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  • Title: Injury patterns in Swedish elite athletics: annual incidence, injury types and risk factors.
    Author: Jacobsson J, Timpka T, Kowalski J, Nilsson S, Ekberg J, Dahlström Ö, Renström PA.
    Journal: Br J Sports Med; 2013 Oct; 47(15):941-52. PubMed ID: 23543425.
    Abstract:
    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.
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