Although the injury rate of yoga is low, nearly two-thirds of musculoskeletal injuries in yoga affect the lower extremity: a systematic review

2018 ◽  
Vol 3 (4) ◽  
pp. 229-234
Author(s):  
Arya Bekhradi ◽  
Daniel Wong ◽  
Brayden J Gerrie ◽  
Patrick C McCulloch ◽  
Kevin E Varner ◽  
...  
Keyword(s):  
Systematic Review ◽  
Lower Extremity ◽  
Injury Rate ◽  
Musculoskeletal Injuries ◽  
Injury Incidence ◽  
Time Duration ◽  
Lower Extremity Injuries ◽  
Level I ◽  
Extremity Injuries ◽  
Yoga Practitioners

ImportanceYoga is a very popular sporting activity across the world. There is limited information on the epidemiology and characteristics of yoga-related injuries.ObjectiveTo determine the incidence and prevalence of musculoskeletal injuries sustained in yoga.Evidence reviewA systematic review was registered with PROSPERO and performed using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and checklist. Level I–IV evidence studies reporting the incidence and prevalence of musculoskeletal injuries in male and female yoga practitioners were eligible for inclusion. The number and types of injuries were extracted from each study. Duplicate patient populations within separate distinct publications were analysed and reported only once. Injury rates were recorded and calculated on the basis of gender and nature of injury. Incidence was defined as the number of injuries sustained over a specific time duration. Prevalence was defined as the proportion of subjects with an injury at a given point in time.FindingsFive studies were analysed that reported injury incidence or prevalence in yoga (7453 subjects). In four of these studies, the type of yoga was not specified, but Mikkonenet alfocused solely on Ashtanga Vinyasa practitioners. There were 6544 female (88%) and 909 male (12%) yoga practitioners analysed (49.1±13.6 years of age). The incidence of injury among yoga practitioners was 1.18 injuries per 1000 yoga hours. Only four studies provided prevalence data, displaying 6.6% injury prevalence in 7415 yoga practitioners overall (up to 62% in Ashtanga Vinyasa). Overall, lower extremity injuries comprised 64% of total injuries; specifically the hip, hamstring, knee, ankle, feet and toe. The upper extremity and head and trunk injuries account for 13% and 23%, respectively.Conclusions and relevanceThere is limited quantity heterogeneous evidence reporting the characteristics of yoga injuries. The overall injury incidence is 1.18 injuries per 1000 yoga hours. The prevalence of injury is poorly characterised. However, the weighted mean prevalence is 7%. The majority of yoga injuries are lower extremity injuries.Level of evidenceLevel IV, a systematic review of level I–IV studies.

scholarly journals Is core stability a risk factor for lower extremity injuries in an athletic population? A systematic review

2018 ◽  
Vol 30 ◽  
pp. 48-56 ◽  
Author(s):  
Cedric De Blaiser ◽  
Philip Roosen ◽  
Tine Willems ◽  
Lieven Danneels ◽  
Luc Vanden Bossche ◽  
...  
Keyword(s):  
Systematic Review ◽  
Risk Factor ◽  
Lower Extremity ◽  
Core Stability ◽  
Lower Extremity Injuries ◽  
Athletic Population ◽  
Extremity Injuries

Incidence of Lower Extremity Injury in the National Football League: 2015 to 2018

2020 ◽  
Vol 48 (9) ◽  
pp. 2287-2294 ◽  
Author(s):  
Christina D. Mack ◽  
Richard W. Kent ◽  
Michael J. Coughlin ◽  
Kristin Y. Shiue ◽  
Leigh J. Weiss ◽  
...  
Keyword(s):  
Lower Extremity ◽  
National Football League ◽  
Lower Extremity Injury ◽  
Injury Incidence ◽  
Ankle Sprains ◽  
Extremity Injury ◽  
Time Loss ◽  
Lower Extremity Injuries ◽  
Time Burden ◽  
Extremity Injuries

