Summary of study characteristics
First author | Study design; surveillance period | Number of participants, gender, age (mean±SD) years | Level of competition, sport(s) | Index injury type | Index injury context(s) | Subsequent injury type | Subsequent injury context(s) | Statistical analysis |
Bourne47 | Prospective cohort; one season | 178 males (22.6±3.8) | Elite (Super 15), subelite (QRU), and under-19 premier grade rugby union | ACL injury, hamstring, quadriceps or calf strain injuries and chronic groin pain | Athlete self-report, clinical examination | Acute hamstring injury | Sports incapacity, clinical examination | Univariate RR, multivariate logistic regression |
Brooks52 | Retrospective cohort; 90 days following concussion | 257 male and females (exposed group 19.8±1.3; unexposed group 19.9±1.3) | NCAA Division I (variety of sports) | Concussion | Clinical examination | Lower extremity musculoskeletal injury | Clinical examination | Conditional logistic regression |
Hagglund53 | Prospective cohort; nine full seasons (mean 2.3±1.7) | 1401 males (25.8±4.5) | Elite (UEFA) soccer | Adductor, hamstring, quadriceps or calf muscle strain | Sports incapacity | Adductor, hamstring, quadriceps or calf muscle strain | Sports incapacity | Simple Cox regression, and multiple Cox regression |
Koulouris32 | Prospective cohort; one season | 41 males (single hamstring injury 24.0±3.8; repeat hamstring injury 25.5±3.8) | Elite (AFL) Australian football | ACL injury | Clinical examination | Hamstring injury (single or recurrent) | Sports incapacity, clinical examination | χ2 analysis and univariate logistic regression |
Nilstad49 | Prospective cohort; one season | 173 females (21.5±4.1) | Elite (Toppserien) soccer | ACL, knee, ankle, or hamstring injuries | Athlete self-report, sports incapacity | Lower extremity injuries | Sports incapacity | GEE, multivariate analysis including the bootstrap method |
Opar50 | Prospective cohort; one season | 210 males (23.3±3.7) | Elite (AFL) Australian football | ACL injury, hamstring, quadriceps or calf strain injuries, or chronic groin pain | Clinical examination | Hamstring injury | Sports incapacity, clinical examination | Univariate RR analysis, multivariate logistic regression |
Orchard51 | Prospective cohort; 11 seasons | 205 males (26.1±4.2) | First class (Australia) fast bowlers in cricket | Lumbar stress fracture | Sports incapacity | Groin, hamstring, quadriceps or calf strains, knee cartilage injuries, ankle sprains/joint injuries | Sports incapacity | Univariate RR |
Orchard29 | Prospective cohort; eight seasons | 1607 males (23.5) | Elite (AFL) and subelite (second grade AFL) Australian football | Hamstring, quadriceps or calf strains | Sports incapacity, clinical examination | Hamstring, quadriceps or calf strains | Sports incapacity, clinical examination | Forward stepwise logistic regression |
Verrall30 | Prospective cohort; one season | 114 males (21.6±3.4) | Elite (AFL) and subelite (SANFL) Australian football | Severe knee injury, groin injury, severe back injury or posterior thigh injury | Sports incapacity, clinical examination | Hamstring injury | Sports incapacity | Fisher’s exact test, multivariable regression |
Walden31 | Prospective cohort; one season | 310 males (25.8±4.5) | Elite (Swedish professional league) soccer | ACL injury | Athlete self-report, clinical examination | New knee injury | Sports incapacity | Cox proportional hazards regression |
Kramer33 | Case–control; not stated | 66 females (case 21.0±2.1; control 19.6±1.3) | Non-specified sport or level of competition | Ankle sprain | Athlete self-report | ACL reconstruction | Clinical examination | χ2 analysis |
Lynall48 | Case–control; 2 years (±1 year of concussion) | 102 male and females (case 20.0±1.2; control 20.5±1.3) | NCAA Division I (variety of sports) | Concussion | Clinical examination | Acute lower extremity musculoskeletal injury | Clinical examination | IRR |
AFL, Australian Football League; GEE, general estimating equations; IRR, injury rate ratio; NCAA, National Collegiate Athletic Association; QRU, Queensland Rugby Union; RR, relative risk; SANFL, South Australian National Football League.