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1.
J Sports Med Phys Fitness ; 63(12): 1324-1330, 2023 Dec.
Article in English | MEDLINE | ID: mdl-37791828

ABSTRACT

BACKGROUND: Padel is a racket sport similar to tennis, which since the COVID-19 pandemic has been gaining popularity among recreational players. Despite its popularity, epidemiological studies are still lacking. This study aimed to identify the prevalence of injuries among Italian recreational padel players and associated risk factors. METHODS: A questionnaire was administered to 127 recreational padel players between January 2022 to March 2022. The questionnaire consisted of questions to collect information regarding intrinsic and extrinsic factors related to padel practice, injury location, and injury typology. Frequencies and proportions were calculated for variable description. Binomial logistic regression was adopted to identify potential risk factors. RESULTS: Of the 127 participants, 100 (78.8%) reported having had an injury during the previous year. Such injury in most cases (37%) resulted in an absence from padel from 8 to 28 days. The most common injury locations were lower leg/Achilles tendon (17.1%) and elbow (13.8%), while the most common injury typologies were tendinopathies (33.6%) and contusions (14.9%). Among the identified risk factors the amount of time played padel (3.5-5 hours/week), racket type (round), and racket weight (either not knowing or 356-375 g) resulted in an increase in the probability of occurring an injury. CONCLUSIONS: Recreational padel results in a high percentage of injuries. These frequently result in tendinopathies of the Achilles tendon and elbow. Inadequate racket characteristics and the amount of time played could contribute to an increase in injury incidence.


Subject(s)
Tendinopathy , Tennis , Humans , Incidence , Pandemics , Tennis/injuries , Risk Factors
2.
JBJS Case Connect ; 13(1)2023 01 01.
Article in English | MEDLINE | ID: mdl-36821418

ABSTRACT

CASE: A 16-year-old, right-hand-dominant, Asian male, elite tennis player presented to the clinic with a 1-month history of left shoulder pain. Originally, the pathology was believed to be shoulder-based, but lack of improvement after several weeks of therapy warranted further imaging, which ultimately revealed a nondisplaced fracture of the posterior left first rib. CONCLUSION: Stress injuries are not uncommon in the sport of tennis, but atraumatic rib fractures are rare. Given the increase in youth sports specialization and overtraining and other risk factors such as adolescent age and race, it is important to keep rib stress fracture on the differential.


Subject(s)
Fractures, Stress , Rib Fractures , Tennis , Humans , Male , Adolescent , Fractures, Stress/etiology , Tennis/injuries , Ribs/injuries , Rib Fractures/complications , Shoulder Pain/etiology
3.
J Sports Med Phys Fitness ; 63(4): 566-569, 2023 Apr.
Article in English | MEDLINE | ID: mdl-36416276

ABSTRACT

BACKGROUND: To understand padel tennis injuries occurrence in Liguria, Italy. Paddle is a well know racquet sport, similar to tennis. padel tennis has been widely adopted in Liguria only in the last 4 years, however sport practice was largely reduced by the worldwide spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). METHODS: A questionnaire (N.=19 questions) was sent to all members of the Italian Federation of Tennis involved in official tournaments of padel tennis. We collected data on the number of injuries, the most frequent injuries, their distribution, type, location, the moment at which these occurred, and the diagnostic modality used to make the diagnosis. RESULTS: A total of 800 Italian padel tennis players took part in the survey (mean age: 49±22 years). In total, 85 injuries were registered in 2020/2021 up to 1/6/2021. The majority of lesion was located on the lower limb N.=49/85 with the knee N.=16/49 highly affected. Then, the majority of lesion of the upper limb were localized al the elbow N.=22/36, the majority epicondylitis. CONCLUSIONS: Padel tennis injuries resulted more common in the lower limb and the elbow was the most affected area at the upper limb.


