Incidence Of Musculoskeletal Injuries Research Articles

Epidemiology of Musculoskeletal Injuries in Tennis Players During the French Open Grand Slam Tournament From 2011 to 2022.

The epidemiology of musculoskeletal injuries at the Australian Open, Wimbledon, and US Open tennis tournaments has been investigated in recent studies; however, there is no published literature on the incidence of musculoskeletal injuries at the French Open. To describe the incidence, location, and type of musculoskeletal injuries in tennis players during the French Open tournament from 2011 to 2022. Descriptive epidemiology study. A review was performed of all injuries documented by a multidisciplinary medical team during the French Open from 2011 to 2022. All musculoskeletal injuries that occurred during the main draw of the female and male singles or doubles matches were included. Descriptive statistics were used to summarize the data. Injury locations were grouped into regions as well as into upper limb, trunk, and lower limb. In total, there were 750 injuries in 687 tennis players, resulting in a mean of 62.5 injuries per tournament; however, there were no obvious trends in injury incidence over the time frame evaluated. The number of injuries in female and male players was similar (392 vs 358, respectively). The most common injury regions were the thigh/hip/pelvis (n = 156), ankle/foot (n = 114), and spine (n = 103). The most common injury types were muscle-related (n = 244), tendon-related (n = 207), and joint-related (n = 163), and the most affected muscles were the adductors (n = 45), rectus abdominis (n = 38), and lumbar muscles (n = 25). Over the 12-year period from 2011 to 2022 female and male players experienced similar numbers of musculoskeletal injuries, with most injuries occurring in the lower limbs compared with the upper limbs and trunk.

Epidemiology of musculoskeletal injury in professional and amateur golfers: a systematic review and meta-analysis

ObjectiveTo determine the prevalence and incidence of musculoskeletal injury in amateur and professional golfers, and to identify common injury sites and factors associated with increased injury frequency.DesignSystematic epidemiological review and...

Cumulative Incidence of All-Cause Knee Injury, Concussion, and Stress Fracture among Transgender Patients on Gender-Affirming Hormone Therapy: An Exploratory Retrospective Cohort Study.

Previous research has shown a discrepancy in incidences of knee injuries, stress fractures, and concussions between cisgender men and women. Little is known regarding the incidence of musculoskeletal injuries among patients on gender-affirming hormone therapy (GAHT). This retrospective cohort study examines cumulative incidence of knee injuries, concussions, and stress fracture injuries among transgender patients on GAHT at one health system from 2011-2020. Using relevant ICD-9 and 10 codes, incidences of knee injury, concussion, and stress fracture were calculated. Cohorts included 1971 transgender and 3964 cisgender patients. Transgender patients had significantly higher incidence of all-cause knee injuries over the study period, 109 (5.5%) versus 175 (4.4%) (p < 0.001; OR: 2.14, 95% CI [1.17-3.92]). Subgroup analysis showed significantly higher incidence of knee injuries among cisgender men (5.6%) versus cisgender women (4.1%) (p = 0.042) and among transgender women (6.6%) versus cisgender women (4.1%) (p = 0.005). There were no significant differences between incidences of concussion and stress fracture between groups. This sample showed that patients on GAHT had increased cumulative incidences of all-cause knee injury compared to controls but similar cumulative incidences of concussion and bone-stress injuries. Transgender women on exogenous estrogen had significantly higher cumulative incidences of all-cause knee injuries compared to cisgender women.

Musculoskeletal Injuries in Table Tennis during Competition: A Systematic Review.

The study aimed to investigate the incidence of musculoskeletal injuries among table tennis players and identify their associated risk factors. We conducted a literature search in online databases using relevant search terms related to "table tennis" and "injury". To compare the rate of injuries according to player-related variables, we extracted information on sex, level of games, circumstances of injury, and duration of sport absence after injury. Furthermore, we calculated the odds ratios based on the number of injuries according to variables. Eight articles included 873 professional table tennis players, revealing an overall musculoskeletal injury rate of 3.6% (31 musculoskeletal injuries). The incidence was 10.0 injuries per 1,000 playing hours (range, 0-27.0). The rate of musculoskeletal injuries for female and male players were 3.2% and 3.8%, respectively, and those for Summer Olympic Games, Asian Games, and domestic national games was 4.8%, 15.4%, and 0%, respectively. More than half (52%) of injuries occurred during training, and most injuries (64%) were of a nature that did not cause time loss. This review provides valuable information about the incidence of musculoskeletal injuries in table tennis competitions. However, owing to the limitations of this study in identifying injury-related risk factors, future studies analyzing comprehensive variables are required.

