Evert Verhagen

Evert Verhagen
Amsterdam University Medical Center | VUmc · Department of Public and Occupational Health

Professor

About

443
Publications
190,575
Reads
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10,927
Citations
Introduction
I am a human movement scientist and epidemiologist. I hold a University Research Chair as a full professor, and myresearch revolves around the prevention of sports & physical activity related injuries; including monitoring, cost-effectiveness and implementation issues. I am the Editor in Chief of BMJ Open Sports & Exercise Medicine, the co-director of the Amsterdam Collaboration on Health and Safety in Sports, and co-director of the Amsterdam Institute of Sports Sciences.
Additional affiliations
January 2018 - October 2020
Amsterdam Institute of Sport Science
Position
  • Managing Director
April 2015 - present
IOC Research Centre for Prevention of Injury and Protection of Athlete Health
Position
  • Chair
March 2015 - present
University of Cape Town
Position
  • Honorary senior lecturer
Education
February 2000 - June 2004
February 2000 - February 2005
Vrije Universiteit Amsterdam
Field of study
  • Epidemiology
September 1994 - August 1999
Vrije Universiteit Amsterdam
Field of study
  • Human Movement Sciences

Publications

Publications (443)
Article
Full-text available
Purpose: To investigate differences in athletes' knowledge, beliefs, and training practices during COVID-19 lockdowns with reference to sport classification and sex. This work extends an initial descriptive evaluation focusing on athlete classification. Methods: Athletes (12,526; 66% male; 142 countries) completed an online survey (May-July 2020...
Article
Full-text available
Purpose: To investigate differences in athletes' knowledge, beliefs, and training practices during COVID-19 lockdowns with reference to sport classification and sex. This work extends an initial descriptive evaluation focusing on athlete classification. Methods: Athletes (12,526; 66% male; 142 countries) completed an online survey (May-July 2020) a...
Article
Objective To develop a trail running injury screening instrument (TRISI) for utilisation as clinical decision aid in determining if a trail runner is at an increased risk for injury. Design Multiple methods approach. Methods The study utilised five phases 1) identification of injury risk factors 2) determining the relevance of each identified ris...
Article
Full-text available
Background: Limited information is available on the experiences of patients during rehabilitation after anterior cruciate ligament reconstruction (ACLR). Aim: The current study aimed to identify factors that differentiated positive and negative patient experiences during rehabilitation after ACLR. Method and design: A survey-based study with a...
Article
This study aimed to explore how stakeholders in athletics perceived the relevance of injury prevention, determine their communication preferences, and describe their expectations regarding injury prevention. We conducted a cross-sectional study using an exploratory online survey with high-level athletes (i.e., listed by the French ministry of sport...
Article
Full-text available
Esports are a contemporary phenomenon, with millions of people involved. Still, scientific literature on the topic is scarce. Anecdotal reports, mostly based on what is known from videogames practice, have associated esports with unhealthy lifestyles and health-related problems. The present scoping review aimed to provide an overview of findings fr...
Article
Full-text available
Objectives: Explore training-related knowledge, beliefs and practices of athletes and the influence of COVID-19-related lockdowns. Methods: Athletes [n = 12,526 classified: world-class (13%), international (21%), national (36%), state (24%), and recreational (6%)] completed an online survey (50 d; 17th May to 5th July 2020) exploring their trainin...
Article
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This narrative review paper aimed to discuss the literature on machine learning applications in soccer with an emphasis on injury risk assessment. A secondary aim was to provide practical tips for the health and performance staff in soccer clubs on how machine learning can provide a competitive advantage. Performance analysis is the area with the m...
Article
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Objectives Despite the many proven advantages of a physically active lifestyle in patient populations, prescription of exercise is currently not widely implemented in routine clinical practice. The aims of this study were twofold: (1) to assess perceptions of clinicians on the current practice of exercise is medicine (E=M) prescription in two Dutch...
Article
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Evidence-based injury prevention programmes for youth competitive alpine skiers are widely absent. The aims of this controlled 12-month experimental study were to introduce a novel injury prevention programme targeted to the injury patterns of youth skiers, called ISPA Int , and to compare the differences in injury occurrence between an interventio...
Article
Full-text available
Objectives To evaluate whether in fitness-related activities and recreational running over time, there is an increase in the number of novice sports athletes and whether these novice athletes have an increased injury rate compared with their experienced counterparts. Methods Data were collected from a large population-based retrospective cross-sec...
Article
Objective To review and frequently update the available evidence on injury risk factors and epidemiology of injury in trail running. Design Living systematic review. Updated searches will be done every 6 months for a minimum period of 5 years. Data sources Eight electronic databases were searched from inception to 18 March 2021. Eligibility crit...
