investigated in prospective multi-center research.

    • Injury

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