Home/BJSM E-edition: Cricket

BJSM E-edition: Cricket

After Australia’s 1882 victory over England at The Oval in London, its first Test win on English soil, The Sporting Times published an obituary for English cricket. "In affectionate remembrance of English cricket which died at The Oval, 29 August 1882. Deeply lamented by a large circle of sorrowing friends and acquaintances, R.I.P. - N.B. The body will be cremated and the Ashes taken to Australia.” In over a century of Test cricket series between Australia and England, the Ashes have changed hands many times – and this year, many of our readers will be celebrating and others mourning that Australia has retained the Ashes on English soil for the first time in 18 years. In the limelight again (for other reasons this time), former Australian captain Steve Smith suffered a sickening blow to the neck from a 92.4 mph bouncer (a type of delivery pitched short so that it bounces up to chest or head height of the batsman) during the second Test. Watching Smith collapse revived images of the Phillip Hughes tragedy that made the sporting world stand still in 2014, and reignited ongoing debate about head injuries in cricket. A collective sigh of relief could be heard around the ground as Smith managed to stand up and was forced off the ground by the medical team, however he returned less than an hour later to return to bat after passing concussion tests. The following day Smith developed a headache, was diagnosed with delayed onset concussion and was withdrawn from the Test, becoming the first ever player to be substituted under cricket’s new concussion rules. During that Test, there were three other head impacts, but Smith was the only player to develop concussion. Cricket has recently changed its concussion rules to align with other sports, such as football (soccer for our Aussies) and rugby, which require any player suspected of having concussion to be assessed by a physician, or a physiotherapist if a physician is not available, before returning. Concussed players can be withdrawn from games and can be replaced by a designated substitute, subject to approval by the match referee. Australia, England and South Africa are the only teams that tour with a team physician, but this might soon change given the new rules.
Although the media spotlight is currently on concussion, the BJSM community understands there are many other cricket injuries of which clinicians must be wary. In this e-edition, we focus on injury surveillance, back pain, throwing-related injuries, managing work load… and yes, also head injuries, to help you improve your practice. With a mix of consensus statements, original articles, editorials, podcasts and blog posts, there’s enough content here to last you until the next quest for the Ashes. If you have comments, questions, want to suggest topics for future editions or join the conversation, use #BJSMOnlineEdition on Facebook, Twitter or Instagram. We hope you enjoy these supplementary BJSM editions and as always, wish you a physically active day! Your BJSM online editors



International consensus statement on injury surveillance in cricket: a 2016 update John W Orchard, Craig Ranson, Benita Olivier, et al.


Misclassification of cricket in the American College of Cardiology (ACC) Task Force classification of sports Jessica J Orchard, John W Orchard, Andre La Gerche, et al.


Cricket injuries with Alex Kountaris

Dr Alex Kountaris (@Alex_Kountouris), Cricket Australia Sports Science & Sports Medicine Manager and former physiotherapist for the Australian cricket team, discusses injury prevention and treatment in cricket.

Back pain


MRI bone marrow oedema precedes lumbar bone stress injury diagnosis in junior elite cricket fast bowlers Alex Kountouris, Kevin Sims, David Beakley, et al.


Advice to athletes with back pain—get active! Seriously? Alex Kountouris, Kevin Sims, David Beakley, et al.


Risk factors and successful interventions for cricket-related low back pain: a systematic review Sarah Morton, Christian J Barton, Simon Rice, Dylan Morrissey


Lower back injuries in cricket players, with Alex Kountaris Dr Alex Kountaris (@Alex_Kountouris), Cricket Australia Sports Science & Sports Medicine Manager and former physiotherapist for the Australian cricket team, discusses strategies for the prevention and treatment of lumbar spine injuries in cricket, and answers some interesting questions from Twitter.

Head injuries


Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016 Paul McCrory, Willem Meeuwisse, Jiří Dvorak


Sport concussion assessment tool - 5th edition


Cricket fatalities, with Dr Peter Brukner (MJA Podcasts) Dr Peter Brukner, former team doctor to the Australian cricket team, discusses cricket fatalities and preventative measures.


Batting head injury in professional cricket: a systematic video analysis of helmet safety characteristics Craig Ranson, Nicholas Peirce, Mark Young


Tragic injury in sport: the shock, grief, and honouring of cricket player Phillip Hughes Dr Mike Burdon, Consultant in Sports and Exercise Medicine, Peninsula Sports Medicine


Injuries to junior club cricketers: the effect of helmet regulations L Shaw, C F Finch


Are the new cricket helmet standards enough: what does the evidence say? BJSM Editors


Incidence of Concussion and Head Impacts in Australian Elite-Level Male and Female Cricketers After Head Impact Protocol Modifications Thomas Hill, John Orchard, Alex Kountouris

Shoulder injuries


Shoulder injuries, with Prof. Ann Cools (PhD, PT)

Babette Pluim (BJSM deputy editor) talks to Ann Cools (professor in the Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Belgium) about her varied research into shoulder injuries. Including: Scapular involvement in shoulder pain in overhead athletes; treatment strategies for managing impingement in the overhead athlete; eccentric training for shoulder injuries; Scapula Dyskinesis; age related change in the shoulder in tennis players; and adaptations in scapular movement, subacromial space, and range of movement and strength in elite handball players.

Mental health


Anxiety, depression and perceived sporting performance among professional cricket players M Sahni, G Bhogal

ORIGINAL ARTICLE (The Physician and Sports Medicine)

The mental wellbeing of current and retired professional cricketers: an observational prospective cohort study Nannet Schuring, Gino Kerkhoffs, Janine Gray, Vincent Gouttebarge


Does occupational success influence longevity among England test cricketers? P J Boyle


Is cricket the ultimate endurance sport Nicol van Dyk


Too many rib ticklers? Injuries in Australian women's cricket Nirmala Kanthi Panagodage Perera


Surviving 30 years on the road as a team physician Peter Brukner


Cricket ball injury: a cause of symptomatic muscle hernia of the leg R K Gupta, D Singh, R Kansay, H Singh


Mental health in elite athletes. An IOC consensus statement Claudia L Reardon, Brian Hainline, Cindy Miller Aron, et al infographic 1


7 Tips for developing and maintaining a high performance sports medicine team Tim Gabbett, Simon Kearney, Leslie J Blisson, et al infohraphic 2