Vitamin D Metabolites Are Associated With Musculoskeletal Injury in Young Adults: A Prospective Cohort Study.

The relationship between vitamin D metabolites and lower body (pelvis and lower limb) overuse injury is unclear. In a prospective cohort study, we investigated the association between vitamin D metabolites and incidence of lower body overuse musculoskeletal and bone stress injury in young adults undergoing initial military training during all seasons. In 1637 men and 530 women (aged 22.6 ± 7.5 years; body mass index [BMI], 24.0 ± 2.6 kg/m- 2 ; 94.3% white ethnicity), we measured serum 25-hydroxyvitamin D (25(OH)D) and 24,25-dihydroxyvitamin D (24,25(OH)2 D) by high-performance liquid chromatography tandem mass spectrometry, and 1,25-dihydroxyvitamin D (1,25(OH)2 D) by immunoassay during week 1 of training. We examined whether the relationship between 25(OH)D and 1,25(OH)2 D:24,25(OH)2 D ratio was associated with overuse injury. During 12 weeks of training, 21.0% sustained ≥1 overuse musculoskeletal injury, and 5.6% sustained ≥1 bone stress injury. After controlling for sex, BMI, 2.4 km run time, smoking, bone injury history, and Army training course (Officer, standard, or Infantry), lower body overuse musculoskeletal injury incidence was higher for participants within the second lowest versus highest quartile of 24,25(OH)2 D (odds ratio [OR] = 1.62; 95% confidence interval [CI] 1.13-2.32; p = 0.009) and lowest versus highest cluster of 25(OH)D and 1,25(OH)2 D:24,25(OH)2 D (OR = 6.30; 95% CI 1.89-21.2; p = 0.003). Lower body bone stress injury incidence was higher for participants within the lowest versus highest quartile of 24,25(OH)2 D (OR = 4.02; 95% CI 1.82-8.87; p < 0.001) and lowest versus highest cluster of 25(OH)D and 1,25(OH)2 D:24,25(OH)2 D (OR = 22.08; 95% CI 3.26-149.4; p = 0.001), after controlling for the same covariates. Greater conversion of 25(OH)D to 24,25(OH)2 D, relative to 1,25(OH)2 D (ie, low 1,25(OH)2 D:24,25(OH)2 D), and higher serum 24,25(OH)2 D were associated with a lower incidence of lower body overuse musculoskeletal and bone stress injury. Serum 24,25(OH)2 D may have a role in preventing overuse injury in young adults undertaking arduous physical training. © 2023 Crown copyright and The Authors. Journal of Bone and Mineral Research published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR). This article is published with the permission of the Controller of HMSO and the King's Printer for Scotland.

Comparison of Body Composition Changes and Non-Contact Musculoskeletal Injuries Among Professional First-Class Cricket Pace Bowlers

Background. Pace bowling is the most injury susceptible position in cricket due to repeated high intensity maneuvers. Previous studies on pace bowlers have considered anthropometric, biomechanical, and kinesiological factors for deciphering the injury etiology. Study purpose. The purpose of this study was to prospectively investigate the association of body composition parameters with the incidence of musculoskeletal injuries among pace bowlers in cricket. Materials and methods. A total of 44 healthy professional male pace bowlers (N=44; Age: 22.89±4.5 years; Height: 176±9 cm; Body weight: 76.34±8.09 kg; BMI: 21.4±3.1) were recruited from various cricket academies. They were assessed on anthropometrics, body composition, and aerobic fitness before the start of Indian cricket season (typically mid-September). Any non-contact sports injury accounting for significant time loss during the season was recorded followed by assessment of change in body composition status among injured and non-injured pace bowlers. Results. We found hamstring injury as the most prevalent injury (05/12). Lower back injury accounted for highest severity with time loss of 48 matches. Injured pace bowlers underwent higher training volume (hours/day; p=.009) prior to injury incidence, were significantly heavier, and had greater volume of total body water. All the pace bowlers gained significant amount of fat-free mass (FFM) from pre- to post-season. Conclusions. Higher training workload and higher body weight were associated with more injury risk among pace bowlers. Further research accommodating other predictive factors of body composition and psychomotor learning must be carried out to precisely predict injury risk among pace bowlers in cricket.

