Prevalence Of Overuse Injuries Research Articles

Overuse injuries among school-going children in Manipur, northeast India: A descriptive cross-sectional study.

Background & objectives Overuse injury is an important public health issue among children and adolescents, which may affect their overall performance. Therefore, the objective is to determine the prevalence and compare overuse injuries among school-going children in hill and valley, rural and urban areas of Manipur and identify factors contributing to overuse injuries. Methods After obtaining approval from school authorities, a cross-sectional study was conducted in three districts of Manipur namely, Imphal West, Bishnupur, and Ukhrul, among 3,600 schoolchildren in the age group of 7-15 yr. An interview schedule using a pretested questionnaire and a proforma was used for data collection. Descriptive statistics were used, such as mean, SD, percentages, etc. Results In this study, 3,600 students participated; the mean age was 13.37 yr. The overall prevalence of overuse injury was 14.39 per cent, which was the highest in Imphal West (50.19%) and among males (53.09%). The commonest overuse injuries were of lower extremities (44.98%) and were observed to be the highest in Bishnupur (49.59%) and among males (45.45%). Back pain was more prevalent in Ukhrul (37.78%) and among females (31.69%). Among lower extremity injuries, the majority had chondromalacia patellae (29.18%) and shin splint (24.03%), and among the upper extremity injuries, 81.25 per cent had neck and arm pain. Interpretation & conclusions The overall prevalence of overuse injuries was 14.39 per cent, and the highest was in Imphal West. We observed a paradigm shift as the students' back, neck and arm pain increased. These are important public health concerns that need immediate attention, as well as the development of innovative interventions, including health education and appropriate regulations.

Hip and core exercise programme prevents running-related overuse injuries in adult novice recreational runners: a three-arm randomised controlled trial (Run RCT)

ObjectiveThis study aims to investigate the efficacy of two exercise interventions in reducing lower extremity (LE) injuries in novice recreational runners.MethodsNovice runners (245 female, 80 male) were randomised into hip...

A Model for Causality of Pitching-related Overuse Injuries in Women's Fastpitch Softball.

Fastpitch softball is a popular women's sport, and athletes, particularly pitchers, are at high risk for overuse injury. Softball-related injury rates are low; however, the prevalence of overuse injuries is high. Injuries at the high school and collegiate levels occur early in the season, and approximately 50% of shoulder and elbow injuries in softball are attributable to overuse. Survey research showed 77% of high school pitchers pitch with pain, and 73% of collegiate pitchers reported an overuse injury in the previous season. Modifiable and non-modifiable intrinsic and extrinsic risk factors contribute to injury risk in a model that can be used in history taking, clinical examination, and management of softball-related injuries. In this manuscript, we present a scoping review of fastpitch softball injury research by competitive levels from 1990 to present. We also introduce a model for overuse injury causality in this athlete population. With this information, clinicians will be able to identify risk factors related to injury in softball pitchers. More research is needed to make evidence-based recommendations for injury prevention in this athlete population.

PREVALENCE OF MUSCULOSKELETAL OVERUSE INJURIES AMONG MALAYSIAN ELITE ATHLETES DURING THE PREPARATION PHASE FOR INTERNATIONAL SPORT COMPETITION

Intensive training with a high volume of training in preparation for the tournament may predispose athletes to overuse injuries. Therefore, this study aims to determine the prevalence of musculoskeletal overuse injuries among Malaysian athletes during the pre-competition phase. A 13-week prospective cohort study was conducted, including 100 elite athletes representing Malaysia at Commonwealth Games, Asian Games and World Championships. Data on overuse injuries were collected every second week using the Oslo Sports Trauma Research Center Overuse Injury Questionnaire. The average weekly prevalence of overuse injuries was calculated using the questionnaire results. A total of 119 cases of substantial overuse condition were reported, which were in the back (35 cases), knee (31 cases), ankle (28 cases), and shoulder (25 cases), affecting 100 athletes (100% of the cohort). About 42.5 % of the participants classified themselves as having substantial overuse problems, leading to a moderate (71%) or severe (29%) reduction in sports participation or performance or inability to participate in high-performance activities. The average weekly severity score for the back was 16, 12 cases for the shoulder, and the same score of 14 cases for the knee and ankle. Overuse injuries occurred among elite Malaysian athletes during the preparation and training phase for international competition due to the rapid intensity of the training. This study suggests that a guideline is needed for injury prevention strategies for the benefit of Malaysian athletes to prevent injuries.

