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Jiri Dvorak - One of the best experts on this subject based on the ideXlab platform.
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fifa women s world cup 2011 pre competition Medical Assessment of female referees and assistant referees
British Journal of Sports Medicine, 2013Co-Authors: Dagmar I Keller, Mario Bizzini, Nina Feddermann, Astrid Junge, Jiri DvorakAbstract:Background Precompetition screening was implemented for male referees during the 2010 Federation Internationale de Football Association (FIFA) Word Cup. In contrast, female football referees have been neglected in this respect although they experience similar physical work loads compared to male referees. Methods The standardised football-specific Pre-Competition Medical Assessment (PCMA) was performed in 51 referees and assistant referees selected for the 2011 FIFA Women9s World Cup. Results Family history for sudden cardiac death (SCD) was positive in four referees (7.8%), but cardiac examinations did not reveal any pathological findings. Training-unrelated ECG changes were identified in three referees (5.9%), all without correlates in echocardiography or clinical examination. Most common echocardiography findings (66.6%, n=34) were asymptomatic tricuspid and mitral regurgitations. Conclusions During the present screening, no elite female referee was identified being at risk for SCD, and no referee had to be excluded from participating in the 2011 FIFA Women9s World Cup.
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precompetition Medical Assessment of referees and assistant referees selected for the 2010 fifa world cup
British Journal of Sports Medicine, 2012Co-Authors: Mario Bizzini, Astrid Junge, Christian Schmied, Jiri DvorakAbstract:Background Several proposals for preparticipation screening to detect risk factors for sudden cardiac death in sports have been published, but referees have been neglected in this respect. Methods A standardised precompetition Medical Assessment (comprising a general physical, orthopaedic and cardiac examination and blood analysis) was performed in all 90 referees and assistant referees selected for the 2010 Federation Internationale de Football Association World Cup. Results More than a third of the referees showed at least one pathological finding in cardiac examinations; however, all follow-up examinations proved to be normal. The relatively high prevalence of pathological findings in the blood analysis and the orthopaedic examination can be attributed to the average age of the referees and none of them was performance limiting. Conclusions Considering their risk of occult ischaemic heart disease, a precompetition Medical Assessment including an exercise ECG is recommended in elite male football referees.
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Development and implementation of a standardized precompetition Medical Assessment of international elite football players--2006 FIFA World Cup Germany.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 2009Co-Authors: Jiri Dvorak, Christian Schmied, Katharina Grimm, Astrid JungeAbstract:Objective:To create a model for the precompetition Medical Assessment (PCMA) of international elite football players aimed at identifying risk factors and to assess the feasibility of standardized requirements for teams from countries with variable Medical standards.Design:Descriptive feasibility st
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summary and agreement statement of the 1st international symposium on concussion in sport vienna 2001
Clinical Journal of Sport Medicine, 2002Co-Authors: Mark Aubry, Jiri Dvorak, Robert C Cantu, Toni Grafbaumann, Karen M Johnston, James P Kelly, Mark A Lovell, Paul Mccrory, Willem H Meeuwisse, Patrick SchamaschAbstract:BACKGROUNDIn November 2001, the 1st International Symposium on Concussion in Sport was held in Vienna, Austria. This symposium was organized by the International Ice Hockey Federation (IIHF), the Federation Internationale de Football Association Medical Assessment and Research Centre (FIFA, F-MARC),
Staffan Marklund - One of the best experts on this subject based on the ideXlab platform.
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The actions of the social insurance agency regarding long-term sickness absentees before and after a Medical Assessment--a study of 384 case files.