Subject(s)
COVID-19 , Sports , Tennis , Humans , Adult , Middle Aged , Aged , Tennis/injuries , SARS-CoV-2 , Surveys and Questionnaires
4.
J Sport Rehabil ; 32(3): 235-241, 2023 Mar 01.
Article in English | MEDLINE | ID: mdl-36191905

ABSTRACT

CONTEXT: Injury surveillance and training load monitoring are both essential for the development of preventative strategies for gradual-onset musculoskeletal injuries in elite sport. Our aim was to survey health professionals working with elite tennis players on whether and how they monitor injuries and training load. DESIGN: A cross-sectional multinational online open-survey. METHODS: The survey was developed and advertised in English, Spanish, and Portuguese languages on social media channels, a tennis academic journal, professional tennis associations, and clinical networks of the research team, from December 2020 to April 2021. RESULTS: 72 health professionals from 27 different countries working with elite tennis players responded to the survey. Injury surveillance is performed by 94% (68/72) of the survey respondents, with only 10% (7/68) using the consensus-recommended Oslo Sports Trauma Research Center questionnaire. Most common barriers identified by health professionals to injury surveillance are time constraints (66%), lack of knowledge (43%), and technology (31%). Training load monitoring is performed by 50% (36/72) of the health professionals working with elite tennis players. Main metrics monitored are weekly differences in training load (72%) and acute:chronic workload ratio (58%). Most common reasons for training load monitoring are injury prevention (94%), training planning (81%), and player feedback (53%). CONCLUSIONS: Despite a high percentage of health professionals implementing injury surveillance metrics, most of them do not use any validated method. Only half of health professionals working with elite tennis players monitor training load. Lack of knowledge and technology were the main barriers reported for adequately monitoring injuries.


Subject(s)
Athletic Injuries , Sports , Tennis , Humans , Tennis/injuries , Cross-Sectional Studies , Athletic Injuries/epidemiology , Surveys and Questionnaires
5.
Skeletal Radiol ; 51(12): 2257-2261, 2022 Dec.
Article in English | MEDLINE | ID: mdl-35876863

ABSTRACT

Professional tennis tournaments have onsite sports medicine physicians who oversee the athletes' overall health during competition, including musculoskeletal injury and general illnesses. The medical team is composed of orthopedic and non-operative sports medicine physicians. Frequently, the tournament doctors require imaging to localize and grade musculoskeletal injuries and to make decisions regarding treatment, safe training, and return to match play. The most versatile and readily available imaging modality to evaluate for acute musculoskeletal injury is point-of-care ultrasonography. In 2015, a dedicated radiology service was created at the US Open by bringing in a musculoskeletal radiologist who would perform ultrasounds in a formal and consistent manner. In addition, the radiologist was tasked with onsite radiography as well as review of all MRI examinations done at the imaging center. This article describes how this radiology service was implemented, what types of studies were performed and the advantages of having an onsite musculoskeletal radiologist at the tournament. This service allowed the medical team to provide the comprehensive and efficient medical care required in a major professional tennis event. It also showed the value of having the in-person expertise of the musculoskeletal radiologist in the sports medicine team. This same model could be applied to other professional sporting events.


Subject(s)
Athletic Injuries , Musculoskeletal Diseases , Radiology , Sports , Tennis , Athletes , Athletic Injuries/diagnostic imaging , Humans , Point-of-Care Systems , Tennis/injuries
6.
Medicina (Kaunas) ; 58(5)2022 Apr 21.
Article in English | MEDLINE | ID: mdl-35629989

ABSTRACT

Background and Objectives: Table tennis represents one of the fastest ball games in the world and, as such, is characterized by unique physiological demands. Despite its popularity, there is a dearth of data related to table-tennis-related risk factors and injuries. Therefore, the present review was conducted to fill in this gap of knowledge. Material and Methods: The present review was designed as a scoping review. Eleven online databases were searched with no language/date limitations. Results: Forty-two investigations were retained in the present review. These studies indicated that tenosynovitis, benign muscle injuries, strains, and sprains were the most common injury types. In order, the most commonly affected anatomical regions were the lower limb, shoulder, spine, knee, upper limb, and trunk. When comparing the injury occurrence between training and competition, the results were contradictory. National/international athletes had higher indices of injury than regional players, even though other investigations failed to replicate such findings. According to some scholars, there was a difference between female and male athletes: in females, more injuries involved the upper limbs when compared to men who had more injuries to the lower limbs, while other studies did not find differences in terms of gender. Conclusions: Table tennis is generally considered at lower risk for injuries than other sports. However, the present scoping review showed that injuries can occur and affect a variety of anatomic regions. Sports scientists/physicians could utilize the information contained in the current review for devising ad hoc programs to adopt an effective/appropriate prevention strategy and to monitor table tennis players' training load and to achieve maximal fitness, as these will reduce the risk of injuries. However, most of the studies included in our scoping review are methodologically weak or of low-to-moderate evidence, being anecdotal or clinical case reports/case series, warranting caution when interpreting our findings and, above all, further high-quality research in the field is urgently needed.


