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Beech J, Jones B, Hughes T, Emmonds S. Injury Profile in Youth Female Athletes: A Systematic Review and Meta-Analysis. Sports Med 2024; 54:1207-1230. [PMID: 38263483 PMCID: PMC11127887 DOI: 10.1007/s40279-023-01988-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/16/2023] [Indexed: 01/25/2024]
Abstract
BACKGROUND An increasing number of epidemiological studies assessing the incidence, prevalence and severity of injury in youth female sport are available. However, no study has sought to synthesise the current evidence base across all youth female sport. As such, a systematic review and meta-analysis of injury in this cohort is necessary to understand the diversity of injury and its associated burden between sports in addition to identifying the density of research available. OBJECTIVE To conduct a systematic review and meta-analysis of epidemiological data of injuries in youth female athletes with particular attention to injury incidence, mean days lost and injury burden. METHODS Searches were performed in PubMed, EBSCO (SPORTDiscus with Full Text MEDLINE, APA PsycINFO, CINAHL, Academic Search Complete) and Cochrane databases. Studies were considered if they reported time-loss injury incidence or prevalence in youth female (≤ 19 years old) athletes. Study quality and risk of bias were assessed using STROBE-SIIS extension, Newcastle-Ottawa Scale, and funnel plots, respectively. Injury incidence and burden rate data were modelled using a mixed-effect Poisson regression model. Days lost data were modelled using a generalised linear mixed model. RESULTS Thirty-two studies were included. The overall incidence rate, mean days lost per injury, and burden rate were 4.4 injuries per 1000 h (95% CI 3.3-5.9), 10 days (95% CI 6-15), and 46 days per 1000 h (95% CI 23-92), respectively. Forty percent of athletes sustained at least one time-loss injury. Competitive level was a significant moderator of match and training injury incidence, with elite youth athletes presenting greater pooled injury incidence estimates than non-elite athletes (p = 0.0315 and p = 0.0047, respectively). The influence of moderators on days lost and injury burden could not be determined due to an insufficient number of studies for analysis. CONCLUSION Despite a broad inclusion criterion, there is limited injury surveillance research available across youth female sport. Outside of soccer, little research density is evidenced with single studies available in popular team sports such as Australian football and rugby union. Insufficient study numbers reporting mean days lost and injury burden data were available for analysis, and pooled days lost data could only be estimated for soccer. This highlights a need for future research to report days lost data alongside injury number and exposure so burden can be calculated and the full risk of injury to youth female athletes can be identified.
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Affiliation(s)
- Jake Beech
- Carnegie School of Sport, Leeds Beckett University, Leeds, UK.
- The Football Association, Burton-Upon-Trent, UK.
| | - Ben Jones
- Carnegie School of Sport, Leeds Beckett University, Leeds, UK
- England Performance Unit, The Rugby Football League, Leeds, UK
- Leeds Rhinos Rugby League Club, Leeds, UK
- Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, the University of Cape Town and the Sports Science Institute of South Africa, Cape Town, South Africa
- School of Science and Technology, University of New England, Armidale, NSW, Australia
| | - Thomas Hughes
- Carnegie School of Sport, Leeds Beckett University, Leeds, UK
| | - Stacey Emmonds
- Carnegie School of Sport, Leeds Beckett University, Leeds, UK
- The Football Association, Burton-Upon-Trent, UK
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Jacobs J, Olivier B, Brandt C. Injury profiles in sub-elite Women's Cricket: Exploring incidence, prevalence, nature, onset and body region. Phys Ther Sport 2024; 67:125-130. [PMID: 38701662 DOI: 10.1016/j.ptsp.2024.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 04/14/2024] [Accepted: 04/15/2024] [Indexed: 05/05/2024]
Abstract
INTRODUCTION The rise in participation in sports, like women's cricket, is linked with increased injury risk. Providing high-level longitudinal data is the first step in implementing evidence-based injury prevention strategies. DESIGN Prospective cohort study. OBJECTIVE This cohort study aims to describe the injury profiles in sub-elite women's cricket in South Africa during the 2022/23 season. METHODS Injuries were prospectively recorded using injury surveillance questionnaires, injury surveillance database, and logbooks completed by each team's medical staff. Injury rates were investigated for match and training days, body region, player role, nature, and activity at the time of injury. RESULTS Three teams with a total of 44 players (20.86 ± 1.6 years) were included in the study. Injury incidence was 85.23 per 1000 player match days, 15.91 for match time-loss and 69.32 for non-time-loss, with 2.95% of players unavailable for match selection on any day. Fast bowlers had the highest injury incidence. Fielding caused 46.67% of all injuries. Injury incidence was higher in training than in matches. The wrist/hand had the highest injury incidence and caused the most match time-loss. CONCLUSION This study provides valuable insights regarding the current injury rates in sub-elite female cricket players.