Disability and rehabilitation, 2014Co-Authors: Staffan Marklund, Göran Lundh, Klas Gustafsson, Jürgen Linder, Pia Svedberg, Kristina AlexandersonAbstract:AbstractPurpose: The purpose of this article is to investigate actions taken by the Social Insurance Agency (SIA) for long-term sickness absentees and possible associations of this with future sick leave or disability pension. Method: For 384 long-term sickness absentees who had had a multidisciplinary Medical Assessment (MMA) during 2001–2006, three types of data were obtained: (1) case file information about SIA actions, (2) suggested rehabilitation measures from the MMA and (3) sickness absence and disability pension data. Results: Most individuals had been subject to a range of actions by the SIA. Sixty percent had been invited to a coordination meeting, and half of those who assessed by the MMA for vocational rehabilitation were approved to get it by the SIA. Few SIA actions were associated with full or partial return to work. Conclusions: Although the studied individuals had been on sick leave for a long time, the number of SIA actions related to vocational rehabilitation was limited and came late i...
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PSYCHOLOGICAL FACTORS ARE RELATED TO RETURN TO WORK AMONG LONG-TERM SICKNESS ABSENTEES WHO HAVE UNDERGONE A MULTIDISCIPLINARY Medical Assessment
Journal of rehabilitation medicine, 2013Co-Authors: Klas Gustafsson, Göran Lundh, Jürgen Linder, Pia Svedberg, Kristina Alexanderson, Staffan MarklundAbstract:Objective: To assess the associations between psychological factors and return to work among long-term sickness absentees. Design: Longitudinal study with a 3-year follow-up. Subjects: Long-term sickness absentees (n = 905) who had undergone a multidisciplinary Medical Assessment. Methods: Three years after multidisciplinary Medical Assessment, return to work status (full, partial, or none) was determined according to whether the individuals received full, partial, or no sickness benefits. Multinomial logistic regression analyses were performed to assess the odds ratios with 95% confidence intervals for return to work related to indecision, lassitude, fatigability, reduced sleep, social functioning, emotional role limitations, and vitality. Results: After adjusting for socio-demographic factors and Medical diagnoses most of the studied psychological factors were significantly associated with full (odds ratios 2.13–1.50) and partial (odds ratios 2.25–1.63) return to work in the follow-up period. Low level of lassitude was associated with full return to work (odds ratio 1.72) even when the other psychological factors were controlled for. Similarly, low fatigability was associated with partial return to work (odds ratio 1.81). Conclusion: This study indicates that psychological factors are important for both full and partial return to work among long-term sickness absentees who have undergone a multidisciplinary Medical Assessment.
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disability sickness and unemployment benefits among long term sickness absentees five years before during and after a multidisciplinary Medical Assessment
Journal of multidisciplinary healthcare, 2011Co-Authors: Klas Gustafsson, Göran Lundh, Jürgen Linder, Pia Svedberg, Kristina Alexanderson, Staffan MarklundAbstract:AIM The aim was to describe how a multidisciplinary Medical Assessment changed the distribution of long-term sickness absentees between three different forms of social security support during a period of eleven years. METHODS The study group (n = 1002) consisted of persons on long-term sickness absence who were referred to a multidisciplinary Medical Assessment by the Social Insurance Office in Stockholm, Sweden between 1998 and 2007. Register data from the years 1993-2008 were linked to the study group. A calculation was provided for the number of days per person and year on unemployment benefits, sickness benefits, and disability pension, five years before, during, and five years after the Assessment. Also, differences in the average number of days per person and year were calculated with one-way analysis of variance. RESULTS The number of days on sickness benefits increased up to the time of multidisciplinary Medical Assessment, from 69 to 218 days on average. After the Assessment there was a decrease in the average number of days on sickness benefits, from 218 to 16 days. Before the Assessment the number of days on disability pension was 21, but this increased after the Assessment from 104 days to an average of 272 days five years after the Assessment. There were age differences regarding number of compensated days, and these were particularly pronounced for disability days after the Assessment. Further, there were significant differences between types of diagnosis in relation to average days on disability pension after the Assessment. CONCLUSION The study shows that after a multidisciplinary Medical Assessment there is a rapid increase in disability pension and a dramatic decrease in sickness benefits. The results indicate that for a large number of persons, a Social Insurance Office referral to an Assessment does not improve their chances of returning to work, but rather seems to justify disability pension.
Winston K Mebust - One of the best experts on this subject based on the ideXlab platform.