Subject(s)
Athletic Injuries , Sports , Tennis , Athletic Injuries/epidemiology , Athletic Injuries/etiology , Female , Humans , Incidence , Male , Risk Factors , Tennis/injuries
7.
Sports Health ; 14(4): 466-477, 2022.
Article in English | MEDLINE | ID: mdl-35037501

ABSTRACT

BACKGROUND: Elite tennis athletes experience injuries throughout the entire body. Impairments in trunk stability, lower limb flexibility, and hip range of motion (ROM) are modifiable risk factors that can impact injuries and performance. Information on nonmodifiable risk factors such as age and gender is limited. The purpose of this investigation was to provide information on risk factors to direct clinical decision-making and injury prevention and rehab programming in this population. HYPOTHESIS: Prevalence and location of injuries will differ by age group and gender. Trunk stability, lower limb flexibility, and hip ROM will differ by age group and gender. STUDY DESIGN: Cross-sectional study. LEVEL OF EVIDENCE: Level 3. METHODS: A de-identified database (n = 237; females = 126) from the United States Tennis Association High Performance Profile (HPP) 2014-2015 was used for the analysis. Subjects were elite junior and professional tennis players (mean age 14.6 [range, 9-27] years). The HPP is a tennis-specific assessment and questionnaire that includes retrospective information on injury history. Subjects were categorized by injury, gender, and age. Injury locations were classified by region. Trunk stability measures included drop vertical jump (DVJ), single-leg squat, and prone and side planks. Lower limb measures included hamstring, quadriceps and hip flexor flexibility, and hip rotation ROM. RESULTS: A total of 46% of athletes reported an injury. Significant differences were found for injury prevalence and location by age group. Adolescent athletes (age 13-17 years) had more trunk injuries, while adult athletes (age ≥18 years) had more lower limb injuries. Adolescent athletes performed worse on DVJ, dominant side plank, and hamstring flexibility compared with young (age ≤12 years) and adult athletes. Significant gender differences in hip ROM included internal rotation on both the dominant and nondominant sides. CONCLUSION: Impairments in trunk stability, lower limb flexibility, and hip rotation ROM may affect both health and performance outcomes in this population. Elite tennis athletes may benefit from additional off court programming to address trunk and lower limb impairments. CLINICAL RELEVANCE: Adolescent elite tennis athletes may be at higher risk of trunk injuries. Age, gender, injury history, and impairments should be considered with all assessments and programming.


Subject(s)
Tennis , Adolescent , Child , Cross-Sectional Studies , Female , Humans , Range of Motion, Articular , Retrospective Studies , Risk Factors , Sex Factors , Tennis/injuries
8.
Rev. bras. ortop ; 57(1): 175-179, Jan.-Feb. 2022. graf
Article in English | LILACS | ID: biblio-1365750

ABSTRACT

Abstract A teenage male tennis player had chronic pain in his dominant arm during tennis practice. Magnetic resonance imaging (MRI) suggested humerus diaphyseal stress injury. After 4 weeks, he became asymptomatic and resumed playing. However, pain recurred after 3 days. A new MRI revealed a diaphyseal undisplaced humerus fracture and significant bone marrow edema. The patient remained in rest for 4 weeks. After that, strengthening exercises were introduced and return to training was allowed after 12 weeks. Even if asymptomatic, we suggest that these patients should not return to play before 12 weeks, depending on the physical exam and imaging findings.


Resumo Um tenista adolescente tinha dor crônica no braço dominante durante os treinos de tênis. A ressonância magnética (RM) sugeriu lesão por estresse na diáfise do úmero. Depois de 4 semanas, ele se tornou assintomático e voltou a jogar. No entanto, houve recidiva da dor após 3 dias. A nova RM revelou fratura diafisária não desviada do úmero e edema significativo da medula óssea. O paciente ficou em repouso por 4 semanas. Depois disso, exercícios de fortalecimento foram introduzidos e o retorno aos treinamentos foi permitido após 12 semanas. Mesmo que assintomáticos, sugerimos que esses pacientes não voltem a jogar antes das 12 semanas, dependendo dos exames físicos e dos achados por imagem.


