Epidemiology of Injury in Elite Youth Sports


Summer sports

Aquatics

Archery

Artistic gymnastics

Athletics

Badminton

Basketball

Beach volleyball

Canoeing

Cycling

Diving

Equestrian

Fencing

Field hockey

Football

Golf

Handball

Judo

Modern pentathlon

Rhythmic gymnastics

Rowing

Rugby

Sailing

Shooting

Swimming

Table tennis

Taekwondo

Tennis

Triathlon

Volleyball

Weightlifting

Wrestling
 
Winter sports

Alpine skiing

Biathlon

Bobsleigh

Cross-country skiing

Curling

Figure skating

Freestyle skiing

Ice hockey

Luge

Nordic combined

Short track

Skeleton

Ski jumping

Snowboard

Speed skating
 


Little is known about the injury risk of the young athlete competing at high-level sports [12]. Consequently, a comprehensive injury and illness surveillance, based on the IOC model for previous Olympic Games, was initiated during the 10 days of the 2012 first Winter Youth Olympic Games [11]. Continuous injury and illness surveillance during major sporting events will build a foundation for providing evidence useful for the development of injury prevention program [13]. This book chapter summarizes the current knowledge on injury risk of children and adolescent elite athlete competing in sports presented on the program for Youth Olympic Summer and Winter Games.



Varying Injury Risk


A literature search of injury surveillance among children and adolescent elite athletes competing in Olympic summer and winter sports identified a total of 22 studies, representing 17 of the selected 49 (35 %) sports on the program of the Summer and Winter Youth Olympic Games.

Tables 6.2 and 6.3 summarize the injury risk expressed as the number of injuries per athlete per season, per participating athletes, and injury incidence as injuries per 1,000 h or athlete exposures for male and female elite young athletes competing through regular seasonal activities [1426], training camps and national tournaments [2730], or major sports events [11, 3134].


Table 6.2
Summer sports





































































































































































































































































Reference

Population

Sport

No of all injuries

Injury recording, injury definition

Injuries per athlete per season

Injury incidence per 1,000 h

Country, season, follow-up period

Competition

Training

Total

Seasonal activities

Palmer-Green et al. [15]

England, 2006–2008, 2 years

Male

n = 250

16–18 years

Rugby Union

109

Prospective, time loss

0.44

47.0
   

Jacobsson et al. [16]

Sweden 2009–2010, 1 year

Female + male

n = 126

17 years

Track and field

170

Prospective, medical attention

1.35
   
Female: 3.1

Male: 3.9

Møller et al. [17]

Denmark, 2010–2011, 31 weeks

Female + male

n = 194

U16

Handball

148

Prospective, time loss

0.76
   
6.0

Møller et al. [17]

Denmark, 2010–2011, 31 weeks

Female + male

n = 152

U18

Handball

117

Prospective, time loss

0.77
   
5.8

Johnson et al. [19]

UK, 2001–2007, 6 years

Male

n = 292

9–16 years

Football (Soccer)

476

Prospective, ?

0.27

10.5

1.4
 

Le Gall et al. [20] France, 1998–2006, 8 years

Female

n = 119

15–19 years

Football (Soccer)

619

Prospective, time loss

0.65

22.4

4.6

6.4

Le Gall et al. [21]

France, 1993–2003, 10 years

Male

n = 528

13–15 years

Football (Soccer)

1,152

Prospective, time loss

0.22

11.2

3.9

4.8

Price et al. [22] UK, 1999–2001, 2 years

Male

n = 4,773

9–19 years

Football (Soccer)

3,805

Prospective, time loss

0.40
     

Smoljanovic et al. [23]

World Cup athletes, 2006–2007, 1 year

Male

n = 231

18 years

Rowing

209

Retrospective by survey, time loss

0.90
 
2.0a
 

Smoljanovic et al. [23]

World Cup athletes, 2006–2007, 1 year

Female

n = 167

18 years

Rowing

184

Retrospective by survey, time loss

1.10
 
2.4a
 

Yung et al. [24]

Hong Kong, 2003, 1 year

Male + female

n = 11

16–21 years

Badminton

37

Retrospective by survey, time loss

3.36

5.9

2.8

3.1

Kolt and Kirkby [25]

Australia, 19??, 1½ years

Female

n = 24

11–19 years

Gymnastics

151

Prospective, time loss or modification of gymnastics sessions

4.19
 
2.6
 

Kolt and Kirkby [26]

Australia, 19??, 1 year

Female

n = 47

11–19 years

Gymnastics

111

Retrospective by survey, time loss

2.36
 
1.6
 

Training camps and tournaments

Ergün et al. [27]

National training camps, Turkey, 2005–2008, 3 years

Male

n = 52

U17–19

Football (soccer)

29

Prospective, time loss

Not relevant

30.4

7.4

12.1

Hägglund et al. [31]

U19 European Championships, 2006–2008, 3 years

Female

n = 433

18 years

Football (soccer)

