Musculoskeletal injury profiles in professional Women’s Tennis Association players

2017 ◽  
Vol 52 (11) ◽  
pp. 723-729 ◽  
Author(s):  
Jodie G Dakic ◽  
Belinda Smith ◽  
Cameron M Gosling ◽  
Luke G Perraton

ObjectiveThe physical demands of professional tennis combined with high training/match loads can contribute to musculoskeletal injury. The objectives of this study were to (1) describe the type, location and severity of injuries sustained during a 12-month tennis season in a cohort of professional female tennis players on the Women’s Tennis Association (WTA) tour and (2) prospectively investigate associations between training/match loads and injury.Methods52 WTA players competing at the Australian Open (2015) consented to participate. Injuries reported to WTA medical staff were classified using tennis-specific guidelines. Individual match exposure data were collected for all matches played at international level in 2015 and expressed per 1000 hours of WTA competition matchplay (MP) and 1000 match exposures (MEs). Variables associated with the number of injuries in the season and loss of time from competition were identified with regression analysis.ResultsThe injury incidence rate (IR) was 56.6 (95% CI: 49.5 to 64.6) per 1000 hours of MP or 62.7 (95% CI: 54.8 to 71.6) per 1000 MEs, although the IR of injuries resulting in loss of time from competition was lower (12.8 per 1000 hours of MP, 92 injuries/100 players). Lower limb (51%) and muscle/tendon (50%) injuries were the most common site and type of injury. Common specific injury site subcategories were the thigh, shoulder/clavicle, ankle and knee in order of frequency. Various measures of match load were significantly associated with injury.ConclusionThis study prospectively analysed injury profiles, including severity across an entire season of professional tennis, and investigated the relationship between training/match loads and injury. These data may help medical professionals develop injury risk identification and prevention programmes.

2020 ◽  
Vol 16 (1) ◽  
pp. 29-33 ◽  
Author(s):  
K. Yarnell ◽  
G. Starbuck ◽  
A. Riley ◽  
A. Woodhead

There is currently limited information available regarding the physical demands of polocrosse and no information on the specific veterinary problems faced by polocrosse ponies in the United Kingdom. Polocrosse requires the ponies that compete to perform rapid acceleration, sharp turns and sudden halts. The study aim was to explore the injury incidence and type of injury, between the three positions played by polocrosse ponies. Injuries that resulted in withdrawal of a pony during outdoor tournaments in the UK over the 2015 and 2016 seasons were recorded. In addition, GPS data and locomotor behaviours were recorded during winter league tournaments in 2017 and compared between the different position ponies. Ponies that played in the defence position were significantly more likely to become injured (P<0.001) with lameness being the most common cause for withdrawal (P<0.001). Ponies playing in the attack position achieved the fastest speeds and covered the furthest distance. Defence ponies performed significantly more abrupt halts (P=0.007), walk to gallop transitions (P=0.017) and sudden changes in direction (P=0.01) than midfield ponies and more of each manoeuvre than attack ponies, although this was not significant. It is important that the physical demands placed upon polocrosse ponies are investigated further; this will allow identification of injury risk factors, inform training programmes and improve the performance and welfare of the horses involved.


Author(s):  
Garrett Scott Bullock ◽  
Nirmala Perera ◽  
Andrew Murray ◽  
John Orchard ◽  
Nigel A Arden ◽  
...  

Summarising and synthesising the evidence on cricket health and wellbeing can help inform cricket stakeholders and navigate future research directions. The purpose of this study was to investigate the relationship between cricket participation, health and wellbeing at all ages and playing standards, and identify research gaps in the existing literature. A scoping review was performed from inception to March, 2020. Studies were included if they assessed a construct related to health and/or wellbeing in cricketers, available in English. 219 articles were eligible. Injury incidence per 1,000 player exposures ranged from 1.8-5.7 injuries. 48% of former cricketers experienced persistent joint pain. However, former cricketers reported greater physical activity levels and mental-components of quality of life compared to the general population. Heat injury/illness and skin cancer are concerns and require further research. Cricket participation is associated with an inherent injury risk, which may have negative implications for musculoskeletal health in later life. However, cricket participation is associated with high quality of life which can persist after retirement. Gaps in the literature include prospective studies on health and wellbeing of cricketers, female cricketers, injury prevention strategies, and the impact of cricket participation on metabolic health and lifetime physical activity.