Background: Lower extremity injuries are the most common injuries in professional sports and carry a high burden to players and teams in the National Football League (NFL). Injury prevention strategies can be refined by a foundational understanding of the occurrence and effect of these injuries on NFL players. Purpose: To determine the incidence of specific lower extremity injuries sustained by NFL players across 4 NFL seasons. Study Design: Descriptive epidemiology study. Methods: This retrospective, observational study included all time-loss lower extremity injuries that occurred during football-related activities during the 2015 through 2018 seasons. Injury data were collected prospectively through a leaguewide electronic health record (EHR) system and linked with NFL game statistics and player participation to calculate injury incidence per season and per 10,000 player-plays for lower extremity injuries overall and for specific injuries. Days lost due to injury were estimated through 2018 for injuries occurring in the 2015 to 2017 seasons. Results: An average of 2006 time-loss lower extremity injuries were reported each season over this 4-year study, representing a 1-season risk of 41% for an NFL player. Incidence was stable from 2015 to 2018, with an estimated total missed time burden each NFL season of approximately 56,700 player-days lost. Most (58.7%) of these injuries occurred during games, with an overall higher rate of injuries observed in preseason compared with regular season (11.5 vs 9.4 injuries per 10,000 player-plays in games). The knee was the most commonly injured lower extremity region (29.3% of lower body injuries), followed by the ankle (22.4%), thigh (17.2%), and foot (9.1%). Hamstring strains were the most common lower extremity injury, followed by lateral ankle sprains, adductor strains, high ankle sprains, and medial collateral ligament tears. Conclusion: Lower extremity injuries affect a high number of NFL players, and the incidence did not decrease over the 4 seasons studied. Prevention and rehabilitation protocols for these injuries should continue to be prioritized.

scholarly journals The prevention of musculoskeletal injuries in field hockey: the systematic development of an intervention and its feasibility (Preprint)

2017 ◽  
Author(s):  
Vincent Gouttebarge ◽  
Victor Zuidema
Keyword(s):  
The Netherlands ◽  
Lower Extremity ◽  
Musculoskeletal Injuries ◽  
Field Hockey ◽  
Target Groups ◽  
Warm Up ◽  
Lower Extremity Injuries ◽  
Hockey Players ◽  
Systematic Development ◽  
Extremity Injuries

BACKGROUND Field hockey is associated with a risk for musculoskeletal injuries, especially in the lower extremities. At present time, no measures focussing on the prevention of lower extremity injuries exist in the Netherlands. Consequently, a scientific research project has been initiated in the Netherlands aimed at developing and implementing an evidence-based intervention to prevent the occurrence of lower extremity injuries among young and adult recreational field hockey players. OBJECTIVE This article describes: (i) the systematic development of the intervention; and (ii) the assessment of its feasibility in terms of relevancy, suitability, satisfaction and usability. METHODS The intervention was developed according to the first four steps of the Intervention Mapping and Knowledge Transfer Scheme processes, namely: needs assessment; objective and target groups; content selection; development. Subsequently, a quasi-experimental research (one-group post-test design) was conducted among 35 young field hockey players and seven coaches. Participants were asked to use the intervention for three weeks and the degrees of relevancy, suitability, satisfaction and usability of the intervention were assessed by means of a questionnaire and a group interview. RESULTS First, the needs assessment conducted among the main actors within recreational field hockey revealed that an injury prevention intervention was needed, ideally delivered through videos via an application for smartphone/tablet or website. Second, the objective and target groups of the intervention were defined, namely to prevent or reduce the occurrence of lower extremity injuries among both young and adult recreational field hockey players. Third, preventive measures and strategies (e.g. core stability, strength, coordination) were selected in order to accomplish a decrease in injury incidence. Last, the ‘Warming-Up Hockey’ intervention ‘was developed, consisting of a warm-up programme (16 minutes) delivered by coaches including more than 50 unique exercises. The relevancy, satisfaction and usability of ‘Warming-Up Hockey’ were positively evaluated. Group interviews revealed especially that the warm-up programme in its current form was not suitable as a pre-match warm-up. CONCLUSIONS The feasibility of ‘Warming-Up Hockey’ was positively assessed by players and coaches. In accordance with the feasibility study, the duration of the intervention was reduced to 12 minutes, while a match-specific warm-up was developed. ‘Warming-Up Hockey’ was made available through an application for smartphone/tablet and a website. Prior to its nationwide implementation, the effectiveness of the intervention on injury reduction among field hockey players should be conducted.