"Couch-to-5k or Couch to Ouch to Couch!?" Who Takes Part in Beginner Runner Programmes in the UK and Is Non-Completion Linked to Musculoskeletal Injury?

Physical activity has mental and physical health benefits; however, globally, three-quarters of the population do not meet physical activity guidelines. The Couch-to-5k is a beginner runner programme aimed at increasing physical activity. However, this programme lacks an evidence base, and it is unclear who is attracted to the programme; running also has a high rate of musculoskeletal (MSK) injuries. The aims of this study were to identify the characteristics of people taking part and the incidence of MSK injuries as well as exploring the experiences of people who dropped out of a modified 9-week Couch-to-5k programme. A total of 110 runners (average age was 47.1 ± 13.7 years) participated in the study, which involved completion of questionnaires (running experience and footwear information, quality of life (EQ-5D-5L), physical activity level (IPAQ-short form), MSK injury history and knee condition (SNAPPS and KOOS-PS)) at the start, middle and end of the programme and collecting sociodemographic information (age, gender, social economic status, relationship status, education level), as well as body mass index, running experience, footwear information, quality of life, physical activity levels, MSK injuries and knee condition. Fifteen drop-outs were interviewed to explore experiences of the programme. Runners were mainly females (81.8%) with an average age 47.1 years, average body mass index of 28.1 kg.m2, mainly from high socio-economic levels, married and educated to degree level. In total, 64% of the sample had previous running experience and were classified as active. Half the sample self-reported pain/discomfort and 37.2% reported anxiety/depression at the start of the programme via the EQ-5D-5L scale. Self-reported health scores increased (p = 0.047) between baseline (73.1 ± 18.8 out of 100) and at the midpoint (81.2 ± 11.6), but there were no significant differences between any other time points (end point 79.7 ± 17.5, p > 0.05). Twenty-one injuries were reported during the programme (19%). Previous injury increased the risk of new injury (OR 7.56 95% CI from 2.06 to 27.75). Only 27.3% completed the programme. Three themes emerged from interviews; MSK injury, negative emotions linked to non-completion and design of the programme. The Couch-to-5k may not attract diverse inactive populations, but future work with larger sample sizes is needed to substantiate this finding. Dropping out was linked to MSK injury and progressive design, so future programmes should consider including injury prevention advice and more flexible designs.

Association of Injury Rates Among Players in the National Football League With Playoff Qualification, Travel Distance, Game Timing, and the Addition of Another Game: Data From the 2017 to 2022 Seasons.

Injury incidence is higher in the National Football League (NFL) than in other collision sports. Although previous research has identified that scheduling variations, including overseas games and bye week timing, does not affect concussion risk, data are currently lacking regarding the effects of scheduling variation on season-long musculoskeletal injury incidence. To determine whether higher cumulative travel distance, overseas play, an early season bye week, and an expansion of the regular season is associated with higher injury rates in the NFL. Descriptive epidemiology study. All 1275 injuries across 5 NFL seasons from 2017 to 2018 through 2021 to 2022 were reviewed retrospectively. Injury data and travel distances were extracted from publicly available sources, which were cross-referenced for validation. Injury rates were calculated per 1000 athletic-exposures (AEs). Cumulative team travel distances were compared statistically using a linear regression. Single factor analysis of variance was used to compare categorical variables. Travel distance did not significantly predict injury rates (P = .47), and there was no difference in injury rates between teams that played a game overseas versus teams that did not (19.3 injuries per 1000 AEs for both; P = .96). In addition, no difference was found in injury rates (F[109,2100[ = 0.704; P = .73) or players placed on the injured reserve list (F[99,778] = 1.70; P = .077) between various bye weeks (P = .73). Injury rates did not differ between the new 17-game regular season (18.4 per 1000 AEs) versus the previous four 16-game regular seasons (19.7 per 1000 AEs; P = .12). However, teams that did not qualify for the playoffs had a significantly higher injury rate (19.9 per 1000 AEs) as well as players on injured reserve (8.0 per 1000 AEs) than playoff-qualifying teams (18.4 and 6.8 per 1000 AEs, respectively; P < .05 for both). Over 5 NFL seasons, cumulative travel distance, overseas play, bye week timing, and adding 1 regular season game were not associated with increased injury rates in NFL players. However, a lack of regular season success was associated with higher injury rates and more players on injured reserve.

