Lower Limb and Back Injury Patterns of Elite Netball Players
Tóm tắt
The purpose of this study was to investigate the relationships between lower limb and back injuries with perceived landing patterns and podiatric variables for injured and uninjured elite netball players. 228 players of a possible 240 participants at the 1988 Australian netball championships completed injury questionnaires and were assessed for injury status. Approximately 92% of those who were part of the injury surveys were also given a podiatric assessment. Pearson x2 and unpaired t-tests were used to assess relationships between injury status in 2 groups (history of injury, and injuries sustained during the championships) and perceived landing patterns during play and podiatric variables. A significant association was found between history of lower limb and back injuries and level of competition. Open age netballers reported more injuries than the younger players. During each championship, a similar number of players (23%) were injured irrespective of playing level. 71% of these players sustained a grade 1 injury, 15.4% a grade 2 injury and 13.5% presented with severe grade 3 injuries. 2 players were diagnosed with an anterior cruciate ligament injury and a further 3 players sustained a fracture during the championships. Most of the injuries were ligamentous (40.5%) with some overuse tendinitis (11.5%) problems. The injury history profiles of the elite players surveyed showed that ankle and knee injuries were the most common lower limb injuries with incidences of 58 and 22%, respectively. More than a quarter of the players had overuse type injuries (24% retropatellar pain, 38% shin soreness) and 33% complained of back problems during their careers. 18 significant relationships were found between injuries sustained during a player’s career and podiatric measures. Only 22.5% of a player’s foot types were classified as normal while 42% presented with rearfoot varus and 20% were grouped into pronated foot postures.
Tài liệu tham khảo
All Australia Netball Association. Netball official rules, All Australia Netball Association, Mosman, 1983
Boxer MC, Tokarski SJ. The pediatric history and examination. In Levy & Hetherington (Eds) Principles and practice of podiatric medicine, pp. 117–120, Churchill Livingstone, New York, 1990
Buchbinder MR, Napora NJ, Biggs EW. The relationship of abnormal pronation to chondromalacia of the patella in distance runners. Journal of the American Podiatry Association 69: 159–161, 1979
Donatelli R. Normal biomechanics of the foot and ankle. Journal of Orthopaedic and Sports Physical Therapy 7: 91–95, 1985
Donatelli R. The biomechanics of the foot and ankle, pp. 8–19, FA Davis Company, Philadelphia, 1990
Downey MS. Ankle equinus. In McGlamry (Ed.) Comprehensive textbook of foot surgery, pp. 380–381, Williams and Wilkins, Baltimore, 1987
Egger G. Sports injuries in Australia: causes, costs and prevention. A report to the National Better Health Program, pp. 3–12, Centre for Health Promotion and Research, Sydney, 1990
Evans P. The knee joint, p. 170, Churchill Livingstone, Edinburgh, 1986
Frederick EC. Sport shoes and playing surfaces, pp. vii–viii, Human Kinetics Publishers, Champaign, 1984
Garrick JG, Requa RK. Role of external support in the prevention of ankle sprains. American Journal of Sports Medicine 5: 200–203, 1973
Greenfield B. Evaluation of overuse syndromes. In Donatelli (Ed.) The biomechanics of the foot and ankle, pp. 153–177, FA Davis Company, Philadelphia, 1990
Henderson J. First aid for the injured runner. Runners World 12: 32–34, 1977
Herring SA, Nilson KL. Introduction to overuse injuries. Clinics in Sports Medicine 6: 225–239, 1987
Hopper D. A survey of netball injuries and conditions related to these injuries. Australian Journal of Physiotherapy 32: 231–239, 1986
Hopper D, Lo SL, Kirkham C, Elliott B. Landing patterns in netball: analysis of an international game. British Journal of Sports Medicine 26: 101–106, 1992
James SL, Bates BT, Ostering LR. Injuries to runners. American Journal of Sports Medicine 6: 40–50, 1978
Landry ME, Zebas C. Analysis of 100 knees in high school runners. Journal of the American Podiatric Medical Association 75: 382–384, 1985
