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Injury patterns in Swedish elite athletics: Annual incidence, injury types and risk factors
Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
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2013 (English)In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 47, no 15, 941-952 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To estimate the incidence, type and severity of musculoskeletal injuries in youth and adult elite athletics athletes and to explore risk factors for sustaining injuries. Design: Prospective cohort study conducted during a 52-week period. Setting: Male and female youth and adult athletics athletes ranked in the top 10 in Sweden (n=292). Results: 199 (68%) athletes reported an injury during the study season. Ninety-six per cent of the reported injuries were non-traumatic (associated with overuse). Most injuries (51%) were severe, causing a period of absence from normal training exceeding 3 weeks. Log-rank tests revealed risk differences with regard to athlete category (p=0.046), recent previous injury (>3 weeks time-loss; p=0.039) and training load rank index (TLRI; p=0.019). Cox proportional hazards regression analyses showed that athletes in the third (HR 1.79; 95% CI 1.54 to 2.78) and fourth TLRI quartiles (HR 1.79; 95% CI 1.16 to 2.74) had almost a twofold increased risk of injury compared with their peers in the first quartile and interaction effects between athlete category and previous injury; youth male athletes with a previous serious injury had more than a fourfold increased risk of injury (HR=4.39; 95% CI 2.20 to 8.77) compared with youth females with no previous injury. Conclusions: The injury incidence among both youth and adult elite athletics athletes is high. A training load index combing hours and intensity and a history of severe injury the previous year were predictors for injury. Further studies on measures to quantify training content and protocols for safe return to athletics are warranted. © 2013 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine , 2013. Vol. 47, no 15, 941-952 p.
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-8422DOI: 10.1136/bjsports-2012-091651ISI: 000324415300004PubMedID: 23543425Scopus ID: 2-s2.0-84884281313OAI: oai:DiVA.org:his-8422DiVA: diva2:641417
Note

Correspondence Address: Jacobsson, J.; Department of Medical and Health Sciences, Linköping University, Linköping, SE 58183, Swedemail: jenny.jacobsson@liu.se

Available from: 2013-08-16 Created: 2013-08-16 Last updated: 2015-01-28Bibliographically approved

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