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J Orthop Sports Phys Ther. 2003 Apr;33(4):177-84.

Factors associated with triathlon-related overuse injuries.

Author information

1
School of Exercise and Health Sciences, University of Western Sydney, NSW, Australia. j.burns@uws.edu.au

Abstract

STUDY DESIGN:

Descriptive correlational investigation.

OBJECTIVES:

To assess the incidence of, and potential risk factors associated with, overuse injury in triathlon.

BACKGROUND:

The sport of triathlon is rapidly increasing in popularity with a concomitant rise in the prevalence of injuries sustained by triathletes.

METHODS AND MEASURES:

The training and injury patterns of 131 triathletes were surveyed over a 10-week prospective period during the triathlon competition season. A complementary retrospective 6-month analysis of training history and prior overuse injuries was conducted.

RESULTS:

Fifty percent of triathletes sustained an injury in the 6-month preseason at an injury exposure rate of 2.5 per 1000 training hours. Thirty-seven percent were injured during the 10-week competition season at an injury exposure rate of 4.6 per 1000 training hours. Overuse accounted for 68% of preseason and 78% of competition season injuries reported. Increased years of triathlon experience, high running mileage, history of previous injury, and inadequate warming-up and cooling-down regimes appeared to have individual associations with injury incidence. When interactions were included in a multiple logistic regression model, increasing years of triathlon experience was the most significant predictor of preseason injury risk and a previous history of injury and high preseason running mileage increased the risk of injury during the competition season.

CONCLUSIONS:

The results indicate that in assessing triathletes, a full training and competition history is required by the sports clinician for a comprehensive assessment of the factors that may contribute to overuse injury.

PMID:
12723674
DOI:
10.2519/jospt.2003.33.4.177
[Indexed for MEDLINE]
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