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correlation of the american urological association symptom index with self administered versions of the madsen iversen boyarsky and maine Medical Assessment program symptom indexes
The Journal of Urology, 1992Co-Authors: Michael J Barry, Floyd J Fowler, Michael P Oleary, Reginald C Bruskewitz, Logan H Holtgrewe, Winston K MebustAbstract:We correlated the American Urological Association (AUA) symptom index with other indexes that have been used to measure symptoms for benign prostatic hyperplasia (BPH) and compared their psychometric properties. A self-administered questionnaire that allowed derivation of AUA, Maine Medical Assessment Program, Madsen-Iversen and Boyarsky symptom scores was completed by 76 men with clinically defined BPH, 59 younger control subjects, and 27 men before and after prostatectomy. The scores from the 4 indexes were strongly correlated (r = 0.77 to 0.93). All 4 indexes had good internal consistency and test-retest reliabilities. All indexes were predictive of patient global ratings of the degree of bother from the urinary condition. The AUA index discriminated BPH patients from controls significantly better than the Maine Medical Assessment Program index, and equivalently to the Madsen-Iversen and Boyarsky indexes (despite having fewer items). All 4 indexes were responsive when BPH patients underwent prostatectomy, although the AUA and Madsen-Iversen indexes were significantly more sensitive.
Kristina Alexanderson - One of the best experts on this subject based on the ideXlab platform.
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The actions of the social insurance agency regarding long-term sickness absentees before and after a Medical Assessment--a study of 384 case files.
Disability and rehabilitation, 2014Co-Authors: Staffan Marklund, Göran Lundh, Klas Gustafsson, Jürgen Linder, Pia Svedberg, Kristina AlexandersonAbstract:AbstractPurpose: The purpose of this article is to investigate actions taken by the Social Insurance Agency (SIA) for long-term sickness absentees and possible associations of this with future sick leave or disability pension. Method: For 384 long-term sickness absentees who had had a multidisciplinary Medical Assessment (MMA) during 2001–2006, three types of data were obtained: (1) case file information about SIA actions, (2) suggested rehabilitation measures from the MMA and (3) sickness absence and disability pension data. Results: Most individuals had been subject to a range of actions by the SIA. Sixty percent had been invited to a coordination meeting, and half of those who assessed by the MMA for vocational rehabilitation were approved to get it by the SIA. Few SIA actions were associated with full or partial return to work. Conclusions: Although the studied individuals had been on sick leave for a long time, the number of SIA actions related to vocational rehabilitation was limited and came late i...
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PSYCHOLOGICAL FACTORS ARE RELATED TO RETURN TO WORK AMONG LONG-TERM SICKNESS ABSENTEES WHO HAVE UNDERGONE A MULTIDISCIPLINARY Medical Assessment
Journal of rehabilitation medicine, 2013Co-Authors: Klas Gustafsson, Göran Lundh, Jürgen Linder, Pia Svedberg, Kristina Alexanderson, Staffan MarklundAbstract:Objective: To assess the associations between psychological factors and return to work among long-term sickness absentees. Design: Longitudinal study with a 3-year follow-up. Subjects: Long-term sickness absentees (n = 905) who had undergone a multidisciplinary Medical Assessment. Methods: Three years after multidisciplinary Medical Assessment, return to work status (full, partial, or none) was determined according to whether the individuals received full, partial, or no sickness benefits. Multinomial logistic regression analyses were performed to assess the odds ratios with 95% confidence intervals for return to work related to indecision, lassitude, fatigability, reduced sleep, social functioning, emotional role limitations, and vitality. Results: After adjusting for socio-demographic factors and Medical diagnoses most of the studied psychological factors were significantly associated with full (odds ratios 2.13–1.50) and partial (odds ratios 2.25–1.63) return to work in the follow-up period. Low level of lassitude was associated with full return to work (odds ratio 1.72) even when the other psychological factors were controlled for. Similarly, low fatigability was associated with partial return to work (odds ratio 1.81). Conclusion: This study indicates that psychological factors are important for both full and partial return to work among long-term sickness absentees who have undergone a multidisciplinary Medical Assessment.