The Functional Movement Screen andSelf-reported Injury inSenior Military College Cadets.

Secular trend of increasing musculoskeletal injuries (MSKIs) across all branches of the U.S. Military is a critical limiting factor in the effective and efficient process of preparing military personnel for combat. The need to evaluate functional capacity beyond current physical fitness test (PFT) standards is the key in understanding an individual's risk of noncombat-related injury. The purpose of this study is to evaluate the relationship between Functional Movement ScreenTM (FMS) scores, incidence of musculoskeletal injuries, and standardized PFT scores among freshman Cadets during their first 10 weeks of enrollment at a senior military college. Eighty-two participants (72 male and 10 female participants; mage: 18.2 years) completed the FMS, an institution-specific PFT (2-min maximum pushups, 2-min maximum abdominal crunches, and 1.5 mile timed run), and an Incidence of Injury and Incidence of Pain Questionnaire. Independent t-tests, Spearman's rank correlation coefficients logistic regression analysis, and Receiver Operator Curves were performed to evaluate relationships between the study variables. FMS composite and PFT sex-normed total scores were higher in females (16.4, 236.1) than in males (15.0, 204.9). Ninety percent of all females reported injury or pain during the 10-week survey period compared to 48% of males. No significant difference between FMS scores and injury and pain was found within both sex groups. Therefore, use of the composite FMS score as an indicator for risk of injury or to predetermine PFT performance is not recommended for this study's population. The rate of incidence of injury or pain in Cadets during a 10-week enrolment period is high. Females outperformed males in the FMS and PFT and reported higher rates of injury and pain. The utility of the FMS may be limited when substantially scaled for implementation across entire military populations. Future research should evaluate performance associations of the FMS with Army Combat Fitness Test components in a population of equally distributed sex and race.

Poster 381: The Current NFL Schedule is not a Risk Factor for Musculoskeletal Injuries; Epidemiology of NFL Injuries From 2017-2022

Objectives: The National Football League, among the most popular team sports in the United States, carries an injury incidence that is higher than that of other collision sports, such as rugby and ice hockey. Considerable research has been undertaken to investigate the etiology of injuries in the NFL and has identified numerous risk factors on the level of individual games, including playing surface and gameday weather conditions; additionally, one study has found that concussion risk is not affected by scheduling variation, such as overseas games and bye week timing. However, there is currently no data that reports the effects of scheduling variation over the course of a season on musculoskeletal injury incidence. The purpose of this retrospective study was to describe the relationship between scheduling factors and injury rates among professional athletes in the NFL. It was hypothesized that higher cumulative travel distance, playing overseas games, an early season bye week, and an expansion of the regular season would be associated with higher injury rates. Methods: The current study was a descriptive epidemiological study that retrospectively reviewed all injuries that occurred in the five NFL seasons from the 2017-2018 season through the 2021-2022 season. Injury data and travel distances were extracted from publicly available sources and injury reports were cross-referenced to verify injury data. Injury rates were calculated per 1,000 athletic exposures (AEs). Results: In 1,216 regular season games in the five NFL seasons, 4,378 injuries were reported for an average injury rate per year of 34.42 injuries per 1,000 AEs. Cumulative team travel distance did not significantly predict injury rates (Figure 1). There was not a statistically significant difference in injury rates between NFL teams that did (19.3 per 1,000 AEs) versus did not play a game overseas (19.3 per 1,000 AEs) (Figure 2). There was not a statistically significant difference in injury rates or the number of players on the injured reserve list between the various bye weeks. There was not a statically significant difference in injury rates between the new 17-game regular season (18.4 per 1,000 AEs) versus the previous four 16-game regular seasons (19.7 per 1,000 AEs) (Figure 3). However, NFL teams that did not qualify for the playoffs had a significantly higher injury rate (19.9 per 1,000 AEs) versus teams that did qualify for the playoffs (18.4 per 1,000 AEs). Also, NFL teams that did not qualify for the playoffs had a significantly higher number of players on the injured reserve list (8.0 per 1,000 AEs) versus teams that qualified for the playoffs (6.8 per 1,000 AEs) (Figure 4). Conclusions: Over five NFL seasons, increased cumulative travel distance, playing a game overseas, and having an early season bye week were not associated with increased injury rates in professional football players. The addition of one regular season game, from 16 to 17 during the 2020 season, was not associated with an increased injury rate. However, not qualifying for post-season play was associated with an increased injury rate and an increase in the number of players on injured reserve. Overall, the analysis suggests that the analyzed parameters in the current NFL schedule were not risk factors for musculoskeletal injuries over the last five seasons; however, lack of regular season success may be associated with higher injury rates and more players on injured reserve.

