INJURY REPORT FORM FOR BADMINTON
Date:
Name: Name
Surname: Surname
Age: Age Gender
: Numbers of years playing: Numbers of years playing
1.INJURY RECORD
1.1 DATES
Date of injury:
Date of return to training with restriction:
Date of return to training without restrictions in quality/intensity:
Date of return to competition:
Date of return to the same level as prior to the injury:
.
Dominant arm (racket arm): Dominant arm (racket arm)
Choose gender
1.2 PLAYER LEVEL
- What is your actual level of play?
1. Recreational 2. Competitive/play 2.1 Local/Regional 2.2 National
2.3 International
- What is the highest level you have played? The highest level
1.3 TRAINING HOURS.
ESTIMATE THE OPTION BELOW
- How many hours per week did you train for the last month?: Badminton training
On-court training: On-court training
Off court training (strength training, endurance training) : Off-court training
- How many hours per week did you play matches for the last month? Badminton match
1.4 INJURED BODY REGION
MAIN GROUP CATEGORY DOMINANT NON DOMINAN
T
NOT APPLICABLE
Head and neck Head/Face . . .
Neck/Cervical spine . . .
Upper limbs Shoulder/Clavicle . . .
Upper arm . . .
Elbow . . .
Forearm . . .
Wrist . . .
Hand/Finger/Thumb . . .
Trunk Sternum/Ribs/Upper
back
. . .
Abdomen . . .
Lower back . . .
Pelvis/Sacrum . . .
Lower Limbs Hip/groin . . .
Thigh . . .
Knee . . .
Lower leg . . .
Ankle . . .
Achilles tendon . . .
Foot/Toe . . .
2. DIAGNOSIS
- Did you have an injury diagnosis?
YES
NO - If yes, who did it?
Player or coach
Medical Staf
- Was your diagnosis verified?
YES
NO - How was it verified? You can make multiple choices:
Ultrasound X-ray
MRI Other
2.1 TYPE OF INJURY
Bone:
Fracture
Stress fracture
Other bone injury
´ Joint/Ligament:
Dislocation/Subluxation
Anterior cruciate ligament rupture Other ligament injury in the knee Meniscus injury
Cartilage injury Ankle sprain
Other ligament injury Tendon
Tear
*(Tendon tear or fibrillary rupture is the tissue injury, which could be accompanied (not always) by hemorrhage caused by the rupture of the blood vessels that register the afected tendon, causing a level to severe pain that has difficulties or impediments to contract it.)
Rupture
Patella tendinopathy Achilles tendinopathy Achilles rupture
Other tendinitis/tendinosis/tendinopathy Muscle
Tear
*(Muscle tear or fibrillary rupture is the tissue injury, which could be accompanied (not always) by hemorrhage caused by the rupture of the blood vessels that register the afected muscle, causing a level to severe pain that has difficulties or impediments to contract)
Strain
*(Muscle strain is when a muscle is overstretched by an overload of the muscle) Muscle rupture
Muscular cramp Bursitis
Other Skin
Abrasion Laceration
Central/peripheral nervous system Concussion
Nerve injury Ocular injury
With loss of vision Without loss of vision
3. INJURY MECHANISM
3.1 ORIGIN AND TYPE OF ONSET
o Describe the mechanism of injury or the sport gesture that caused the injury: .
Impact/traumatic Non-traumatic
Sudden
Gradual
Insidious onset
Not relevant o NOTE: Insidious onset (the type of onset of the injury is not identified).
3.2 DID THE INJURY OCCUR DURING?
Badminton training On-court Of-court
Match
3.3 WHEN DID THE INJURY OCCUR
Season Start Middle End
3.4 INJURY MECHANISM
1. Where did the injury happen?
On the front court On the mid court On the back court
2. Did the injury happen due to a fall?
YES
NO 3. Did the injury happen due to slippery floor?
YES
NO 4. Did the injury happen due to slippery shoes?
YES
NO
o Please, answer this section only if you have presented some of these injuries: Anterior cruciate ligament injury, Achilles tendon rupture or Ankle sprain. It is possible to make multiple choices
ACL- Rupture.
It happened when returning from a lunge
It happened in my non-dominant leg when jumping in the round the head It happened when changing direction
It happened due to a deceptive shot from my opponent Others
If you choose others, please define the injury mechanism: .
Achilles tendon rupture
My foot was parallel to the direction of movements My foot pointed towards the side line
It happened while jumping
It happened with low speed (acceleration) It happened with high speed (aceleration)
Ankle sprain
It occurred while jumping It occurred while lunging
It occurred while changing direction It occurred due to a deceptive shot
4. REGARDING PAIN
- Did you feel pain in the same region as your actual injury for most days in the last month?
YES
NO
- Did you feel pain in another region than your actual injury for most days in the last month?
YES
NO o If Yes, please specify the region: Region
- Did you feel any discomfort in the same region as your actual injury for most days in the last month?
YES
NO
o If yes, please specify if it was instability, apprehension, etc.: Specify
- Did you any feel any discomfort in another region than your actual injury for most days in the last month?
YES
NO
o If yes, please specify the region and if was instability, apprenhension, etc.: Specify
5. PAIN AND RETURN TO PLAY/TRAINING AFTER INJURY.
- Did you feel any pain when you returned to PARTIAL practice?
YES
NO - Did you feel any pain when you returned to FULL practice?
YES
NO
- Did you feel any pain when you returned to match?
YES
NO
- Did you feel any discomfort when you returned to PARTIAL practice?
YES
NO
- Did you feel any discomfort when you returned to FULL practice?
YES
NO - Did you feel any discomfort when you returned to match?
YES
NO
6. GRADE OF SEVERITY
Minor (1-7 days):
Slight (1 Day)
Minimal (2-3 days)
Mild (4-7 days) Moderately serious (8-28 days)
Serious (> 28 days - 6 months) Long term >6 months)
7. RECURRENCE
- Have you had a previous injury of the same type as your present injury?
YES
NO
o If YES , specify date of your return to full participation from the previous injury:
- Did it occur in the same body part?
YES
NO