Association of sports sampling and training frequency with injury among school-age athletes in Japan

ABSTRACT Background This study evaluated the status of sports participation and training frequency during school years to identify related factors for injuries in the general Japanese population. Methods A total of 1,533 adult participants (762 males, 771 females) retrospectively completed a questionnaire assessing sports participation (single/multisport), training frequency (weekly days of sports participation), and injury history (acute and overuse) at each stage of school (elementary, junior high, and high school). Results In total, 41.1% of participants reported playing multiple sports in elementary school; this rate decreased to 17.4% in junior high school and 8.9% in high school. Weekly days of sports participation were associated with almost all injuries at each age. Participants who still played multiple sports in junior high school had fewer overuse injuries in junior high school and high school (P = 0.017; odds ratio (OR) = 0.69; 95% confidence interval (CI) = 0.51–0.94; P = 0.006, OR = 0.66, 95% CI, 0.49–0.89, respectively). The ratio for sports sampling differed between elementary school and older ages. This trend was associated with the prevalence of overuse injuries. Conclusion Promoting sports sampling through junior high school ages and controlling the training frequency may decrease the occurrence of injuries in young athletes.

Forty-five per cent lower acute injury incidence but no effect on overuse injury prevalence in youth floorball players (aged 12–17 years) who used an injury prevention exercise programme: two-armed parallel-group cluster randomised controlled trial

ObjectiveTo study whether an injury prevention exercise programme would reduce the number of injuries in youth floorball players.Methods 81 youth community level floorball teams (48 clusters=clubs) with female and male...

Epidemiology and injury prevention in handball

Handball is characterised by a high rate of injuries. Recent epidemiologic studies, which take the characteristics of handball into account, demonstrate a clear picture of injury patterns and injury risks for handball athletes. While more than half of all athletes can continue playing handball after medical treatment, the other half of injuries is accompanied by loss of training and match time. Although the sustained injuries are associated with a contact mechanism, they are not related to a high rate of foul play in the league setting. This shows that there is a high potential for prevention. Handball medicine strongly aims to primarily reduce and thus prevent injuries in this sport. The existing evidence for the potential of prevention of severe knee injuries must now be implemented into daily training. Due to the high prevalence of overuse injuries to the throwing shoulder, here, too, the first insights have been implemented in a prevention programme. This is described in detail in this article.

Return to football training and competition after lockdown caused by the COVID-19 pandemic: medical recommendations.

The lockdown caused by the COVID-19 pandemic represents a great unknown regarding the physiological changes induced in elite football players. Although it will differ from country to country, the return to sport for professional football players will follow a forced lockdown never experienced and longer than the normal annual season break. Moreover, in addition to an obvious decrease in performance, the lockdown will possibly lead to an increase of the injury risk. In fact, preseason is always a period with a specific football injury epidemiology, with an increase in the incidence and prevalence of overuse injuries. Therefore, it seems appropriate to recommend that specific training and injury prevention programmes be developed, with careful load monitoring. Training sessions should include specific aerobic, resistance, speed and flexibility training programmes. The aerobic, resistance and speed training should respect some specific phases based on the progressiveness of the training load and the consequent physiological adaptation response. These different phases, based on the current evidence found in the literature, are described in their practical details. Moreover, injury prevention exercises should be incorporated, especially focusing on overuse injuries such as tendon and muscle lesions. The aim of this paper is to provide practical recommendations for the preparation of training sessions for professional footballers returning to sport after the lockdown.

Overuse injuries are prevalent in children’s competitive football: a prospective study using the OSTRC Overuse Injury Questionnaire

ObjectivesTo investigate the prevalence and burden of overuse injuries in children’s football as well as player characteristics and their association with overuse injury risk.MethodsThis investigation is based on the control...

Application of a Simple Surveillance Method for Detecting the Prevalence and Impact of Overuse Injuries in Professional Men's Basketball.

The aim of this study was to use the Oslo Sports Trauma Research Center (OSTRC) Overuse Injury Questionnaire to record overuse injuries over a single season for a men's professional basketball team to (a) assess the prevalence and severity of overuse injuries and (b) determine the efficacy of this method in identifying overuse injuries in comparison with the team physiotherapist's detection of these injuries. Thirteen athletes from a men's professional basketball team participated in this study. The self-reported, OSTRC injury questionnaire was used to record overuse conditions of the ankle, knee, and lower back over an entire 24-week season. Standard time-loss injury registration methods were also used to record overuse conditions by the physiotherapist. Overuse injury rates per 1,000 hours of athlete exposure and average weekly prevalence of overuse injuries were calculated using the results of the questionnaire. A total of 183 overuse conditions were identified by the questionnaire, whereas only 28 overuse conditions were identified by the physiotherapist. The team's average weekly prevalence of all overuse conditions was 63% (95% confidence interval [CI]: 60-66), with the highest prevalence of injury affecting the lower back (25.9% [95% CI: 19.7-32.1]). The overuse injury rate per 1,000 hours of athlete exposure was 6.4. The OSTRC overuse injury questionnaire captures many more overuse injuries in basketball than standard time-loss methods. The prevalence of lower back injuries is higher than that previously reported in basketball. This additional method of overuse injury surveillance may more accurately quantify the overuse injury problem in basketball and aid earlier intervention and management of these conditions.

