Cricket fast bowling workload patterns as risk factors for tendon, muscle, bone and joint injuries
- 9 March 2015
- journal article
- research article
- Published by BMJ in British Journal of Sports Medicine
- Vol. 49 (16), 1064-1068
- https://doi.org/10.1136/bjsports-2014-093683
Abstract
Objective To assess workload-related risk factors for injuries to particular tissue types in cricket fast bowlers. Design 235 fast bowlers who bowled in 14600 player innings over a period of 15 years were followed in a prospective cohort risk factor study to compare overs bowled in each match (including preceding workload patterns) and injury risk in the 3–4 weeks subsequent to the match. Injuries were categorised according to the affected tissue type as either: bone stress, tendon injuries, muscle strain or joint injuries. Workload risk factors were examined using binomial logistic regression multivariate analysis, with a forward stepwise procedure requiring a significance of Results High acute match workload and high previous season workload were risk factors for tendon injuries, but high medium term (3-month workload) was protective. For bone stress injuries, high medium term workload and low career workload were risk factors. For joint injuries, high previous season and career workload were risk factors. There was little relationship between muscle injury and workload although high previous season workload was slightly protective. Conclusions The level of injury risk for some tissue types varies in response to preceding fast bowling workload, with tendon injuries most affected by workload patterns. Workload planning may need to be individualised, depending on individual susceptibility to various injury types. This study supports the theory that tendons are at lowest risk with consistent workloads and susceptible to injury with sudden upgrades in workload. Gradual upgrades are recommended, particularly at the start of a bowler's career to reduce the risk of bone stress injury.Keywords
This publication has 23 references indexed in Scilit:
- The role of International Sport Federations in the protection of the athlete's health and promotion of sport for health of the general populationBritish Journal of Sports Medicine, 2013
- Sports and exercise-related tendinopathies: a review of selected topical issues by participants of the second International Scientific Tendinopathy Symposium (ISTS) Vancouver 2012British Journal of Sports Medicine, 2013
- More research is needed into the effects on injury of substitute and interchange rules in team sportsBritish Journal of Sports Medicine, 2011
- The management of tennis elbowBMJ, 2011
- Changes to injury profile (and recommended cricket injury definitions) based on the increased frequency of Twenty20 cricket matchesOpen Access Journal of Sports Medicine, 2010
- No injuries, but plenty of pain? On the methodology for recording overuse symptoms in sportsBritish Journal of Sports Medicine, 2009
- Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathyBritish Journal of Sports Medicine, 2008
- A Dynamic Model of Etiology in Sport Injury: The Recursive Nature of Risk and CausationClinical Journal of Sport Medicine, 2007
- Injuries to elite male cricketers in Australia over a 10-year periodJournal of Science and Medicine in Sport, 2006
- Biomechanics and Pathophysiology of Overuse Tendon InjuriesSports Medicine, 2004