Dr. Mwandila Donald.pdf - The University of Zambia

105 Pages·2015·3.38 MB·English

by  General Secretary

TH EUNVEIRTSIY OF MZABAI
HOSCOOL MDCINEF I E

Ecologic Determinants of Football Injuries : A Case Study of Lusaka Based FAZ
Football Teams

yB

Donald Mwandila

DSIRTETAS SAIUNO ITTBMPRT LADINE IA LF FTUTLILFNME O H E
IRQTREMEUEN FSOR F OGET DEREMEA H TSBROLCE I EFU PH LTA H
)( MPH

2012

i
Ecologic Determinants of Football Injuries : A case Study of Lusaka Based FAZ
Football Teams

yB

Donald Mwandila

2012

i i
RCTELAADION
I, Donlad wadMilan, do hereby declare tha t this dissertation is my own original
work. It has been presented in accordance with the guidelines for MPH dissertation
of the University of Zambia. It has not been submitted before for any degree or
examination in any other University.

Signed___________________________________Date______________________
wDonldla a Mnadi
(Candidate)

Supervisor:

I have read this dissertation and approved it for examination
. S zDrNlaa

Signature_________________________________Date_______________________

Department of Public Health, School of Medicine, University of Zambia
iii
ROYIGPTC H

It is hereby notified that no part of this thesis may be reproduced, stored in a retrieval
system, or transmitted, in any form or by any means, electronic, mechanical,
photocopying, recording or otherwise, without prior consent of the author, except for
academic purposes.
iv
RETTCIFCFIA OEC O TL OERIOFDEMP ISN TT IONA

I, owDnalddiM an, lado hereby certify that th is dissertation is the product of my own
work and, in submitting it for my MPH programme further attest that it has not been
submitted in part or in whole to another University.

Signature:_____________________________Date:_______________________

I, D r. SzNla,a having read and subm itted this dissertation, I am satisfied that this is
the original work of the author under whose name it is being presented. I confirm that
the work has been completed satisfactorily and is hereby for presentation to the
examiners.

Supervisor: z. N SlaDra

Supervisor’s Signature:_________________ Date:_________________________

Head of Department

Signature:___________________________Date:_________________________

Department of Public Health, School of Medicine, University of Zambia
v
TTRCEPPICA OEFFI A LRV OA

The University of Zambia approves this dissertation of onlda Dwd ianaMlin partial
fulfillment of the requirement for the award of the Master of Public Health Degree by
the University of Zambia.

Signature________________________Date____________________
Examiner I

Signature_______________________Date_____________________
Examiner II

Signature______________________Date______________________
Examiner III

Head of Department

Signatutre_____________________Date______________________
iv
TDC DEINAIO

To my understanding wife Vicky and my kids Given, Peace and Love for their
patience in allowing me spend less time with them during the period I was working
on this thesis.
ii v
OLDGCEKNWMEAEN T S

Without the gentle push, guidance and encouragement of my supervisor,
Dr S. Nzala for his valuable guidance and support throughout this research.
Professor S.Siziya, and Mr J. Mwanza for their great support and without whom
completion of this thesis would have been almost insurmountable.
Dr Munthali, the Head of Department of surgery and my co-supervisor for putting me
through the pace by his supportive literature review and timely reminders.
Ministry of Home Affairs Medical Directorate for the sponsorship awarded to me.
MPH 2010 students for giving the necessary encouragement when panic set in.
FAZ Executive for the logistic support and the Ministry of Sports for theoretic
discussion and supportive goal.
Special thanks to sports men and their officials included in this study.
Lastly but not the least I thank the medical staff of the teams and the team Executive
Committee members for their generous updates and permission to allow their
players to participate in the study.
iivi
COTNNTES

DECLARATION ........................................................................................................... iii
COPYRIGHT................................................................................................................ iv
CERTIFICATE OF COMPLETION OF DISERTATION ................................................ v
CERTIFICATE OF APPROVAL ................................................................................... vi
DEDICATION .............................................................................................................. vii
ACKNOWLEDGEMENTS .......................................................................................... viii
LIST OF ABBREVIATIONS AND ACRONYMS ........................................................... xi
LIST OF TABLES ........................................................................................................ xii
LIST OF FIGURES .................................................................................................... xiii
LIST OF APPENDICES ............................................................................................. xiv
ABSTRACT ................................................................................................................. xv

CHAPTER ONE - BACKGROUND .............................................................................. 1

1.0 Introduction ............................................................................................................ 1
1.1 Statement of the Problem ...................................................................................... 2
1.2 Assumptions and Problem Analysis ....................................................................... 2

CHAPTER TWO - LITERATURE REVIEW .................................................................. 5

2.0 Introduction ............................................................................................................ 5
2.1 Injuries in Football .................................................................................................. 5
2.1.1– A Global View ................................................................................................... 5
2.1.2 Regional and Local Review of Football Injuries .................................................. 8
2.2 Types of Injuries Sustained By Football Players .................................................... 8
2.3 Knee Injuries .......................................................................................................... 9
2.4 Ankle joint injuries ................................................................................................ 13
2.5 Specific Morphological Injuries............................................................................. 14
2.6 Injury and Demographics ..................................................................................... 16
2.7 Other General Risk Factors to Football Injuries ................................................... 20
2.8 Mitigating Football Injuries ................................................................................... 22
2.9 Consequences of Injuries .................................................................................... 24
2.10 Causes of injuries .............................................................................................. 26
2.11 Research Designs in Sports Medicine ............................................................... 32
2.12 Research Questions ......................................................................................... 36
2.13 General Objective .............................................................................................. 36
2.14 Specific Objectives ............................................................................................. 36
2.15 Hypothesis ......................................................................................................... 36
2.16 Scope of the Study ............................................................................................. 36

CHAPTER THREE- METHODOLOGY ...................................................................... 37

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3.0 Study Type .......................................................................................................... 37
3.1 The Research Setting and Study Population ....................................................... 37
3.2 Inclusion and Exclusion criteria ........................................................................... 38
3.3 Sampling, Data Collection Techniques and Procedure ....................................... 38
3.4 Operational Definitions ........................................................................................ 39
3.6 Data Processing and Analysis ............................................................................ 41
3.7 Ethical Consideration .......................................................................................... 41
3.8 Pilot Study ........................................................................................................... 42

CHAPTER FOUR- RESEARCH FINDINGS............................................................... 43

4.0 Introduction .......................................................................................................... 43
4.1 Demographic Profile of Respondents .................................................................. 43
4.2 Rates of injuries ................................................................................................... 46
4.3 Types of injuries ................................................................................................... 50
4.3.1 Type of Injury by Complaint .............................................................................. 51
4.3.2 Type of Injury by Site or Organ ......................................................................... 52
4.3.3 Type of Injury by Mechanism ............................................................................ 52
4.4 Factors Contributing To Football Injuries ............................................................. 53

CHAPTER FIVE – DISCUSSIONS AND CONCLUSIONS ........................................ 60

5.0 Introduction .......................................................................................................... 60
5.1 Answers to the Research Question ...................................................................... 60
5.2 Contextualising and Analysing Findings .............................................................. 62
5.3 Limitations and Strengths of This Study ............................................................... 65
5.4 Conclusions ......................................................................................................... 68
5.5 Recommendations ............................................................................................... 68

REFERENCES .......................................................................................................... 70

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