Caroline Finch AO is an Australian sports injury epidemiologist and sports injury prevention researcher. Her research has been adopted and used to directly inform safety policy by Government Departments of Sport and Health, health promotion and injury prevention agencies, and peak sports bodies both within Australia and internationally. Her injury prevention research has been applied to falls in older people, road safety, workplace safety and injuries in children.
Finch graduated from Monash University, Melbourne in 1983 with a BSc (Hons, 1st Class) majoring in statistics. In 1985 La Trobe University awarded her a MSc in Statistics. In 1995 she was awarded a PhD in Mathematical Statistics from Monash University for a thesis titled: Fasting plasma glucose distributions and their implications for the diagnostic criteria for non-insulin dependent diabetes mellitus in Pacific populations. [1]
At high school Finch was interested in disease prevention. As an undergraduate student she realised this interest could be combined with her strong mathematics and statistics skills which led to her career as an epidemiologist and biostatistician. [2]
Finch began work as a Researcher at the Monash University Accident Research Centre training in injury research from 1992 until 1997 [3] [2] and continued from 2001 to 2003 within the Monash University, Department of Epidemiology and Preventive Medicine. [2]
From 2003 to 2006 Finch was Professor and Director, NSW Injury Risk Management Research Centre, University of New South Wales and then held the position of Research Professor, School of Human Movement and Sport Sciences, University of Ballarat until 2010.
In 2010 she returned to Monash Injury Research Institute as Research Professor and National Health and Medical Research Council (NHMRC) Principal Research Fellow in the Australian Centre for Research into Injury in Sport and its Prevention (ACRISP). ACRISP is one of only nine centres worldwide recognised as International Research Centres for Prevention of Injury and Protection of Athlete Health and supported by the International Olympic Committee (IOC). [4] [5]
Finch became the Robert HT Smith Professor and Personal Chair at Federation University, Ballarat, Australia in 2013. [6] In December 2017 she was appointed Deputy Vice-Chancellor (Research) at Edith Cowan University, Perth, Western Australia. [7]
Finch has held positions as a sports injury prevention adviser to the Commonwealth Department of Health and Aged Care, the Australian Sports Commission, Sports Medicine Australia, Sport and Recreation Victoria, Department of Human Services (Victoria), the Victorian Health Promotion Foundation, The Australian Football League and other national and state sports bodies. [6] She is a continuing Board Member, Sports Medicine Australia, since 2015, [8] a Member of the Concussion Advisory Group for World Rugby, since 2014, a Member of the Victorian Government Sports Injury Prevention Taskforce from 2011 to 2013 and a Member of the National Sports Safety Framework Committee in 1996,1997 and 2003. [3]
Funding for Finch's research has come from the NHMRC, Australian Research Council, VicHealth, the International Olympic Committee (IOC), the US and Canadian National Institutes of Health, Australian Federal and State government departments for health and sport and from peak sports bodies including the International Rugby Board, Fédération Internationale de Football Association (FIFA), the Australian Football League and Cricket Australia. [4]
Finch has worked to improve community safety in sport and to drive significant change around children's and women's sport and in the Australian school system, to improve safety equipment and training methods in individual sports and to create a database for sports injuries. The work of Finch and her teams has led to government departments of health and peak sport bodies recognising that they have a duty of care to everyone, not just the elite athletes and that sports safety is their business as well. [3]
"My end goal would be that any policy that has anything to do with promoting exercise or fitness or health in any context has a component that this will follow the principles of sports safety."
