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Incidence and burden of injury at the Tokyo 2020 Paralympic Games held during the COVID-19 pandemic : A prospective cohort study of 66 045 athlete days

Derman, Wayne ; Runciman, Phoebe ; Eken, Maaike ; Boer, Pieter Henk ; Blauwet, Cheri ; Bogdos, Manos ; Idrisova, Guzel ; Jordaan, Esme ; Kissick, James and Levan, Philipe , et al. (2022) In British journal of sports medicine 57(1). p.63-70
Abstract

Objective To describe the epidemiology of injuries at the Tokyo 2020 Paralympic Games, including injuries sustained in the new sports of badminton and taekwondo. Methods Injury data were obtained daily via the established web-based injury and illness surveillance system (WEB-IISS; 81 countries, 3836 athletes) and local organising committee medical facilities (81 countries, 567 athletes). Univariate unadjusted incidences (injuries per 1000 athlete days with 95% CIs), injury proportion (IP, %) and injury burden (days lost per 1000 athlete days) are reported. Results A total of 4403 athletes (1853 women, 2550 men) from 162 countries were monitored prospectively during the 3-day pre-competition and 12-day competition periods (66 045 athlete... (More)

Objective To describe the epidemiology of injuries at the Tokyo 2020 Paralympic Games, including injuries sustained in the new sports of badminton and taekwondo. Methods Injury data were obtained daily via the established web-based injury and illness surveillance system (WEB-IISS; 81 countries, 3836 athletes) and local organising committee medical facilities (81 countries, 567 athletes). Univariate unadjusted incidences (injuries per 1000 athlete days with 95% CIs), injury proportion (IP, %) and injury burden (days lost per 1000 athlete days) are reported. Results A total of 4403 athletes (1853 women, 2550 men) from 162 countries were monitored prospectively during the 3-day pre-competition and 12-day competition periods (66 045 athlete days). 386 injuries were reported in 352 athletes (IP=8.0%) with an incidence of 5.8 per 1000 athlete days (95% CI 5.3 to 6.5). Football 5-a-side (17.2), taekwondo (16.0), judo (11.6) and badminton (9.6) had the highest incidence. There was a higher incidence of injuries in the pre-competition period than in the competition period (7.5 vs 5.4; p=0.0053). Acute (sudden onset) injuries and injuries to the shoulder (0.7) and hand/fingers (0.6) were most common. Injury burden was 10.9 (8.6-13.8), with 35% of injuries resulting in time loss from training and competition. Conclusion Compared with previous Paralympic Games, there was a reduction in injury incidence but higher injury burden at the Tokyo 2020 Paralympic Games. The new sports of taekwondo and badminton had a high injury incidence, with the highest injury burden in taekwondo, compared with other sports. These findings provide epidemiological data to inform injury prevention measures for high-risk sports.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Athletes, Covid-19, Disabled Persons
in
British journal of sports medicine
volume
57
issue
1
pages
8 pages
publisher
BMJ Publishing Group
external identifiers
  • pmid:36588428
  • scopus:85144915035
ISSN
0306-3674
DOI
10.1136/bjsports-2022-106234
language
English
LU publication?
yes
id
5386ce4d-b0c3-4488-9ed4-aadd8171c32e
date added to LUP
2023-09-06 14:29:12
date last changed
2024-04-20 03:58:46
@article{5386ce4d-b0c3-4488-9ed4-aadd8171c32e,
  abstract     = {{<p>Objective To describe the epidemiology of injuries at the Tokyo 2020 Paralympic Games, including injuries sustained in the new sports of badminton and taekwondo. Methods Injury data were obtained daily via the established web-based injury and illness surveillance system (WEB-IISS; 81 countries, 3836 athletes) and local organising committee medical facilities (81 countries, 567 athletes). Univariate unadjusted incidences (injuries per 1000 athlete days with 95% CIs), injury proportion (IP, %) and injury burden (days lost per 1000 athlete days) are reported. Results A total of 4403 athletes (1853 women, 2550 men) from 162 countries were monitored prospectively during the 3-day pre-competition and 12-day competition periods (66 045 athlete days). 386 injuries were reported in 352 athletes (IP=8.0%) with an incidence of 5.8 per 1000 athlete days (95% CI 5.3 to 6.5). Football 5-a-side (17.2), taekwondo (16.0), judo (11.6) and badminton (9.6) had the highest incidence. There was a higher incidence of injuries in the pre-competition period than in the competition period (7.5 vs 5.4; p=0.0053). Acute (sudden onset) injuries and injuries to the shoulder (0.7) and hand/fingers (0.6) were most common. Injury burden was 10.9 (8.6-13.8), with 35% of injuries resulting in time loss from training and competition. Conclusion Compared with previous Paralympic Games, there was a reduction in injury incidence but higher injury burden at the Tokyo 2020 Paralympic Games. The new sports of taekwondo and badminton had a high injury incidence, with the highest injury burden in taekwondo, compared with other sports. These findings provide epidemiological data to inform injury prevention measures for high-risk sports.</p>}},
  author       = {{Derman, Wayne and Runciman, Phoebe and Eken, Maaike and Boer, Pieter Henk and Blauwet, Cheri and Bogdos, Manos and Idrisova, Guzel and Jordaan, Esme and Kissick, James and Levan, Philipe and Lexell, Jan and Mohammadi, Fariba and Patricio, Marcelo and Schwellnus, Martin and Webborn, Nick and Willick, Stuart E. and Yagishita, Kazuyoshi}},
  issn         = {{0306-3674}},
  keywords     = {{Athletes; Covid-19; Disabled Persons}},
  language     = {{eng}},
  month        = {{12}},
  number       = {{1}},
  pages        = {{63--70}},
  publisher    = {{BMJ Publishing Group}},
  series       = {{British journal of sports medicine}},
  title        = {{Incidence and burden of injury at the Tokyo 2020 Paralympic Games held during the COVID-19 pandemic : A prospective cohort study of 66 045 athlete days}},
  url          = {{http://dx.doi.org/10.1136/bjsports-2022-106234}},
  doi          = {{10.1136/bjsports-2022-106234}},
  volume       = {{57}},
  year         = {{2022}},
}