Abstract

BackgroundStudies on the benefits of lower extremity compression garments (CGs) have focused on their effects on post-exercise recovery and performance improvement. Less is known about why athletes actually use CGs, the frequency with which they use them, and perceived benefits from using CGs. The purpose of this study was to investigate which athletes use CGs, why athletes use CGs, when CGs are worn by athletes, and, in case of an injury or injury prevention, for which injuries CGs are used.MethodsThis cross-sectional study involved 512 athletes who used lower extremity CGs. Athletes completed a questionnaire on the type of CGs they used, and when and why they used them. They also reported their sports participation, past and current sports injuries, and the perceived benefits of using CGs.Results88.1% (n=451) of the athletes were endurance athletes and 11.9% (n=61) were non-endurance athletes. Endurance and non-endurance athletes reported running (84.7%, n=382) and obstacle course racing (24.6%, n=15) the most frequently as primary sports, respectively. The most-used CG was the compression sock (59.2%, n=303). In total, 47.5% (n=246) of the athletes used a CG primarily to prevent re-injury and 14.5% (n=74) to reduce symptoms of a current sports injury. Other primary reported aims were primary prevention (13.6%), post-exercise recovery (14.3%), sports performance improvement (8.8%), and to look good (0.2%). The point prevalence of past and current sports injuries among all athletes was 84.2 and 20.2%, respectively. The most common current sports injuries were shin and calf injuries. Many athletes “always” or “often” used their CGs during training (56.8%, n=279) and competitions (72.9%, n=264). Furthermore, almost 90% of the athletes that aimed to prevent re-injury by using CGs reported that CGs contributed to secondary injury prevention.Conclusion88% of the CG-users were endurance athletes, of which 85% were runners. All athletes mainly used CGs to prevent injury recurrence, but also to reduce symptoms of a current sports injury. A majority of the athletes reported positive perceived effects from the CGs. CGs were used more during than after sports participation.

Highlights

  • Studies on the benefits of lower extremity compression garments (CGs) have focused on their effects on post-exercise recovery and performance improvement

  • – Of those indicating that they use CGs for recovery after sports or improvement of sports performance, over 80% perceived faster recovery and over 70% perceived sports performance improvement respectively

  • In the subgroup of 326 runners who used either the PRO sport compression sock or tube, using multivariate logistic regression analysis, we found that athletes who always wear their CGs during training and competition were significantly associated with a lower prevalence of a current lower leg running-related injuries (RRI)

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Summary

Introduction

Studies on the benefits of lower extremity compression garments (CGs) have focused on their effects on post-exercise recovery and performance improvement. The popularity of lower extremity compression garments (CGs) amongst athletes continues to increase [1, 2]. Using graduated lower extremity CGs with a degrading pressure from distal to proximal parts of this extremity increases venous flow velocity, reduces venous wall distension, improves valvular function, and stimulates lymphatic outflow [3]. Using graduated CGs diminishes venous hypertension and symptoms of the swollen extremity and improves venous hemodynamics of the affected extremity [3, 4]. Since Berry and McMurray [6] originally investigated the effects of CGs for athletes, research on their effects on sports performance and post-exercise recovery keeps emerging and the popularity of CG keeps growing among athletes

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