— Caroline Finch, January 2018, [3]
Finch is a Senior Associate Editor (Injury Prevention) for the British Journal of Sports Medicine [9] and the Injury Prevention and Health Promotion BJSM Series [10] and a member of the Editorial Boards of the international journals: Journal of Science and Medicine in Sport, [11] Injury Epidemiology [12] and Sports Medicine. [13] She has published over 250 articles. [14]
Finch was awarded the 2015 International Distinguished Career Award by the American Public Health Association's (APHA) Injury Control and Emergency Health Services (ICEHS) Section. The award recognised her "outstanding dedication and leadership in injury/violence prevention and control and emergency health services internationally with contributions and achievements that have a significant and long term impact on the field". [15]
In January 2018 Finch was made an Officer of the Order of Australia (AO), "for distinguished service to sports medicine, particularly in the area of injury prevention, as an educator, researcher and author, and to the promotion of improved health in athletes and those who exercise." [16] [3]
Projects Finch has been involved with include:
Carried out from 2010 to 2013, NoGAPS (National Guidance for Australian football Partnerships and Safety) was a NHMRC Partnerships Project which aimed to develop, deliver, implement and evaluate new evidence-based guidelines for exercise training programs to prevent lower limb injuries in community Australian football. It aimed to identify factors that affect the application of evidence-based injury prevention interventions into practice in community sport, and to find evidence for the effectiveness of an evidence-based exercise-training program for lower limb injury prevention in community Australian football. The project involved partnerships with the Australian Football League, Victorian Health Promotion Foundation, NSW Sporting Injuries Committee, JLT Sport, a division of Jardine Lloyd Thompson Australia Pty Ltd; Department of Planning and Community Development - Sport and Recreation Victoria Division; and Sports Medicine Australia - National and Victorian Branches (SMA). [17] [2]
Finch was the project leader of the 2015 PAFIX study which followed 18 community-level Australian football clubs in Western Australia and Victoria through an entire season aiming to understand and prevent knee injuries in community Australian football. The large scale PAFIX project was unique in its use of a multi-level approach to understand the cause and prevention of knee injuries in community Australian football. Published results provide information to assist coaches and sports clubs to implement injury prevention programs. [18] [19] Data was also collected during the project focusing on concussion with the aim to understand and prevent head injuries within a community Australian football setting. [20] [21]
Since the mid 1990s Finch has carried out studies relating to use of helmets for both pedal and motor cyclists. [22] [23] [24]
In 2013 Finch jointly published results of a study of associations between helmet use and brain injuries amongst injured pedal- and motor-cyclists. The study was carried out at the University of New South Wales, School of Risk and Safety Sciences under funding by an Australian Research Council (ARC) Linkage Grant: Pedal and Motor Cycle Helmet Performance Study. The project partners were: the Commonwealth Department of Infrastructure and Transport, NSW Roads and Traffic Authority (NSW RTA), Transport Accident Commission Victoria, NRMA Motoring and Services, NRMA-ACT Road Safety Trust and DVExperts International. [25]
Finch has also been involved in research into the efficacy and methods of improvement of protective headgear in rugby union, rugby league, and Australian rules football. [26] [27] [28]
Finch's research has also encompassed several aspects of child safety including vehicular safety restraints, [29] [30] parent/caregiver supervision [31] [32] [33] and water safety. [34] [35]
Finch has been involved in research around falls prevention and implementation of fall prevention strategies in older people. [36] [37] [38] [39]
Sports injuries are injuries that occur during sport, athletic activities, or exercising. In the United States, there are approximately 30 million teenagers and children who participate in some form of organized sport. Of those, about three million athletes age 14 years and under experience a sports injury annually. According to a study performed at Stanford University, 21 percent of the injuries observed in elite college athletes caused the athlete to miss at least one day of sport, and approximately 77 percent of these injuries involved the knee, lower leg, ankle, or foot. In addition to those sport injuries, the leading cause of death related to sports injuries is traumatic head or neck occurrences.
Equestrianism, commonly known as horse riding or horseback riding, includes the disciplines of riding, driving, and vaulting. This broad description includes the use of horses for practical working purposes, transportation, recreational activities, artistic or cultural exercises, and competitive sport.
A concussion, also known as a mild traumatic brain injury (mTBI), is a head injury that temporarily affects brain functioning. Symptoms may include loss of consciousness (LOC); memory loss; headaches; difficulty with thinking, concentration, or balance; nausea; blurred vision; sleep disturbances, and mood changes. Any of these symptoms may begin immediately, or appear days after the injury. Concussion should be suspected if a person indirectly or directly hits their head and experiences any of the symptoms of concussion. It is not unusual for symptoms to last 2 weeks in adults and 4 weeks in children. Fewer than 10% of sports-related concussions among children are associated with loss of consciousness.
A bicycle helmet is a type of helmet designed to attenuate impacts to the head of a cyclist in falls while minimizing side effects such as interference with peripheral vision. There is ongoing scientific research into the degree of protection offered by bicycle helmets in the event of an accident, and the effects of helmet wearing on cyclist and motor vehicle driver behaviour.
Risk compensation is a theory which suggests that people typically adjust their behavior in response to perceived levels of risk, becoming more careful where they sense greater risk and less careful if they feel more protected. Although usually small in comparison to the fundamental benefits of safety interventions, it may result in a lower net benefit than expected or even higher risks.
A charley horse is a painful involuntary cramp in the legs and/or foot, lasting anywhere from a few seconds to a day. The term formerly referred more commonly to bruising of the quadriceps muscle of the anterior or lateral thigh, or contusion of the femur, that commonly results in a haematoma and sometimes several weeks of pain and disability. In this latter sense, such an injury is known as dead leg.
Sports medicine is a branch of medicine that deals with physical fitness and the treatment and prevention of injuries related to sports and exercise. Although most sports teams have employed team physicians for many years, it is only since the late 20th century that sports medicine emerged as a distinct field of health care. In some countries, sports medicine is a recognized medical specialty. In the majority of countries where sports medicine is recognized and practiced, it is a physician (non-surgical) specialty, but in some, it can equally be a surgical or non-surgical medical specialty, and also a specialty field within primary care. In other contexts, the field of sports medicine encompasses the scope of both medical specialists and also allied health practitioners who work in the field of sport, such as physiotherapists, athletic trainers, podiatrists and exercise physiologists.
