Reporting Multiple Individual Injuries in Studies of Team Ball Sports: A Systematic Review of Current Practice

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SYSTEMATIC REVIEW

Reporting Multiple Individual Injuries in Studies of Team Ball Sports: A Systematic Review of Current Practice Lauren V. Fortington1 • Henk van der Worp2 • Inge van den Akker-Scheek2 Caroline F. Finch1



 The Author(s) 2016. This article is published with open access at Springerlink.com

Abstract Background To identify and prioritise targets for injury prevention efforts, injury incidence studies are widely reported. The accuracy and consistency in calculation and reporting of injury incidence is crucial. Many individuals experience more than one injury but multiple injuries are not consistently reported in sport injury incidence studies. Objective The aim of this systematic review was to evaluate current practice of how multiple injuries within individuals have been defined and reported in prospective, long-term, injury studies in team ball sports. Data Sources A systematic search of three online databases for articles published before 2016. Study Selection Publications were included if (1) they collected prospective data on musculoskeletal injuries in individual participants; (2) the study duration was [1 consecutive calendar year/season; and (3) individuals were the unit of analysis. Data Extraction Key study features were summarised, including definitions of injury, how multiple individual injuries were reported and results relating to multiple injuries. Electronic supplementary material The online version of this article (doi:10.1007/s40279-016-0637-3) contains supplementary material, which is available to authorized users. & Lauren V. Fortington [email protected] 1

2

Australian Collaboration for Research into Injury in Sport and its Prevention (ACRISP), Federation University Australia, SMB Campus, PO Box 663, Ballarat, VIC 3353, Australia Center for Sports Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

Results Of the 71 publications included, half did not specifically indicate multiple individual injuries; those that did were largely limited to reporting recurrent injuries. Eight studies reported the number/proportion of athletes with more than one injury, and 11 studies presented the mean/number of injuries per athlete. Conclusions Despite it being relatively common to collect data on individuals across more than one season, the reporting of multiple injuries within individuals is much more limited. Ultimately, better addressing of multiple injuries will improve the accuracy of injury incidence studies and enable more precise targeting and monitoring of the effectiveness of preventive interventions.

Key Points While there is an increasing awareness of and increasing number of publications that report the collection of individual injury data across more than one season/year, the reporting of this injury data appears to be challenging. Half of the publications identified reported the total number of injuries or injured athletes as an overall grouped result across the entire study duration. Studies that recognised multipl