Patterns and Implications of Lower Extremity Injuries in a Community Level I Trauma Center

2004 ◽  
Vol 53 (4) ◽  
pp. 373-377 ◽  
Author(s):  
Grant A. Fairbanks ◽  
Robert X. Murphy ◽  
Thomas E. Wasser ◽  
W Michael Morrissey
Keyword(s):  
Lower Extremity ◽  
Trauma Center ◽  
Community Level ◽  
Lower Extremity Injuries ◽  
Level I ◽  
Extremity Injuries

scholarly journals A Comparison of Collegiate Women’s Court and Beach Volleyball Injury Data: A Three Year Retrospective analysis

2019 ◽  
Vol 7 (7_suppl5) ◽  
pp. 2325967119S0040
Author(s):  
Tristan Juhan ◽  
Hyunwoo Paco Kang ◽  
Andrew Homere ◽  
Omid Jalali ◽  
James E. Tibone ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Injury Rate ◽  
Collegiate Athletes ◽  
Injury Patterns ◽  
Back Injuries ◽  
Injury Rates ◽  
Lower Extremity Injuries ◽  
Body Regions ◽  
Volleyball Players ◽  
Extremity Injuries

Objectives: NCAA Division I beach volleyball is a recently introduced sport that has been played for 3 seasons to date. Since the introduction of this new level of athletic participation for women’s’ beach volleyball, no study has been performed to compare the injury patterns between court and sand volleyball playing surfaces. The goal of this study is to compare the injury patterns and incidence in women’s collegiate court and beach volleyball in order to aid trainers, coaches and medical staff in effectively preparing and treating these collegiate athletes. Methods: A 3 year, retrospective review of all training room injury reports were analyzed for both beach and court volleyball from the 2015 through 2017 seasons. Non-athletic injuries or illness were excluded from analysis. Standardized injury rates for beach and court surfaces were calculated by normalizing the total number of injuries by the number of athletes and sets played. To compare the injury patterns among court versus beach volleyball players, injuries were categorized into one of six body regions (abdomen, lower extremity, upper extremity, thorax, head, and back). The proportion of injuries to each of these regions by playing surface was then calculated to compare injury patterns by playing surface. Chi-squared test and odds ratios were used to compare injury rates. Results: Between 2015 and 2017, 90 court volleyball injuries were recorded, while 49 beach volleyball injuries were recorded in the same time period. Court volleyball players had nearly quadruple the injury rate when compared to beach volleyball players, 0.039 and 0.010 injuries per athlete-set respectively (OR 4.05, 95%CI 2.85-5.76, p<0.0001). Court volleyball players suffered a higher proportion of lower extremity injuries when compared to beach volleyball players (51.5% vs. 12.8% respectively, p=0.004), and beach volleyball players suffered a significantly higher proportion of back injuries when compared to court volleyball players, (23.4% vs. 7.8% respectively, p=0.010). Conclusion: The data suggests a significantly higher incidence of injury for court volleyball players when normalized for gameplay exposure. There were, also significant differences in injury patterns with court volleyball players having a higher proportion of lower extremity injuries and beach volleyball having a higher proportion of back injuries. Recognizing these differences can aid in the establishment of preventative strength and conditioning programs as well as post training treatment protocols for these athletes which may increase both the individuals as well as the teams overall competitive success.

Injuries sustained in National Collegiate Athletic Association men's and women's basketball, 2009/2010–2014/2015

2016 ◽  
Vol 52 (4) ◽  
pp. 261-268 ◽  
Author(s):  
Scott L Zuckerman ◽  
Adam M Wegner ◽  
Karen G Roos ◽  
Aristarque Djoko ◽  
Thomas P Dompier ◽  
...  
Keyword(s):  
Lower Extremity ◽  
National Collegiate Athletic Association ◽  
Surveillance Program ◽  
Injury Incidence ◽  
Ankle Sprains ◽  
Injury Rates ◽  
Lower Extremity Injuries ◽  
Women's Basketball ◽  
Rule Changes ◽  
Extremity Injuries