A ski helmet is a helmet specifically designed and constructed for winter sports. Use was rare until about 2000, but by about 2010 the great majority of skiers and snowboarders in the US and Europe wear helmets. Helmets are available in many styles, and typically consist of a hard plastic/resin shell with inner padding. Modern ski helmets may include many additional features such as vents, earmuffs, headphones, goggle mounts, and camera mounts.
SafetyLit is a bibliographic database and online update of recently published scholarly research of relevance to those interested in the broad field of injury prevention and safety promotion. Initiated in 1995, SafetyLit is a project of the SafetyLit Foundation in cooperation with the San Diego State University College of Health & Human Services and the World Health Organization - Department of Violence and Injury Prevention.
The scrum cap is a form of headgear used by rugby players to protect the ears in the scrum, which can otherwise suffer injuries leading to the condition commonly known as cauliflower ears. Although originally designed for forwards they are now worn by players of all positions, even those who do not play in the scrum.
Some countries and lower jurisdictions have enacted laws or regulations which require cyclists to wear a helmet in certain circumstances, typically when riding on the road or a road-related area. In some places this requirement applies only to children under a certain age, while in others it applies to cyclists of all ages.
Prevention of mild traumatic brain injury involves taking general measures to prevent traumatic brain injury, such as wearing seat belts and using airbags in cars. Older people are encouraged to try to prevent falls, for example by keeping floors free of clutter and wearing thin, flat, shoes with hard soles that do not interfere with balance.
Concussions, a type of mild traumatic brain injury, are a frequent concern for those playing sports, from children and teenagers to professional athletes. Repeated concussions are known to cause neurological disorders, particularly chronic traumatic encephalopathy (CTE), which in professional athletes has led to premature retirement, erratic behavior and even suicide. A sports-related concussion is defined as a "complex pathophysiological process affecting the brain, induced by biomechanical forces". Because concussions cannot be seen on X-rays or CT scans, attempts to prevent concussions have been difficult.
A catastrophic injury is a severe injury to the spine, spinal cord, or brain. It may also include skull or spinal fractures. This is a subset of the definition for the legal term catastrophic injury, which is based on the definition used by the American Medical Association.
A traumatic brain injury (TBI) is a blow, jolt or penetration to the head that disrupts the function of the brain. Most TBIs are caused by falls, jumps, motor vehicle traffic crashes, being struck by a person or a blunt object, and assault. Student-athletes may be put at risk in school sports, creating concern about concussions and brain injury. A concussion can be caused by a direct blow to the head, or an indirect blow to the body that causes reactions in the brain. The result of a concussion is neurological impairment that may resolve spontaneously but may also have long-term consequences.
Head injuries in sports of any level are the most dangerous kind of injuries that can occur in sport, and are becoming more common in Australian sport. Concussions are the most common side effect of a head injury and are defined as "temporary unconsciousness or confusion and other symptoms caused by a blow to the head." A concussion also falls under the category of Traumatic Brain Injury (TBI). Especially in contact sports like Australian rules football and rugby, issues with concussions are prevalent, and methods to deal with, prevent and treat concussions are continuously being updated and researched to deal with the issue. Concussions pose a serious threat to the patients’ mental and physical health, as well as their playing career, and can result in lasting brain damage especially if left untreated. The signs that a player may have a concussion are: loss of consciousness or non-responsiveness, balance problems, a dazed, blank or vacant look and/or confusion and unawareness of their surroundings. Of course the signs are relevant only after the player experiences a blow to the head.
The Australasian College of Sport and Exercise Physicians (ACSEP) is a not-for-profit professional organisation responsible for training, educating, and representing over 350 doctors in Australia and New Zealand. These doctors practise medicine in the specialty of sport and exercise medicine (SEM). The ACSEP is the smallest of the 15 recognised specialist medical Colleges in Australia with approximately 260 Fellows and Registrars in 2020.
John Orchard FACSEP is an Australian sport and exercise medicine physician, notable for advocating for rule changes in sport to improve player safety. In 2020 he was awarded a Member of the Order of the Order of Australia for significant service to sports medicine, particularly cricket. He is a member of the Australian government advisory group for sport responding to COVID, representing professional sport as the Chief Medical Officer for Cricket Australia and has been instrumental in cricket's response to COVID.
Karim M. Khan is a former sport and exercise medicine physician who served as editor in chief of the British Journal of Sports Medicine from 2008-2020. He was awarded the Officer of the Order of Australia in 2019 for "distinguished service to sport and exercise medicine and to the promotion of physical activity for community health" and an Honorary Fellowship of the Faculty of Sport and Exercise Medicine (UK) in 2014.
The Orchard Sports Injury and Illness Classification System (OSIICS), previously OSICS, is an injury classification system for sports injuries and illnesses. It was first created in 1993 and is free for sporting teams and competitions to use. It is one of the two major Sports Injury classification systems in use worldwide; the other is the Sports Medicine Diagnostic Coding System.