A Review of Cricket Injuries and the Effectiveness of Strategies to Prevent Cricket Injuries at all Levels

Objective. This review evaluates the scientific research on cricket injuries; including long-term injury surveillance studies; the consensus statement paper for injury surveillance; specific counter-measures to reduce the risk of cricket injuries and finally identifies areas of future concern. Results. The literature shows that three major cricketplaying countries; Australia; England and South Africa; have collected long-term injury data. While these sets of data show definite trends; it was not always possible tomake direct comparisons between data collected in various countries. As a result a consensus statement paper with regards to definitions and methods to calculate injuryrates; incidence and prevalence was developed. The first study using this newly accepted injury surveillance method showed injury patterns in West Indies domestic andnational cricket teams. There have been three primary studies carried out with regards to interventions aimed at reducing the risk of injury to fast bowlers. These includeda coaching interventions programme; the use of a bowling aid in an attempt to modify bowling technique and a study that evaluated the recommended bowling workloadsin young cricketers. The implications of the changes to the laws relating to the bowling action and the increased usage of the sliding stop in fielding are reviewed. Conclusion. From the review it is evident that there is a need to continue with injury surveillance; as well as a need to continue with and increase the number of studies that evaluate the efficacy of intervention strategies in order to reduce the risk of injury to cricketers

Effect of different types of cricket batting pads on the running and turning speed in cricket batting.

The aim of this study was to compare a batsman's running and turning speed during three runs while wearing either traditional batting pads or one of two models of newly designed cricket batting pads. Fifteen cricketers participated. The running and turning speeds were measured on three different days with players using the three pairs of batting pads for each trial in random order. The weights of the pads were 1.85 kg, 1.70 kg and 1.30 kg for P1, P2 and P3 respectively. Each player had to run three runs (3 x 17.68m), with the times recorded at the completion of each run, as well as the time to cover the distance from 5 m before and after the turn at the end of the first run. The fastest time from two trials for each pair of pads was retained for analysis. An analysis of variance (ANOVA) with repeated measures was used to determine the differences between the mean times of the three trials. The results showed no significant differences between the types of batting pads and the time to complete the run-three-runs test (P1 = 10.67 +/- 0.48 s; P2 = 10.67 +/- 0.43; P3 = 10.69 +/- 0.44 s), the turning time (P1 = 2.34 +/- 0.18 s; P2 = 2.32 +/- 0.18 s; P3 = 2.35 +/- 0.19 s) and to complete the third run (P1 = 3.49 +/- 0.44 s; P2 = 3.53 +/- 0.34 s; P3 = 3.51 +/- 0.36 s). Of the 45 trials of three runs used for analysis, P1 recorded the fastest time on 16 trials (36%), P2 on 19 trials (42%) and P3 on 10 trials (22%). The results showed no significant differences in the running or turning speeds, although there may be some practical relevance to using the newly designed cricket batting pads.

A comparison of the ball rebound characteristics of wooden and composite cricket bats at three approach speeds.

The primary aim of this study was to compare the rebound characteristics of wooden and composite cricket bats. The rebound characteristics of two 'experimental' bats manufactured from composite material were compared with three English willow bats and one Kashmir willow bat. The bats were tested using a specially designed testing rig, which propelled a 156 g Kookaburra cricket ball at three impact speeds: fast-medium, 67 km x h(-1); fast, 101 km x h(-1); and express, 131 km x h(-1) on to the bats mounted in position so that the ball impacts occurred at the position where the blade of the bats was the thickest. The rebound characteristics of the bats were calculated by measuring the approach and rebound speeds of the ball as it passed through a light beam positioned a short distance away from the point of impact. The statistical software package SAS was used to test for significant differences (p < 0.05) between the average rebound characteristics of the bats. Further, Scheffé's method was used as a post hoc comparison to determine whether differences existed between the composite and willow bats. When the composite and traditional willow bats were compared, the results showed no significant differences between the three average approach speeds, while the composite bats showed significantly smaller rebound speeds and coefficient of restitution at all three approach speeds. Thus, the rebound characteristics of the composite bats were significantly less than the traditionally designed English willow wooden bats and would not enhance performance by allowing the batsman to hit the ball harder, assuming all other factors, such as bat speed, mass distribution and the impact point, were the same for the bats. Further study is required to determine the physical properties of composite and wooden bats to enhance their impact characteristics.

Dissociation between back pain and bone stress reaction as measured by CT scan in young cricket fast bowlers.