Subject(s)
Humans , Male , Adolescent , Fractures, Stress , Tennis/injuries , Humeral Fractures
9.
Sports Biomech ; 21(9): 1046-1064, 2022 Oct.
Article in English | MEDLINE | ID: mdl-32138602

ABSTRACT

The purpose of this study was to compare double-handed backhand kinematics of the non-dominant wrist of tennis players using either an eastern or continental grip position with the non-dominant hand. Trajectory data were captured using sixty reflective markers on sixteen sub-elite right-handed tennis players using a 12-camera VICON motion capture system (250 Hz). Participants executed double-handed backhands using two non-dominant grip positions (Eastern [E] and Continental [C]), aiming for two crosscourt zones (Deep [D] and Short [S]), totalling to four conditions (ED, CD, ES and CS). Three successful attempts from each condition were selected for analysis. The eastern grip demonstrated faster horizontal racket head velocity compared to the continental grip. However, no differences were observed in accuracy or spin rate between grips (p > 0.05). In the non-dominant upper limb, elbow flexion was smaller in the continental condition throughout the swing, whilst wrist extension and ulnar deviation was larger. Collectively, these data suggest that the continental grip may place the wrist in a position vulnerable to overuse injury. Future research into the kinetics of the double-handed backhand would help better understand the onset of ulnar-side wrist pain in tennis.


Subject(s)
Tennis , Biomechanical Phenomena , Hand , Humans , Tennis/injuries , Upper Extremity , Wrist
11.
Eur J Sport Sci ; 22(9): 1343-1354, 2022 Sep.
Article in English | MEDLINE | ID: mdl-34296664

ABSTRACT

This study aimed to examine side-to-side differences in phase angle (PhA) in both upper and lower limbs of youth elite tennis players. Among other outcomes, PhA was directly determined using segmental multifrequency bioelectrical impedance analysis (BIA) in 26 tennis players (11.6 ± 1.1 years, 54% boys) and compared against a sex- and age-matched reference population. Significant upper limb asymmetry in PhA (p < 0.001), with a higher value on the dominant side of the body, was observed in the tennis players. At lower limb level, the tennis players showed a tendency towards a significantly higher PhA in the contralateral compared to the ipsilateral limb (p = 0.089). Using vector analysis (BIVA), a significant degree of PhA asymmetry (p = 0.002) was only reflected in the tennis players' upper limb. Additional segmental outcomes also demonstrated a significant degree of upper limb asymmetry in terms of tennis players' lean mass (p < 0.001), total segmental water (p < 0.001), fat mass (p < 0.001), extracellular water (p < 0.001) and extracellular water ratio (p < 0.001), whereas lower limb asymmetry was only observed in tennis players' fat mass (p = 0.037) and extracellular water (p = 0.001). This is the first study to report significantly more pronounced BIA-based side-to-side differences in youth elite tennis players compared to a non-athletic reference population at the upper limb level, whereas no significant between-group differences in the lower limbs were found. This explorative study should trigger future research to further scrutinize the role of BI(V)A as a promising field-method in monitoring bodily asymmetries in youth elite tennis players in view of sport performance and athletic health.HighlightsBioelectrical Impedance Analysis is a promising field-method to monitor side-to-side asymmetry in youth elite tennis players.Youth elite tennis players displayed a more pronounced degree of BIA-based side-to-side differences compared to a non-athletic reference population at the upper limb level, whereas whilst between-group differences appeared to be less evident in the lower limbs.Future research is warranted to scrutinize whether and to what extent these degrees of segmental bodily asymmetry may be related to injury risk (prevention) and athletic development of (pre)adolescent tennis players.


Subject(s)
Tennis , Adolescent , Electric Impedance , Female , Humans , Lower Extremity , Male , Tennis/injuries , Upper Extremity , Water
12.
Phys Sportsmed ; 50(3): 197-204, 2022 06.
Article in English | MEDLINE | ID: mdl-33602024