Lilletvedt J, Kreighbaum E, Phillips RL. Analysis of selected alignment of the lower extremity related to the shin splint syndrome. Journal of the American Podiatry Association 69: 211–217, 1979
McCluskey GM, Blackburn TM, Lewis T. Prevention of ankle sprains. American Journal of Sports Medicine 4: 151–157, 1976
McConnell J. The management of chondromalacia patellae: a long term solution. Australian Journal of Physiotherapy 32: 215–223, 1986
McPoil TG, Brocato RS. The foot and ankle: biomechanical evaluation and treatment. In Gould & Davies (Eds) Orthopaedic and sport physical therapy, pp. 313–341, CV Mosby Company, St Louis, 1985
Micheli LJ. Paediatric and adolescent sports injuries: recent trends. In Pandolf (Ed.) Exercise and sports sciences reviews, pp. 359–374, Macmillan, New York, 1986
Oakes BW. Acute soft tissue injuries — nature and management. Australian Family Physician 10 (Suppl.): 1–16, 1981
O’Connor ST. Survey of injuries at the 1979 All-Australian National Netball Championship, Melbourne, Australia, May 19th–26th. Unpublished
Payne CB. Biomechanics of the foot and related pathology, pp. 64–66, Podiatry Associates, Riccarton, New Zealand, 1982
Purdam C. A survey of netball and basketball injuries. Excel 3: 9–11, 1987
Root ML, Orien WP, Weed JH, Hughes RJ. Biomechanical examination of the foot, Vol. 1, pp. 42–123, Clinical Biomechanics Corp, Los Angeles, 1971
Roy S, Irvin R. Sports medicine. Prevention, management and rehabilitation, pp. 412–428, Prentice-Hall, New Jersey, 1983
Schuster RO. Podiatry and the foot of the athlete. Journal of the American Podiatry Association 62: 465–468, 1972
Segesser B. Typical injuries and overload problems in indoor athletic events — implications for the court shoe. In Segesser & Pforringer (Eds) The shoe in sport, pp. 70–85, Wolfe Publishing Ltd, London, 1989
Sgarlato TE. A compendium of podiatric biomechanics, pp. 199–203, California College of Podiatric Medicine, San Francisco, 1971
Steele JR. Injuries and the veteran netball player: minimizing risks. In King (Ed.) Proceedings of the Commonwealth and International Conference on Physical Education, Sport, Health, Dance Recreation and Leisure, Auckland, 18-23 January 1990, Vol. 4, Sports Science Part 2. pp. 164–175, NZAHPER, Auckland, 1990a
Steele JR. Biomechanical factors affecting performance in netball. Implications for improving performance and injury reduction. Sports Medicine 10: 88–102, 1990b
Steele JR, Lafortune MA. The relationship between technique and ground reaction forces at landing in netball. In Gregor et al. (Eds) Abstract no. 243, Proceedings of the XIIth International Congress of Biomechanics, University of California, Los Angeles, 26–30 June 1989, 1989a
Steele JR, Lafortune MA. A kinetic analysis of footfall patterns at landing in netball: a follow-up study. In Morrison (Ed.) VIIth International Symposium of Biomechanics in Sports, pp. 101–112, Footscray Institute of Technology, Footscray, 1989b
Steele JR, Milburn PD. A kinematic analysis of netball landing techniques. Australian Journal of Science and Medicine in Sport 19: 23–27, 1987a
Steele JR, Milburn PD. Ground reaction forces on landing in netball. Journal of Human Movement Studies 13: 399–410, 1987b
Steele JR, Milburn PD. The mechanics of landing in netball. New Zealand Journal of Sports Medicine 16: 7–13, 1988a
Steele JR, Milburn PD. Reducing the risk of injury in netball: changing rules or changing techniques? New Zealand Journal of Health, Physical Education and Recreation 21: 17–21, 1988b
Steele JR, Milburn PD. Effects of different synthetic sport surfaces on ground reaction forces at landing in netball. International Journal of Sport Biomechanics 4: 130–145, 1988c
Steele JR, Milburn PD. A kinetic analysis of footfall patterns at landing in netball. Australian Journal of Science and Medicine in Sport 21: 10–13, 1989
Subotnick SI. Podiatric sports medicine, p. 73, Futura, New York, 1975
Subotnick SI. Cures for common running injuries, pp. 109–113, World Publications, California, 1979
Thomas R, Nelson JK. Research methods, 2nd ed., p. 184, Human Kinetic Books, Champaign, 1990
Walsh WM, Blackburn T. Prevention of ankle sprains. American Journal of Sports Medicine 5: 243–245, 1977
Weil LS, Moore JW, Kratzer CD, Turner DL. A biomechanical study of the lateral ankle sprains in basketball. Journal of the American Podiatry Association 69: 687–690, 1979