Performance Test for the Foiling Week June 27, 2018 Step 1 of 5 20% Username*Please use the first 2 letters of your name and surname and your age ex. Paolo Rossi 46 years ---> paro46Email Sex*MaleFemaleHave you had any difficulties participating in normal training and competition due to injury, illness or other health problems LAST WEEK?Question 1*Required (single answer)Full participation without health problemsFull participation, but with injury/illnessReduced participation due to injury/illnessCannot participate due to injury/illness To what extent have you reduced your training volume due to injury, illness or other health problems today? Question 2*No reductionTo a minor extentTo a moderate extentTo a major extentCannot participate at allRequired (single answer) To what extent has injury, illness or other health problems affected your performance today? Question 3*No effectTo a minor extentTo a moderate extentTo a major extentCannot participate at allRequired (single answer) To what extent have you experienced symptoms/health complaints today? Question 4*No symptoms/health complaintsTo a mild extentTo a moderate extentTo a severe extentRequired (single answer) Did you report this problem previously?YesNoWas this problem already being treated?YesNoBy whom? Please define whether the problems you referred was an illness or an injury.Health problem*Required (single answer)IllnessInjuryIllness-affected system* Upper respiratory tract (nose, sinuses, pharynx, larynx) Lower respiratory tract (trachea, bronchi, lungs) Gastrointestinal Cardiovascular Urogenital, gynaecological or reproductive Endocrine or metabolic Haematological or immunological Neurological, central nervous system Dermatological/skin Musculoskeletal Dental Ophthalmological/otological Psychiatric/psychological Other Required (multiple possible answers)Illness symptoms* Pain, ache or soreness Fever, excess sweating or chills Nausea, vomiting or diarrhoea Weight loss or dehydration Fatigue, lack of energy, lethargy or arterial hypotension Irregular heartbeat, palpitation, syncope, collapse or chest pain Congestion, hypersecretion rhinorrhoea or discharge Cough, wheezing, dyspnoea or shortness of breath Dizziness or vertigo Rash, itch or eczema Numbness, weakness or tingling Mood/sleep disturbance, anxious or depressed Other Required (multiple possible answers)Onset of illness*Sudden onsetGradual onsetRequired (single answer)Cause of illness* Pre-existing disease (exacerbations of allergy, asthma, diabetes, degenerative, etc) Infectious (viral, bacterial, fungal, etc) Environmental (heat, cold, altitude, etc) Nutritional, endocrine or metabolic disturbance Drug related or toxic reaction Exercise related (dehydration, exhaustion, etc) Psychiatric Other/idiopathic Required (multiple possible answers)Injury body part Face (including eye, ear, nose) Head Neck/cervical spine Thoracic spine/upper back Sternum/ribs Lumbar spine/lower back Abdomen Pelvis/sacrum/buttock Optional (multiple possible answers)Body extremityUpper extremityLower extremityOptional (single answer)Upper extremity Shoulder/clavicle Upper arm Elbow (anterior/posterior) Elbow (medial/lateral) Forearm Wrist Hand Finger Thumb Optional (multiple possible answers)Lower extremity Hip Groin Thigh Knee (anterior/posterior) Knee (medial/lateral) Lower leg Achilles tendon Ankle Foot/toe Optional (multiple possible answers)Type of injury*Concussion (regardless of loss of consciousness)Fracture (traumatic)Stress fracture (overuse)Other bone injuriesDislocation, subluxationTendon ruptureLigamentous ruptureSprain (injury of joint and/or ligaments)Lesion of meniscus or cartilageStrain/muscle rupture/tearContusion/haematoma/bruiseTendinosis/tendinopathyArthritis/synovitis/bursitisFasciitis/aponeurosis injuryImpingementLaceration/abrasion/skin lesionDental injury/broken toothNerve injury/spinal cord injuryMuscle cramps or spasmGrowth plate disturbance/avulsionOtherRequired (single answer)Mode of onset of injury*Sudden onset incidentGradual onset incidentRequired (single answer)Main cause of the injury*Traumatic injuryOveruse injuryRequired (single answer)Traumatic injury*Contact injuryNon-contact injuryRequired (single answer)Contact injury* Contact with another athlete Contact: moving object (eg, boom) Contact: immobile object (eg,cleats) Required (multiple possible answers)Contributing factors Recurrence of previous injury Violation of rules (obstruction, pushing) Field of play conditions Weather condition Equipment failure Fatigue Psychological Other Optional (multiple possible answers) Please, now consider your incident and fill in the following fields. You should identify which factors can be changed and which changes would have the greatest impact on injury prevention. Knowing this information helps organizers to start identifying possible interventions. Fill in the boxes with all possible factors (risk and protective) that could be involved in an injury causing incident. Pre-AccidentHost (Person)Agent (Cause of Injury)Environment AccidentHost (Person)Agent (Cause of Injury)Environment Post-accidentHost (Person)Agent (Cause of Injury)EnvironmentDo you have any further comments for the research team?Consent* I have read the the information sheet for the participant and I agree to take part to the present study. Information sheet for the participant. This iframe contains the logic required to handle Ajax powered Gravity Forms.