ABSTRACT

OBJECTIVE: Racket and paddle sports are popular worldwide. Although there are several epidemiologic studies on tennis, there are limited epidemiologic studies on injuries in badminton, squash, racquetball, table tennis, pickleball and other racket and paddle sports. We aimed to analyze acute racket and paddle sports injuries that presented to emergency departments. DESIGN: Descriptive epidemiologic study; level of evidence 3. SETTING: United States emergency departments (USEDs). METHODS: Data from National Electronic Injury Surveillance System (NEISS) were queried to characterize racket and paddle sports-related (RPSR) injuries that presented to USEDs over a 10-year period. RESULTS: From 2007 to 2016, there were 7,723 cases of racket and paddle sports-related (RPSR) injuries that presented to USEDs. This data provides a weighted estimate of 301,038 RPSR injuries in USEDs over the 10-year study period. The majority (60.3) of these injuries were in men. Men had a higher percentage of injuries of most body parts except the lower arm, wrist, and ankle. The mean age at the time of injury was 37 years. The highest percentage of sprains, strains, and lower extremity injuries occurred in athletes between ages 18-40 years. Between sports, table tennis had highest percentage of skin and internal organ injuries while badminton had the highest percentage of sprains, strains, fractures, and dislocations. CONCLUSION: This study is the largest nationally representative study of RPSR injuries to date. RPSR injuries are varied in their presentation based on age, sex, body location, and type of injury. CLINICAL RELEVANCE: This study determined common RPSR injuries presenting to USEDs, their patterns, and severity over a 10-year period. Researchers and clinicians can begin to use this data for future research studies and may consider this early data in management decisions.


Subject(s)
Athletic Injuries , Racquet Sports , Sprains and Strains , Tennis , Adolescent , Adult , Athletic Injuries/epidemiology , Emergency Service, Hospital , Humans , Male , Sprains and Strains/epidemiology , Tennis/injuries , United States/epidemiology , Young Adult
13.
J Healthc Eng ; 2021: 1152368, 2021.
Article in English | MEDLINE | ID: mdl-34956554

ABSTRACT

Because of the intense competition, table tennis requires players to bear a strong physiological load, which increases the risk of sports injury. Anterior cruciate ligament (ACL) is an important structure of the knee joint to maintain forward stability and rotational stability and is also a common sports injury in table tennis players. ACL has poor self-repair ability after injury. Therefore, the purpose of this study is to provide a more comprehensive, reliable, and representative theoretical basis for the diagnosis and rehabilitation of anterior cruciate ligament injury in table tennis players, and three-dimensional reconstruction of ACL using dual-source computed tomography (DSCT) combined with deep learning was conducted. For this purpose, a number of table tennis players with ACL injuries were collected, and each patient underwent arthroscopic anterior cruciate ligament reconstruction. DSCT scanning was performed on several knee joints, the 3D model of the knee joint was reconstructed using a CT image postprocessing workstation, and the medial wall of the femoral lateral condyle was reconstructed, as well as the reconstructed single tract of bony canal, tibial plateau, and bony canal. Then, the Lysholm score was used to score the cases, with scores greater than 75 as the excellent group and below 75 as the poor group. The relative positions of the central points of the femoral and tibial canals were marked and measured. The results were as follows: 3D-CT reconstruction could clearly reflect the situation after anterior cruciate ligament reconstruction. In clinic, it is used to evaluate the relationship between bone tunnel location and graft shape so as to guide the surgeon to improve the operation.


Subject(s)
Anterior Cruciate Ligament Injuries , Athletic Injuries , Deep Learning , Tennis , Anterior Cruciate Ligament Injuries/diagnostic imaging , Anterior Cruciate Ligament Injuries/surgery , Athletic Injuries/diagnostic imaging , Athletic Injuries/surgery , Humans , Imaging, Three-Dimensional , Knee Joint , Tennis/injuries , Tomography, X-Ray Computed
14.
PLoS One ; 16(9): e0257295, 2021.
Article in English | MEDLINE | ID: mdl-34520488

ABSTRACT

Among tennis coaches and players, the standard volley and drop volley are considered basically similar, but muscles need to be relaxed (deactivation) just at the moment of impact when hitting the drop volley. However, this is not evidence-based. The aim of this study was to clarify racket head trajectory and muscle activity during the drop volley and to compare them with those of the standard volley. We hypothesized that 1) the racket head would move less forward for the drop volley than for the standard volley and 2) the wrist and elbow muscles be relaxed for the drop volley at the time of ball impact. Eleven male college students with sufficient tennis experience volunteered to participate in this study. Wireless EMG sensors recorded activation of the four arm muscles. Each subject performed the standard volley or the drop volley with both a forehand and a backhand from a position near the net. Four high speed video cameras (300 Hz) were set up on the court to measure ball speed and racket head trajectory. Returned ball speed of the drop volley was significantly lower than that of the standard volley (p < 0.05). The racket head moved less forward than in the standard volley, supporting the first hypothesis. Muscle activity of the drop volley, just before and after ball impact for both the forehand and backhand, was lower than that of the standard volley. However, the activity was in the form of a gradual increase as impact time approached, rather than a sudden deactivation (relaxation), which did not support the second hypothesis. For the drop volley, lower muscle activity in the forearm enabled a softer grip and thus allowed a "flip" movement of the racket to diminish the speed of the returned ball.


