Intrinsic variables associated with low back pain and lumbar spine injury in fast bowlers in cricket: a systematic review

BMC Sports Science, Medicine and Rehabilitation

Research

David Beakley¹  Rob Duffield²  Mark Watsford²  Elizabeth Pickering Rodriguez²  Patrick Farhart³  Uphar Chamoli⁴  Ashish Diwan⁵ 

[1] Deakin University, Burwood Highway, 3125, Burwood, VIC, Australia;School of Sport, Exercise and Rehabilitation, Faculty of Health, Human Performance Research Centre, Moore Park Precinct, University of Technology Sydney, 2007, Broadway, NSW, Australia;School of Sport, Exercise and Rehabilitation, Faculty of Health, Human Performance Research Centre, Moore Park Precinct, University of Technology Sydney, 2007, Broadway, NSW, Australia;Spine Labs, Discipline of Surgery, St. George and Sutherland Campus of the Clinical School, Faculty of Medicine, University of New South Wales, 2217, Kogarah, NSW, Australia;Cricket New South Wales, 161 Silverwater Road, Sydney Olympic Park, 2127, Sydney, NSW, Australia;Delhi Capitals, JSW GMR Cricket Private Limited, Bahadurshah Zafar Marg, 110002, New Delhi, India;Spine Labs, Discipline of Surgery, St. George and Sutherland Campus of the Clinical School, Faculty of Medicine, University of New South Wales, 2217, Kogarah, NSW, Australia;School of Biomedical Engineering, Faculty of Engineering and Information Technology, University of Technology Sydney, 2007, Broadway, NSW, Australia;Spine Labs, Discipline of Surgery, St. George and Sutherland Campus of the Clinical School, Faculty of Medicine, University of New South Wales, 2217, Kogarah, NSW, Australia;Spine Service, Department of Orthopaedic Surgery, St. George Hospital Campus, 2217, Kogarah, NSW, Australia;

关键词: Low back pain;    Lumbar spine injury;    Fast bowling;    Intrinsic variables;    Neuromuscular;    Kinematics;    Kinetics;    Technique;    Radiology;   

DOI  :  10.1186/s13102-023-00732-1

 received in 2023-02-24, accepted in 2023-09-12,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundLumbar spine injuries in fast bowlers account for the greatest missed playing time in cricket. A range of extrinsic and intrinsic variables are hypothesised to be associated with low back pain and lumbar spine injury in fast bowlers, and an improved understanding of intrinsic variables is necessary as these may alter load tolerance and injury risk associated with fast bowling. This review critically evaluated studies reporting intrinsic variables associated with low back pain and lumbar spine injury in fast bowlers and identified areas for future investigation.MethodsOVID Medline, EMBASE, SPORTDiscus, CINAHL, Web of Science and SCOPUS databases were last searched on 3 June 2022 to identify studies investigating intrinsic variables associated with low back pain and lumbar spine injury in cricket fast bowlers. Terms relevant to cricket fast bowling, and intrinsic variables associated with lumbar spine injury and low back pain in fast bowlers were searched. 1,503 abstracts were screened, and 118 full‐text articles were appraised to determine whether they met inclusion criteria. Two authors independently screened search results and assessed risk of bias using a modified version of the Quality in Prognostic Studies tool.ResultsTwenty-five studies met the inclusion criteria. Overall, no included studies demonstrated a low risk of bias, two studies were identified as moderate risk, and twenty-three studies were identified as high risk. Conflicting results were reported amongst studies investigating associations of fast bowling kinematics and kinetics, trunk and lumbar anatomical features, anthropometric traits, age, and neuromuscular characteristics with low back pain and lumbar spine injury.ConclusionInconsistencies in results may be related to differences in study design, injury definitions, participant characteristics, measurement parameters, and statistical analyses. Low back pain and lumbar spine injury occurrence in fast bowlers remain high, and this may be due to an absence of low bias studies that have informed recommendations for their prevention. Future research should employ clearly defined injury outcomes, analyse continuous datasets, utilise models that better represent lumbar kinematics and kinetics during fast bowling, and better quantify previous injury, lumbar anatomical features and lumbar maturation.Trial registrationOpen Science Framework https://doi.org/10.17605/OSF.IO/ERKZ2.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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