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AN INVESTIGATION OF ACUTE AND CHRONIC INJURIES SUSTAINED WHILST SURFING All queries are to
be sent directly to Mike at: mpmurphy1967@yahoo.co.uk. Title ....................................................... Name * ......................................................... Sex. M/F Age................................................ Occupation *............................................................................ ( * = Optional) About The Injury Where ................................................................................................................ Type of Surf Break
................................................................................................................ Swell Size................................................................................................................ Water Temperature (if known)................................................................................................................ Weather Conditions
Time of Year : Winter / Summer / Spring / Autumn Type of Injury:
Fracture, Ligament, Tendon, Muscle, Cartilage, Other (Describe &
circle) Acute/ Chronic Sudden/ Gradual Onset How it occurred
...................................................................................................................................................... Professional Healthcare Diagnosis if Sought ................................................................................................................ What was your perceived
functional level after the injury: ............................ % Post Injury Treatment
Did you seek professional
advice: Y / N. Doctor / Physiotherapist/ Graduate Sports Rehabilitator/ Osteopath / Chiropractor / Sports Masseuse/ Sports Therapist / Alternative Therapy No Treatment (Circle or highlight as appropriate)
Time Out of the Water (Yy, Mm, Dd) .................................................................................................................... Injury Outcome: (0 - 100%) ................................................................................................................ Did the injury re-occur : Yes/ No How Long between incidents ................................................................................................................ Did you use exercises as part of your rehabilitation: Yes/ No Did you understand your injury: Yes/ No What was your perceived functional ability prior to returning to surfing:.....................% What is your current functional status.................................. % Any Further Comments: |