Negative association between injuries and team success in professional cricket:A 9-year prospective cohort analysis

Objectives: To examine the relationship between injuries and team success in professional cricket. Design: Prospective cohort analysis. Methods: A prospective cohort of all match time-loss injuries and County Championship point tallies for nine seasons (from 2010 to 2018 inclusive) for all 18 First-Class County Cricket (FCCC) cricket teams in England and Wales. Two injury measures of match time-loss injury incidence and burden were assessed for within-team (linear mixed model on season-to-season changes) and between-team (correlation on differences averaged over all seasons) effects. County Championship league points tally was used as the measure of team success. Results: A moderate negative correlation was found between injury burden and team performance (r = −0.36; 90% CI −0.66 to 0.05; likely negative, P = 0.15). A reduction in match injury incidence of 2 match time-loss injuries per 1000 days of play (90% CI 1.4–2.9, P = 0.10) within a team, or a reduction in match injury burden of 75 days per 1000 days of play (90% CI 50–109, P = 0.053) in any given season was associated with the smallest worthwhile change in County Championship points (+13 points) for Division 1, but not for Division 2. Conclusion: Moderate reductions in injury burden are associated with potentially worthwhile effects on performance for a domestic cricket team in the County Championship Division 1.</p

CAYSEIS - magma-starved oceanic crustal accretion and transform margin formation in the Cayman Trough revealed by seismic and seismological data - Cruise No. M115, April 1 - April 28, 2015 - Kingston (Jamaica) - Pointe-à-Pitre (Guadeloupe)

About 57% of the Earth’s outer surface is oceanic crust and new ocean floor is continuously created along the 55,000-60,000 km long mid-ocean ridge (MOR) system. About 25% of MORs spread at an ultra-slow spreading rate of < 20 mm/yr. Most ultra-slow spreading ridges occur in areas of the world that are difficult to reach, like the Gakkel Ridge in the Arctic Ocean and the Southwest Indian Ridge in the Indian Ocean. It has long been recognized that crustal accretion at ultra-slow spreading rates is fundamentally different from crust generated at faster spreading rates. However, due to the remoteness of ultra-slow ridges, the formation of crust at these magma-starved centres is yet not well understood. During the CAYSEIS cruise we surveyed lithospheric formation at ultra-slow spreading rates at the Mid-Cayman spreading centre (MCSC) in the Caribbean Sea, where oceanic crust is formed at a full rate of ~17 mm/yr. To the northeast and southwest, the MCSC is bound by two major transform faults. Using active-source wide-angle seismic imaging and passive local earthquake monitoring we, studied the balance between magmatic accretion and tectonic stretching (and hence oceanic core complex formation) and the relationship between faulting and hydrothermal activity at ultra-slow spreading rates. In addition, we explored transform margin formation at a unique setting, occurring at the southern terminus of the MCSC. In total, six seismic lines surveyed crust formed at the MCSC, two of these profiles also crossed the Swan Island transform fault. The project was a collaboration between German, British and American scientists

Hamstring injuries in England and Wales elite men’s domestic cricket from 2010 to 2019

Objectives: Describe hamstring injury incidence across competition formats, activity at time of injury, and time of season, facilitating the identification of injury risk factors in elite men's senior First-Class County Cricket. Design: Prospective cohort. Methods: Hamstring time loss injury incidence (between format, activity, and time of season) calculated for elite men's senior First-Class County Cricket seasons 2010 to 2019. Results: The diagnosis with the highest seasonal incidence was ‘Biceps femoris strain grade 1–2’ (2.5 injuries/100 players). Hamstring injury incidence was highest in One-Day cricket (mean 27.2 injuries/1000 team days). Running between wickets when batting was the activity associated with the highest incidence in the shorter competition formats (8.4 and 4.8 injuries/1000 team days for One-Day and T20, respectively). Bowling delivery stride or follow through was the activity with the highest incidence for longer multi-day Test format (mean 2.3 injuries/1000 team days), although similar incidence was observed across all formats for this activity. Most injuries were sustained at the start of the season (April; 22.7 injuries/1000 team days), with significantly fewer injuries at end of the season (September; 4.1 injuries/1000 team days). Conclusions: Similar bowling injury incidence across formats suggests hamstring injury risk is associated more with the activity itself, whereas injury risk when batting was susceptible to changes in match intensity. The notably higher (albeit non-significant) incidence in April may allude to a lack of preparedness to meet the physical demands of the start of the season. The findings have practical relevance for practitioners, identifying potential opportunities for preventative strategies.</p

