HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Bouter, L. M. Articles by Volovics, A. Search for Related Content PubMed Articles by Bouter, L. M. Articles by Volovics, A.

Binding function in relation to injury risk in downhill skiing

Department of Epidemiology and Health Care Research

Paul G. Knipschild, MD

Department of Epidemiology and Health Care Research

Alexander Volovics, MSc

Department of Medical Informatics and Statistics, University of Limburg, the Netherlands

Time-trend studies suggest that in the recent past, the use of modern equipment and adequately functioning ski bindings have had a preventive effect on injuries. The question of whether a further decrease of injury figures can still be expected from better binding adjust ment is investigated in a case-control study (N = 1,148) conducted among Dutch skiers. Nonrelease of both bindings directly before injury was associated with a higher risk (odds ratio = 3.3) for lower extremity (LE) injury. Binding release before LE injury was highest (31 %) among those for whom adjustment was per formed and then confirmed with a test device. The proportion of nonrelease is highest for knee injuries. No effect on injury risk could be found for the time of adjustment, the method of adjustment, or the person performing the adjustment. Direct measurement of binding function seems indispensable. The use of rented or borrowed skis was associated with a higher risk (odds ratio = 1.9) for LE injury. The same holds for ignorance concerning the type of ski and the age of the skis and bindings. We concluded that binding adjust ment still seems to be a risk factor open to manipula tion. The efficacy of intervention aimed at better ad justment should be studied experimentally.

This article has been cited by other articles:

				B. Hagel, I. B. Pless, and C. Goulet The Effect of Wrist Guard Use on Upper-Extremity Injuries in Snowboarders Am. J. Epidemiol., July 15, 2005; 162(2): 149 - 156. [Abstract] [Full Text] [PDF]

				E J Bridges, F Rouah, and K M Johnston Snowblading injuries in Eastern Canada Br. J. Sports Med., December 1, 2003; 37(6): 511 - 515. [Abstract] [Full Text] [PDF]

				C. Goulet, G. Regnier, G. Grimard, P. Valois, and P. Villeneuve Risk Factors Associated With Alpine Skiing Injuries In Children: A Case-Control Study Am. J. Sports Med., September 1, 1999; 27(5): 644 - 650. [Abstract] [Full Text] [PDF]

				G. Kok and L. M. Bouter On the importance of planned health education: Prevention of ski injury as an example Am. J. Sports Med., December 1, 1990; 18(6): 600 - 605. [Abstract] [PDF]