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The American Journal of Sports Medicine 27:644-650 (1999)
© 1999 American Orthopaedic Society for Sports Medicine

Risk Factors Associated With Alpine Skiing Injuries In Children

A Case-Control Study

Claude Goulet, PhD*,{dagger}, Guy Régnier, PhD{ddagger}, Guy Grimard, MD, FRSC(C)§, Pierre Valois, PhD|| and Paul Villeneuve, MSc||

* Direction générale des loisirs et des sports, ministère de l’Éducation du Québec, Trois-Rivières
{ddagger} Conseil d’évaluation des technologies de la santé du Québec, Montréal
§ Hôpital Sainte-Justine, Montréal
|| Université du Québec à Trois-Rivières, Québec, Canada

{dagger} Address correspondence and reprint requests to Claude Goulet, PhD, Direction générale des loisirs et des sports, ministère de l’Éducation, 100 rue Laviolette, Suite 306, Trois-Rivières, Québec, Canada, G9A 5S9

We investigated the relative contribution of four risk factors to the occurrence of injuries among alpine skiers aged 12 years and younger (3 to 12 years old; mean age, 9.43 years). The risk factors selected were deficient binding adjustment, absence of formal training, low skill level, and use of rented equipment. A group of injured skiers (N = 41) and a control group of uninjured skiers (N = 313) were recruited among young skiers at one major alpine ski center in the Québec City, Canada, area during the 1995 to 1996 season. No significant group differences were found for mean age or sex distribution. The adjusted odds ratios for injury were 7.54 (95% confidence interval [2.57, 22.15]) for skiers in the low level of skill category relative to highly skilled skiers, 7.14 (2.59, 19.87) for skiers who rented their ski equipment compared with skiers who owned their equipment, and 2.11 (1.02, 4.33) for skiers with ill-adjusted bindings compared with skiers with better-adjusted bindings. Only formal training did not meet the 0.05 significance level for entry into the model; this is probably because of methodologic limitations. Implications of these results for the development of a prevention program aimed at young skiers are discussed.




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