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disability sickness and unemployment benefits among long term sickness absentees five years before during and after a multidisciplinary Medical Assessment
Journal of multidisciplinary healthcare, 2011Co-Authors: Klas Gustafsson, Göran Lundh, Jürgen Linder, Pia Svedberg, Kristina Alexanderson, Staffan MarklundAbstract:AIM The aim was to describe how a multidisciplinary Medical Assessment changed the distribution of long-term sickness absentees between three different forms of social security support during a period of eleven years. METHODS The study group (n = 1002) consisted of persons on long-term sickness absence who were referred to a multidisciplinary Medical Assessment by the Social Insurance Office in Stockholm, Sweden between 1998 and 2007. Register data from the years 1993-2008 were linked to the study group. A calculation was provided for the number of days per person and year on unemployment benefits, sickness benefits, and disability pension, five years before, during, and five years after the Assessment. Also, differences in the average number of days per person and year were calculated with one-way analysis of variance. RESULTS The number of days on sickness benefits increased up to the time of multidisciplinary Medical Assessment, from 69 to 218 days on average. After the Assessment there was a decrease in the average number of days on sickness benefits, from 218 to 16 days. Before the Assessment the number of days on disability pension was 21, but this increased after the Assessment from 104 days to an average of 272 days five years after the Assessment. There were age differences regarding number of compensated days, and these were particularly pronounced for disability days after the Assessment. Further, there were significant differences between types of diagnosis in relation to average days on disability pension after the Assessment. CONCLUSION The study shows that after a multidisciplinary Medical Assessment there is a rapid increase in disability pension and a dramatic decrease in sickness benefits. The results indicate that for a large number of persons, a Social Insurance Office referral to an Assessment does not improve their chances of returning to work, but rather seems to justify disability pension.
Mario Bizzini - One of the best experts on this subject based on the ideXlab platform.
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fifa women s world cup 2011 pre competition Medical Assessment of female referees and assistant referees
British Journal of Sports Medicine, 2013Co-Authors: Dagmar I Keller, Mario Bizzini, Nina Feddermann, Astrid Junge, Jiri DvorakAbstract:Background Precompetition screening was implemented for male referees during the 2010 Federation Internationale de Football Association (FIFA) Word Cup. In contrast, female football referees have been neglected in this respect although they experience similar physical work loads compared to male referees. Methods The standardised football-specific Pre-Competition Medical Assessment (PCMA) was performed in 51 referees and assistant referees selected for the 2011 FIFA Women9s World Cup. Results Family history for sudden cardiac death (SCD) was positive in four referees (7.8%), but cardiac examinations did not reveal any pathological findings. Training-unrelated ECG changes were identified in three referees (5.9%), all without correlates in echocardiography or clinical examination. Most common echocardiography findings (66.6%, n=34) were asymptomatic tricuspid and mitral regurgitations. Conclusions During the present screening, no elite female referee was identified being at risk for SCD, and no referee had to be excluded from participating in the 2011 FIFA Women9s World Cup.
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precompetition Medical Assessment of referees and assistant referees selected for the 2010 fifa world cup
British Journal of Sports Medicine, 2012Co-Authors: Mario Bizzini, Astrid Junge, Christian Schmied, Jiri DvorakAbstract:Background Several proposals for preparticipation screening to detect risk factors for sudden cardiac death in sports have been published, but referees have been neglected in this respect. Methods A standardised precompetition Medical Assessment (comprising a general physical, orthopaedic and cardiac examination and blood analysis) was performed in all 90 referees and assistant referees selected for the 2010 Federation Internationale de Football Association World Cup. Results More than a third of the referees showed at least one pathological finding in cardiac examinations; however, all follow-up examinations proved to be normal. The relatively high prevalence of pathological findings in the blood analysis and the orthopaedic examination can be attributed to the average age of the referees and none of them was performance limiting. Conclusions Considering their risk of occult ischaemic heart disease, a precompetition Medical Assessment including an exercise ECG is recommended in elite male football referees.