Background/aimRecent rule changes regarding the safety of basketball athletes necessitate up-to-date reports of injury incidence. This study describes the epidemiology of injuries in men's and women's National Collegiate Athletic Association (NCAA) basketball during the 2009/2010–2014/2015 seasons.MethodsBasketball injury data originate from the 2009/2010–2014/2015 academic years from the NCAA Injury Surveillance Program (NCAA-ISP) from 78 men's and 74 women's NCAA basketball programmes which provided 176 and 181 team-seasons, respectively. A reportable injury occurred during organised practice or competition and required attention from an athletic trainer (AT) or physician. Injury rates, injury proportions and rate ratios (RRs) were calculated. All 95% CIs not containing 1.0 were considered statistically significant.ResultsA total of 2308 and 1631 injuries were reported in men's and women's basketball, respectively, for injury rates of 7.97 and 6.54/1000 athlete-exposures (AEs). The rate was higher in men than women (RR=1.22; 95% CI 1.15 to 1.30). Non-time-loss (NTL) injuries (resulting in participation restriction time under 24 hours) accounted for 64.8% and 53.6% of men's competition and practice injuries, respectively, and 53.9% and 51.3% of women's competition and practice injuries, respectively. Injuries to the lower extremity were the most common in competitions (men: 54.9%; women: 59.0%) and practices (men: 62.4%; women: 67.3%). The most common injury in men's and women's basketball was ankle sprain (17.9% and 16.6%, respectively).ConclusionsNTL injuries account for over half of all injuries in basketball. Most injuries were lower extremity injuries, specifically ankle sprains. While rule changes have been implemented to make basketball safer, continued research is needed to assess the effectiveness of these changes.

scholarly journals Concussion in National Football League Athletes Is Not Associated With Increased Risk of Acute, Noncontact Lower Extremity Musculoskeletal Injury

2021 ◽  
Vol 9 (5) ◽  
pp. 232596712110034
Author(s):  
Toufic R. Jildeh ◽  
Fabien Meta ◽  
Jacob Young ◽  
Brendan Page ◽  
Kelechi R. Okoroha
Keyword(s):  
Lower Extremity ◽  
National Football League ◽  
Field Performance ◽  
Return To Play ◽  
Lower Extremity Injury ◽  
Extremity Injury ◽  
Lower Extremity Injuries ◽  
Increased Risk ◽  
Extremity Injuries ◽  
And Control

Background: Impaired neuromuscular function after concussion has recently been linked to increased risk of lower extremity injuries in athletes. Purpose: To determine if National Football League (NFL) athletes have an increased risk of sustaining an acute, noncontact lower extremity injury in the 90-day period after return to play (RTP) and whether on-field performance differs pre- and postconcussion. Study Design: Cohort study, Level of evidence, 3. Methods: NFL concussions in offensive players from the 2012-2013 to the 2016-2017 seasons were studied. Age, position, injury location/type, RTP, and athlete factors were noted. A 90-day RTP postconcussive period was analyzed for lower extremity injuries. Concussion and injury data were obtained from publicly available sources. Nonconcussed, offensive skill position NFL athletes from the same period were used as a control cohort, with the 2014 season as the reference season. Power rating performance metrics were calculated for ±1, ±2, and ±3 seasons pre- and postconcussion. Conditional logistic regression was used to determine associations between concussion and lower extremity injury as well as the relationship of concussions to on-field performance. Results: In total, 116 concussions were recorded in 108 NFL athletes during the study period. There was no statistically significant difference in the incidence of an acute, noncontact lower extremity injury between concussed and control athletes (8.5% vs 12.8%; P = .143), which correlates with an odds ratio of 0.573 (95% CI, 0.270-1.217). Days (66.4 ± 81.9 days vs 45.1 ± 69.2 days; P = .423) and games missed (3.67 ± 3.0 vs 2.9 ± 2.7 games; P = .470) were similar in concussed athletes and control athletes after a lower extremity injury. No significant changes in power ratings were noted in concussed athletes in the acute period (±1 season to injury) when comparing pre- and postconcussion. Conclusion: Concussed, NFL offensive athletes did not demonstrate increased odds of acute, noncontact, lower extremity injury in a 90-day RTP period when compared with nonconcussed controls. Immediate on-field performance of skill position players did not appear to be affected by concussion.

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