Adherence; Behaviours; Epidemiology; Injury Prevention; Risk Reduction; Orthopedics and Sports Medicine; Physical Therapy, Sports Therapy and Rehabilitation
Abstract :
[en] Objective: In Athletics (Track and Field), athletes can be affected by injuries, especially in their quest for top performance. Therefore, we aim to provide an overview of the current knowledge about the problem of injuries in Athletics. Main findings: It is necessary to maintain a clear definition of “injury” when stakeholders in Athletics discuss clinical, administrative, and/or research perspectives. There are several possible methodological approaches to collect injury data in Athletics depending on the context, population, and injury definition. In general, about two thirds of Athletics athletes sustain at least one injury during an Athletics season, and there are about 100 injuries per 1000 registered athletes during an international championship. The injury rates and characteristics vary by sex and discipline. The injuries can affect athletes physically, psychologically, and socially, with short- and long-term consequences for musculoskeletal function, athletics performance and athletics career. Although it is logical to try to reduce the injury risk, little scientific evidence is currently available to help Athletics-related stakeholders. Conclusions: Injury can currently be considered as an omnipresent problem in Athletics, which affects their practice, with consequences on performance and health. Injury risk is today an undeniable part of the life of Athletics athletes, which implies that there is a pressing need to continue the development of injury risk reduction strategies, to scientifically evaluate their efficacy, and to implement them in sports practice.
Disciplines :
Orthopedics, rehabilitation & sports medicine
Author, co-author :
Edouard, Pascal; UNIVERSITÉ JEAN MONNET SAINT-ETIENNE, Saint-Etienne, France ; UNIVERSITY HOSPITAL OF SAINT-ETIENNE, Sports Medicine Unit, Saint-Etienne, France ; EUROPEAN ATHLETICS ASSOCIATION (EAA), Lausanne, Switzerland
Dandrieux, P.-E.; UNIVERSITÉ JEAN MONNET SAINT-ETIENNE, Saint-Etienne, France ; MINES SAINT-ETIENNE, Saint-Etienne, France
Iatropoulos, S.; UNIVERSITÉ JEAN MONNET SAINT-ETIENNE, Saint-Etienne, France ; MINES SAINT-ETIENNE, Saint-Etienne, France
Blanco, D.; UNIVERSITAT INTERNACIONAL DE CATALUNYA, Barcelona, Spain
Branco, P.; EUROPEAN ATHLETICS ASSOCIATION (EAA), Lausanne, Switzerland
Chapon, J.; UNIVERSITÉ JEAN MONNET SAINT-ETIENNE, Saint-Etienne, France
Mulenga, D.; UNIVERSITY TEACHING HOSPITAL, Lusaka, Zambia ; SPORTS PHYSIOTHERAPY ASSOCIATION OF ZAMBIA (SPAZ), Lusaka, Zambia
Guilhem, G.; FRENCH INSTITUTE OF SPORT, Paris, France
Jacobsson, J.; LINKÖPING UNIVERSITY, Linköping, Sweden
Mann, R.; UNIVERSITY OF EXETER, Exeter, Devon, United Kingdom ; PODIUM ANALYTICS, London, United Kingdom
McCallion, C.; NORTHWOOD COURT, Dublin, Ireland
Mosser, C.; UNIVERSITÉ JEAN MONNET SAINT-ETIENNE, Saint-Etienne, France
Morin, J.-B.; UNIVERSITÉ JEAN MONNET SAINT-ETIENNE, Saint-Etienne, France
Prince, C.; UNIV SAVOIE MONT BLANC, Chambéry, France ; SWISS OLYMPIC MEDICAL CENTER, Meyrin, Switzerland ; SOCIÉTÉ FRANÇAISE DES MASSEURS KINÉSITHÉRAPEUTE DU SPORT, Pierrefitte-sur-Seine, France
Ruffault, Alexis ; Université de Liège - ULiège > Département de Psychologie > Psychologie de la santé
Timpka, T.; LINKÖPING UNIVERSITY, Linköping, Sweden
Alonso, J.-M.; QATAR ORTHOPEDICS AND SPORTS MEDICINE HOSPITAL, Doha, Qatar
Tsukahara, Y.; TOKYO WOMEN‘S COLLEGE OF PHYSICAL EDUCATION, Tokyo, Japan
