Incidence and Risk Factors of Injuries in Brazilian Elite Volleyball Players: A Prospective Cohort Study

Abstract

BackgroundVolleyball can be considered one of the most popular sports. Prospective studies aimed at investigating the incidence and risk factors of volleyball injuries are scarce.ObjectiveTo investigate the incidence and risk factors for volleyball injuries among Brazilian elite volleyball players.Design20-week prospective cohort study.SettingBrazilian elite national league (2015–2016).Participants13 Brazilian elite volleyball teams (208 players): 7 male teams (116 players) and 6 female teams (92 players).Assessment of Risk FactorsVolleyball exposure (hours and sessions of training, strength training and number of matches) and injuries were recorded weekly by the medical team.Main Outcome MeasurementsInjury during the follow-up period.Results196 injuries were reported among 96 athletes. The overall injury incidence was 4.8 injuries/1000 hours of training and 18.6 injuries/1000 matches. Overuse injuries (65.3%, n=128) were more common than acute injuries (33.7%, n=66). Knee (28.5%, n=50) and shoulder (9.8%, n=19) were the body regions most affected by overuse injuries. Ankle (6.2%, n=12) and shoulder (5.6%, n=11) were the body regions most affected by acute injuries. Tendinopathy (23.7%, n=46) was the overuse injury type most observed, and ankle sprain (7.2%, n=12) was the acute injury type most observed. Female athletes (OR: 0.50, CI 95%: 0.31–0.80) and additional training sessions (OR: 0.74, CI 95%: 0.60–0.91) were associated with a lower risk of injury. Previous injury (OR: 2.18, CI 95%: 1.40–3.38), and an additional hour of training (OR: 1.18, CI 95%: 1.05–1.32) were associated with a higher risk of injury.ConclusionsThis study showed that male gender, an additional hour of training, and a history of previous injury were the most significant risk factors for developing a new injury. However, additional training session was associated with lower considered risk of injury.

Incidence Rate and Patterns of Sport Injury among College Students

“…Sprained ankle is the most common injury in this study, accounting for almost 35% of all injuries. This result was similar to those of several previous studies conducted which also found sprained ankle to be the most common injury in some sports, including football, basketball (Drakos, Domb, Starkey, Callahan, & Allen, 2010), futsal (Varkiani, Alizadeh, & Pourkazemi, 2010;Angoorani, Haratian, Mazaherinezhad, & Younespour, 2014;Serrano, Shahidian, Voser, & Leite, 2013) and volleyball (Sattler, 2011;Massada, Aido, Magalhaes, & Puga, 2011;Pimenta, Junior, Neto, & Lope, 2017). In contrast to previous studies, hand and wrist injury, not sprained ankle, was the most frequent injury in volleyball in a recent study.…”

Incidencia y etiología de las lesiones deportivas en jugadores de voleibol

“…práctica deportiva 13,[16][17][18][22][23][24][25][26] . La ratio de lesiones en voleibol encontrada en los distintos estudios varía entre 1.7 y 18.6/1000h, siendo considerada una incidencia moderada 13,16,24,26,27 . La diferencia entre la ratio mostrada por los diferentes estudios puede atribuirse a la diferencia existente entre las características de los participantes incluidos en los distintos estudios.…”

“…No se ha podido establecer un consenso sobre si existe una mayor ratio de lesiones agudas o por sobreuso, pues los datos ofrecidos por los distintos autores son contradictorios, habiendo investigaciones que encuentran una mayor incidencia de lesiones agudas 13,17 ; otros en los que la mayor incidencia es de lesiones por sobreuso 26,27,32 ; y otros en los que muestran incidencias similares 22 . Estas diferencias pueden estar relacionadas con las diferencias en las muestras estudiadas, siendo necesario futuras investigaciones que ahonden en esta temática.…”

“…En cuanto al área anatómica afectada si se han encontrado coincidencias entre las distintas investigaciones, observándose una mayor incidencia de lesiones agudas en el tobillo (13.8-81.5%), la rodilla (16-30%), los dedos y la mano (15-60%) 16,22,24,25,27,[32][33][34] . Las lesiones agudas del tobillo y la rodilla son comunes en los deportes en los que los jugadores deben realizar saltos, aterrizajes y carreras continuamente, comprometiendo la integridad del complejo musculotendinoso; mientras que las lesiones en dedos y muñecas son comunes en los deportes en los que las manos están en contacto directo con el móvil 35,36 .…”

Injury Incidence in Female Serbian Elite Volleyball Players

“…With that in mind, the results of several studies (S.R. Augustsson, J. Augustsson, Thomee, & Svantesson, 2006;Pimeta, Hespanhol, Grangeiro, & Lopes, 2017) show that the prevalence of overuse injuries in volleyball is high, although lower than in other sports, such as soccer and handball (Augustsson et al, 2006;Bere et al, 2015;Junge et al, 2006;Soligard et al, 2018).…”