Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, South Africa.
Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, South Africa; Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, Spain.
J Sci Med Sport. 2019 Nov;22(11):1200-1205. doi: 10.1016/j.jsams.2019.05.006. Epub 2019 May 11.
To determine the incidence, prevalence and impact of shoulder injury in elite South African cricketers.
Prospective longitudinal cohort study.
One hundred and six senior national/franchise cricketers completed a pre-season Kerlan-Jobe Orthopaedic Clinic shoulder and elbow (KJOC) score. All injuries sustained during the 2016/2017 season were captured on an injury reporting system. Injuries were verified by the respective squad physiotherapist at the end of the season and post-season KJOC score was obtained from all the players.
Eighteen percent (95% CI: 11-25%) of cricketers sustained a shoulder injury, at a rate of 0.19 injuries per player per year. Annual injury prevalence was 1.1%. Shoulder injury occurred primarily while throwing (58%). Fielding performance was maintained by adapting throwing technique (58%) or fielding position (21%). Thirty-two percent of shoulder injuries resulted in time lost to matches and/or training. A history of shoulder injury increased the risk of sustaining another injury by 1.91 times (95% CI: 1.73-2.15). Irrespective of injury, cricketers demonstrated consistently low pre- (78.5 ± 15.6) and post-season (81.2 ± 17.1) KJOC scores. Pre-season KJOC scores were significantly lower (r = 0.106, p = 0.001) in those cricketers with a history of shoulder injury. Cricketers who sustained a seasonal shoulder injury had significantly lower (r = 0.112, p < 0.001) post-season KJOC scores, indicating persistent shoulder pain or dysfunction.
This is the first study to report both time- and non-time-loss shoulder injury in elite South African cricketers. All non-time-loss shoulder injuries compromised primary skill, while some resulted in changes to throwing technique and fielding position. Thus shoulder injury, whether it results in time loss or not, potentially impacts match performance.
确定南非精英板球运动员肩部损伤的发生率、患病率和影响。
前瞻性纵向队列研究。
106 名高级国家队/特许经营权板球运动员完成了季前 Kerlan-Jobe 骨科诊所肩部和肘部（KJOC）评分。记录 2016/2017 赛季期间发生的所有损伤，并在赛季结束时由各自的小队物理治疗师验证，并从所有球员获得赛季后 KJOC 评分。
18%（95%CI：11-25%）的板球运动员遭受肩部损伤，每年的损伤发生率为 0.19 次/人。年度患病率为 1.1%。肩部损伤主要发生在投掷时（58%）。通过调整投掷技术（58%）或守备位置（21%）来维持守备表现。32%的肩部损伤导致错过比赛和/或训练。肩部损伤史使再次受伤的风险增加 1.91 倍（95%CI：1.73-2.15）。无论是否受伤，板球运动员的 KJOC 评分在赛季前（78.5±15.6）和赛季后（81.2±17.1）都明显较低。有肩部损伤史的运动员的 KJOC 评分明显较低（r=0.106，p=0.001）。赛季肩部受伤的运动员的 KJOC 评分明显较低（r=0.112，p<0.001），表明持续存在肩部疼痛或功能障碍。
这是第一项报告南非精英板球运动员时间和非时间损失肩部损伤的研究。所有非时间损失的肩部损伤都损害了主要技能，而一些则导致投掷技术和守备位置的改变。因此，肩部损伤，无论是否导致时间损失，都可能影响比赛表现。