DS19 Characterizing ergonomics in dermatology surgical practice: results of an online questionnaire distributed by the British Society for Dermatological Surgery

Abstract Ergonomics is the study of the interaction between humans and their working environment. By evaluating workplace ergonomics, we can reduce the potential for injury and ill health and improve performance and productivity. Poor postures can contribute to surgical fatigue and introduce errors due to impaired psychomotor performance. Furthermore, it reduces physician wellbeing and career longevity. A US study in 2010 reported that &amp;gt; 90% of Mohs surgeons suffered from musculoskeletal injury at work. No study of ergonomics in dermatological surgery has been undertaken outside of the USA. We aimed to characterize the incidence of musculoskeletal injuries and ergonomic practices among dermatological surgeons in the UK and Ireland. An online questionnaire consisting of 17 questions was circulated via the British Society for Dermatological Surgery in January 2023. There were 74 responders from the UK and Ireland. Forty per cent were consultant dermatologists and Mohs surgeons, 27% were consultant dermatologists, 15% were registrars, 7% were Mohs fellows, and 11% were of other groups. The mode age range was 45–49 years (23%) followed closely by 40–44 years (22%). Forty-seven per cent were female and 51% were male. The mode number of hours operating per week was ∼4–8 h (28%; range from ∼4 h or less to ∼40 h or more). Seventy-six per cent operated standing, while 22% shifted between sitting and standing. Regarding pain directly related to undertaking surgery, 34% experienced neck pain ‘sometimes’, with 16% reporting pain ‘often’ and ‘always’. Forty-three per cent experienced lower back pain ‘sometimes’, with 11% reporting lower back pain ‘often’ and 22% reporting back pain ‘never’. Thirty-eight per cent reported stiffness related to undertaking surgery ‘often’ or ‘sometimes’, while 43% reported ‘never’ experiencing stiffness. Nineteen per cent wore loupes while operating, with 71% of this group reporting that loupes made their posture ‘much better or better’. Most respondents began to have symptoms after 5 years of operating. Over a third of respondents had physiotherapy for their pain. Forty-nine per cent of respondents felt more pain on days they operated. Seventy-eight per cent of respondents had no formal education on ergonomics at their institution. These results highlight that chronic pain is prevalent among dermatological surgeons in the UK and Ireland. Modification of footwear, table height, operating position, lighting and surgical instruments may all improve ergonomics. Surgeons should also be mindful of their posture, hold instruments lightly, take microbreaks, stretch during their surgical day and aim to maintain fitness outside of work. Ergonomics training should be incorporated formally into educational meeting updates, and consideration of formal guidelines from associated physician bodies should be prioritized in order to protect the health and wellbeing of dermatological surgeons and prevent musculoskeletal injury, early burnout and retirement.

Overexertion and heat stress in the fire service: a new conceptual framework.