Risk factors for stress fracture in female endurance athletes : a cross-sectional study

Objective To identify psychological and physiological correlates of stress fracture in female endurance athletes. Design A cross-sectional design was used with a history of stress fractures and potential risk factors assessed at one visit. Methods Female-endurance athletes (58 runners and 12 triathletes) aged 26.0±7.4 years completed questionnaires on stress fracture history, menstrual history, athletic training, eating psychopathology and exercise cognitions. Bone mineral density, body fat content and lower leg lean tissue mass (LLLTM) were assessed using dual-x-ray absorptiometry. Variables were compared between athletes with a history of stress fracture (SF) and those without (controls; C) using χ², analysis of variance and Mann-Whitney U tests. Results Nineteen (27%) athletes had previously been clinically diagnosed with SFs. The prevalence of current a/oligomenorrhoea and past amenorrhoea was higher in SF than C (p=0.008 and p=0.035, respectively). SF recorded higher global scores on the eating disorder examination questionnaire (p=0.049) and compulsive exercise test (p=0.006) and had higher LLLTM (p=0.029) compared to C. These findings persisted with weight and height as covariates. In multivariate logistic regression, compulsive exercise, amenorrhoea and LLLTM were significant independent predictors of SF history (p=0.006, 0.009 and 0.035, respectively). Conclusions Eating psychopathology was associated with increased risk of SF in endurance athletes, but this may be mediated by menstrual dysfunction and compulsive exercise. Compulsive exercise, as well as amenorrhoea, is independently related to SF risk

The impact of COVID-19 related disruption on injury rates in elite men’s domestic cricket

This study aimed to investigate the impact of COVID-19 enforced prolonged training disruption and shortened competitive season, on in-season injury and illness rates. Injury incidence and percent proportion was calculated for the 2020 elite men's senior domestic cricket season and compared to a historical average from five previous regular seasons (2015 to 2019 inclusive). The injury profile for the shortened 2020 season was generally equivalent to what would be expected in a regular season, except for a significant increase in medical illness as a proportion of time loss (17% compared to historic average of 6%) and in-season days lost (9% compared to historic average of 3%) due to COVID-19 related instances (most notably precautionary isolation due to contact with a confirmed or suspected COVID-19 case). There was a significant increase in the proportion of in-season days lost to thigh injuries (24% compared to 9%) and a significant decrease in the proportion of days lost to hand (4% compared to 12%) and lumbar spine (7% compared to 21%) injuries. These findings enhance understanding of the impact prolonged period of training disruption and shortened season can have on cricket injuries and the challenges faced by practitioners under such circumstances.</p

Physical inactivity and health inequality during coronavirus: a novel opportunity or total lockdown?

Government-restricted movement during the coronavirus pandemic in various countries around the world has led to rapid and fundamental changes in our health behaviour. As well as being at a higher risk of contracting and being hospitalised with COVID-19, the elderly, those with chronic disease and lower socioeconomic groups are also disproportionately affected by restriction of movement, further widening the physical activity health inequality. In this viewpoint we discuss the physiological sequelae of physical inactivity, and the additional burden of ageing and inflammation. We provide recommendations for public health promotion and interventions to try to mitigate the detrimental effects of physical inactivity and rebalance the health inequality

Detecting injury risk factors with algorithmic models in elite women’s pathway cricket

This exploratory retrospective cohort analysis aimed to explore how algorithmic models may be able to identify important risk factors that may otherwise not have been apparent. Their association with injury was then assessed with more conventional data models. Participants were players registered on the England and Wales Cricket Board women’s international development pathway (n=17) from April 2018 to August 2019 aged between 14–23 years (mean 18.2±1.9) at the start of the study period. Two supervised learning techniques (a decision tree and random forest with traditional and conditional algorithms) and generalised linear mixed effect models explored associations between risk factors and injury. The supervised learning models did not predict injury (decision tree and random forest area under the curve [AUC] of 0.66 and 0.72 for conditional algorithms) but did identify important risk factors. The best-fitting generalised linear mixed effect model for predicting injury (Akaike Information Criteria [AIC]=843.94, conditional r-squared=0.58) contained smoothed differential 7-day load (P&lt;0.001), average broad jump scores (P&lt;0.001) and 20 m speed (P&lt;0.001). Algorithmic models identified novel injury risk factors in this population, which can guide practice and future confirmatory studies can now investigate