Navarro, L.; MINES SAINT-ETIENNE, Saint-Etienne, France
Hollander, K.; MSH MEDICAL SCHOOL HAMBURG, Hamburg, Germany
(1) Ahmed OH, Weiler R, Schneiders AG, McCrory P, Sullivan SJ. Top tips for social media use in sports and exercise medicine: Doing the right thing in the digital age. Br J Sports Med. 2015; 49: 909-910. doi:10.1136/bjsports-2014-094395
(2) Alonso JM, Junge A, Renstrom P, Engebretsen L, Mountjoy M, Dvorak J. Sports injuries surveillance during the 2007 IAAF world athletics championships. Clin J Sport Med. 2009; 19: 26-32. doi:10.1097/JSM.0b013e318191c8e7
(3) Askling CM, Tengvar M, Tarassova O, Thorstensson A. Acute hamstring injuries in Swedish elite sprinters and jumpers: A prospective randomised controlled clinical trial comparing two rehabilitation protocols. Br J Sports Med. 2014; 48: 532-539. doi:10.1136/bjsports-2013-093214
(4) Bahr R, Clarsen B, Derman W, Dvorak J, Emery CA, Finch CF, Hagglund M, Junge A, Kemp S, Khan KM, Marshall SW, Meeuwisse W, Mountjoy M, Orchard JW, Pluim B, Quarrie KL, Reider B, Schwellnus M, Soligard T, Stokes KA, Timpka T, Verhagen E, Bindra A, Budgett R, Engebretsen L, Erdener U, Chamari K. International Olympic Committee consensus statement: Methods for recording and reporting of epidemiological data on injury and illness in sport 2020 (including STROBE Extension for Sport Injury and Illness Surveillance (STROBE-SIIS)). Br J Sports Med. 2020; 54: 372-389. doi:10.1136/bjsports-2019-101969
(5) Bennell Kim L, Crossley K. Musculoskeletal injuries in track and field: Incidence, distribution and risk factors. Aust J Sci Med Sport. 1996; 28: 69-75.
(6) Bigouette JP, Owen EC, Greenleaf J, James SL, Strasser NL. Injury Surveillance and Evaluation of Medical Services Utilized During the 2016 Track and Field Olympic Trials. Orthop J Sports Med. 2018; 6: 2325967118816300. doi:10.1177/2325967118816300
(7) Bolling C, Barboza SD, Van Mechelen W, Roeline Pasman H. Letting the cat out of the bag: Athletes, coaches and physiotherapists share their perspectives on injury prevention in elite sports. Br J Sports Med. 2020; 54: 871-877. doi:10.1136/bjsports-2019-100773
(8) Bolling C, Delfino Barboza S, van Mechelen W, Pasman HR. How elite athletes, coaches, and physiotherapists perceive a sports injury. Transl Sports Med. 2019; 2: 17-23. doi:10.1002/tsm2.53
(9) Boltz AJ, Roby PR, Robison HJ, Morris SN, Collins CL, Chandran A. Epidemiology of injuries in National Collegiate Athletic Association men’s track and field: 2014–2015 through 2018–2019. J Athl Train. 2021; 56: 788-794. doi:10.4085/1062-6050-513-20
(10) Bonell Monsonis O, Verhagen E, Kaux JF, Bolling C. “I always considered I needed injury prevention to become an elite athlete”: The road to the Olympics from the athlete and staff perspective. BMJ Open Sport Exerc Med. 2021; 7: E001217. doi:10.1136/bmjsem-2021-001217
(11) Carragher P, Rankin A, Edouard P. A One-Season Prospective Study of Illnesses, Acute, and Overuse Injuries in Elite Youth and Junior Track and Field Athletes. Front Sports Act Living. 2019: 1: 13. doi:10.3389/fspor.2019.00013
(12) Chapon J, Navarro L, Edouard P. Relationships Between Performance and Injury Occurrence in Athletics (Track and Field): A Pilot Study on 8 National-Level Athletes From Sprints, Jumps and Combined Events Followed During at Least Five Consecutive Seasons. Front Sports Act Living. 2022; 4: 852062. doi:10.3389/fspor.2022.852062
(13) Dahlstrom O, Jacobsson J, Timpka T. Overcoming the organizationpractice barrier in sports injury prevention: A nonhierarchical organizational model. Scand J Med Sci Sports. 2015; 25: E414-e422. doi:10.1111/sms.12327
