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The research of Professor Mark De Ste Croix has begun to question well-established practice in injury prevention and has proposed a change in focus that is directly related to fatigue resistance. The research has led to new approaches to injury prevention for young athletes that are specific to growth and that do not simply adopt adult models. The three constituencies upon which the research has had impact are:
(i) Enriching and informing practice of national (The Football Association), European (UEFA) and World (FIFA) governing bodies of sport;
(ii) Informing and changing the pre-habilitation practices of physiotherapists, sports scientists, strength and conditioning specialists, coaches, and medical professionals for youth footballers;
(iii) Reducing injury risk and incidence in youth footballers.
Research carried out by Cardiff University on the causes of maritime fatigue was instrumental in increasing understanding of contributing factors such as long working hours, and the inadequacy of current reporting systems. Because 90% of goods are transported by sea, fatigue influences at the individual and community level, as well as resulting in significant financial penalties for companies when accidents occur. Cardiff research has led to significant changes across industry and government in (a) personal awareness/management, such as improved safety training and (b) new international legislation and company policy aimed at reducing fatigue and improving health and safety at sea.
Recent conflicts in Iraq and Afghanistan have exposed military personnel to improvised explosive devices and anti-vehicle mines. These cause complex lower limb injuries that frequently lead to long-term disability. From 2008, the Centre for Blast Injury Studies and its forebear, the Imperial Blast Research Group, both led by Bioengineering, have conducted multidisciplinary studies into the effects of blast on physiological systems. The research has led to changes in the posture and placement of personnel in Army vehicles, with significant impact on casualties. It informed the policy of Dstl concerning floor mat design and the policy of a NATO Task Group concerning standards for accepting battlefield vehicles in 2013. Mitigating effects of different boots have been characterised on behalf of Army procurement. Research into treatment has, since 2012, altered assessment criteria for, and timing of, amputations following heel injury, with consequent reduction in pain and futile surgery. It has also changed clinical practice for pelvic injuries in Afghanistan and major trauma centres; the new procedures are taught on military trauma courses. Finally, the research is currently being used in the US$80M commercial development of military crash test dummies
Research at Portsmouth has had a major impact on risk reduction, improved service life and reduced inspection/maintenance costs of safety critical and expensive fan and compressor components in military and civil aero-engines, as demonstrated particularly by the Liftfan Blisk manufactured by Rolls-Royce.
The research outcomes have also impacted on the specification of design stress levels by Rolls-Royce and MOD for aerofoils susceptible to FOD, enabling damage size inspection limits to be established at higher and more economic levels. The research has also provided increased confidence in the application of weld-repair of FOD and of surface treatment using Laser Shock Peening against FOD.
Flight safety has been a major focus in the past sixteen years at the Civil Safety and Security Unit (CSSU), affiliated with the University of Leicester's School of Management. The knowledge created has had three impacts. First, the development of a tailored fatigue-risk management system (FRMS) now in operation in a night-freight airline. FRMS provides for the development and validation of rosters that optimise crews' economic and safety performance, saving lives and money. Until this research no UK-registered night-freight airline had operated a FRMS. Second, the research underpins the evidence-base for the British Air Line Pilots' Association (BALPA) in its lobbying of the European Aviation Safety Agency (EASA). Third, the research is supporting the Society for the Welfare of Indian Pilots (SWIP) in its campaign for safe flight-time limitations (FTLs).
Quality of life for people with rheumatoid arthritis (RA) has improved, responding to their stated major priority for help with fatigue. Their self-management of fatigue has improved using our cognitive-behavioural therapy intervention. Over 30,000 patients and healthcare professionals a year request our resulting self-management booklet, distributed via Arthritis Research UK.
This group's research spearheaded a new international patient/professional consensus that fatigue must be measured in all clinical trials. Along with the Bristol RA Fatigue scales, which we developed (translated into 35 languages) this has helped to place fatigue at the centre of drug development by changing the way the pharmaceutical industry performs multi-national drug trials.
Nursing management has now improved demonstrably. Fatigue evaluation and intervention have now been recommended in national guidelines.
Research at the University of Bath has had a significant impact on reducing the burden of injury and illness in military training and sport. We have engaged practitioner communities in evidence-based approaches to injury and illness prevention. Our research has contributed directly to reducing the burden of musculoskeletal injuries and heat illness by informing military personnel selection, training and healthcare policies. This affects approximately 20,000 military trainees per year and has resulted in reduced morbidity and estimated training/medical costs of over £60 million per annum. Our injury surveillance research has helped shape the Rugby Football Union's (RFU) medical safety policy and, based on our research, the International Rugby Board (governing 5 million players worldwide) announced in May 2013 a global trial of new scrum laws designed to reduce the incidence/severity of neck injuries.
This case study examines the long-term and ongoing relationship between an industrial collaborator (Chas A Blatchford & Sons Ltd) and researchers at the University of Roehampton. This systematic programme of biomechanical research on how prostheses perform in activities other than walking has had two significant outcomes. Firstly, this work has significantly improved prosthetic design, with four new prosthetic designs marketed worldwide. Secondly, it has increased awareness of — and importantly increased engagement with - exercise therapy for amputees among healthcare professionals (prosthetists and physiotherapists) and amputees themselves. This research has reached a wider audience including amputee charities and healthcare professionals, with whom we focus on mobility and movement rather than the prostheses.