Subject(s)
Muscle, Skeletal/injuries , Tennis/injuries , Biomechanical Phenomena , Electromyography , Forearm , Hand , Hand Strength , Humans , Male , Movement , Wrist Joint , Young Adult
15.
J Sports Sci Med ; 20(2): 268-274, 2021 06.
Article in English | MEDLINE | ID: mdl-34211319

ABSTRACT

Several studies have indicated that musculoskeletal injuries are common during a professional tennis competition. However, data from a tropical country like Indonesia is lacking. This study aimed to obtain the incidence rate and injury characteristics and identify risk factors of musculoskeletal injuries among professional tennis players competing in Indonesia under the International Tennis Federation (ITF). The study was a prospective cohort during professional tennis tournaments in Jakarta, Indonesia in 2019, consisting of the ITF Women's Circuit Indonesia (two weeks) and ITF Men's Future Indonesia (three weeks). All athletes were enrolled in this study. Injuries were assessed based on the ITF Consensus Statement. Incidence rate was the number of injuries per 1000 player hours (i.e., the total duration from before the match starts to completion of the match after the final point). The magnitude of risk was expressed as a relative risk (RR) and its 95% confidence interval (CI). Independent risk factors were identified using multivariate analyses. A total of 161 tennis players were enrolled; 71 (44.1%) were men. Their mean age was 22 years old. The incidence rate of musculoskeletal injuries was 30.8 injuries per 1000 player hours (95% CI: 28.2-33.5). The most common onset was acute injuries (61.1%), while the most common location and type of injury was the trunk (38.9%) and muscle strain (61.1%). Risk factors associated with musculoskeletal injury were higher body height, skill level, history of previous injury, and wet bulb globe temperature (WBGT) zone. There was no injury during the doubles matches. Previous injury was an independent risk factor (adjusted RR: 48.1 (95% CI: 11.3-155.0; p < 0.001). The incidence of musculoskeletal injuries among professional tennis player is considerably high. Factors associated with injury are body height, skill level, previous injury, and WBGT zone. Future injury prevention programmes should incorporate the management of previous injuries and take into account the effect of environmental temperature.


Subject(s)
Competitive Behavior/physiology , Musculoskeletal System/injuries , Tennis/injuries , Tropical Climate , Body Height , Female , Humans , Incidence , Indonesia/epidemiology , Male , Motor Skills/physiology , Muscle, Skeletal/injuries , Prospective Studies , Risk Factors , Sprains and Strains/epidemiology , Torso/injuries , Young Adult
16.
J Athl Train ; 56(7): 773-779, 2021 Jul 01.
Article in English | MEDLINE | ID: mdl-34280279

ABSTRACT

CONTEXT: The National Collegiate Athletic Association (NCAA) has sponsored men's tennis programs since 1982. The popularity of tennis has grown, as has sponsorship of men's tennis within NCAA institutions. BACKGROUND: Continued monitoring of athletic injuries is important for identifying emerging temporal patterns. METHODS: Exposure and injury data collected in the NCAA Injury Surveillance Program during 2014-2015 through 2018-2019 were analyzed. Injury counts, rates, and proportions were used to describe injury characteristics, and injury rate ratios were used to examine differential injury rates. RESULTS: The overall injury rate was 4.41 per 1000 athlete-exposures. Lateral ligament complex tears of the ankle (8.5%) were the most reported injury. Trunk (15.1%) and shoulder (13.2%) injuries accounted for the largest proportions of all injuries. Noncontact and overuse were the most common mechanisms of injury among all reported injuries, together accounting for 69.4% of all injuries. CONCLUSIONS: Findings of this study differed slightly from previous studies, most notably in specific injuries reported. Continued monitoring of specific injury incidence as well as greater participation in injury surveillance is needed to inform the development of nuanced injury prevention strategies for this population.