(14) Dandrieux PE, Navarro L, Blanco D, Ruffault A, Ley C, Bruneau A, Chapon J, Hollander K, Edouard P. Relationship between a daily injury risk estimation feedback (I-REF) based on machine learning techniques and actual injury risk in athletics (track and field): Protocol for a prospective cohort study over an athletics season. BMJ Open. 2023; 13: E069423. doi:10.1136/bmjopen-2022-069423
(15) Dandrieux PE, Navarro L, Chapon J, Tondut J, Zyskowski M, Hollander K, Edouard P. Perceptions and beliefs on sports injury prediction as an injury risk reduction strategy: An online survey on elite athletics (track and field) athletes, coaches, and health professionals. Phys Ther Sport. 2024; 66: 31-36. doi:10.1016/j.ptsp.2024.01.007
(16) Dijkstra HP, Pollock N, Chakraverty R, Alonso JM. Managing the health of the elite athlete: A new integrated performance health management and coaching model. Br J Sports Med. 2014; 48: 523-531. doi:10.1136/bjsports-2013-093222
(17) Donaldson A, Lloyd DG, Gabbe BJ, Cook J, Finch CF. We have the Programme, what next? Planning the implementation of an injury prevention programme. Inj Prev. 2017; 23: 273-280. doi:10.1136/injuryprev-2015-041737
(18) Drew MK, Raysmith BP, Charlton PC. Injuries impair the chance of successful performance by sportspeople: A systematic review. Br J Sports Med. 2017; 51: 1209-1214. doi:10.1136/bjsports-2016-096731
(19) D‘Souza D. Track and field athletics injuries--a one-year survey. Br J Sports Med. 1994; 28: 197-202. doi:10.1136/bjsm.28.3.197
(20) Edouard P. Injury Prevention in Track and Field. In: Canata GL, D’Hogghe P, Hunt KJ, Kerkhoffs GMMJ, Longo UG, eds. Management of Track and Field Injuries. Springer International Publishing. 2022: 313-318.
(21) Edouard P. The Burden and Epidemiology of Injury in Track and Field. In: Canata GL, D’Hooghe P, Hunt KJ, Kerkhoffs GMMJ, Longo UG, eds. Management of Track and Field Injuries. Springer International Publishing. 2022: 3-12.
(22) Edouard P, Bolling C, Chapon J, Verhagen E. “What does not kill us can make us stronger”: Can we use injury experience as an opportunity to help athletes and their teams engage in injury risk reduction? BMJ Open Sport Exerc Med. 2022; 8: E001359. doi:10.1136/bmjsem-2022-001359
(23) Edouard P, Branco P, Alonso JM. Challenges in athletics injury and illness prevention: Implementing prospective studies by standardised surveillance. Br J Sports Med. 2014; 48: 481-482. doi:10.1136/bjsports-2013-093093
(24) Edouard P, Branco P, Alonso JM. Muscle injury is the principal injury type and hamstring muscle injury is the first injury diagnosis during top-level international athletics championships between 2007 and 2015. Br J Sports Med. 2016; 50: 619-630. doi:10.1136/bjsports-2015-095559
(25) Edouard P, Branco P, Alonso JM, Junge A. Methodological quality of the injury surveillance system used in international athletics championships. J Sci Med Sport. 2016; 19: 984-989. doi:10.1016/j.jsams.2016.03.012
(26) Edouard P, Caumeil B, Giroux C, Bruneau A, Tondut J, Navarro L, Hanon C, Guilhem G, Ruffault A. Epidemiology of Injury Complaints in Elite Sprinting Athletes in Athletics (Track and Field). Applied Sciences (Switzerland). 2023; 13: 8105. doi:10.3390/app13148105
(27) Edouard P, Caumeil B, Verhagen E, Guilhem G, Ruffault A. Maximising individualisation of sports injury risk reduction approach to reach success. Braz J Phys Ther. 2022; 26: 100394. doi:10.1016/j.bjpt.2022.100394
