Lumbar load in adolescent fast bowlers: A prospective injury study

Objectives: This study aimed to identify modifiable mechanisms associated with low back injury in adolescent cricket fast bowlers. Design: A prospective study design examined the association between intrinsic risk factors, workload, bowling kinematics, lumbar load and low back injury incidence. Meth...

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Main Authors: Bayne, H., Elliott, B., Campbell, Amity, Alderson, J.
Format: Journal Article
Published: Elsevier Ltd 2014
Online Access:http://hdl.handle.net/20.500.11937/7528
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author Bayne, H.
Elliott, B.
Campbell, Amity
Alderson, J.
author_facet Bayne, H.
Elliott, B.
Campbell, Amity
Alderson, J.
author_sort Bayne, H.
building Curtin Institutional Repository
collection Online Access
description Objectives: This study aimed to identify modifiable mechanisms associated with low back injury in adolescent cricket fast bowlers. Design: A prospective study design examined the association between intrinsic risk factors, workload, bowling kinematics, lumbar load and low back injury incidence. Methods: Twenty-five injury free fast bowlers, aged 14-19 years, were assessed prior to the start of a cricket season and observed during the season for low back injuries. Results: The twelve bowlers who suffered a low back injury displayed; decreased hip flexion at front foot contact (46±6° vs 51±6°), increased pelvis rotation (287±11° vs 277±11°) increased thorax lateral flexion (50±6° vs 40±8°) at ball release, and larger peak lumbar flexion (10.5±4.9Nmkg-1 m-1 vs 6.9±2.5Nmkg-1 m-1) and lateral flexion moments (12.5±2.6Nmkg-1 m-1 vs 10.6±1.9Nmkg-1 m-1). They also exhibited reduced muscular endurance of the back extensors (103±33s vs 132±33s) and increased knee valgus angle during a single leg decline squat on the dominant (9±3° vs 5±4°) and non-dominant leg (9±4° vs 6±3°) in comparison to uninjured bowlers. Conclusions: Bowlers who experience greater lumbar loads during bowling, have reduced back extensor muscle endurance, and demonstrate impaired control of the lumbo-pelvic-hip complex, are at increased risk of low back injury. This combination of strength, control and biomechanical factors may be key mechanical elements of low back injury causation in adolescent fast bowlers.
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spelling curtin-20.500.11937-75282017-09-13T14:37:01Z Lumbar load in adolescent fast bowlers: A prospective injury study Bayne, H. Elliott, B. Campbell, Amity Alderson, J. Objectives: This study aimed to identify modifiable mechanisms associated with low back injury in adolescent cricket fast bowlers. Design: A prospective study design examined the association between intrinsic risk factors, workload, bowling kinematics, lumbar load and low back injury incidence. Methods: Twenty-five injury free fast bowlers, aged 14-19 years, were assessed prior to the start of a cricket season and observed during the season for low back injuries. Results: The twelve bowlers who suffered a low back injury displayed; decreased hip flexion at front foot contact (46±6° vs 51±6°), increased pelvis rotation (287±11° vs 277±11°) increased thorax lateral flexion (50±6° vs 40±8°) at ball release, and larger peak lumbar flexion (10.5±4.9Nmkg-1 m-1 vs 6.9±2.5Nmkg-1 m-1) and lateral flexion moments (12.5±2.6Nmkg-1 m-1 vs 10.6±1.9Nmkg-1 m-1). They also exhibited reduced muscular endurance of the back extensors (103±33s vs 132±33s) and increased knee valgus angle during a single leg decline squat on the dominant (9±3° vs 5±4°) and non-dominant leg (9±4° vs 6±3°) in comparison to uninjured bowlers. Conclusions: Bowlers who experience greater lumbar loads during bowling, have reduced back extensor muscle endurance, and demonstrate impaired control of the lumbo-pelvic-hip complex, are at increased risk of low back injury. This combination of strength, control and biomechanical factors may be key mechanical elements of low back injury causation in adolescent fast bowlers. 2014 Journal Article http://hdl.handle.net/20.500.11937/7528 10.1016/j.jsams.2015.02.011 Elsevier Ltd restricted
spellingShingle Bayne, H.
Elliott, B.
Campbell, Amity
Alderson, J.
Lumbar load in adolescent fast bowlers: A prospective injury study
title Lumbar load in adolescent fast bowlers: A prospective injury study
title_full Lumbar load in adolescent fast bowlers: A prospective injury study
title_fullStr Lumbar load in adolescent fast bowlers: A prospective injury study
title_full_unstemmed Lumbar load in adolescent fast bowlers: A prospective injury study
title_short Lumbar load in adolescent fast bowlers: A prospective injury study
title_sort lumbar load in adolescent fast bowlers: a prospective injury study
url http://hdl.handle.net/20.500.11937/7528