Article
Full-text available
Although the benefits of current anterior cruciate ligament (ACL) injury prevention programmes have been demonstrated in efficacy studies, they, unfortunately, have had limited public health impact to date. For example, the incidence of ACL injuries continues to rise in adolescent athletes. Raising awareness and educating coaches and athletes is no...
Article
Full-text available
In this study, we explored the perspectives about sports injury prevention of Belgium Olympic level athletes, coaches, managers and healthcare providers from various Olympic sports. We conducted a qualitative study, including 17 semistructured interviews. All interviews were transcribed verbatim and analysed by two independent coders through consta...
Article
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Trail running involves running on varying natural terrains, often including large elevation gains/losses. Trail running has a high risk of injury, and runners often participate in remote regions where medical support is challenging. The aim of this study was to determine the epidemiology, clinical characteristic, and associated injury risk factors...
Article
Objectives To identify individual characteristics associated with the adoption of injury risk reduction programmes (IRRP) and to investigate the variations in sociocognitive determinants (ie, attitudes, subjective norms, perceived behavioural control and intentions) of IRRP adoption in athletics (track and field) athletes. Methods We conducted a c...
Article
Full-text available
Objective To investigate the association between the acute:chronic workload ratio (ACWR) and running-related injuries (RRI). Methods This is a secondary analysis using a database composed of data from three studies conducted with the same RRI surveillance system. Longitudinal data comprising running exposure (workload) and RRI were collected biwee...
Conference Paper
Background The effectiveness of neuromuscular training (NMT) programs in preventing injuries in youth sport is well documented, however there is little evidence on NMT programs delivered in school physical education (PE). Objective To assess the effectiveness of iSPRINT, a NMT warm-up implemented in PE classes in reducing injuries and improving pe...
Conference Paper
Background The IOC Sports Medical and Scientific Commission has supported the development and dissemination of sports medicine consensus statements for athlete health. Evidence on the relevance and dissemination of these statements is important for the development of future statements. Objective The objective of this project was to investigate the...
Conference Paper
Full-text available
Background The International Olympic Committee (IOC) Medical and Scientific Commission has a goal to provide guidance on athlete health for sports organisations. One strategy to meet this goal has been the development and publication of sports medicine consensus statements. It is currently unknown if there has been use of the consensus statements o...
Conference Paper
Background Lateral ankle sprain (LAS) injury is one of the most frequently incurred musculoskeletal injuries and shows high recurrence rates in individuals participating in sports. This increased re-injury risk is hypothesised to be mainly caused by the persistence of sensorimotor impairments and premature return to sport (RTS) clearance. Therefore...
Conference Paper
Background Despite the importance of sports injury prevention in youth, no broad scale approaches that work in real-life situations with significant positive effects exist. Main reasons for this are poor uptake and maintenance of current sports injury prevention exercises. Objective In order to improve uptake of sports injury prevention routines,...
Conference Paper
Background There is a gap between evaluating injury prevention interventions and use in practice. Implementation research aims to transfer interventions beyond research. Objective The aim of this study was to find out whether what implementation processes took place during effectiveness studies targeting injury prevention programs, what factors hi...
Conference Paper
Full-text available
Background Trail running (TR) is characterised by uneven varying running surfaces, with large elevation gains/losses. Therefore, the injury and illness profiles of TR may differ compared to road running. Limited information is available on injury and illness among trail runners (TRs) to help develop interventions towards injury prevention. Objecti...
Conference Paper
Background A lot of controversy exists about how fatigue affects injury risk. Within the fatigue spectrum, mental fatigue impairs visuomotor skills, reaction time and decision-making. Recently, adaptability has been put forward as an important driver in understanding injury occurrence and injury prevention. It is hypothesised that mental fatigue de...
Conference Paper
Background Physical fatigue is known to decrease an athlete’s functional test performance (FPT), but less is known about the impact on the injury risk profile. Furthermore, adaptability and neurocognitive performance tests have been put forward as relevant concepts within injury prevention, but to date it is not known if acute peripheral fatigue af...
Conference Paper
Full-text available
Background Injury risk is high in Physical Education Teacher Education (PETE) student. Insight in the population’s perspectives on injury prevention supports developing context-driven preventive strategies. Objective The objective was to describe sports injury prevention practices from PETE students’ perspective and map their suggestions for impro...
Conference Paper
Background One of the goals of the International Olympic Committee (IOC) Medical and Scientific Commission is to provide guidance in relation to injury prevention and the protection of athlete health. One way of meeting this goal is the development and dissemination of sports medicine consensus statements. It is not known if, or how, these consensu...