Subject(s)
Athletic Injuries , Tennis/injuries , Adult , Athletes/statistics & numerical data , Athletic Injuries/classification , Athletic Injuries/epidemiology , Athletic Injuries/prevention & control , Humans , Incidence , Male , United States/epidemiology
17.
J Athl Train ; 56(7): 766-772, 2021 Jul 01.
Article in English | MEDLINE | ID: mdl-34280290

ABSTRACT

CONTEXT: The National Collegiate Athletic Association (NCAA) has sponsored women's tennis programs since 1966. Women's tennis has risen in global prominence and popularity within the NCAA. BACKGROUND: Continued surveillance of athletic injuries in the NCAA is critical for identifying emerging injury trends and assessing injury prevention strategies. METHODS: Exposure and injury data collected in the NCAA Injury Surveillance Program from 2014-2015 through 2018-2019 were analyzed. Injury counts, rates, and proportions were used to describe injury characteristics, and injury rate ratios were used to examine differential injury rates. RESULTS: The overall injury rate was 4.16 per 1000 athlete exposures. Injury to the shoulder, foot, and trunk were the most prevalent throughout the study period. Approximately 30% of all injury diagnoses were related to inflammatory conditions. Also, 32.1% of all injuries were time-loss injuries, and 45.0% of all injuries were non-time-loss injuries. CONCLUSIONS: The findings of this study differed slightly from those of previous investigations, most notably with regard to injury rate by season segment and commonly injured body parts. Future surveillance efforts should attempt to capture the nuances of tennis competitions.


Subject(s)
Athletic Injuries , Tennis/injuries , Adult , Athletes/statistics & numerical data , Athletic Injuries/classification , Athletic Injuries/epidemiology , Athletic Injuries/prevention & control , Female , Humans , Incidence , United States/epidemiology
18.
Curr Sports Med Rep ; 20(6): 312-318, 2021 Jun 01.
Article in English | MEDLINE | ID: mdl-34099609

ABSTRACT

ABSTRACT: Ulnar-sided wrist injuries are common in sports that require repeated pronosupination, wrist radial/ulnar deviation, axial loading, and gripping equipment. Common anatomic structures affected include the triangular fibrocartilage complex, extensor carpi ulnaris tendon, distal radioulnar and ulnocarpal joints, and hamate bone. Presenting symptoms include pain with activity, swelling, possible snapping or clicking, and reproduction of symptoms with provocative maneuvers. Imaging may confirm or rule out pathologies, but abnormal findings also may present in asymptomatic athletes. Initial treatment is usually nonoperative with splinting, load management, activity modification, strengthening the components of the kinetic chain of the particular sport, and pain management. Surgery is usually indicated in ulnar-wrist pain pathology such as hook of hamate fractures and required in associated instability. Future research should address specific treatment and rehabilitation protocols, emphasizing the complete kinetic chain along with the injured wrist.


Subject(s)
Arthralgia , Athletic Injuries , Tendon Injuries , Ulna , Wrist Injuries/complications , Arthralgia/diagnosis , Arthralgia/etiology , Arthralgia/therapy , Athletes , Athletic Injuries/diagnosis , Athletic Injuries/etiology , Athletic Injuries/therapy , Baseball/injuries , Baseball/physiology , Biomechanical Phenomena , Golf/injuries , Golf/physiology , Gymnastics/injuries , Gymnastics/physiology , Hamate Bone/injuries , Hockey/injuries , Hockey/physiology , Humans , Tendon Injuries/diagnosis , Tendon Injuries/etiology , Tendon Injuries/therapy , Tennis/injuries , Tennis/physiology , Triangular Fibrocartilage/injuries , Wrist Injuries/epidemiology , Wrist Joint/anatomy & histology , Wrist Joint/physiology
19.
Rev. bras. med. esporte ; 27(spe2): 46-49, Apr.-June 2021. tab, graf
Article in English | LILACS | ID: biblio-1280094

ABSTRACT

ABSTRACT As far as competitive sports are concerned, scientifically organizing the training process and strictly following the training rules are the only way to success. Tennis is the foundation of all sports. It develops physical and motor skills in a comprehensive and effective manner. Biomechanical diagnosis is mainly carried out on the basis of force-time curve recording of different movement modes, and the generated data is processed by computer through a special measuring device. The main purpose of this study is to use data fusion technology to analyze and evaluate the injury factors involved in various sports. Based on this, a dynamic chain model for early warning of sports injury risk factors is established, which can provide a reference for athletes to avoid and reduce the risk of injuries and ensure normal training and competition. In tennis training, scientific training monitoring is applied to diagnose and monitor athletes' physical function and psychological state. Conduct humanized and scientific management of the training process.


