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Risk factors for repetitive microtrauma injury to adolescent and adult cricket fast bowlers

Cricket is one of Australia's most popular sports, both in terms of participation rates and spectator interest. However, as with all sports, participation in cricket can be associated with a risk of injury. Injury surveillance in Australia and internationally has consistently identified fast bowlers as the players at the greatest risk of injury. This clearly establishes fast bowlers as the priority group for continued risk factor research. The primary aim of this thesis is to describe the epidemiology of repetitive microtrauma injuries and identify the risk factors for these injuries to male adolescent and adult fast bowlers. The program of research consists of three sequential prospective cohort studies, which were conducted over four cricket seasons. The rate of injury was high in all these studies, with nearly half of the 305 bowlers sustaining an injury. The first of the three studies, which was conducted over three seasons, recruited 95 adult first-class fast bowlers and investigated bowling workload as a risk factor for injury. The findings suggested that there were thresholds for both low and high workload, beyond which the risk of injury increased. The second study recruited 47 adolescent high performance fast bowlers for one season, and identified a significant association between high bowling workload and injury. Based on the results of these two studies, workload guidelines for adult and adolescent fast bowlers are described in detail in this thesis. The third study expanded on the first two workload studies and concurrently investigated a range of potential injury risk factors relating to bowling workload, physical characteristics and bowling technique. A total of 91 adult and adolescent high performance fast bowlers participated in the third study for one season. Two independent predictors of injury were identified: increased hip internal rotation and reduced ankle dorsiflexion. This program of research has provided information that is essential for the development of evidence-based injury prevention guidelines for adolescent and adult fast bowlers. The next stage in the injury prevention process is to implement measures that control the exposure to the injury risk factors identified in this thesis.

Identiferoai:union.ndltd.org:ADTP/188118
Date January 2005
CreatorsDennis, Rebecca Jane, Safety Science, Faculty of Science, UNSW
PublisherAwarded by:University of New South Wales. School of Safety Science
Source SetsAustraliasian Digital Theses Program
LanguageEnglish
Detected LanguageEnglish
RightsCopyright Rebecca Jane Dennis, http://unsworks.unsw.edu.au/copyright

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