Injuries in Field Hockey Players: A Systematic Review

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SYSTEMATIC REVIEW

Injuries in Field Hockey Players: A Systematic Review Saulo Delfino Barboza1 • Corey Joseph2 • Joske Nauta1 • Willem van Mechelen1,3,4,5 Evert Verhagen1,2,4



Ó The Author(s) 2018. This article is an open access publication

Abstract Background To commence injury prevention efforts, it is necessary to understand the magnitude of the injury problem. No systematic reviews have yet investigated the extent of injuries in field hockey, despite the popularity of the sport worldwide. Objective Our objective was to describe the rate and severity of injuries in field hockey and investigate their characteristics. Methods We conducted electronic searches in PubMed, Embase, SPORTDiscus, and CINAHL. Prospective cohort studies were included if they were published in English in a Electronic supplementary material The online version of this article (https://doi.org/10.1007/s40279-017-0839-3) contains supplementary material, which is available to authorized users. & Evert Verhagen [email protected] 1

Amsterdam Collaboration on Health and Safety in Sports, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands

2

Australian Collaboration for Research into Injury in Sport and its Prevention, Federation University Australia, Lydird Street South, Ballarat, VIC 3350, Australia

3

School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, University of Queensland, Brisbane, QLD 4072, Australia

4

5

Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Anzio Road, Observatory 7925, Cape Town, South Africa School of Public Health, Physiotherapy and Population Sciences, University College Dublin, Belfield, Dublin 4, Ireland

peer-reviewed journal and observed all possible injuries sustained by field hockey players during the period of the study. Results The risk of bias score of the 22 studies included ranged from three to nine of a possible ten. In total, 12 studies (55%) reported injuries normalized by field hockey exposure. Injury rates ranged from 0.1 injuries (in schoolaged players) to 90.9 injuries (in Africa Cup of Nations) per 1000 player-hours and from one injury (in high-school women) to 70 injuries (in under-21 age women) per 1000 player-sessions. Studies used different classifications for injury severity, but—within studies—injuries were included mostly in the less severe category. The lower limbs were most affected, and contusions/hematomas and abrasions were common types of injury. Contact injuries are common, but non-contact injuries are also a cause for concern. Conclusions Considerable heterogeneity meant it was not possible to draw conclusive findings on the extent of the rate and severity of injuries. Establishing the extent of sports injury is considered the first step towards prevention, so there is a need for a consensus on injury surveillance in field hocke