Incidence and prevalence of lumbar stress fracture in English County Cricket fast bowlers, association with bowling workload and seasonal variation

Objectives Since much of the previous epidemiological research into lumbar stress fracture was conducted, there has been a marked increase in the amount of cricket being played. The aims were to determine the incidence and prevalence of lumbar stress fracture in English County Cricket fast bowlers between 2010 and 2016, determine the association with match bowling workload and observe seasonal variation in workload and injury. Methods Lumbar stress fracture incidence and prevalence rates were calculated using new international methods for epidemiology in 368 professional English fast bowlers from 2010 to 2016. Workload variables were compared between lumbar stress fracture case and non-injured control groups, before entry in a logistic regression. Results Fifty-seven lumbar stress fractures (mean age 22.81) were reported. Injury was most common in July and September. Match incidence was 0.16 lumbar stress fractures per 10 000 deliveries, annual incidence was 2.46 lumbar stress fractures per 100 fast bowlers and annual prevalence of lumbar stress fractures was 1.67% of squad days. Significant workload variables were observed between cases and controls. A peak 7-day workload of greater than 234 deliveries significantly increased the odds of sustaining a lumbar stress fracture 11-fold compared with bowling fewer than 197 deliveries. Conclusion Lumbar stress fractures are common in young fast bowlers possibly due to immaturity of the lumbar spine. The condensed early and late-season schedule may be causing periods of overuse, resulting in an increase in incidence of lumbar stress fracture. Reduction of workload in young fast bowlers is needed to reduce incidence

Vitamin D Guidelines 2017 : Publication from the English Cricket Board Vitamin D Working Party

These guidelines have been assembled by an ECB Medical Panel comprising appointed Chief Medical Officers of the English Cricket Board and certain 1st class counties. Within this group we have been able to call upon specialist knowledge from Professor Cathy Speed and been able to refer to similar guidelines published by clinicians of sister sporting organisations such as the English Institute of Sport (Newton, 2013). Members of the advisory commitee were: Dr Jon Houghton, Prof Bill Ribbans, Dr Tham, Wedatilake, Dr Nick Peirce, Chris Rosimus. In addition, recent government recommendations have resulted in a significant reinforcement of the necessity to consider vitamin D checks and supplementation across the whole population. The key development to note is for maintenance dosing for cricketers remaining in the UK over the winter period. Already cricketers centrally contracted to the ECB and a number of 1st class counties screen serum Vitamin D levels albeit often on an ad hoc basis. It is hoped that going forward these findings will be part of each player’s medical profile and will allow long term monitoring and analysis of the effect of maintaining adequate Vitamin D levels on various aspects of the player’s health

Risk factors for stress fracture in female endurance athletes: a cross-sectional study

Objective: To identify psychological and physiological correlates of stress fracture in female endurance athletes. Design: A cross-sectional design was used with a history of stress fractures and potential risk factors assessed at one visit. Methods: Female-endurance athletes (58 runners and 12 triathletes) aged 26.0±7.4 years completed questionnaires on stress fracture history, menstrual history, athletic training, eating psychopathology and exercise cognitions. Bone mineral density, body fat content and lower leg lean tissue mass (LLLTM) were assessed using dual-x-ray absorptiometry. Variables were compared between athletes with a history of stress fracture (SF) and those without (controls; C) using χ², analysis of variance and Mann-Whitney U tests. Results: Nineteen (27%) athletes had previously been clinically diagnosed with SFs. The prevalence of current a/oligomenorrhoea and past amenorrhoea was higher in SF than C (p=0.008 and p=0.035, respectively). SF recorded higher global scores on the eating disorder examination questionnaire (p=0.049) and compulsive exercise test (p=0.006) and had higher LLLTM (p=0.029) compared to C. These findings persisted with weight and height as covariates. In multivariate logistic regression, compulsive exercise, amenorrhoea and LLLTM were significant independent predictors of SF history (p=0.006, 0.009 and 0.035, respectively). Conclusions: Eating psychopathology was associated with increased risk of SF in endurance athletes, but this may be mediated by menstrual dysfunction and compulsive exercise. Compulsive exercise, as well as amenorrhoea, is independently related to SF risk