43

Prospective, time loss

Not relevant

11.7–28.2

1.1–7.4

4.9–13.5

U19 European Championships, 2006–2008, 3 years

Male

n = 436

18 years

Football (soccer)

38

Prospective, time loss

Not relevant

16.3–27.8

1.5–2.1

6.4–13.0

U17 European Championships, 2006–2008, 3 years

Male

n = 433

16 years

Football (soccer)

40

Prospective, time loss

Not relevant

20.7–28.6

1.2–5.6

8.4–13.3

Yard and Comstock [29]

National tournament, USA, 2006

Male

n = 3,000

16–19 years

Wrestling

138

Prospective, time loss

Not relevant
   
5.8 (per 1,000 athlete matches)

Waldén et al. [32]

U19 European Championships, 2005

Male

n = 144

18 years

Football (soccer)

17

Prospective, time loss

Not relevant

30.4

2.9

13.4

Junge and Dvorak [33]

U19 World Championships, 2002, 2004, 2 years

Female

n = 432b

16–19 years

Football (Soccer)

?

Prospective, tissue (expected time loss)

Not relevant

68–85 (20–49)
   

Junge et al. [34]

U17 World Championships, 1999, 2001, 2 years

Male

n = 576b

16 years

Football (Soccer)

146

Prospective, tissue (expected time loss)

Not relevant

51.0–88.1

(19.2–32.7)
   

Rishiraj et al. [28]

Canada, 1996–2000, 5 years

Female

n = 75

18 years

Field hockey

192

Prospective, time loss

Not relevant

67.5a

68.0a

67.9a

Hutchinson et al. [30]

USA, 1986–1988, 1990–1992, 6 years

Male

n = 1,440

?? yrs

Tennis

304

Prospective, physical or medical assistance

Not relevant
     


Risk of injuries expressed as the number of injuries per athlete per season and injury incidence and for adolescent elite athletes of different sports (if not otherwise specified)

aPer 1,000 athlete exposures

bBased on a squad of 18 players for 12 (female) and 16 (male) qualified teams for each tournament, U16 = under age 16



Table 6.3
Winter sports













































































Reference

Population

Sport

No of all injuries

Injury recording, injury definition

Injuries per athlete per season

Injury incidence per 1000 h

Country, season, follow-up period

Competition

Training

Total

Seasonal activities
               

Decloe et al. 2014 [14]

Canada, 2008–2009, 1 year

Female

n = 41

15–17 years

Ice hockey

20

Prospective

Medical attention

0.49
   
2.9

Westin et al. 2012 [18]

Sweden, 2006–2011, 5 years

Female n = 216

Male n = 215

15–17 years

Alpine skiing

Female: 102

Male: 91

Prospective

Time loss

Female: 0.09

Male: 0.08
   
Female: 1.8

Male: 1.6

Training camps and tournaments
       
Injuries per participating athletes
     

Ruedl et al. 2012 [11]

Youth Olympic Games, Austria, 2012, 10 days

Female + male

n = 1,021

14–18 years

Alpine skiing

Curling

Ice hockey

Ice-track sports

Nordic skiing

Skating

Snowboard

32

 2

26

 8

 7

15

21

Prospective

Medical attention

0.19

0.03

0.13

0.06

0.03

0.10

0.42
     


Risk of injuries expressed as the number of injuries per athlete per season and injury incidence and for adolescent elite athletes of different sports (if not otherwise specified)


Summer Sports


The literature search yielded 11 seasonal studies [1517, 1926] and 8 studies [2734] presenting data from training camps or tournament play, representing a total of ten sports. Of these, most studies were on football players [1922, 27, 3134], while the others captured rugby union [15], track and field [16], handball [17], rowing [23], badminton [24], gymnastics [25, 26], wrestling [29], field hockey [28], and tennis [30]. Keeping the varying length of study periods in mind, all from some days during a tournament up to 10 years [21], the number of included participants and injuries varied, too, with a small sample size in most cases. Almost all studies chose a prospective study design [1517, 1922, 25], and “time loss” was generally a criteria in their data collection procedures [1517, 1929, 31, 32]. Injury risk was lower during seasonal activities than during tournament play.


Winter Sports


For winter sports and young elite athletes, significantly fewer studies exist on injury surveillance: two studies on male and female alpine [18] and female ice hockey athletes [14] with a population follow-up period between 1 and 5 years. In addition, Ruedl et al. [11] published injury data through the 10 days of the first Winter Youth Olympic Games, including 1,021 athletes, aged 14–19. Data from this multisport event were presented for alpine, curling, ice hockey, ice track, Nordic skiing, skating, and snowboard athletes. All three studies followed their populations prospectively [11, 14, 18], and two of them applied the “medical attention injury definition” to their data collection [11, 14]. Injuries varied between cohorts and were chosen to be described by either “injuries per season per athlete” [14, 18], per 1,000 h of exposure to sport [14, 18], or per participating athletes [11], making direct comparisons on injury risk across sports difficult.

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Oct 16, 2016 | Posted by in SPORT MEDICINE | Comments Off on Epidemiology of Injury in Elite Youth Sports

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