From the year 2000, the United States Fire Administration (USFA) has been recording all line-of-duty deaths in the fire service. Stress or overexertion caused 1096 out of 2598 total line-of-duty deaths in the United States from 2000 to 2021. Those deaths due to stress or overexertion were further classified as myocardial infarction (90%), cerebrovascular accident (6.8%), other (2.6%), and heat exhaustion (0.6%). Environmental heat exposure is a concern in firefighting, as firefighters work in extreme conditions, such as high ambient temperatures, while wearing protective clothing. Heat stress is not only hazardous to the cardiovascular system, but may accentuate muscle fatigue and overexertion. In addition, overexertion itself is related to increased incidence of musculoskeletal injuries, usually to the lower extremities. Further, there is a strong physiological mechanistic link to suggest that the increased occupational heat exposure and thermoregulatory strain firefighters experience may be a stressor that increases the risk of injuries. This commentary hopes to show the need for further research on the effects of occupational exposures and physiological strain in the fire service.

Recruit-aged adults may preferentially weight task goals over deleterious cost functions during short duration loaded and imposed gait tasks

Optimal motor control that is stable and adaptable to perturbation is reflected in the temporal arrangement and regulation of gait variability. Load carriage and forced-marching are common military relevant perturbations to gait that have been implicated in the high incidence of musculoskeletal injuries in military populations. We investigated the interactive effects of load magnitude and locomotion pattern on motor variability, stride regulation and spatiotemporal complexity during gait in recruit-aged adults. We further investigated the influences of sex and task duration. Healthy adults executed trials of running and forced-marching with and without loads at 10% above their gait transition velocity. Spatiotemporal parameters were analyzed using a goal equivalent manifold approach. With load and forced-marching, individuals used a greater array of motor solutions to execute the task goal (maintain velocity). Stride-to-stride regulation became stricter as the task progressed. Participants exhibited optimal spatiotemporal complexity with significant but not meaningful differences between sexes. With the introduction of load carriage and forced-marching, individuals relied on a strategy that maximizes and regulates motor solutions that achieve the task goal of velocity specifically but compete with other task functions. The appended cost penalties may have deleterious effects during prolonged execution, potentially increasing the risk of musculoskeletal injuries.

Novel Low Memory Footprint DNN Models for Edge Classification of Surgeons’ Postures

Skill assessment is fundamental to enhance current laparoscopic surgical training and reduce the incidence of musculoskeletal injuries from performing these procedures. Recently, deep neural networks (DNNs) have been used to improve human posture and surgeons’ skills training. While they work well in the lab, they normally require significant computational power which makes it impossible to use them on edge devices. This letter presents two low memory footprint DNN models used for classifying laparoscopic surgical skill levels at the edge. Trained models were deployed on three Arm Cortex-M processors using the X-Cube-AI and Tensorflow Lite Micro (TFLM) libraries. Results show that the CUBE-AI-based models give the best relative performance, memory footprint, and accuracy tradeoffs when executed on the Cortex-M7.

Musculoskeletal Injury Risk in a Military Cadet Population Participating in an Injury-Prevention Program

Background and Objectives: Musculoskeletal injuries are a major health hazard among military personnel. Previous research has proposed several exercise-based strategies for prevention. The purpose of this study was to investigate the effect of an exercise-based injury-prevention program on the incidence of musculoskeletal injury, motor performance and psychosocial status. Materials and Methods: Thirty-six Estonian Military Academy cadets were randomly assigned into either an intervention or control group. The intervention group followed a neuromuscular exercise-based injury-prevention warm-up program, three times per week for 6 months. The control group continued with the usual warm-up. The main outcome measure was injury incidence during the study period. Additionally, evaluation of isokinetic lower-extremity strength, postural sway, physical fitness and psychosocial status was included pre- and post-intervention. Results: During the 6-month study period, the musculoskeletal injury incidence was 43% in the intervention group and 54% in the control group (RR = 0.8; 95% CI = 0.41 to 1.99). The noted 20% risk reduction was not statistically significant (p = 0.59). Furthermore, there were no statistically significant differences between the intervention and control group in motor performance or psychosocial status measures. Conclusions: In conclusion, no effect of the exercise-based injury-prevention program on injury risk, motor performance or psychosocial status could be detected.

Kinesiophobia Is Related to Acute Musculoskeletal Injury Incidence Following Concussion.

