{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T19:15:44Z","timestamp":1793214944802,"version":"4.5.0"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,5,17]],"date-time":"2020-05-17T00:00:00Z","timestamp":1589673600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Sports\u2010related injuries and illnesses in Paralympic sport (SRIIPS) are a concern, but knowledge about the etiology and risk factors is limited. The aim of this study was to describe the annual incidence, type, and severity of injuries and illnesses among Swedish Paralympic athletes and to assess risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Swedish Paralympic athletes (n\u00a0=\u00a0107) self\u2010reported SRIIPS every week during 52\u00a0weeks using an eHealth application. Incidence proportions (IP) and incidence rates (IR) were used as measures of disease burden. Time\u2010to\u2010event methods (Kaplan\u2010Meier and Cox regression) were used to identify risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The annual IP for injury was 68% and for illness 77%. The injury IR was 6.9\/1000\u00a0hours and the illness IR 9.3\/1000\u00a0hours. The median time to injury was 19\u00a0weeks (95% CI: 10.5\u201027.4) and to illness 9\u00a0weeks (95% CI: 1.4\u201016.6). Most injuries occurred during training, and 34% were classified as severe (\u226521\u00a0days of time loss). An increased injury risk was observed among athletes in team sports (HR 1.88; 95% CI: 1.19\u20102.99), athletes with a previous severe injury (HR 2.37; 95% CI: 1.47\u20103.83), and male athletes (HR 1.76; 95% CI: 1.06\u20102.93). The most common illness type was infection (84%). Athletes in team sports (HR 1.64; 95% CI: 1.05\u20102.54) and males with a previous illness (HR\u00a0=\u00a02.13; 95% CI: 1.04\u20104.36) had a higher illness risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Paralympic athletes report a high incidence of injuries and illnesses over time. This emphasizes the need to develop preventive strategies of SRIIPS and optimize medical services for this heterogeneous athlete population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/sms.13687","type":"journal-article","created":{"date-parts":[[2020,4,17]],"date-time":"2020-04-17T16:02:02Z","timestamp":1587139322000},"page":"1457-1470","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":58,"title":["Injuries and illnesses in Swedish Paralympic athletes\u2014A 52\u2010week prospective study of incidence and risk factors"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9524-7553","authenticated-orcid":false,"given":"Kristina","family":"Fagher","sequence":"first","affiliation":[{"name":"Department of Health Sciences Rehabilitation Medicine Research Group Lund University Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3955-0443","authenticated-orcid":false,"given":"\u00d6rjan","family":"Dahlstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Sciences Athletics Research Center Link\u00f6ping University Link\u00f6ping Sweden"},{"name":"Department of Behavioural Sciences and Learning Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1551-1722","authenticated-orcid":false,"given":"Jenny","family":"Jacobsson","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Sciences Athletics Research Center Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6049-5402","authenticated-orcid":false,"given":"Toomas","family":"Timpka","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Sciences Athletics Research Center Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5294-3332","authenticated-orcid":false,"given":"Jan","family":"Lexell","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Rehabilitation Medicine Research Group Lund University Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119045144"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-100170"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmrj.12211"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2019.03.005"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-098039"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-092375"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097962"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e318243309f"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-100096"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097956"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/sms.12175"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13102-016-0053-x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.2196\/humanfactors.8117"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-094758"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/17461391.2016.1192689"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2012-091651"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-093241"},{"key":"e_1_2_7_19_1","volume-title":"Sports injury research","author":"Verhagen E","year":"2010"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2010.12.002"},{"key":"e_1_2_7_21_1","volume-title":"an introduction","author":"Epidemiology RK","year":"2012"},{"key":"e_1_2_7_22_1","volume-title":"An introduction to medical statistics. 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