(28) Edouard P, Dandrieux PE, Junge A, Navarro L, Giroux C, Guex K, Branco P, Guilhem G, Hollander K. Is the risk of muscle injuries higher in the finals than in previous rounds of the 100 m, 200 m and 400 m sprints of international athletics championships? J Sci Med Sport. 2024: S1440-2440(24)00055-0. doi:10.1016/j.jsams.2024.02.007
(29) Edouard P, Dandrieux P-E, Tondut J, Chapon J, Navarro L, Ruffault A, Branco P, Zyskowski M, Hollander K. Injury risk reduction perceptions in athletics: Survey on elite athletes and stakeholders participating at the Munich 2022 European Championships. Dtsch Z Sportmed. 2023; 74: 197-204. doi:10.5960/dzsm.2023.572
(30) Edouard P, Dandrieux P-E, Chapon J, Prince C, Charpy S, Bruneau A, Navarro L, Hollander K. One-season epidemiology of injury complaints in athletics (track and field). Dtsch Z Sportmed. 2022; 73: 215-220. doi:10.5960/dzsm.2022.544
(31) Edouard P, Depiesse F. Incidences and characteristics of injuries during elite French athletics championships from 2014 to 2017. Journal de Traumatologie du Sport. 2024: 41: 73-77. doi:10.1016/j.jts.2023.10.002
(32) Edouard P, Depiesse F, Branco P, Alonso JM. Analyses of Helsinki 2012 European athletics championships injury and illness surveillance to discuss elite athletes risk factors. Clin J Sport Med. 2014; 24: 409-415. doi:10.1097/JSM.0000000000000052
(33) Edouard P, Feddermann-Demont N, Alonso JM, Branco P, Junge A. Sex differences in injury during top-level international athletics championships: Surveillance data from 14 championships between 2007 and 2014. Br J Sports Med. 2015; 49: 472-477. doi:10.1136/bjsports-2014-094316
(34) Edouard P, Hollander K, Navarro L, Lacourpaille L, Morales-Artacho AJ, Hanon C, Morin JB, Le Garrec S, Branco P, Junge A, Guilhem G. Lower limb muscle injury location shift from posterior lower leg to hamstring muscles with increasing discipline-related running velocity in international athletics championships. J Sci Med Sport. 2021; 24: 653-659. doi:10.1016/j.jsams.2021.02.006
(35) Edouard P, Jacobsson J, Timpka T, Alonso JM, Kowalski J, Nilsson S, Karlsson D, Depiesse F, Branco P. Extending in-competition Athletics injury and illness surveillance with pre-participation risk factor screening: A pilot study. Phys Ther Sport. 2015; 16: 98-106. doi:10.1016/j.ptsp.2014.05.003
(36) Edouard P, Junge A, Alonso JM, Timpka T, Branco P, Hollander K. Having an injury complaint during the four weeks before an international athletics (‘track and field’) championship more than doubles the risk of sustaining an injury during the respective championship: A cohort study on 1095 athletes during 7 international championships. J Sci Med Sport. 2022; 25: 986-994. doi:10.1016/j.jsams.2022.10.010
(37) Edouard P, Junge A, Kiss-Polauf M, Ramirez C, Sousa M, Timpka T, Branco P. Interrater reliability of the injury reporting of the injury surveillance system used in international athletics championships. J Sci Med Sport. 2018; 21: 894-898. doi:10.1016/j.jsams.2018.02.001
(38) Edouard P, Morel N, Serra JM, Pruvost J, Oullion R, Depiesse F. Prevention des lesions de l’appareil locomoteur liees a la pratique de l’athletisme sur piste. Revue des donnees epidemiologiques. Sci Sports. 2011; 26: 307-315. doi:10.1016/j.scispo.2011.04.003
(39) Edouard P, Mosser C, Chapon J, Depiesse F, Palmer D. Understanding the first injury in athletics and its effect on dropout from sport: An online survey on 544 high-level youth and junior athletics (track and field) athletes. BMJ Open Sport Exerc Med. 2024; 10: E001767. doi:10.1136/bmjsem-2023-001767