2012 ◽  
Vol 27 (3) ◽  
pp. 159-164 ◽  
Author(s):  
Ashley M Rickman ◽  
Jatin P Ambegaonkar ◽  
Nelson Cortes

Dancers experience a high incidence of injury due to the extreme physical demands of dancing. The majority of dance injuries are chronic in nature and occur in the lower extremities and low back. Researchers have indicated decreased core stability (CS) as a risk factor for these injuries. Although decreased CS is suggested to negatively affect lower extremity joint motion and lumbar control during activity, this relationship has not been extensively discussed in previous dance literature. Understanding the relationship between CS and injury risk is important to help reduce dance injury incidence and improve performance. The purposes of this review were to discuss 1) the core and components of CS, 2) the relationship between CS and injury, 3) CS assessment techniques, and 4) future dance CS research areas. CS is the integration of passive (non-contractile), active (contractile), and neural structures to minimize the effects of external forces and maintain stability. CS is maintained by a combination of muscle power, strength, endurance, and sensory-motor control of the lumbopelvic-hip complex. CS assessments include measuring muscle strength and power using maximal voluntary isometric and isokinetic contractions and measuring endurance using the Biering-Sorensen, plank, and lateral plank tests. Measuring sensory-motor control requires specialized equipment (e.g., balance platforms). Overall, limited research has comprehensively examined all components of CS together and their relationships to injury. Rather, previous researchers have separately examined core power, strength, endurance, or sensory-motor control. Future researchers should explore the multifactorial role of CS in reducing injury risk and enhancing performance in dancers.


Author(s):  
Angela Gebert ◽  
Markus Gerber ◽  
Uwe Pühse ◽  
Hanspeter Stamm ◽  
Markus Lamprecht

Prevention programmes can reduce injury risk in amateur soccer. Hence, we examined the implementation of injury prevention in the real-world context of Swiss amateur soccer. In 2004 (n = 1029), 2008 (n = 705) and 2015 (n = 1008), a representative sample of Swiss amateur soccer coaches was interviewed by telephone about the frequency of injuries in their teams, the implementation of preventive measures and the use of injury prevention programmes. In the 2015 survey, 86.1% of amateur coaches stated that injury prevention is important and 85.3% of amateur coaches reported that they would implement some kind of preventive measures. The proportion of teams which performed a prevention programme according to minimal standards remained unchanged between 2008 (21.7%) and 2015 (21.9%), although a second prevention programme was made available in 2011. Only 8.6% of the 30+/40+ league teams, which are composed as a function of age, implemented a programme. Overall, the level of implementation of prevention programmes in this real-world context is still unsatisfactory. Offering an additional programme did not lead to a higher willingness to implement such programmes among the coaches. Concerted efforts are needed to remove barriers that hinder the use of such programmes, particularly among coaches of 30+/40+ league teams.


Author(s):  
Liana Lentz ◽  
Jason R. Randall ◽  
Christine A. Guptill ◽  
Douglas P. Gross ◽  
Ambikaipakan Senthilselvan ◽  
...  

A police officer’s career is hazardous and physically demanding. In order to perform occupational tasks effectively and without injury, officers require adequate physical abilities. The aim of this study was to investigate the relationship between scores on several fitness tests and musculoskeletal injury in a group of municipal police officers. This retrospective study used existing data to examine the relationship between risk of injury and fitness test performance. Injured and uninjured police officers scored significantly differently on several fitness measures. A multivariate regression indicated that a combination of age, sex, number of pull ups completed and maximal oxygen consumption (VO2max) best explained injury risk. Additionally, the findings indicated an interaction between sex and VO2max, and so the effect of VO2max on injury risk cannot be understood without accounting for sex.


2020 ◽  
pp. jramc-2019-001347 ◽  
Author(s):  
Thomas J O'Leary ◽  
S L Wardle ◽  
A J Rawcliffe ◽  
S Chapman ◽  
J Mole ◽  
...  

IntroductionUntil recently, women were excluded from British combat roles. Their risk for musculoskeletal injury during basic training is two to three times higher than men. To better understand the musculoskeletal injury risk of women in British Army infantry basic training, we compared injury incidence between (1) men in standard entry training and men in infantry training, to assess the risk of infantry training; and (2) men and women in both standard entry and officer basic training, to assess the risk in women compared with men.MethodsThe incidence of musculoskeletal injury was determined from defence medical records for all men entering infantry training, and for all men and women entering standard entry and officer training, between April 2015 and March 2016.Results7390 men (standard entry, n=4229; infantry, n=2683; officer, n=478) and 696 women (standard entry, n=626; officer, n=70) entered basic training. Men in infantry training had a lower incidence of musculoskeletal injury (391 vs 417 per 1000 personnel, OR 0.90 (95% CI 0.81 to 0.99), p=0.028) and a higher incidence of stress fracture (14 vs 5 per 1000 personnel, OR 2.80 (95% CI 1.64 to 4.80), p<0.001) than men in standard entry training. Women had a higher incidence of musculoskeletal injury than men in standard entry training (522 vs 417 per 1000 personnel, OR 1.53 (95% CI 1.29 to 1.81), p<0.001) and a higher incidence of stress fracture than men in officer training (114 vs 19 per 1000 personnel, OR 6.72 (95% CI 2.50 to 18.07), p<0.001).ConclusionWomen in infantry training may be at similar risk for musculoskeletal injury, but at higher risk for stress fracture, compared with their non-infantry counterparts. Women in infantry training may be at higher risk for musculoskeletal injury and stress fracture compared with men in infantry training.