BACKGROUND: Bone stress reaction is prevalent among cricket fast bowlers. Few studies have addressed the sensitivity and specificity of imaging for diagnosis, and follow up assessment has been poorly investigated. OBJECTIVE: To determine whether there was an association between back pain and bone stress reaction as measured by computed tomography (CT) scan in young cricket fast bowlers. METHODS: Ten young cricket fast bowlers were included in the study. Nine bowlers presented to a physiotherapy practice with low back pain and were later diagnosed with lumbar stress fractures, while one was an experienced bowler with no pain. All players had a CT scan after presenting to the physiotherapy practice. Pain was assessed according to a subjective scale (0-10) where 10 represented the player's subjective, maximum pain score. Recovery and rehabilitation of all players was monitored until they returned to full participation. RESULTS: There was no consistency in the relationship between pain and CT scan results. For example, one subject had evidence of un-united stress fractures after 15 months of rest but had experienced moderate pain for only 2 weeks after the onset of symptoms, in contrast to another subject who had intermittent pain for 11 months even though CT scan showed multiple stress fractures ranging from partially healed to fully healed status at 3 months. CONCLUSION: There is dissociation between back pain and bone stress reaction as measured by CT scan. Therefore, CT scan does not provide objective evidence for ongoing management or decision concerning return to sport in cricket fast bowlers.

Back injuries in young fast bowlers--a radiological investigation of the healing of spondylolysis and pedicle sclerosis.

OBJECTIVE: To demonstrate the efficacy of various radiological diagnostic modalities in assessing lower back pain in young fast bowlers. METHODS: Ten cricketers who presented to either a physiotherapist or a doctor with suspected spondylolysis underwent an X-ray, a single photon emission computed tomography (SPECT) bone scan and a computed tomography (CT) scan to assess the severity of the injury. Three and 12 months after the initial CT scan, second and third CT scans were performed in order to assess whether healing had taken place. After the initial radiological investigation the subjects diagnosed with spondylolysis or pedicle sclerosis underwent prescribed intervention and rehabilitation which included physiotherapy modalities, postural correction, and specific individually graded flexibility, stabilisation, strengthening and cardiovascular programmes. RESULTS: Radiographs were normal in 8 subjects, while 2 had evidence of sclerosis. The isotope scan showed increased uptake in all of the subjects. The CT scans showed no fracture (N = 3), partial fractures (N = 3), complete fractures (N = 2) and old fractures bilaterally (N = 2). When the follow-up CT scan was carried out at 3 months, 1 of the subjects had developed a partial fracture of the left pars interarticularis on the inferior border, which showed complete union when CT scanned at 12 months. At 3 months the partial and complete fractures showed progressive healing in 2 subjects, with complete healing in all the other cases. Complete healing was achieved in all subjects at 12 months, with the exception of 1 subject who showed near-complete union, with a small area of fibrous union on the inferior border and 2 old bilateral fractures that remained un-united. RESULTS: From the results it is evident that when a young fast bowler presents with backache after bowling, it would be appropriate to do an X-ray, a bone scan and a CT scan to make the diagnosis. Discontinuing the fast bowling and following an active rehabilitation programme should result in spontaneous resolution and healing of the fractures. If it is not detected early a fibrous or non-union fracture could result.

Cricket injuries: a longitudinal study of the nature of injuries to South African cricketers.

OBJECTIVE: To determine the incidence and nature of injuries sustained by elite cricketers during a three season period in order to identify possible injury patterns. METHODS: Thirty six physiotherapists and 13 doctors working with 11 provincial and the South African national teams completed a questionnaire for each cricketer who presented with an injury during each season to determine anatomical site of injury, month of injury during the season, diagnosis, mechanism of injury, whether it was a recurrence of a previous injury, whether the injury had recurred again during the season, and biographical data. RESULTS: A total of 436 cricketers sustained 812 injuries. Bowling (41.3%), fielding and wicketkeeping (28.6%), and batting (17.1%) accounted for most of the injuries. The lower limbs (49.8%), upper limbs (23.3%), and back and trunk (22.8%) were most commonly injured. The injuries occurred primarily during first class matches (27.0%), limited overs matches (26.9%), and practices (26.8%) during the early part of the season. Acute injuries made up 64.8% of the injuries. The younger players (up to 24 years) sustained 57% of the first time injuries, and the players over 24 years of age sustained 58.7% of the injuries that recurred from a previous season. The injuries were mainly soft tissue injuries predominantly to muscle (41.0%), joint (22.2%), tendon (13.2%), and ligament (6.2%). The primary mechanism of injury was the delivery and follow through of the fast bowler (25.6%), overuse (18.3%), and fielding (21.4%). CONCLUSION: The results indicate a pattern of cause of injury, with the young fast bowler most likely to sustain an acute injury to the soft tissues of the lower limb while participating in matches and practices during the early part of the season.

Incidence and nature of epidemiological injuries to elite South African cricket players.