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Affiliation(s)
- Jolandi Jacobs
- Wits Cricket Research Hub for Science, Medicine and Rehabilitation, Department of Physiotherapy, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Physiotherapy Department, School of Health, Medical and Applied Science, College of Health Sciences, Central Queensland University, Rockhampton, Queensland, Australia.
| | - Benita Olivier
- Wits Cricket Research Hub for Science, Medicine and Rehabilitation, Department of Physiotherapy, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Oxford Institute of Nursing, Midwifery and Allied Health Research, Department of Sport, Health Sciences and Social Work, Oxford Brookes University, Oxford, United Kingdom
| | - Corlia Brandt
- Department of Physiotherapy, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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Williams A, Peirce N, Griffin S, Langley B, Warren A, Wedatilake T, Goggins L, McKay CD, Stokes KA, Williams S. A similar injury profile observed in franchise men's and women's cricket in England and Wales: injury surveillance analysis from the first three 'The Hundred' competitions. BMJ Open Sport Exerc Med 2024; 10:e001815. [PMID: 38268523 PMCID: PMC10806551 DOI: 10.1136/bmjsem-2023-001815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/09/2024] [Indexed: 01/26/2024] Open
Abstract
Objectives To describe the injury profile of a novel format cricket competition ('The Hundred') and compare injury incidence and prevalence between the men's and women's competitions. Methods Medical staff prospectively collected injury data from the eight men's and women's teams during the 2021-2023 competitions. Injury definitions and incidence calculations followed the international consensus statement. Results In the men's competition, 164 injuries were recorded, compared with 127 in the women's competition. Tournament injury incidence was 36.6 (95% CI 31.4 to 42.7) and 32.5 (95% CI 27.3 to 38.7)/100 players/tournament in the men's and women's competition, respectively. Non-time-loss incidence (men's 26.6 (95% CI 22.2 to 31.8), women's 24.6 (95% CI 20.1 to 30.0)/100 players/tournament) was higher than time-loss incidence (men's 10.0 (95% CI 7.5 to 13.5), women's 7.9 (95% CI 5.6 to 11.3)/100 players/tournament). Injury prevalence was 2.9% and 3.6% in the men's and women's competitions, respectively. Match fielding was the most common activity at injury in both competitions. The thigh and hand were the most common body location time-loss injury in the men's and women's competitions, respectively. Conclusion A similar injury profile was observed between the men's and women's competition. Preventative strategies targeting thigh injuries in the men's competition and hand injuries in the women's competition would be beneficial. Compared with published injury rates, 'The Hundred' men's presents a greater risk of injury than Twenty20 (T20), but similar to one-day cricket, with 'The Hundred' women's presenting a similar injury risk to T20 and one-day cricket. Additional years of data are required to confirm these findings.
