The Wits-JBI Centre for Evidenced-Based Practice: A JBI Affiliated Group, Johannesburg, South Africa.
Wits Cricket Research Hub for Science, Medicine and Rehabilitation, Physiotherapy Department, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
JBI Evid Synth. 2022 Jul 1;20(7):1741-1790. doi: 10.11124/JBIES-21-00120.
The objective of the review was to describe the incidence and prevalence of injuries among female cricket players of all ages, participating in all levels of play.
Cricket, a bat-and-ball sport, is becoming popular among women of all ages and abilities worldwide. However, cricket participation carries a risk of injury. Injuries negatively affect sport participation, performance, and short- and long-term health and well-being. Injury prevention, therefore, is the key to safe, long-term cricket participation as a physical activity goal. Epidemiological data are needed to underpin evidence-based injury-prevention strategies.
Studies reporting incidence and prevalence of injuries in female cricket players of all ages, participating in all levels of play, were included in this review, including studies that report data by sex or by sport. Studies were excluded if they did not have enough data to calculate prevalence or incidence, did not distinguish female injury data from male injury data, focused on athletes participating in other sports, or focused on case studies.
A systematic review and meta-analyses were conducted according to the JBI and PRISMA 2020 guidelines. MEDLINE, SPORTDiscus, Physiotherapy Evidence Database (PEDro), EBSCO MasterFILE Premier, EBSCO CINAHL Complete, ProQuest Health and Medical Complete, Scopus, and ScienceDirect were systematically searched from inception to August 2021. Additionally, Cochrane Central Register of Controlled Trials and ClinicalTrials.gov were searched. EBSCO MegaFile Premier, OpenGrey (SIGLE), WorldCat, Grey Matters, Grey Literature, and Google Scholar were searched for gray literature. Full-text articles that met the inclusion criteria were critically appraised using tools from JBI, and were extracted and synthesized in narrative summary and tabular format. Three meta-analyses were conducted: injury incidence rates, injury prevalence proportions, and injury incidence proportions. Heterogeneity was assessed using the I2 statistic and the random-effects model.
Of the 7057 studies identified, 4256 were screened after duplicates were removed. A total of 23 studies met the inclusion criteria. Risk of bias was low for 21 studies. The injury incidence rate for elite cricket was 71.9 (SE 21.3, 95% CI 30.2-113.6) injuries per 1000 player hours, time-loss injury incidence rate was 13.3 (SE 4.4, 95% CI 4.6-22.0) injuries per 1000 player hours, and non-time-loss injury incidence rate was 58.5 (SE 16.9, 95% CI 25.6-91.7) injuries per 1000 player hours. The injury prevalence proportion for community to elite cricket was 65.2% (SE 9.3, 95% CI 45.7-82.3) and the injury prevalence proportion for community cricket was 60% (SE 4.5, 95% CI 51.1-68.6). The injury incidence proportion for community cricket was 5.6 (SE 4.4, 95% CI 0.1-18.3) injuries per 10,000 participants. Elite cricket players were more frequently injured than community cricket players. The most prevalent body regions injured were the shoulder and knee, and most were sustained by fast bowlers. Injuries to the hand, wrist, and fingers had the highest incidence and were most sustained by fielders.
The study's findings can help stakeholders (including players, coaches, clinicians, and policymakers) make informed decisions about cricket participation by informing and implementing strategies to promote cricket as a vehicle for positive public health outcomes. This review also identified gaps in the available evidence base, and addressing these through future research would enhance women's cricket as a professional sport.
PROSPERO CRD42020166052.
本次综述的目的是描述所有年龄段女性板球运动员在各级比赛中的受伤发生率和患病率。
板球是一项击球和投球运动，在全球范围内，越来越多的女性参与其中，且不论年龄和能力大小。然而，参与板球运动存在受伤风险。受伤会对运动参与、表现以及短期和长期的健康和幸福感产生负面影响。因此，预防受伤是确保安全、长期参与板球运动作为一项身体活动目标的关键。需要有流行病学数据来支持基于证据的预防受伤策略。
本综述纳入了所有年龄段的女性板球运动员在各级比赛中受伤发生率和患病率的研究，包括按性别或按运动分类报告数据的研究。如果研究没有足够的数据来计算患病率或发病率、没有将女性受伤数据与男性受伤数据区分开来、重点关注其他运动项目的运动员、或重点关注病例研究，则将其排除在外。
根据 JBI 和 PRISMA 2020 指南进行系统评价和荟萃分析。从建库开始至 2021 年 8 月，系统地检索了 MEDLINE、SPORTDiscus、Physiotherapy Evidence Database（PEDro）、EBSCO MasterFILE Premier、EBSCO CINAHL Complete、ProQuest Health and Medical Complete、Scopus 和 ScienceDirect 等数据库。此外，还检索了 Cochrane Central Register of Controlled Trials 和 ClinicalTrials.gov。EBSCO MegaFile Premier、OpenGrey（SIGLE）、WorldCat、Grey Matters、Grey Literature 和 Google Scholar 用于检索灰色文献。对符合纳入标准的全文文章使用 JBI 工具进行批判性评估，并以叙述性总结和表格形式进行提取和综合。进行了三项荟萃分析：受伤发生率、受伤患病率和受伤发生率。使用 I2 统计量和随机效应模型评估异质性。
在 7057 篇已识别的研究中，剔除重复文献后有 4256 篇进行了筛选。共有 23 项研究符合纳入标准。21 项研究的偏倚风险较低。精英板球的受伤发生率为 71.9（SE 21.3，95%CI 30.2-113.6）每 1000 名运动员小时受伤，伤停时间损失的受伤发生率为 13.3（SE 4.4，95%CI 4.6-22.0）每 1000 名运动员小时受伤，非伤停时间损失的受伤发生率为 58.5（SE 16.9，95%CI 25.6-91.7）每 1000 名运动员小时受伤。社区到精英板球的受伤患病率为 65.2%（SE 9.3，95%CI 45.7-82.3），社区板球的受伤患病率为 60%（SE 4.5，95%CI 51.1-68.6）。社区板球的受伤发生率为 5.6（SE 4.4，95%CI 0.1-18.3）每 10000 名参与者受伤。精英板球运动员比社区板球运动员更容易受伤。受伤最常见的身体部位是肩部和膝盖，大多数是快速投球手受伤。手部、手腕和手指受伤的发病率最高，大多数是外野手受伤。
该研究结果可以帮助利益相关者（包括运动员、教练、临床医生和政策制定者）通过告知和实施促进板球作为积极公共健康结果的手段，对板球参与做出明智的决策。本综述还确定了现有证据基础中的差距，并通过未来的研究来解决这些差距，将有助于提高女子板球作为一项职业运动。
PROSPERO CRD42020166052。