Athletes with a history of sport concussion (SC) have an increased risk of musculoskeletal injury (MSK); however, the underlying mechanisms have yet to be determined. The purpose of our study was to evaluate kinesiophobia in college athletes with or without a time-loss MSK within 180 days of unrestricted return to play following a SC. This was a retrospective cohort study within a sports medicine facility. Participants were eligible if they were diagnosed with a SC, completed the Tampa Scale of Kinesiophobia (TSK), and completed an unrestricted return to play. Fifty-six college athletes (40 men and 16 women) with an average age of 19.5 (1.25) years, height of 183.5 (10.45) cm, and mass of 94.72 (24.65) kg, were included in the study. MSK participants were matched to non-MSK participants 1:1. Demographic and TSK outcome scores were compared using independent t tests. The proportion of participants in each group who scored above the clinical threshold (TSK ≥ 37) was compared using a chi-square analysis. Alpha was set at α = .05. The MSK group (31.2 [6.30]) reported similar TSK scores to the matched group (28.9 [3.34]; t54 = 1.70, P = .10, d = 0.45 [-0.08 to 0.97]). A greater proportion of athletes who were diagnosed with an MSK-reported scores above the cutoff (χ2[1] = 6.49, P = .01). Athletes diagnosed with SC had similar kinesiophobia values regardless of MSK status. However, a higher proportion of athletes with a time-loss MSK injury reported a TSK score greater than the clinical cutoff. Our results suggest that factors such as kinesiophobia should be considered following a SC.

Assessing Injury Susceptibility at Marine Corps Recruit Depot, San Diego, California.

Poh, PYS, Sessoms, PH, Haluch, KS, and Trone, DW. Assessing injury susceptibility at Marine Corps Recruit Depot, San Diego, California. J Strength Cond Res 37(7): 1530-1536, 2023-Marine Corps Recruit Depot (MCRD) recruits undergo demanding training. Musculoskeletal injury (MSKI) accounts for attrition and graduation delays. Functional tests, such as Functional Movement Screen (FMS), Y-Balance Test-Lower Quarter (YBT-LQ), and ankle dorsiflexion range of motion (AD-ROM), may identify individuals at greater MSKI risk. This study tested the hypothesis that functional assessments may inform injury prediction. Male recruits ( N = 407; mean ± SD : age, 20 ± 2 years) performed baseline functional tests. Marine Corps Recruit Depot staff tracked MSKI and graduation outcomes. The chi-square test of independence (individual FMS exercises) and Mann-Whitney U (FMS composite score) test examined the relationship between FMS and MSKI incidence. One-way analysis of variance compared YBT-LQ and AD-ROM with MSKI incidence. Twelve recruits (3%) incurred a lower extremity MSKI and were dropped. Of those 12, 9 had a delayed graduation, and 3 separated from enlistment. The level of significance was set at p < 0.10 to identify between-group differences (yes-MSKI vs. no-MSKI). Functional movement screen composite score ( p = 0.064), hurdle step ( p = 0.059), and trunk stability ( p = 0.001) were lower in yes-MSKI. Y-Balance Test-Lower Quarter anterior direction difference between legs ( p = 0.011) and AD-ROM right side ( p = 0.055) was greater in yes-MSKI. Odds ratios (OR) were calculated using cut-off scores, with strong odds of sustaining MSKI with FMS trunk stability score <2 (OR: 7.56, 95% confidence interval [CI]: [2.32, 24.61]) and YBT-LQ anterior difference >6.25 cm (OR: 6.38, 95% CI: [1.98, 20.55]). Recruits who incurred MSKI had scores that indicated lesser mobility and stability of the lower extremity, providing preliminary evidence that when assessed together, FMS, YBT-LQ, and AD-ROM, may have predictive value for identifying those at MSKI risk.

Sex-Specific Brain Activations during Single-Leg Exercise.