Preventing musculoskeletal injuries among recreational adult volleyball players: design of a randomised prospective controlled trial

BackgroundBoth acute and overuse injuries are common among recreational volleyball players, especially finger/wrist, ankle, shoulder and knee injuries. Consequently, an intervention (‘VolleyVeilig’) was developed to prevent or reduce the occurrence of finger/wrist, shoulder, knee and ankle injuries among recreational volleyball players. This article describes the design of a study evaluating the effectiveness of the developed intervention on the one-season occurrence of finger/wrist, shoulder, knee and ankle injuries among recreational adult volleyball players.MethodsA randomized prospective controlled trial with a follow-up period of one volleyball season will be conducted. Participants will be healthy recreational adult volleyball players (18 years of age or older) practicing volleyball (training and/or match) at least twice a week. The intervention (‘VolleyVeilig’) consists of a warm-up program based on more than 50 distinct exercises (with different variations and levels). The effect of the intervention programme on the occurrence of injuries will be compared to volleyball as usual. Outcome measures will be incidence of acute injury (expressed as number of injuries per 1000 h of play) and prevalence of overuse injuries (expressed as percentage).DiscussionThis study will be one of the first randomized prospective controlled trials evaluating the effectiveness of an intervention on the occurrence of both acute and overuse injuries among recreational adult volleyball players. Outcome of this study could possibly lead to the nationwide implementation of the intervention in all volleyball clubs in The Netherlands, ultimately resulting in less injuries.Trial registrationDutch Trial Registration NTR6202, registered February 1st 2017. Protocol: Version 3, February 2017.

Injuries and Associated Risk Factors Among Adolescent Elite Orienteerers: A 26-Week Prospective Registration Study.

In orienteering, the number of injury-registration studies is limited. Most researchers have used a cross-sectional design during specific events and, therefore, have mainly identified acute injuries. To determine the prevalence of injuries by registering acute and overuse injuries in adolescent elite orienteerers over 26 weeks and to study the variation of injury prevalence over the season and the potential risk factors. Cohort study. Two high schools in Sweden with national orienteering teams. All athletes (33 adolescent girls, 31 adolescent boys; age = 17 ± 1 years) from 2 high schools with orienteering teams. We used a weekly Web-based questionnaire to identify the incidence and prevalence of injuries and training variables. Risk factors for injury were calculated using multiple linear regression techniques. The average weekly prevalence of overuse and acute injuries was 35.7% (95% confidence interval = 34.8%, 36.6%) and 1.7% (95% confidence interval = 1.3%, 2.1%), respectively; overuse injuries (78.0%, n = 85) accounted for the majority. The incidence of acute and overuse injuries was highest for the foot/lower leg (48.6%, n = 53), and 71.6% (n = 78) of all injuries affected the foot/lower leg and knee area. Time to the first reported injury was associated with training volume (β = 0.184, P = .001), competition time (β = -0.701, P = .009), running on asphalt roads (β = -0.348, P = .008), and running on forest surfaces and trails (β = -0.331, P = .007), with a model fit of r( 2) = 0.50 (intercept = 2.196, P < .001). During the study, we observed a weekly increase (0.3%) in the prevalence of overuse injuries in the foot/lower leg (r( 2) = 0.33, P = .001); the highest prevalence (26.9%) was at the beginning of the competitive season. Overuse injuries, predominately in the foot/lower leg area, were more common than acute injuries in adolescent elite orienteerers. These injuries had the highest prevalence at the beginning of the competitive season; therefore, this period can be seen as a possible risk factor for sustaining overuse injuries in the foot/lower leg.

Overuse ankle injuries in professional Irish dancers

Overuse ankle injuries have been described in elite athletes and professional ballet dancers however the spectrum of injuries experienced by professional Irish dancers has not been defined. A troupe of actively performing dancers from an Irish-dance show were recruited (eight male, ten female; mean age, 26 years). The prevalence of overuse injuries in the right ankle was determined from magnetic resonance imaging. Foot and ankle self-report questionnaires were also completed (AOFAS and FAOS). Only three ankles were considered radiologically normal. Achilles tendinopathy, usually insertional, was the most frequent observation (n=14) followed by plantar fasciitis (n=7), bone oedema (n=2) and calcaneocuboid joint degeneration (n=2). There were limited correlations between MRI patterns and clinical scores indicating that many conditions are sub-clinical. Dancers with ankle pain had poor low (p=0.004) and high (p=0.013) level function. Overuse ankle injuries are common in Irish dancers. Incorporating eccentric exercises and plantar fascia stretching into a regular training program may benefit this population.

Characterization of the Patient Population in a Sports Medicine Facility.

In brief: This article presents a statistical portrait of the injuries seen over a five-year period at a large sports medicine facility that serves primarily recreational athletes. About half of the 10,271 injuries treated were caused by overuse. Overuse problems exceeded acute injuries in running, tennis, figure skating, and aerobic dance, while acute injuries were more common in skiing, basketball, football, and soccer. The knee was the anatomic area most often injured in all of the major sports. The prevalence of overuse injuries indicates the importance of instructing patients in prevention methods.