2018 ◽  
Vol 4 (1) ◽  
pp. e000350 ◽  
Author(s):  
Haiko I M F L Pas ◽  
Stefan Bodde ◽  
Gino M M J Kerkhoffs ◽  
Babette Pluim ◽  
Ivo J H Tiemessen ◽  
...  

IntroductionDespite an injury incidence of up to 3.0/1000 hours of play, there are no published tennis injury prevention programmes. This article aims to describe the developmental process of TennisReady, an e-health tennis-specific injury programme for adult recreational tennis players.Five-step approachA bottom-up, five-step approach was used with the Knowledge Transfer Scheme as a guideline. During the first step, a problem statement among targeted users was carried out. 475 (partially) completed surveys and group interviews (n=8) revealed a preference for an app-based prevention intervention of 10–15 min. As a second step, a systematic review was performed to identify prevention strategies in tennis. None were found. In step 3, during two expert group meetings (n=18), the findings of the first two steps were discussed and goals were formulated. Relevant and potential exercises for the programme were discussed. A subgroup of a total of six physical therapists, physicians and trainers developed the content of the programme in step 4. Step 5 included an evaluation of the exercises in 33 recreational tennis players. Participants evaluated the exercises during training sessions with trainers involved in the programme’s development or their colleagues. Participants evaluated the programme through standardised surveys or group interviews. Based on this evaluation, the programme was adjusted by altering exercises and frequencies, and it was evaluated in a second target group (n=27). The second evaluation did not result in any major changes to the final prevention programme.ConclusionThrough a five-step approach guided by the Knowledge Transfer Scheme, we developed an e-health tennis-specific prevention programme for adult tennis players. This 10 min intervention will require testing in a randomised controlled setting.


2020 ◽  
Vol 17 (1) ◽  
pp. 59
Author(s):  
Ching Ching Wong

Enterprise Risk Management (ERM) is an effective technique in managing risk within an organization strategically and holistically. Risk culture relates to the general awareness, attitudes and behaviours towards risk management in an organisation. This paper presents a conceptual model that shows the relationship between risk culture and ERM implementation. The dependent variable is ERM implementation, which is measured by the four processes namely risk identification and risk assessment; risk treatment; monitor and consult; communicate and consult. The independent variables under risk culture are risk policy and risk appetite; key risk indicators; accountability; incentives; risk language and internal relationships. This study aims to empirically test the relationship between risk culture and ERM implementation among Malaysian construction public listed companies. Risk culture is expected to have direct effects and significantly influence ERM. This study contributes to enhance the body of knowledge in ERM especially in understanding significant of risk culture that influence its’ implementation from Malaysian perspective.


2020 ◽  
pp. bjsports-2019-101297
Author(s):  
David William Kruse ◽  
Andrew Seiji Nobe ◽  
John Billimek

ObjectivesTo determine the injury incidence and characteristics for elite, male, artistic USA gymnasts during gymnastics competitions, held in the USA, from 2008 to 2018.MethodsInjury documentation performed by lead physician and certified athletic trainers at elite junior and senior USA Gymnastics competitions from 2008 to 2018 were reviewed and compiled into an excel database. Injury incidence was computed per 1000 registered gymnasts by competition setting as well as injury location, type, cause, severity, and setting.ResultsFrom 2008 to 2018, 180 injuries were reported in a total of 2102 gymnasts with injury incidence of 85.6 per 1000 gymnasts (95% CI 73.4 to 97.8). The most common injury site was at the ankle (16.7 per 1000 gymnasts, 95% CI 10.9 to 22.4), and muscle strain/rupture/tear was the most common type of injury (28.5 per 1000 gymnasts, 95% CI 21.2 to 35.9). The most common cause was contact with surface (56.1 per 1000 gymnasts, 95% CI 46.1 to 66.2), and the event where most injuries were sustained was the vault (21.9 per 1000 gymnasts, 95% CI 15.4 to 28.4). Incidence of time loss injuries was 38.5 per 1000 gymnasts (95% CI 30.1 to 47.0). Injury incidence was higher during competition (58.5 per 1000 gymnasts, 95% CI 48.2 to 68.8) than during training (27.1 per 1000 RG, 95% CI 19.9 to 34.3; RR 2.16, 95% CI 1.59 to 2.94, p<0.001); injury incidence was greater at Olympic Trials (RR 3.23, 95% CI 1.24 to 8.47, p=0.017) than at National Qualifier meets. We report concussion incidence in gymnastics (5.7 per 1000 gymnasts, 95% CI 2.3 to 9.2).ConclusionsThis is the largest injury study to date for male artistic gymnasts (180 injuries, 2102 gymnasts, 11 years).


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