In-Competition Severe Injury Events in Elite Alpine Ski Racing from 1997 to 2020: The Case of the Austrian Ski Team

Background To increase safety in elite alpine ski racing Injury Surveillance Systems were implemented and preventive measures introduced. However, studies analysing the change in athletes’ injury risk by controlling for their exposure are still scarce. Objectives This study aimed to describe and analyse the risk of in-competition severe injury events (SIEcomp) in elite alpine ski racing. Methods Data recorded in the Austrian Ski Federation’s Injury Surveillance System were used to analyse the SIEcomp incidence. Information on athletes’ competition exposure was obtained from the official website of the International Ski Federation. In 23 seasons, 2333 skier seasons were recorded for the Austrian Ski Team. Within a total of 114,531 runs 169 SIEcomp occurred. Generalised Estimating Equation for Poisson Regressions were applied. Results The SIEcomp incidence per 1000 runs was 1.48 [95% confidence interval (CI) 1.26–1.73] for elite alpine ski racers and 2.21 (95% CI 1.79–2.75) for the subgroup of World Cup racers. A significant sex difference was detected for the subgroup of junior racers with a higher risk for female athletes [risk ratio (RR): 2.97, 95% CI 1.46–6.05]. Between the seasons of 1997 and 2020, the seasonal SIEcomp incidence increased by a factor of 2.67 for elite alpine ski racers and 3.53 for World Cup racers. Downhill (2.75, 95% CI 2.18–3.47) had the highest SIEcomp incidence, followed by super-G (1.94, 95% CI 1.30–2.88), giant slalom (1.40, 95% CI 1.06–1.85), and slalom (0.64, 95% CI 0.43–0.96). Conclusion Although many preventive measures have been implemented in elite alpine ski racing, the risk of SIEcomp has increased over the last two decades.

Survey of laceration injuries experienced by US adolescent and young adult alpine skier racers during the 2018–2019 ski season

Recently during ski racing competitions, a few high-profile accidents resulted in severe life-threatening laceration injuries. Ski-laceration injuries are caused by metal ski edges cutting through skin/muscles/arteries during falls and range in severity. There is a desire by the racing community to better protect skiers. However, current laceration injury research does not provide detailed information about laceration injuries or focus on adolescent and young adult ski racers. Therefore, the Self-Report Slash Injury Survey (Slash Survey) was conducted to (a) measure the frequency, severity, and body location of laceration injuries during skiing and (b) identify the skiing environment and ski maintenance level during laceration injuries. The Slash Survey was an online survey that asked participants ages 10–24, who are enrolled in US ski race programs, to report whether they experienced a laceration injury and what ski maintenance was used during the 2018–2019 ski season. The Slash Survey results suggest that the laceration injury rate during the 2018–2019 ski season was 6.8% and almost half the lacerations reported were considered slight (i.e. <1 day of absence from the sport). For respondents of the survey, no correlation was found between laceration injuries and (a) slope surface conditions, (b) outside temperature, (c) weather, (d) skiing activity, and (e) ski maintenance (tuning). From the survey, the most common ski tuning method was using a file guide by hand (29%), automated ski tune at a ski shop (20%), stone grind (17%), and cup wheel grinder (17%). Furthermore, open-ended responses suggest that a ski community narrative may be amplifying the awareness of laceration injuries. The aim of this survey was to establish detailed information about ski laceration injuries among adolescent and young adult US ski racers for the development of mitigation strategies.

Trunk Flexion to Extension Strength Ratio of 11- to 18- Year Old Youth Ski Racers: Data from 15 Years of Talent Development in Austria

Purpose The aim of the present study was to evaluate the trunk strength capacity of alpine ski racers aged 10–18 years, who were tested during the last 15 years, to identify reference values for trunk flexor to extensor strength ratios according to age and sex. Methods In total, 2841 participants (1605 males, 1236 females; 10–18 years) were included, who were pupils of a famous skiing-specific secondary modern school or members of the provincial ski team between 2006 and 2020. The maximum isometric trunk flexion and extension strength was measured using the slightly modified Back Check. Sex-specific differences were assessed with Student’s t test or Mann–Whitney-U test. Univariate analyses of variance or Kruskal–Wallis-H tests were used to assess differences between age groups. Descriptive sex- and age-specific reference values were calculated (norm area: mean ± ½ standard deviation). Results Sex-specific differences were found for both flexion (starting at 11 years) and extension strength (starting at 12 years) (P < 0.001). Lower flexion to extension strength ratios were identified for males (0.89 ± 0.18) compared with females (0.82 ± 0.15), but the ratios remained constant across age groups for both sexes. Conclusion The present study provides age- and sex-specific reference values for trunk flexion to extension strength ratios for 10- to 18-year old youth and adolescent ski racers. The data of the present study represent a large data pool of youth ski racers at a high-performance level; thus, coaches can use the reference values for comparing the ratios of their athletes.

Maximal Isometric or Eccentric Hamstring Strength—Which Test Modality Might Be More Suitable for Assessments in Youth Alpine Ski Racers?

Background: Physical fitness is an important component in the development of youth alpine ski racers. To write systematically planned and age-appropriate fitness programs athletes need to be physically tested at regular intervals at an early age. Although well-developed hamstring muscle strength is important for alpine ski racing performance and the prevention of serious knee injuries, it has not been well investigated, especially in youth athletes. Accordingly, the first aim of the present study was to assess the test-retest reliability of the maximum bilateral eccentric (MBEHS) and unilateral isometric (MUIHS) hamstring tests. The second aim of the present study was to assess whether the results of these two methods correlate and if it is possible to commit to one of the two methods to provide an economic test procedure. Methods: The first study included 26 (14 females/12 males) youth alpine ski racers aged between 12 and 13 years. All athletes performed two MBEHS and two MUIHS tests, 7 days apart. The intraclass correlation coefficient (ICC 3,1) and their 95% confidence intervals based on a consistency two-way mixed model were used to estimate the reliability of the two different test modalities. The second study included 61 (27 females/34 males) youth alpine ski racers aged between 10 and 13 years. All athletes performed one MBEHS and one MUIHS test. Bland-Altman plots and the 95% limits of agreement as well as correlations by Pearson (r) between the different test modalities were assessed. Results: In study 1 “poor” to “moderate” (MBEHS right leg 0.79 (0.58–0.90); left leg 0.83 (0.66–0.92); MUIHS right leg 0.78 (0.56–0.89); left leg 0.66 (0.37–0.83)) ICC values and 95% confident intervals were obtained. Standard error of measurement (SEM) between trails was between 18.3 and 25.1 N. Smallest detectable difference (SDD) was between 50.8 and 69.5 N. In study 2 mean differences between MBEHS and MUIHS was around 20 N with higher values for MBEHS. Significant moderate-to-strong correlations were found between the test modalities (r = 0.74–0.84, p <0.001). Conclusions: The MBEHS test has higher ICC values, lower CV values, higher SEM values and lower SDD values than the MUIHS test. All this suggests that the MBEHS test is more suitable than the MUIHS test to determine the maximum hamstring force in young alpine ski racers.