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      Highlighting Rural Cricket: Prevalence, Aetiology, and Risk Factors of Injury among Cricket Players in a Community Setting

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          Abstract

          Objective

          Cricket is a bat-and-ball game played among teams. The game is correlated with complex proficiencies and strategies that require remarkable physical fitness levels. Investigations on competitive cricketers based on the community level are scanty. Furthermore, injuries occurring during play at this level are not well understood and additional research is required for injury prevention. The study explored the prevalence, aetiology, and risk factors of cricket injuries (sustained over a single season) among cricketers in a community setting.

          Methods

          An epidemiological cross-sectional quantitative study design was performed. Data were collected from participants (n = 96), based on two cricket boards. A self-reported questionnaire for a single season was administered, which focused on demographics, the prevalence of injury, risk factors, and aetiology of injury.

          Results

          A total of eighty-seven participants (90.6%) experienced injury or related musculoskeletal pain (K-S 0.145, p < 0.000). The most common sites were the upper limbs (51%), followed by the lower limbs (45.8). Specific anatomical sites prevalent were the shoulder (33.3%), ankle (33.3%), hand (25%), and thigh (22.9%). Overuse injuries (45.8%) were prevalent, as well as sprains (49%), strains (41.7%), and bruising (49%). Mechanisms included overuse (51%), rapid rotation (44.8%), and struck by ball (41.7%). Majority (82.3%) of the participants reported not having access to primary healthcare in the clubs.

          Conclusion

          Community cricket players have a high overuse injury rate, concentrated mainly in the shoulder. Prevention and early primary healthcare are crucial in community-level sports.

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          Most cited references19

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          Spikes in acute workload are associated with increased injury risk in elite cricket fast bowlers.

          To determine if the comparison of acute and chronic workload is associated with increased injury risk in elite cricket fast bowlers.
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            Cricket injuries: a longitudinal study of the nature of injuries to South African cricketers.

            To determine the incidence and nature of injuries sustained by elite cricketers during a three season period in order to identify possible injury patterns. 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. 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%). 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.
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              Changes to injury profile (and recommended cricket injury definitions) based on the increased frequency of Twenty20 cricket matches

              This study analyzes injuries occurring prospectively in Australian men’s cricket at the state and national levels over 11 seasons (concluding in season 2008–09). In the last four of these seasons, there was more cricket played, with most of the growth being a new form of the game – Twenty20 cricket. Since the introduction of a regular Twenty20 program, injury incidence rates in each form of cricket have been fairly steady. Because of the short match duration, Twenty20 cricket exhibits a high match injury incidence, expressed as injuries per 10,000 hours of play. Expressed as injuries per days of play, Twenty20 cricket injury rates compare more favorably to other forms of cricket. Domestic level Twenty20 cricket resulted in 145 injuries per 1000 days of play (compared to 219 injuries per 1000 days of domestic one day cricket, and 112 injuries per 1000 days of play in first class domestic cricket). It is therefore recommended that match injury incidence measures be expressed in units of injuries per 1000 days of play. Given the high numbers of injuries which are of gradual onset, seasonal injury incidence rates (which typically range from 15–20 injuries per team per defined ‘season’) are probably a superior incidence measure. Thigh and hamstring strains have become clearly the most common injury in the past two years (greater than four injuries per team per season), perhaps associated with the increased amount of Twenty20 cricket. Injury prevalence rates have risen in conjunction with an increase in the density of the cricket calendar. Annual injury prevalence rates (average proportion of players missing through injury) have exceeded 10% in the last three years, with the injury prevalence rates for fast bowlers exceeding 18%. As the amount of scheduled cricket is unlikely to be reduced in future years, teams may need to develop a squad rotation for fast bowlers, similar to pitching staff in baseball, to reduce the injury rates for fast bowlers. Consideration should be given to rule changes which may reduce the impact of injury. In particular, allowing the 12th man to play as a full substitute in first class cricket (and therefore take some of the bowling workload in the second innings) would probably reduce bowling injury prevalence in cricket.
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                Author and article information

                Journal
                TOSSJ
                Open Sports Sci J
                The Open Sports Sciences Journal
                Open Sports Sci. J.
                Bentham Science Publishers
                1875-399X
                05 July 2023
                2023
                : 16
                : e1875399X2306050
                Affiliations
                [1 ]Biomedical Engineering and Healthcare Technology (BEAHT) Research Centre, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa
                Author notes
                [* ]Address correspondence to this author at the Biomedical Engineering and Healthcare Technology (BEAHT) Research Centre, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa; E-mail: habibn@ 123456uj.ac.za
                Article
                e1875399X2306050
                10.2174/1875399X-v16-230627-2023-7
                d69fb7d2-156b-4bd3-9072-9d5f71f08b75
                © 2023 The Author(s). Published by Bentham Open.

                This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 05 March 2023
                : 19 April 2023
                : 23 May 2023
                Categories
                Sports Sciences

                Medicine,Chemistry,Life sciences
                Rural,Strain,Musculoskeletal pain,Injury,Cricketers,Epidemiology
                Medicine, Chemistry, Life sciences
                Rural, Strain, Musculoskeletal pain, Injury, Cricketers, Epidemiology

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