(40) Edouard P, Navarro L, Branco P, Gremeaux V, Timpka T, Junge A. Injury frequency and characteristics (location, type, cause and severity) differed significantly among athletics (‘track and field’) disciplines during 14 international championships (2007-2018): Implications for medical service planning. Br J Sports Med. 2020; 54: 159-167. doi:10.1136/bjsports-2019-100717
(41) Edouard P, Navarro L, Pruvost J, Branco P, Junge A. In-competition injuries and performance success in combined events during major international athletics championships. J Sci Med Sport. 2021; 24: 152-158. doi:10.1016/j.jsams.2020.07.011
(42) Edouard P, Pollock N, Guex K, Kelly S, Prince C, Navarro L, Branco P, Depiesse F, Gremeaux V, Hollander K. Hamstring Muscle Injuries and Hamstring Specific Training in Elite Athletics (Track and Field) Athletes. Int J Environ Res Public Health. 2022; 19: 10992. doi:10.3390/ijerph191710992
(44) Edouard P, Richardson A, Navarro L, Gremeaux V, Branco P, Junge A. Relation of Team Size and Success With Injuries and Illnesses During Eight International Outdoor Athletics Championships. Front Sports Act Living. 2019; 1: 8. doi:10.3389/fspor.2019.00008
(45) Edouard P, Ruffault A, Bolling C, Navarro L, Martin S, Depiesse F, Oestergaard Nielsen R, Verhagen E. French Athletics Stakeholders’ Perceptions of Relevance and Expectations on Injury Prevention. Int J Sports Med. 2022; 43: 1052-1060. doi:10.1055/a-1843-6533
(46) Edouard P, Sanchez H, Bourrilhon C, Homo S, Frere J, Cassirame J. Biomechanical Pole Vault Patterns Were Associated With a Higher Proportion of Injuries. Front Sports Act Living. 2019; 1: 20. doi:10.3389/fspor.2019.00020
(47) Edouard P, Sorg M, Martin S, Verhagen E, Ruffault A. Athletes who have already experienced an injury are more prone to adhere to an injury risk reduction approach than those who do not: An online survey of 7870 French athletics (track and field) athletes. BMJ Open Sport Exerc Med. 2024; 10: E001768. doi:10.1136/bmjsem-2023-001768
(48) Edouard P, Steffen K, Navarro L, Mansournia MA, Nielsen RO. Methods matter: Instrumental variable analysis may be a complementary approach to intention-to-treat analysis and as treated analysis when analysing data from sports injury trials. Br J Sports Med. 2021; 55: 1009-1011. doi:10.1136/bjsports-2020-102155
(49) Edouard P, Steffen K, Peuriere M, Gardet P, Navarro L, Blanco D. Effect of an unsupervised exercises-based athletics injury prevention programme on injury complaints leading to participation restriction in athletics: A cluster-randomised controlled trial. Int J Environ Res Public Health. 2021; 18: 11334. doi:10.3390/ijerph182111334
(50) Edouard P, Svensson F, Guex K. A call to change our vision on sports injuries and their prevention: Adopt a salutogenic approach! See the half-full glass! BMJ Open Sport Exerc Med. 2023; 9: E001793. doi:10.1136/bmjsem-2023-001793
(51) Edouard P, Tondut J, Hollander K, Dandrieux PE, Navarro L, Bruneau A, Junge A, Blanco D. Risk factors for injury complaints leading to restricted participation in Athletics (Track and Field): A secondary analysis of data from 320 athletes over one season. BMJ Open Sport Exerc Med. 2023; 9: E001718. doi:10.1136/bmjsem-2023-001718
(52) Ek A, Kowalski J, Jacobsson J. Training in spikes and number of training hours correlate to injury incidence in youth athletics (track and field): A prospective 52-week study. J Sci Med Sport. 2022; 25: 122-128. doi:10.1016/j.jsams.2021.09.006
(53) Everard C, Wadey R, Howells K. Storying sports injury experiences of elite track athletes: A narrative analysis. Psychol Sport Exerc. 2021; 56: 102007. doi:10.1016/j.psychsport.2021.102007
