Citation

Rorke SC. International journal of body composition research 2010; 8(Suppl): 45-60.

Copyright

(Copyright © 2010)

DOI

unavailable

PMID

unavailable

Abstract

Given known health benefits of physical activity, exercise and physical activity prescriptions are routinely utilized to prevent degenerative and similar lifestyle-related diseases. It is questionable however, whether exercise professionals devote adequate time to client counseling about issues related to the prevention of unintentional injury (UI) associated with exercise and physical activity. The utility of public health injury prevention models as a paradigm for prevention of UI during physical activity is addressed. The landmark Haddon paper 'On the escape of tigers' outlining 'The Haddon Ten' principles of injury prevention (prevent the creation of the hazard; reduce the amount of the hazard; prevent the release of an existing hazard; modify the rate or spatial distribution of the hazard; separate in time or space the hazard from the person; place a barrier between the hazard and the person; modify the basic qualities of the hazard; increase the resilience of the person; counter the damage done by the hazard; and, stabilize, repair and rehabilitate the person); is reviewed in conjunction with the widely acclaimed 'Haddon Matrix', a three-phase (preevent, event, post-event) and four-factor (host/human, agent - energy/vector, physical environment, social environment) model. Implementation of Haddon Ten and Matrix principles may result in very effective UI prevention in physical activity settings. To enhance understanding of the complexity of injury prevention strategies two additional paradigms are presented: An ecological model (individual, interpersonal, community, and society); and, a contemporary expansion of the Haddon Matrix known as 'Third Dimension' decision criteria (cost, cost-benefit, effectiveness, feasibility, ethics, equity).


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Language: en