Table 1

Injuries by competition setting

Registered gymnastsNo of injuriesInjury incidence per 1000 registered gymnasts (95% CI)Relative risk
(95% CI)
Total injuries 210218085.6 (73.4 to 97.8)
Gymnastics meet
 National qualifier2481040.3 (13.8 to 66.8)reference group
 Winter cup challenge9406771.3 (54.3 to 88.3)1.77 (0.92 to 3.38)†
 USA National Championships86897111.8 (90.2 to 133.3)2.77 (1.47 to 5.23)**
 Olympic trials466130.4 (22.2 to 238.6)3.23 (1.24 to 8.47)*
Competition versus training
 Training21025727.1 (19.9 to 34.3)reference group
 Competition210212358.5 (48.2 to 68.8)2.16 (1.59 to 2.94)***
Year of Competition (Winter Cup and USA National Championships Only)‡
 2008154958.4 (18.1 to 98.7)
 20091601381.3 (35.8 to 126.7)
 20102051153.7 (20.4 to 86.9)
 201119223119.8 (71.3 to 168.3)
 201215921132.1 (76.3 to 187.8)
 201315216105.3 (53.2 to 157.3)
 20141521598.7 (48.0 to 149.4)
 201515321137.3 (79.5 to 195.1)
 20161691694.7 (47.6 to 141.8)
 20171581275.9 (31.5 to 120.4)
 2018154745.5 (9.3 to 81.6)
  • *P<0.05, **P<0.01,***P<0.001.

  • †p<0.10.

  • ‡Pearson χ2 test suggests significant variation in incidence between years (p=0.033), but test for linear trend suggests no trend toward increasing or decreasing incidence over the 11-year interval from 2008 to 2018 (p=0.81).