(54) Feddermann-Demont N, Junge A, Edouard P, Branco P, Alonso JM. Injuries in 13 international Athletics championships between 2007-2012. Br J Sports Med. 2014; 48: 513-522. doi:10.1136/bjsports-2013-093087
(55) Gledhill A, Forsdyke D, Murray E. Psychological interventions used to reduce sports injuries: A systematic review of real-world effectiveness. Br J Sports Med. 2018; 52: 967-971. doi:10.1136/bjsports-2017-097694
(56) Guex K, Svensson F, Edouard P. Blessures et prevention dans le sport: Pourquoi ne pas changer de vision et voir le verre a moitie plein? J Traumatol Sport. 2023; 40: 57-61. doi:10.1016/j.jts.2023.03.001
(58) Hopkins C, Williams J, Rauh MJ, Zhang L. Epidemiology of NCAA Track and Field Injuries From 2010 to 2014. Orthop J Sports Med. 2022; 10: 23259671211068079. doi:10.1177/23259671211068079
(59) Huxley DJ, O’Connor D, Healey PA. An examination of the training profiles and injuries in elite youth track and field athletes. Eur J Sport Sci. 2014; 14: 185-192. doi:10.1080/17461391.2013.809153
(60) Iatropoulos SA, Wheeler PC. Hamstring muscle injuries in athletics. Phys Sportsmed. 2024; 52: 103-114. doi:10.1080/00913847.2023.2188871
(61) Jacobsson J, Bergin D, Timpka T, Nyce JM, Dahlstrom O. Injuries in youth track and field are perceived to have multiple-level causes that call for ecological (holistic-developmental) interventions: A national sporting community perceptions and experiences. Scand J Med Sci Sports. 2018; 28: 348-355. doi:10.1111/sms.12929
(62) Jacobsson J, Ekberg J, Timpka T, Haggren Rasberg L, Sjoberg M, Mirkovic D, Nilsson S. Developing web-based health guidance for coaches and parents in child athletics (track and field). Scand J Med Sci Sports. 2020; 30: 1248-1255. doi:10.1111/sms.13661
(63) Jacobsson J, Kowalski J, Timpka T, Hansson PO, Spreco A, Dahlstrom O. Universal prevention through a digital health platform reduces injury incidence in youth athletics (track and field): A cluster randomised controlled trial. Br J Sports Med. 2023; 57: 364-370. doi:10.1136/bjsports-2021-105332
(64) Jacobsson J, Mirkovic D, Hansson PO, Lundqvist C, Mann RH, Tranaeus U. Youth athletes at Swedish sports high schools with an athletics specialism emphasise environmental support for injury risk management: A focus group study. BMJ Open Sport Exerc Med. 2023; 9: E001527. doi:10.1136/bmjsem-2022-001527
(65) Jacobsson J, Spreco A, Kowalski J, Timpka T, Dahlstrom O. Assessing parents, youth athletes and coaches subjective health literacy: A cross-sectional study. J Sci Med Sport. 2021; 24: 627-634. doi:10.1016/j.jsams.2021.02.001
(66) Jacobsson J, Timpka T. Classification of Prevention in Sports Medicine and Epidemiology. Sports Med. 2015; 45: 1483-1487. doi:10.1007/s40279-015-0368-x
(67) Jacobsson J, Timpka T, Kowalski J, Nilsson S, Ekberg J, Dahlstrom O, Renstrom PA. Injury patterns in Swedish elite athletics: Annual incidence, injury types and risk factors. Br J Sports Med. 2013; 47: 941-952. doi:10.1136/bjsports-2012-091651
(68) Junge A, Engebretsen L, Alonso JM, Renstrom P, Mountjoy M, Aubry M, Dvorak J. Injury surveillance in multi-sport events: The International Olympic Committee approach. Br J Sports Med. 2008; 42: 413-421. doi:10.1136/bjsm.2008.046631
(69) Kelly S, Pollock N, Polglass G, Clarsen B. Injury and Illness in Elite Athletics: A Prospective Cohort Study Over Three Seasons. Int J Sports Phys Ther. 2022; 17: 420-433. doi:10.26603/001c.32589