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Affiliation(s)
- Amy Williams
- Department for Health, Centre for Health and Injury & Illness Prevention in Sport, University of Bath, Bath, UK
- UK Collaborating Centre on Injury and Illness Prevention in Sport (UKCCIIS), Edinburgh & Bath, UK
| | - Nicholas Peirce
- Science and Medicine, England and Wales Cricket Board, Loughborough, UK
| | - Steve Griffin
- Science and Medicine, England and Wales Cricket Board, Loughborough, UK
| | | | - Anna Warren
- Science and Medicine, England and Wales Cricket Board, Loughborough, UK
| | | | - Luke Goggins
- Science and Medicine, England and Wales Cricket Board, Loughborough, UK
| | - Carly D McKay
- Department for Health, Centre for Health and Injury & Illness Prevention in Sport, University of Bath, Bath, UK
- UK Collaborating Centre on Injury and Illness Prevention in Sport (UKCCIIS), Edinburgh & Bath, UK
| | - Keith A Stokes
- Department for Health, Centre for Health and Injury & Illness Prevention in Sport, University of Bath, Bath, UK
- UK Collaborating Centre on Injury and Illness Prevention in Sport (UKCCIIS), Edinburgh & Bath, UK
| | - Sean Williams
- Department for Health, Centre for Health and Injury & Illness Prevention in Sport, University of Bath, Bath, UK
- UK Collaborating Centre on Injury and Illness Prevention in Sport (UKCCIIS), Edinburgh & Bath, UK
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Saw A, Eales B, Jones N, Obst A, Smith M, Kountouris A, Saw R. Lumbar Bone Stress Injuries and Nonunited Defects in Elite Australian Cricket Players. Clin J Sport Med 2024; 34:44-51. [PMID: 36853903 DOI: 10.1097/jsm.0000000000001132] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 01/24/2023] [Indexed: 03/01/2023]
Abstract
OBJECTIVE To describe the presentation and management of lumbar bone stress injuries (LBSI), recurrent LBSI, and lumbar nonunited defects in elite Australian male and female cricket players. DESIGN Retrospective case series. SETTING Professional domestic and international cricket teams over 13 seasons. PARTICIPANTS Elite Australian cricket players. INDEPENDENT VARIABLES Symptomatic LBSI requiring time off cricket and lumbar nonunited defects, both confirmed by imaging. MAIN OUTCOME MEASURES Incidence, presentation, history, healing, and management. RESULTS 211 LBSI were identified at an average incidence of 5.4 per 100 players per season. LBSI were most common in male pace bowlers younger than 20 years of age (58.1 per 100 players per season), however, were also observed in older players, females, and non-pace bowlers. Recurrent LBSI accounted for 33% (27%-40%) of all LBSI. Median days to return to match availability was 182 (128-251) days for all LBSI, with a shorter time frame observed for new and less severe injuries, and male spin bowlers. Healing was demonstrated in 87% (81%-91%) of all LBSI cases. 29 nonunited defects were identified and predisposed subsequent pain, LBSI, and spondylolisthesis. CONCLUSIONS LBSI are experienced by approximately 5.4 in every 100 elite Australian cricket players per season, with a high time cost of approximately 4 to 8 months. Nonunited defects also have a high time cost with associated subsequent lumbar spine issues. The findings of this study reinforce the importance of early detection and conservative management of LBSI, particularly for younger male pace bowlers and players with recurrent LBSI, which may be supported by MRI.
