Match and training injury epidemiology in elite UK netball: a prospective cohort study over one season

Objective To describe the incidence and characteristics of match and training injuries in the UK Vitality Netball Superleague (VNSL).Methods Ninety players were observed over one 14-month VNSL season (2021), including pre-, in- and post-season periods. Team physiotherapists recorded injuries using a...

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Main Authors: Sara Horne, Aliah F Shaheen, Bill Baltzopoulos, Laura Hills
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Open Sport & Exercise Medicine
Online Access:https://bmjopensem.bmj.com/content/11/1/e002324.full
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author Sara Horne
Aliah F Shaheen
Bill Baltzopoulos
Laura Hills
author_facet Sara Horne
Aliah F Shaheen
Bill Baltzopoulos
Laura Hills
author_sort Sara Horne
collection DOAJ
description Objective To describe the incidence and characteristics of match and training injuries in the UK Vitality Netball Superleague (VNSL).Methods Ninety players were observed over one 14-month VNSL season (2021), including pre-, in- and post-season periods. Team physiotherapists recorded injuries using an online surveillance system, classifying them by location, type, mode, mechanism and impact, including severity (time-loss days, TL) and medical attention days (MA). Injury incidence (I) and TL/MA injury burden were calculated per 1000 player hours. χ2 analysis compared match and training differences.Results Thirty-nine players sustained 70 injuries (n=35 match, 35 training). Match incidence exceeded training (I=41.12 vs 1.10 injuries). Acute injuries were higher in matches (27 vs 17), while overuse injuries were higher in training (18 vs 3; p=0.001). Contact injuries were higher in matches (21 vs 7), and non-contact injuries were higher in training (10 vs 6; p=0.028). Acute ankle ligament injuries in matches caused substantial TL burden (411.7 days lost), while overuse lower leg injuries in training led to high MA burden (13.8). Anterior cruciate ligament (ACL) injuries were infrequent but burdensome (TL 496). The centre position sustained the most injuries (41%).Conclusion This study underpinned implementing the first injury surveillance system in the elite UK netball competition, revealing match injury rates ~40 times higher than in training, with distinct injury characteristics. Findings suggest that prevention should target acute lower limb injuries and overuse conditions. Further research should assess the impact of playing with overuse injuries.
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spelling doaj-art-151d1e33bb3249dfa66d39019328624f2025-01-05T04:55:14ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472025-01-0111110.1136/bmjsem-2024-002324Match and training injury epidemiology in elite UK netball: a prospective cohort study over one seasonSara Horne0Aliah F Shaheen1Bill Baltzopoulos2Laura Hills3Department of Life Sciences, Division of Sport, Health and Exercise Sciences, Brunel University of London, London, UKDepartment of Life Sciences, Division of Sport, Health and Exercise Sciences, Brunel University of London, London, UKSchool of Sport and Exercise Sciences, Faculty of Science, Liverpool John Moores University, Liverpool, UKDepartment of Life Sciences, Division of Sport, Health and Exercise Sciences, Brunel University of London, London, UKObjective To describe the incidence and characteristics of match and training injuries in the UK Vitality Netball Superleague (VNSL).Methods Ninety players were observed over one 14-month VNSL season (2021), including pre-, in- and post-season periods. Team physiotherapists recorded injuries using an online surveillance system, classifying them by location, type, mode, mechanism and impact, including severity (time-loss days, TL) and medical attention days (MA). Injury incidence (I) and TL/MA injury burden were calculated per 1000 player hours. χ2 analysis compared match and training differences.Results Thirty-nine players sustained 70 injuries (n=35 match, 35 training). Match incidence exceeded training (I=41.12 vs 1.10 injuries). Acute injuries were higher in matches (27 vs 17), while overuse injuries were higher in training (18 vs 3; p=0.001). Contact injuries were higher in matches (21 vs 7), and non-contact injuries were higher in training (10 vs 6; p=0.028). Acute ankle ligament injuries in matches caused substantial TL burden (411.7 days lost), while overuse lower leg injuries in training led to high MA burden (13.8). Anterior cruciate ligament (ACL) injuries were infrequent but burdensome (TL 496). The centre position sustained the most injuries (41%).Conclusion This study underpinned implementing the first injury surveillance system in the elite UK netball competition, revealing match injury rates ~40 times higher than in training, with distinct injury characteristics. Findings suggest that prevention should target acute lower limb injuries and overuse conditions. Further research should assess the impact of playing with overuse injuries.https://bmjopensem.bmj.com/content/11/1/e002324.full
spellingShingle Sara Horne
Aliah F Shaheen
Bill Baltzopoulos
Laura Hills
Match and training injury epidemiology in elite UK netball: a prospective cohort study over one season
BMJ Open Sport & Exercise Medicine
title Match and training injury epidemiology in elite UK netball: a prospective cohort study over one season
title_full Match and training injury epidemiology in elite UK netball: a prospective cohort study over one season
title_fullStr Match and training injury epidemiology in elite UK netball: a prospective cohort study over one season
title_full_unstemmed Match and training injury epidemiology in elite UK netball: a prospective cohort study over one season
title_short Match and training injury epidemiology in elite UK netball: a prospective cohort study over one season
title_sort match and training injury epidemiology in elite uk netball a prospective cohort study over one season
url https://bmjopensem.bmj.com/content/11/1/e002324.full
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