(70) Marocolo M, Meireles A, de Souza HLR, Mota GR, Oranchuk DJ, Arriel RA, Leite LHR. Is social media spreading misinformation on exercise and health in Brazil? Int J Environ Res Public Health. 2021; 18: 11914. doi:10.3390/ijerph182211914
(71) Martinez-Silvan D, Wik EH, Alonso JM, Jeanguyot E, Salcinovic B, Johnson A, Cardinale M. Injury characteristics in male youth athletics: A five-season prospective study in a full-time sports academy. Br J Sports Med. 2021; 55: 954-960. doi:10.1136/bjsports-2020-102373
(73) Oja P, Titze S, Kokko S, Kujala UM, Heinonen A, Kelly P, Koski P, Foster C. Health benefits of different sport disciplines for adults: Systematic review of observational and intervention studies with meta-analysis. Br J Sports Med. 2015; 49: 434-440. doi:10.1136/bjsports-2014-093885
(74) Opar D, Drezner J, Shield A, Williams M, Webner D, Sennett B, Kapur R, Cohen M, Ulager J, Cafengiu A, Cronholm PF. Acute injuries in track and field athletes: A 3-year observational study at the Penn relays carnival with epidemiology and medical coverage implications. Am J Sports Med. 2015; 43: 816-822. doi:10.1177/0363546514562553
(75) Opar DA, Drezner J, Shield A, Williams M, Webner D, Sennett B, Kapur R, Cohen M, Ulager J, Cafengiu A, Cronholm PF. Acute hamstring strain injury in track-and-field athletes: A 3-year observational study at the Penn Relay Carnival. Scand J Med Sci Sports. 2014; 24: 254-259. doi:10.1111/sms.12159
(76) Palmer D, Cooper DJ, Emery C, Batt ME, Engebretsen L, Scammell BE, Schamasch P, Shroff M, Soligard T, Steffen K, Whittaker JL, Budgett R. Self-reported sports injuries and later-life health status in 3357 retired Olympians from 131 countries: A cross-sectional survey among those competing in the games between London 1948 and PyeongChang 2018. Br J Sports Med. 2021; 55: 46-53. doi:10.1136/bjsports-2019-101772
(77) Pollock N, Kelly S, Lee J, Stone B, Giakoumis M, Polglass G, Brown J, MacDonald B. A 4-year study of hamstring injury outcomes in elite track and field using the British Athletics rehabilitation approach. Br J Sports Med. 2022; 56: 257-263. doi:10.1136/bjsports-2020-103791
(78) Pollock N, Patel A, Chakraverty J, Suokas A, James SLJ, Chakraverty R. Time to return to full training is delayed and recurrence rate is higher in intratendinous (‘c’) acute hamstring injury in elite track and field athletes: Clinical application of the British Athletics Muscle Injury Classification. Br J Sports Med. 2016; 50: 305-310. doi:10.1136/bjsports-2015-094657
(79) Raysmith BP, Drew MK. Performance success or failure is influenced by weeks lost to injury and illness in elite Australian track and field athletes: A 5-year prospective study. J Sci Med Sport. 2016; 19: 778-783. doi:10.1016/j.jsams.2015.12.515
(80) Rebella G. A prospective study of injury patterns in collegiate pole vaulters. Am J Sports Med. 2015; 43: 808-815. doi:10.1177/0363546514564542
(81) Rebella GS, Edwards JO, Greene JJ, Husen MT, Brousseau DC. A prospective study of injury patterns in high school pole vaulters. Am J Sports Med. 2008; 36: 913-920. doi:10.1177/0363546507313571
(82) Requa RK, Garrick JG. Injuries in interscholastic track and field. Phys Sportsmed. 1981; 9: 42-49. doi:10.1080/00913847.1981.11711030
(83) Ruffault A, Sorg M, Martin S, Hanon C, Jacquet L, Verhagen E, Edouard P. Determinants of the adoption of injury risk reduction programmes in athletics (track and field): An online survey of 7715 French athletes. Br J Sports Med. 2022; 56: 499-505. doi:10.1136/bjsports-2021-104593