OBJECTIVES: The study investigated the incidence and nature of injuries sustained by elite cricketers during a season and the possible risk factors associated with these injuries. METHODS: Fourteen physiotherapists and three doctors recorded 163 injuries sustained by 88 cricketers. RESULTS: Bowling accounted for 40.5% of the injuries, while fielding and batting accounted for 25.6% and 21.5% of the injuries, respectively. The injuries occurred while practising for or playing in club (3.7%), provincial 'B' (8.0%), provincial (51.5%) and international (36.8%) matches and occurred primarily during 4- and 5-day (33.1%) and 1-day (27.0%) matches. First-time injuries made up 63.6% of the injuries, recurrent injuries from previous seasons made up 28.4% and 8.0% of the injuries recurred again at a later stage during the season. Of the injuries 62.6% were acute, 14.7% chronic and 22.7% were acute injuries on existing chronic injuries. The majority of the injuries were muscle (37.4%), joint (20.9%) and tendon (15.3%) injuries. The primary mechanisms of injury were as a result of overuse (30.7%); running to catch or field (15.3%); during the bowling delivery or follow-through (12.3%); and being struck by the ball while batting (11.0%). CONCLUSIONS: Coaches, players and the medical support team need to be aware of the incidence, nature and cause of injuries, so that the risk of injury can be further reduced.

A review of batting in men's cricket.

In this review, we critically evaluate the scientific research into the morphology and physiology of cricket batsmen. We consider all aspects of the motor control of this skill, in the context of research into dynamic interceptive actions, the biomechanics (kinematics and kinetics) of the various phases of batting strokes and injuries to batsmen. Some attention is also devoted to batting equipment and to psychological factors in batting. Because of the lack of published scientific research into women's cricket, this review focuses on the men's game and covers research on batsmen of various playing standards. For the future, we see as a high priority research into injury mechanisms, rather than simple injury statistics, and the role of cricket equipment design in injury prevention. A second priority is for multi- or inter-disciplinary research, linking the biomechanics of batting to the underlying motor control of the movements and the effect of environmental information. Biomechanical studies of the variability of the batsman's movements are needed, and these should be related to the compensatory variability proposal of ecological psychology. Clearly, there is also a need for scientific research into batting in women's cricket, which has been inadequately researched to date.

The impact absorption characteristics of cricket batting helmets.

To determine whether the helmets currently used by cricket batsmen offer sufficient protection against impacts of a cricket ball, the impact absorption characteristics of six helmets were measured using the drop test at an impact velocity equivalent to a cricket ball with a release speed of 160 km x h(-1) (44.4 m x s(-1)). An accelerometer transducer attached to a 5.0 kg striker was dropped from a height of 3.14 m onto the batting helmets to measure the impact characteristics at the three different impact sites: right temple, forehead and back of the helmet. These data were further expressed as a percentage above (-) or below (+) the recommended safety standard of 300 g. The results indicate that the force absorption characteristics of the helmets showed inter- and intra-helmet variations, with 14 of the 18 impact sites (66.7%) assessed meeting the recommended safety standards. Helmets 1, 2 and 4 succeeded in meeting the safety standards at all impact sites; helmets 5 and 6 both failed at the back and forehead, while helmet 3 failed at all impact sites. These differences were due to the structure and composition of the inner protective layer of the helmets. The helmets that succeeded in meeting the standards were made with a moulded polystyrene insert, a heat-formed ethylene vinyl acetate (EVA) insert, or EVA with a relatively high density that allows a minimal amount of movement of the helmet at ball impact.

The seasonal incidence and nature of injuries in schoolboy cricketers.

This study investigated the seasonal incidence and nature of injuries sustained by schoolboy cricketers. Questionnaire responses of 116 cricketers were obtained (59.2% of the sample). The overall seasonal incidence of injuries in all the players was 49.0%. The most common sites of injury were the back and trunk (33.3%), upper limbs (24.6%), and lower limbs (22.8%). The seasonal incidence of injuries in bowlers (47.4%) was found to be greater than in batsmen (29.8%) and fielders (22.8%), although not significantly so. The injuries occurred with equal frequency during matches (45.6%) and practices (47.4%), particularly during the early and later parts of the season; 29.8% of the injuries were recurrent injuries from the previous season. Of the total injuries sustained, 36.8% recurred during the same season. The pattern of injuries in the schoolboy cricketers was similar to that in the club and provincial cricketers. Although cricket injuries have not reached serious proportions, cognisance needs to be taken of these patterns so that the risks of injury can be reduced even further.

The incidence and nature of injuries in first-league and provincial cricketers.

This study investigated the incidence and nature of injuries sustained by club and provincial cricketers during a season. Questionnaire responses were obtained from 183 (59%) of 308 cricketers canvassed. The overall seasonal incidence of risk of injury in all players was 49.1% and this was higher for provincial cricketers (71.6%). The single most common site of injury was the fingers (20.5%). The seasonal incidence of injuries in bowlers (42%) and fielders (40.9%) was higher than in batsmen (17.1%). Young players (< 26.2 years) sustained more injuries than older players. The majority of injuries occurred during matches (69.3%), particularly near the beginning and the end of the season. Furthermore, 23.9% of the injuries were recurrent injuries from the previous season and 22.7% of injuries sustained recurred during the season. Cricket injuries have not yet reached serious proportions, but all involved need to be aware of their incidence and nature.