Females have an increased incidence of musculoskeletal injuries compared to males. Sex differences in neuromuscular control has been widely studied regarding the dynamics and muscle activity during preplanned movements. While muscle activation patterns and movement biomechanics are understood to differ between sexes, it is not well understood how sex influences brain activity for lower extremity movement. Since the brain plays a vital role for voluntary movement and joint stability, it is important to understand the sex differences in brain function in order to better understand neuromuscular control associated with increased musculoskeletal injury risk in female. The purpose of this study is to understand the differences in brain activation patterns between sexes during a simple active knee extension-flexion movement. It was hypothesized that females would demonstrate higher cortical activation in the somatosensory areas compared to males as a compensatory strategy. Cross-Sectional Study. Thirteen males and seventeen females who were healthy and physically active participated in this study (Male: 23.7±3.8 years, 74.5±13.5 kg, 172.3±6.4 cm; Female: 20.6±1.6 years, 65.4±12.8 kg, 163±6.1 cm). Functional magnetic resonance imaging data were obtained during a simple left knee extension-flexion exercise with their own leg weight while lying on the MRI table. The blood oxygen level dependent (BOLD) signals were compared between sexes. There was significantly greater activation in the visual cortices and premotor cortex in females compared to males during the studied movement. Males demonstrated significantly greater activation in the right cerebellum. The results revealed sex differences in BOLD signal during simple knee extension-flexion movement. The results suggest that sex may be a biological factor in understanding brain activity associated with knee motor control. Level 3.

The incidence of musculoskeletal injuries: a systematic review and meta-analysis.

The aim of this systematic review and meta-analysis was to gather epidemiological information on selected musculoskeletal injuries and to provide pooled injury-specific incidence rates. PubMed (National Library of Medicine) and Scopus (Elsevier) databases were searched. Articles were eligible for inclusion if they reported incidence rate (or count with population at risk), contained data on adult population, and were written in English language. The number of cases and population at risk were collected, and the pooled incidence rates (per 100,000 person-years) with 95% confidence intervals (CIs) were calculated by using either a fixed or random effects model. The screening of titles yielded 206 articles eligible for inclusion in the study. Of these, 173 (84%) articles provided sufficient information to be included in the pooled incidence rates. Incidences of fractures were investigated in 154 studies, and the most common fractures in the whole adult population based on the pooled incidence rates were distal radius fractures (212.0, 95% CI 178.1 to 252.4 per 100,000 person-years), finger fractures (117.1, 95% CI 105.3 to 130.2 per 100,000 person-years), and hip fractures (112.9, 95% CI 82.2 to 154.9 per 100,000 person-years). The most common sprains and dislocations were ankle sprains (429.4, 95% CI 243.0 to 759.0 per 100,000 person-years) and first-time patellar dislocations (32.8, 95% CI 21.6 to 49.7 per 100,000 person-years). The most common injuries were anterior cruciate ligament (17.5, 95% CI 6.0 to 50.2 per 100,000 person-years) and Achilles (13.7, 95% CI 9.6 to 19.5 per 100,000 person-years) ruptures. The presented pooled incidence estimates serve as important references in assessing the global economic and social burden of musculoskeletal injuries.Cite this article: Bone Joint Res2022;11(11):814-825.

Ergonomic Risk and Musculoskeletal Disorders Related to the Upper Limbs in Dental Medicine Students

Background: In light of the high prevalence of musculoskeletal disorders in dentists, an extended knowledge of the phenomena, including the onset time and treatments presenting higher risk, is needed. Thus, this study aimed to 1) assess exposure to ergonomic risk factors, musculoskeletal symptoms and associated functional limitation in dental students, 2) estimate the prevalence of musculoskeletal disorders in dental students and 3) assess the exposure to vibrations associated with the use of an ultrasonic scaler. Methods: For the ergonomic evaluation, two questionnaires were applied: Assessment of Repetitive Tasks (ART-Tool) and the Strain-Index Score Sheet. The ultrasonic scaler's assessment of exposure to vibratory forces was carried out by a certified engineer using an accelerometer Cubic Triaxial Deltatron attached to a mounting clip attached with cyanoacrylate to the handpiece of the scaler, according to the 3 axes of the hand-arm system (x, y e z). Standardized questionnaires were used to identify symptoms and associated disability. Results: All the recorded values exceeded the maximum limit of reference. This difference was more accentuated in the Strain-Index. The maximum exposure value is much lower than the limit imposed. An exposure time equivalent to 8 hours of work in a day would still not exceed the maximum action value. As a result of the clinical evaluation, different musculoskeletal disorders were identified. Conclusion: Ergonomic risk exposure among dental students is a reality. Preventive strategies aimed at reducing the incidence of musculoskeletal injuries in dentists should be initiated at an early stage in their lives, particularly during their academic training.