RESUMO No que se refere aos esportes competitivos, a organização científica do processo de treinamento e o cumprimento estrito das regras de treinamento são a única forma de êxito. O tênis é a base de todos os esportes. O tênis desenvolve competências físicas e motoras de uma forma abrangente e eficaz. O diagnóstico biomecânico é realizado principalmente com base na gravação da curva força-tempo de diferentes modos de movimento, e os dados gerados são processados pelo computador através de um dispositivo de medição especial. O objetivo principal deste estudo é usar a tecnologia de fusão de dados para analisar e avaliar vários fatores de lesão esportiva. Com base nisso, estabelece-se um modelo dinâmico de cadeia para o alerta precoce de fatores de risco de lesão esportiva, podendo fornecer uma referência para que os atletas evitem e reduzam o risco de lesão e garantam a normalidade dos treinos e das competições. No treinamento de tênis, aplica-se o monitoramento de treinamento científico para diagnosticar e monitorar a função física dos atletas e seu estado psicológico. Conduzir a gestão humanizada e científica do processo de treinamento.


RESUMEN En lo que se refiere a los deportes competitivos, la organización científica del proceso de entrenamiento y el cumplimiento estricto de las reglas de entrenamiento son la única forma de éxito. El tenis es la base de todos los deportes. El tenis desarrolla competencias físicas y motoras de una forma abarcadora y eficaz. El diagnóstico biomecánico es realizado principalmente basándose en la grabación de la curva fuerza-tiempo de diferentes modos de movimiento, y los datos generados son procesados por la computadora por medio de un dispositivo de medición especial. El objetivo principal de este estudio es usar la tecnología de fusión de datos para analizar y evaluar varios factores de lesión deportiva. Sobre esa base, se establece un modelo dinámico de cadena para la alerta precoz de factores de riesgo de lesión deportiva, pudiendo proveer una referencia para que los atletas eviten y reduzcan el riesgo de lesión y garanticen la normalidad de los entrenamientos y de las competencias. En el entrenamiento de tenis, se aplica el monitoreo de entrenamiento científico para diagnosticar y monitorear la función física de los atletas y su estado psicológico. Conducir la gestión humanizada y científica del proceso de entrenamiento.


Subject(s)
Humans , Athletic Injuries/diagnosis , Computer Systems , Tennis/injuries , Monitoring, Physiologic/methods , Athletic Injuries/prevention & control
20.
Eur J Sport Sci ; 21(8): 1215-1223, 2021 Aug.
Article in English | MEDLINE | ID: mdl-32877321

ABSTRACT

This study examined the association and predictive ability of several markers of internal workload on risk of injury in high-performance junior tennis players. Fifteen young, high-level tennis players (9 males, 6 females; age: 17.2 ± 1.1 years; height: 178.5 ± 8.7 cm; mass: 68.1 ± 4.8 kg) participated in this investigation. Data on injury epidemiology and internal workload during training were obtained for one competitive season. The session-rating of perceived exertion (s-RPE) was used to calculate internal workload markers in absolute (acute workload and chronic workload for 2-weeks, 3-weeks and 4-weeks) and relative terms (acute:chronic workload ratios [ACWR] for 2-weeks, 3-weeks and 4-weeks). Associations and diagnostic power for predicting tennis injuries were examined through generalised estimating equations and receiver operating characteristics analyses. During the season, a total of 40 injuries were recorded, corresponding to 3.5 injuries per 1000 h of tennis practice. The acute workload was highly associated with injury incidence (P=0.04), as injury risk increased by 1.62 times (95% CI: 1.01-2.62) for every increase of 1858.7 arbitrary units (AU) of the workload during the most recent training week. However, acute workload was a poor predictor of injury, and associations between injury and internal workload markers were weak (all P>0.05). These findings demonstrate an association between high values of acute workload and the risk of injury in high-level tennis players. However, a high acute workload is only one of the many factors associated with injury, and by itself, has low predictive ability for injury.


Subject(s)
Athletic Injuries/epidemiology , Physical Conditioning, Human/adverse effects , Tennis/injuries , Adolescent , Competitive Behavior , Female , Humans , Incidence , Male , Perception/physiology , Physical Exertion/physiology , Prospective Studies , Risk Factors
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