Pretty sure it’s football.
Five stages of change can be distinguished: pre-contemplation, contemplation, preparation, action and maintenance. In the pre-contemplation stage, people are not considering increasing their physical activity level, at least not within 6 months.
Puncture wounds would be when something punctures the skin, i. e., I stepped on a nail, giving me a puncture wound. When the skin scrapes against a hard surface and tiny blood vessels break in the outer layer of skin, this is called an "abrasion"