A Higher Playing Standard, Bowling, and Intermittent Helmet Use Are Related to a Greater Odds of Injury or Concussion in Cricket

Objective: To determine if playing position, a higher playing standard, and nonhelmet use are related to an increased odds of joint-specific injury and concussion in cricket. Design: Cross-sectional cohort. Participants: Twenty-eight thousand one hundred fifty-two current or former recreational and high-performance cricketers registered on a national database were invited to participate in the Cricket Health and Wellbeing Study. Eligibility requirements were aged ≥18 years and played ≥1 cricket season. Independent Variables: Main playing position (bowler/batter/all-rounder), playing standard (high-performance/recreational), and helmet use (always/most of the time/occasionally/never). Main Outcome Measures: Cross-sectional questionnaire data included cricket-related injury (hip/groin, knee, ankle, shoulder, hand, back) resulting in ≥4 weeks of reduced exercise and self-reported concussion history. Crude and adjusted (adjusted for seasons played) odds ratios and 95% confidence interval (CIs) were estimated using logistic regression. Results: Of 2294 participants (59% current cricketers; 97% male; age 52 ± 15 years; played 29 ± 15 seasons; 62% recreational cricketers), 47% reported cricket-related injury and 10% reported concussion. Bowlers had greater odds of hip/groin [odds ratio (95% CI), 1.9 (1.0-3.3)], knee [2.0 (1.4-2.8)], shoulder [2.9 (1.8-4.5)], and back [2.8 (1.7-4.4)] injury compared with batters. High-performance cricketers had greater odds of injury and concussion than recreational cricketers. Wearing a helmet most of the time [2.0 (1.4-3.0)] or occasionally [1.8 (1.3-2.6)] was related to higher odds of self-reported concussion compared with never wearing a helmet. Concussion rates were similar in cricketers who always and never wore a helmet. Conclusions: A higher playing standard and bowling (compared with batting) were associated with greater odds of injury. Wearing a helmet occasionally or most of the time was associated with higher odds of self-reported concussion compared with never wearing a helmet.

[1]  G. Collins,et al.  Cricket related hand injury is associated with increased odds of hand pain and osteoarthritis , 2020, Scientific Reports.

[2]  G. Collins,et al.  Health-related quality of life and flourishing in current and former recreational and elite cricketers , 2020, Health and Quality of Life Outcomes.

[3]  G. Collins,et al.  Playing sport injured is associated with osteoarthritis, joint pain and worse health-related quality of life: a cross-sectional study , 2019, BMC Musculoskeletal Disorders.

[4]  N. Arden,et al.  Joint pain and osteoarthritis in former recreational and elite cricketers , 2019, BMC Musculoskeletal Disorders.

[5]  G. Collins,et al.  Physical activity and health-related quality of life in former elite and recreational cricketers from the UK with upper extremity or lower extremity persistent joint pain: a cross-sectional study , 2019, BMJ Open.

[6]  J. Olivier,et al.  Bicycle helmets and risky behaviour: A systematic review , 2019, Transportation Research Part F: Traffic Psychology and Behaviour.

[7]  P. Brukner,et al.  Traumatic cricket‐related fatalities in Australia: a historical review of media reports , 2018, The Medical journal of Australia.

[8]  M. Kocher,et al.  Catcher’s Knee: Posterior Femoral Condyle Juvenile Osteochondritis Dissecans in Children and Adolescents , 2016, Journal of pediatric orthopedics.

[9]  Accuracy of recall of musculoskeletal injuries in elite military personnel: a cross-sectional study , 2017, BMJ Open.

[10]  N. Arden,et al.  Physical activity in former elite cricketers and strategies for promoting physical activity after retirement from cricket: a qualitative study , 2017, BMJ Open.

[11]  N. Arden,et al.  Common attributes in retired professional cricketers that may enhance or hinder quality of life after retirement: a qualitative study , 2017, BMJ Open.

[12]  T. Gabbett,et al.  Assessment of Workload and its Effects on Performance and Injury in Elite Cricket Fast Bowlers , 2017, Sports Medicine.

[13]  J. Orchard,et al.  Incidence and prevalence of elite male cricket injuries using updated consensus definitions , 2016, Open access journal of sports medicine.

[14]  M. Lambert,et al.  Prevalence and determinants of symptoms of common mental disorders in retired professional Rugby Union players , 2016, European journal of sport science.

[15]  Michael K Drew,et al.  The Relationship Between Training Load and Injury, Illness and Soreness: A Systematic and Literature Review , 2016, Sports Medicine.

[16]  John Orchard,et al.  Which Extrinsic and Intrinsic Factors are Associated with Non-Contact Injuries in Adult Cricket Fast Bowlers? , 2015, Sports Medicine.

[17]  F. Backx,et al.  Prevalence of osteoarthritis in former elite athletes: a systematic overview of the recent literature , 2015, Rheumatology International.

[18]  Rochelle M Eime,et al.  A systematic review of the psychological and social benefits of participation in sport for adults: informing development of a conceptual model of health through sport , 2013, International Journal of Behavioral Nutrition and Physical Activity.

[19]  Craig Ranson,et al.  Batting head injury in professional cricket: a systematic video analysis of helmet safety characteristics , 2013, British Journal of Sports Medicine.

[20]  A. Vuillemin,et al.  Contribution of taking part in sport to the association between physical activity and quality of life , 2013, Quality of Life Research.

[21]  James F Sallis,et al.  Sport and exercise as contributors to the health of nations , 2012, The Lancet.

[22]  Tamara C. Valovich McLeod,et al.  Impact of Prior Concussions on Health-Related Quality of Life in Collegiate Athletes , 2010, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[23]  Jacqueline Alderson,et al.  The off-break and “doosra”: Kinematic variations of elite and sub-elite bowlers in creating ball spin in cricket bowling , 2009, Sports biomechanics.

[24]  J. Orchard,et al.  Fast Bowlers in Cricket Demonstrate Up to 3- to 4-Week Delay Between High Workloads and Increased Risk of Injury , 2009, The American journal of sports medicine.

[25]  P. Harris,et al.  Research electronic data capture (REDCap) - A metadata-driven methodology and workflow process for providing translational research informatics support , 2009, J. Biomed. Informatics.

[26]  Pedagógia,et al.  Cross Sectional Study , 2019 .

[27]  Michael D Scott,et al.  Testing the risk compensation hypothesis for safety helmets in alpine skiing and snowboarding , 2007, Injury Prevention.

[28]  Stephen W Marshall,et al.  Recurrent concussion and risk of depression in retired professional football players. , 2007, Medicine and science in sports and exercise.

[29]  Caroline Finch,et al.  The public health impact of injury during sport and active recreation. , 2006, Journal of science and medicine in sport.

[30]  R. Stretch,et al.  Cricket injuries: a longitudinal study of the nature of injuries to South African cricketers , 2003, British journal of sports medicine.

[31]  M. Hochberg,et al.  Joint Injury in Young Adults and Risk for Subsequent Knee and Hip Osteoarthritis , 2000, Annals of Internal Medicine.

[32]  G. Paradisis,et al.  Anthropometric and kinematic influences on release speed in men’s fast-medium bowling , 2000, Journal of sports sciences.

[33]  T. Spector,et al.  Risk of osteoarthritis associated with long-term weight-bearing sports: a radiologic survey of the hips and knees in female ex-athletes and population controls. , 1996, Arthritis and rheumatism.