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Abbreviation | OSIICS |
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Status | Active |
Year started | 1993 |
First published | 1993 |
Latest version | 14 2022 |
Organization | IOC |
Editors | John Orchard, IOC consensus panel (version 13) |
Authors | John Orchard, Katherine Rae (version 10) |
Domain | Medical classification |
License | Open-access |
The Orchard Sports Injury and Illness Classification System (OSIICS), previously OSICS, [1] is an injury classification system for sports injuries and illnesses. It was first created in 1993 and is free (open access) for sporting teams and competitions to use. It is one of the two major Sports Injury classification systems in use worldwide; [2] the other is the Sports Medicine Diagnostic Coding System. [3]
OSIICS is used by multiple injury surveillance systems in the world of sport, including IOC, [4] UEFA, [5] professional English and international rugby union [6] [7] cricket, [8] professional tennis, [9] Paralympic sport, [10] cycling [11] and other Australian [12] [13] [14] [15] and European sports [16] [17] [18] and military studies. [19]
It has been translated into other languages including Spanish, [20] Italian (alongside the version 14 update) [21] and Catalan. [22]
In October 2019, the IOC hosted a 3-day consensus meeting in Lausanne, Switzerland to provide a standard method to report injuries and illnesses in sport. [23] At this meeting, the expert panel recommended that OSICS should be rebranded as OSIICS to also reflect the importance of illness in sport. New consensus injury and illness categories were chosen by the consensus panel and adopted by both OSIICS and the SMDCS. [24] The IOC recommendations have since been adopted by golf, tennis, cycling and parasport [25] and national datasets such as that of the Australian Institute of Sport. [26]
The consensus structure as applied to OSIICS codes is summarised as follows:
Character | Designation | Examples |
---|---|---|
First | Body part | H = Head; N = Neck; S = Shoulder; U = Upper arm; E = Elbow, etc. |
First | Illness code | M = Illness code |
Second | Pathology type | M = Muscle strain; T = Tendinopathy; F = Fracture, etc. |
Second | Organ System | C = Cardiovascular; D = Dermatological; P = Respiratory, etc. |
Third | Etiology | E = Environmental Exercise-related; I = Infection; C = Degenerative or Chronic Condition, etc. |
The reason why sporting teams and competitions use sports-specific systems rather than general medical systems like the International Classification of Diseases (ICD) is that the general medical disease systems have many more codes but do not contain the relevant codes for sports injury. OSICS has been found to be more applicable to sports injury coding than the ICD. [27] Most classification of disease has a focus on conditions that present to hospital and/or cause major morbidity or death, whereas in sports medicine there is a focus on conditions (injury and illnesses) that stop an athlete from being able to compete. OSICS has been evaluated for efficacy in multiple studies. [28] [29] [30]
Previously published versions include version 1 in 1993, [31] version 6 in 1998, version 7 in 2000 and version 8 in 2002, [32] then version 10 in 2007, [33] version 13 in 2020 [34] and then version 14 in 2022.
The major upgrade for version 10 was to include more illness codes and to expand codes to 4 characters. Version 13 was re-written to align categories with an IOC consensus statement.
OSIICS is almost exclusively used within the domain of professional and elite sport—with a high take-up in the field of sports medicine. The classification only includes diagnostic codes, and has no options for coding the mechanisms of injury or an injury's severity. [35]
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; memory loss; headaches; difficulty with thinking, concentration, or balance; nausea; blurred vision; dizziness; 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. Symptoms of a concussion may be delayed by 1–2 days after the accident. 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.
An injury is any physiological damage to living tissue caused by immediate physical stress. Injuries to humans can occur intentionally or unintentionally and may be caused by blunt trauma, penetrating trauma, burning, toxic exposure, asphyxiation, or overexertion. Injuries can occur in any part of the body, and different symptoms are associated with different injuries.
Tennis elbow, also known as lateral epicondylitis or enthesopathy of the extensor carpi radialis origin, is an enthesopathy of the origin of the extensor carpi radialis brevis on the lateral epicondyle. The outer part of the elbow becomes painful and tender. The pain may also extend into the back of the forearm. Onset of symptoms is generally gradual although they can seem sudden and be misinterpreted as an injury. Golfer's elbow is a similar condition that affects the inside of the elbow.
Achilles tendinitis, also known as achilles tendinopathy, occurs when the Achilles tendon, found at the back of the ankle, becomes sore. Achilles tendinopathy is accompanied by alterations in the tendon's structure and mechanical properties. The most common symptoms are pain and swelling around the affected tendon. The pain is typically worse at the start of exercise and decreases thereafter. Stiffness of the ankle may also be present. Onset is generally gradual.