Conference Paper
Full-text available
Background There have been 27 consensus statements published under the International Olympic Committee (IOC) Medical and Scientific Commission with a goal of contributing to the mission of injury prevention and protection of athlete health. The success of these statements in achieving this goal has not been evaluated. Knowledge management (KM) cons...
Conference Paper
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Background In the Netherlands, volleyball is ranked among the top 5 sports with the highest number of injuries, and over 35% of these injuries are sustained by youth players. Objective To assess the effectiveness of a volleyball specific youth injury prevention program on injury incidence, injury severity and injury burden. Design Quasi-experimen...
Conference Paper
Background Participation is sport is associated with a risk of sports injuries and illnesses. For athletes with an impairment, sports related health issues pose further burden upon an already restricted lifestyle. This underlines the importance of injury prevention in adapted sports. Objective To provide an overview of the current evidence regardi...
Conference Paper
Full-text available
Background The IOC Medical and Scientific commission’s mission is to provide a guiding reference for sports organisations on issues relating to the protection of the health of athletes. One strategy to achieve this mission is through supporting the development of consensus statements. Objective This study investigates the relevance and disseminati...
Conference Paper
Full-text available
Background Despite the relative high injury prevalence in recreational judo athletes, there is an absence of evidence-based prevention programmes in judo. Objective To evaluate the effectiveness of a trainer-supervised judo-specific injury prevention warm-up programme (Injury Prevention and Performance Optimization Netherlands (IPPON) intervention...
Conference Paper
Background Athletes indicate that mental fatigue (MF) interferes with maximal performance. MF has also been hypothesized to play an important role in injury occurrence. Clinically applied studies show that MF affects brain activity and decreases endurance, skill and decision-making performance. Nevertheless, no clear insights exist on how MF might...
Conference Paper
Background An abundance of literature on the acute peripheral fatigue (APF)-injury-hypothesis exists without showing uniformity to support or refute this hypothesis. Previous research demonstrated that a decreased balance ability increases injury risk, and APF affects balance performance. Recently, reactive balance tasks were developed to assess ba...
Conference Paper
Background Injury perceptions and related risk-mitigating interventions are context-dependent. Despite this, most injury surveillance systems guided by established consensus statements are not context-specific as they do not integrate stakeholders’ perspectives. Accordingly, to address the injury problem in context, injury surveillance systems need...
Conference Paper
Background Acute fatigue is hypothesized to alter injury risk profiles by affecting intrinsic risk factors (i.e. postural control, hamstring strength). However, no systematic overview exists that merges the insights of prospective lower extremity injury risk profiling with the effect of acute fatigue on functional test performance. Objective The o...
Conference Paper
Background Balance tests are often selected to screen for injury risk, but only evaluate pre-planned movements. Recently, adaptability was put forward as a key driver in injury prevention. Adaptability is defined as athletes’ ability to adequately adapt their responses under a comprehensive variety of conditions. The reactive balance test (RBT) is...
Conference Paper
Full-text available
Background Ankle sprains are one of the most frequent injuries of the musculoskeletal system. No optimal treatment strategy has proven to be effective in general practice, however promising results were achieved in a preventive trial among athletes Objective To examine the effectiveness of an unsupervised e-health supported neuromuscular training...
Article
Full-text available
Background The escalated competitive pressure and professionalisation of esports players could predispose them to mental health symptoms. We aimed to develop a model to explore the association between distress and anxiety/depression symptoms and potential associations between adaptive or maladaptive coping strategies, sleeping disturbance, alcohol...
Article
Full-text available
Para football is currently played in impairment-specific formats by thousands of people worldwide. To date, there have been no prospective longitudinal injury surveillance studies. This study aimed to implement a prospective injury surveillance study within elite English Para football and analyse the injury risk within the England Blind and Cerebra...
Article
Objective To identify, summarise and critically assess economic evaluation studies on sports injury prevention strategies. Design Systematic review. Data sources PubMed, SportDiscuss. Eligibility criteria for selecting studies The current literature was searched following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideli...
Article
Background Injury perceptions and related risk-mitigating interventions are context-dependent. Despite this, most injury surveillance systems are not context-specific as they do not integrate end-users perspectives. Purpose To explore how Maltese national team football players, coaches, and health professionals perceive a football-related injury a...
Article
Full-text available
Running injuries impact the health gains achieved through running and are linked to drop-out from this otherwise healthy activity. The need for effective prevention is apparent, however, implementation of preventive measures implies a change in runners’ behaviour. This exploratory qualitative study aimed to explore Dutch recreational runners’ perce...
Preprint
Full-text available
Background Office workers spend a significant part of their workday in a sedentary position. Interventions that aim to reduce sedentary behaviour and increase physical activity insufficiently take into account individual perspectives – including beliefs and values – that influence behavioural choices. This study aimed to gain an in-depth understand...
