Abstract
Background: Cricket fast bowlers are highly susceptible to lumbar stress fractures. These injuries typically affect younger players (less than 22 years old) and require prolonged recovery times. Aside from younger age, other known risk factors include excessive trunk rotation during the delivery and bowling workload. It has been demonstrated that a safe zone for bowling load exists with deviations above or below this zone associated with an increased injury risk. More recently rapid increases in workload (causing spikes relative to what the player is used to), measured using the acute:chronic workload ratio (ACWR) have also been associated with injury in fast bowlers. However to date, the ACWR has not been investigated with respect to a possible relationship with stress fractures.
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