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Affiliation(s)
- Anna Saw
- Cricket Australia, VIC, Australia
| | | | | | - Alan Obst
- South Australian Cricket Association, SA, Australia
| | | | | | - Richard Saw
- WA Cricket, WA, Australia
- Australian Institute of Sport, ACT, Australia
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Comparison of injury profiles between elite Australian male and female cricket players. J Sci Med Sport 2023; 26:19-24. [PMID: 36522249 DOI: 10.1016/j.jsams.2022.12.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2021] [Revised: 11/01/2022] [Accepted: 12/01/2022] [Indexed: 12/09/2022]
Abstract
OBJECTIVES This study presents seven seasons of injury surveillance data for both elite Australian male and female cricket players, revealing injury statistics and allowing for comparison between sexes. DESIGN Retrospective cohort. METHODS Participants were elite Australian male and female cricket players who were contracted to play for a national and/or state/territory team and/or T20 franchise between 2015-16 and 2021-22 (7 seasons). Injury data was recorded in Cricket Australia's Athlete Management System database and combined with match data. The STROBE-SIIS statement was used as the relevant guideline for this study. RESULTS Data for 1345 male player seasons and 959 female player seasons revealed sex-related differences in the injury incidence rates and prevalence. Males had higher incidence (average 136 vs 101 injuries per 1000 match days) and prevalence of match time-loss injuries (average 10.4% vs 6.5% players unavailable). However, the overall incidence of all medical attention injuries were similar between sexes (Incidence Rate Ratio (IRR) 0.9, 95%CI 0.8-1.0). The most frequent match time-loss injuries for males were hamstring strains (7.4 new injuries per 100 players per season), side and abdominal strains (5.5), concussion (5.0), lumbar stress fractures (4.3), and wrist and hand fractures (3.9). The most frequent match time-loss injuries for females over the 7 seasons were hamstring strains (3.1), concussion (2.3), quadriceps strains (2.4) and shin/foot/ankle stress fractures (2.0). The IRR of medical attention injuries for males compared to females was higher for lumbosacral stress fractures (IRR 2.3), elbow and forearm injuries (1.5), and concussion (1.4), and lower for lower leg, foot, and ankle stress fractures (0.6), shoulder and upper arm injuries (0.7), and quadriceps strains (0.6). CONCLUSIONS Robust long-term injury surveillance enabled the injury profiles of elite Australian male and female cricket players to be understood and compared. Males had a higher incidence and prevalence of match time-loss injuries, likely reflecting a higher match exposure.
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Goggins L, Warren A, Osguthorpe D, Peirce N, Wedatilake T, McKay C, Stokes K, Williams S. Detecting Injury Risk Factors with Algorithmic Models in Elite Women's Pathway Cricket. Int J Sports Med 2021; 43:344-349. [PMID: 34560790 DOI: 10.1055/a-1502-6824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
This exploratory retrospective cohort analysis aimed to explore how algorithmic models may be able to identify important risk factors that may otherwise not have been apparent. Their association with injury was then assessed with more conventional data models. Participants were players registered on the England and Wales Cricket Board women's international development pathway (n=17) from April 2018 to August 2019 aged between 14-23 years (mean 18.2±1.9) at the start of the study period. Two supervised learning techniques (a decision tree and random forest with traditional and conditional algorithms) and generalised linear mixed effect models explored associations between risk factors and injury. The supervised learning models did not predict injury (decision tree and random forest area under the curve [AUC] of 0.66 and 0.72 for conditional algorithms) but did identify important risk factors. The best-fitting generalised linear mixed effect model for predicting injury (Akaike Information Criteria [AIC]=843.94, conditional r-squared=0.58) contained smoothed differential 7-day load (P<0.001), average broad jump scores (P<0.001) and 20 m speed (P<0.001). Algorithmic models identified novel injury risk factors in this population, which can guide practice and future confirmatory studies can now investigate.
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Affiliation(s)
- Luke Goggins
- Department for Health, University of Bath, Bath, United Kingdom of Great Britain and Northern Ireland
| | - Anna Warren
- England and Wales Cricket Board, National Cricket Performance Centre, Loughborough, United Kingdom of Great Britain and Northern Ireland
| | - David Osguthorpe
- England and Wales Cricket Board, National Cricket Performance Centre, Loughborough, United Kingdom of Great Britain and Northern Ireland
| | - Nicholas Peirce
- England and Wales Cricket Board, National Cricket Performance Centre, Loughborough, United Kingdom of Great Britain and Northern Ireland
| | - Thamindu Wedatilake
- England and Wales Cricket Board, National Cricket Performance Centre, Loughborough, United Kingdom of Great Britain and Northern Ireland
| | - Carly McKay
- Department for Health, University of Bath, Bath, United Kingdom of Great Britain and Northern Ireland
| | - KeithA Stokes
- Department for Health, University of Bath, Bath, United Kingdom of Great Britain and Northern Ireland
| | - Sean Williams
- Department for Health, University of Bath, Bath, United Kingdom of Great Britain and Northern Ireland
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