Article
Full-text available
Sport is historically designated by the binary categorization of male and female that conflicts with modern society. Sport’s governing bodies should consider reviewing rules determining the eligibility of athletes in the female category as there may be lasting advantages of previously high testosterone concentrations for transwomen athletes and cur...
Article
Objectives To describe and compare the incidence, prevalence, severity, and profile of injuries (acute and overuse) and illness between female and male youth elite judokas during 30 weeks of a sports season. Design Prospective cohort study. Methods A total of 154 elite youth judokas (83 males and 71 females) were assessed from January to August 2...
Article
It is believed youth snow‐sports injuries are preventable though adequate safety education. This study evaluated the effectiveness of a ski and snowboard injury‐prevention video on youth safety knowledge. A cluster randomized‐controlled‐trial was conducted among grade 2‐9 students participating in a ski‐snowboard school program. The intervention gr...
Article
Problem/Intro: Epidemiological data of injuries and illnesses in equestrian athletes are limited. The objective of this study was to describe the incidence, prevalence, and severity of health Problems among a cohort of elite riders. Methods: We conducted a prospective cohort study with 38 elite equestrian athletes over a two-year follow-up period....
Article
Problem: Epidemiological data of injuries and illnesses in water polo athletes are limited. This study’s objective was to describe the incidence, prevalence, and severity of health problems among a cohort of elite players. Methods: We conducted a prospective cohort study with 24 elite waterpolo athletes over 2.5 years. Health problems were recorded...
Article
Full-text available
Objective The aim of this systematic review was to investigate the effect of exercise-based programmes in the prevention of non-contact musculoskeletal injuries among football players in comparison to a control group. Design Systematic review and meta-analysis of randomised controlled trials. Data sources MEDLINE, EMBASE, CENTRAL, CINAHL, PEDro a...
Article
In 2020, the IOC released a consensus statement that provides overall guidelines for the recording and reporting of epidemiological data on injury and illness in sport. Some aspects of this statement need to be further specified on a sport-by-sport basis. To extend the IOC consensus statement on methods for recording and reporting of epidemiologica...
Article
Full-text available
Background Trail running is characterised by large elevation gains/losses and uneven varying running surfaces. Limited information is available on injury and illness among trail runners to help guide injury and illness prevention strategies.Objective The primary aim of this review was to describe the epidemiology of injury and illness among trail r...
Article
Background Behavioral and social sciences theories/models have been gaining attention in sports injury prevention. Objective To investigate the potential of the Theory of Planned Behavior in explaining running-related injury preventive behavior. Methods Six-month prospective cohort study based on data gathered from a randomized controlled trial....
Article
To identify primary target groups for injury prevention in physical education teacher education (PETE) students, risk differences between subgroups by sex and curriculum years were compared in a retrospective cohort study (2000 to 2014). Injuries recorded by health care professionals at the medical facility of a Dutch PETE college were used to calc...
Article
Full-text available
Athletes in team sports have to quickly visually perceive actions of opponents and teammates while executing their own movements. These continuous actions are performed under time pressure and may contribute to a non-contact ACL injury. However, ACL injury screening and prevention programmes are primarily based on standardised movements in a predic...
Preprint
Full-text available
BACKGROUND There is much evidence to implement physical activity interventions for medical reasons in healthcare settings. However, the prescription of physical activity as a treatment, referring to as ‘Exercise is medicine’ (E=M) is currently mostly absent in routine hospital care in The Netherlands. OBJECTIVE To support E=M prescription by clini...
Article
Full-text available
Concussion is a frequent injury in many sports and is also common in para athletes. However, there is a paucity of concussion research related to para sport, and prior International Concussion in Sport (CIS) consensus papers have not substantively addressed this population. To remedy this and to improve concussion care provided to para athletes, th...
Article
Background: Demanding performance schedules in modern professional circus can result in less time for injury rehabilitation and strength and conditioning for injury prevention. Lower limb injuries are a common injury presentation in Cirque du Soleil touring show performers. Objective: To examine the feasibility of introducing a calf raise exerci...
Article
Conflicting results in Y‐balance test (YBT) performance are found when participants are exposed to acute physical fatigue (APF). Even though APF is known to impair isolated neurocognitive performance, the effects of APF on reactive balance test (RBT) performance have never been investigated. Furthermore, research on the underlying APF induced neuro...
Article
Objectives To assess the impact of acute physical fatigue on traditional and neurocognitive functional performance tests in recreational athletes. Design randomized counterbalanced cross-over study, pre-post design; Setting laboratory Participants Twenty recreational athletes (age = 24 ± 3 years) Main Outcome Measures We evaluated fatigue impai...