(84) Timpka T, Alonso JM, Jacobsson J, Junge A, Branco P, Clarsen B, Kowalski J, Mountjoy M, Nilsson S, Pluim B, Renstrom P, Ronsen O, Steffen K, Edouard P. Injury and illness definitions and data collection procedures for use in epidemiological studies in Athletics (track and field): Consensus statement. Br J Sports Med. 2014; 48: 483-490. doi:10.1136/bjsports-2013-093241
(85) Timpka T, Fagher K, Bargoria V, Andersson C, Jacobsson J, Gauffin H, Hansson PO, Adami PE, Bermon S, Dahlstrom O. Injury acknowledgement by reduction of sports load in worldleading athletics (track and field) athletes varies with their musculoskeletal health literacy and the socioeconomic environment. Br J Sports Med. 2023; 57: 849-854. doi:10.1136/bjsports-2022-106007
(86) Timpka T, Fagher K, Bargoria V, Gauffin H, Andersson C, Jacobsson J, Nyce J, Bermon S. ‘The Little Engine That Could’: A Qualitative Study of Medical Service Access and Effectiveness among Adolescent Athletics Athletes Competing at the Highest International Level. Int J Environ Res Public Health. 2021; 18: 7278. doi:10.3390/ijerph18147278
(87) Timpka T, Jacobsson J, Bickenbach J, Finch CF, Ekberg J, Nordenfelt L. What is a sports injury? Sports Med. 2014; 44: 423-428. doi:10.1007/s40279-014-0143-4
(88) Timpka T, Jacobsson J, Dahlstrom O, Kowalski J, Bargoria V, Ekberg J, Nilsson S, Renstrom P. The psychological factor “self-blame” predicts overuse injury among top-level Swedish track and field athletes: A 12-month cohort study. Br J Sports Med. 2015; 49: 1472-1477. doi:10.1136/bjsports-2015-094622
(89) Timpka T, Jacobsson J, Ekberg J, Finch CF, Bichenbach J, Edouard P, Bargoria V, Branco P, Alonso JM. Meta-narrative analysis of sports injury reporting practices based on the Injury Definitions Concept Framework (IDCF): A review of consensus statements and epidemiological studies in athletics (track and field). J Sci Med Sport. 2015; 18: 643-650. doi:10.1016/j.jsams.2014.11.393
(90) Timpka T, Janson S, Jacobsson J, Dahlstrom O, Spreco A, Kowalski J, Bargoria V, Mountjoy M, Svedin CG. Lifetime history of sexual and physical abuse among competitive athletics (track and field) athletes: Cross sectional study of associations with sports and non-sports injury. Br J Sports Med. 2019; 53: 1412-1417. doi:10.1136/bjsports-2018-099335
(91) Tokutake G, Kuramochi R. Association of hamstring strain injuries with season and temperature in track and ield collegiate athletes in Japan: A descriptive epidemiological study. Asian J Sports Med. 2020; 11: E96743. doi:10.5812/asjsm.96743
(92) Tsukahara Y, Kamada H, Torii S, Yamamoto H, Yamasawa F. Awareness and Knowledge of Medical Issues Related to Female Athletes Among Track and Field Coaches. Open Access J Sports Med. 2023; 14: 9-19. doi:10.2147/OAJSM.S403703
(93) Tsukahara Y, Torii S, Bermon S, Adami PE, Edouard P, Yamasawa F, Forster BB. Muscle injuries in athletics during the 2020 Tokyo Olympic Games: Differences between heats and finals. J Sports Med Phys Fitness. 2024: 12. Epub ahead of print. doi:10.23736/S0022-4707.24.15710-6
(94) Watson MD, Dimartino PP. Incidence of injuries in high school track and field athletes and its relation to performance ability. Am J Sports Med. 1987; 15: 251-254. doi:10.1177/036354658701500310
(95) Wiese-Bjornstal DM. Psychology and socioculture affect injury risk, response, and recovery in high-intensity athletes: A consensus statement. Scand J Med Sci Sports. 2010; 20: 103-111. doi:10.1111/j.1600-0838.2010.01195.x
(96) Wu H, Brooke-Wavell K, Fong DTP, Paquette MR, Blagrove RC. Do Exercise-Based Prevention Programs Reduce Injury in Endurance Runners? A Systematic Review and Meta-Analysis. Sports Med. 2024. Epub ahead of print. doi:10.1007/s40279-024-01993-7