Strength training, also known as weight training or resistance training, involves the performance of physical exercises that are designed to improve strength and endurance. It is often associated with the lifting of weights. It can also incorporate a variety of training techniques such as bodyweight exercises, isometrics, and plyometrics.
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 as well as allied health practitioners who work in the field of sport, such as physiotherapists, athletic trainers, podiatrists and exercise physiologists.
Patellar tendinitis, also known as jumper's knee, is an overuse injury of the tendon that straightens the knee. Symptoms include pain in the front of the knee. Typically the pain and tenderness is at the lower part of the kneecap, though the upper part may also be affected. Generally there is no pain when the person is at rest. Complications may include patellar tendon rupture.
A strain is an acute or chronic soft tissue injury that occurs to a muscle, tendon, or both. The equivalent injury to a ligament is a sprain. Generally, the muscle or tendon overstretches and partially tears, under more physical stress than it can withstand, often from a sudden increase in duration, intensity, or frequency of an activity. Strains most commonly occur in the foot, leg, or back. Immediate treatment typically includes five steps abbreviated as P.R.I.C.E.: protection, rest, ice, compression, elevation.
A sprained ankle is an injury where sprain occurs on one or more ligaments of the ankle. It is the most commonly occurring injury in sports, mainly in ball sports such as basketball, volleyball, football, and tennis.
An anterior cruciate ligament injury occurs when the anterior cruciate ligament (ACL) is either stretched, partially torn, or completely torn. The most common injury is a complete tear. Symptoms include pain, an audible cracking sound during injury, instability of the knee, and joint swelling. Swelling generally appears within a couple of hours. In approximately 50% of cases, other structures of the knee such as surrounding ligaments, cartilage, or meniscus are damaged.
A ski helmet is a helmet specifically designed and constructed for winter sports. Use was rare until about 2000, but by about 2010 the majority of skiers and snowboarders in the US and Europe wore 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.
In both rugby union and rugby league, a blood replacement is a special kind of substitution which can be used in the case of a player having to leave the field of play temporarily to have a wound attended to. Both rugby union and rugby league are physically demanding games, so musculoskeletal injuries are common, as well as injuries to the head and neck, and fractures. During the IRB 2011 Rugby World Cup, a study was conducted to determine the frequency and nature of the injuries sustained. It confirmed that rugby, like many other contact sports, has a high incidence of injury.
The British Journal of Sports Medicine is a twice-monthly peer-reviewed medical journal covering sports science and sports medicine including sport physiotherapy. It is published by the BMJ Group. It was established in 1964 and the editor-in-chief from 2008 to 2020 was Karim M. Khan. Jonathan Drezner has been editor-in-chief since January 1, 2021.
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.
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. Australia and New Zealand, along with the UK, have been cited as pioneer countries in the establishment of SEM as a stand-alone specialty.
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 was 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 was instrumental in cricket's response to COVID. During 2023, he worked as the General Medical Officer for Australia at the FIFA Women's World Cup.
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 American Medical Society for Sports Medicine (AMSSM) is a large sports medicine membership organization, representing over 3000 physicians in the United States, established in 1991. AMSSM includes members who serve as team physicians at the youth level, NCAA, NFL, MLB, NBA, WNBA, MLS, and NHL, as well as with Olympic and Paralympic teams.
A pediatric concussion, also known as pediatric mild traumatic brain injury (mTBI), is a head trauma that impacts the brain capacity. Concussion can affect functional, emotional, cognitive and physical factors and can occur in people of all ages. Symptoms following after the concussion vary and may include confusion, disorientation, lightheadedness, nausea, vomiting, blurred vision, loss of consciousness (LOC) and environment sensitivity. Concussion symptoms may vary based on the type, severity and location of the head injury. Concussion symptoms in infants, children, and adolescents often appear immediately after the injury, however, some symptoms may arise multiple days following the injury leading to a concussion. The majority of pediatric patients recover from the symptoms within one month following the injury. 10-30% of children and adolescents have a higher risk of a delayed recovery or of experiencing concussion symptoms that are persisting.
Exercise medicine is a branch of medicine that deals with physical fitness and the prevention and treatment of injuries and illness with exercise. In some countries, Sport and Exercise Medicine (SEM) is a recognized medical specialty. Exercise medicine is therefore an emerging physician (non-surgical) specialty, but there is also a belief that exercise is treatment of such fundamental benefit that it should be incorporated into all medical specialties. Allied health practitioners also can specialize in exercise such as exercise physiologists, physiotherapists, athletic trainers and podiatrists.