Article ; Online: Higher risk of Achilles tendon ruptures at competition than training sites in female collegiate gymnasts.
The Journal of sports medicine and physical fitness
2024 Volume 64, Issue 4, Page(s) 392–401
Abstract: Background: Reportedly, 17.2% of collegiate female gymnasts experience Achilles tendon ruptures (ATRs). Cumulative microtraumas resulting in chronic tendinopathy/tendinitis may contribute to this high injury risk. We hypothesized that the risk of ATRs ... ...
| Abstract | Background: Reportedly, 17.2% of collegiate female gymnasts experience Achilles tendon ruptures (ATRs). Cumulative microtraumas resulting in chronic tendinopathy/tendinitis may contribute to this high injury risk. We hypothesized that the risk of ATRs in female collegiate gymnasts increases with years of competitive gymnastics, that non-steroidal anti-inflammatory drug (NSAID) use is associated with less ATRs, and that the risk is larger during competition than training. Methods: Female gymnasts from 78 USA collegiate teams completed a survey assessing the prevalence of ATRs, NSAID use, age at which competitive gymnastics started and age at which ATR occurred, and whether ATRs occurred during training or competition. Results: Twenty-one of 103 gymnasts (20.4%, 95% CI: 13.6% to 29.4%) experienced ATRs. Eighteen of 21 ruptures (85.7%, 95% CI: 61.3% to 95.8%) occurred after more than ten years of competitive gymnastics (mean: 14.0±2.6 years, 95% CI: 12.8 to 15.2 years). ATRs occurred 0.08±0.01 (95% CI: 0.06 to 0.11) times per 1000 hours at training versus 1.85±0.11 (95% CI: 1.60 to 2.10) times per 1000 hours at competition (P<0.05). Prevalence of NSAID use was 27.6% (95% CI: 18.6% to 39.0%) in gymnasts without ATR but only 5.5% (95% CI: 0.6% to 35.5%, P=0.09) in gymnasts with ATR. Multiple regression analysis demonstrated a negative association between NSAID use and incidence of ATRs (P<0.05). Conclusions: Female collegiate gymnasts are at high risk for ATRs, especially after more than ten years of competitive gymnastics and during competition. |
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| MeSH term(s) | Humans ; Female ; Achilles Tendon/injuries ; Gymnastics/injuries ; Tendon Injuries ; Universities ; Tendinopathy/epidemiology ; Anti-Inflammatory Agents, Non-Steroidal/therapeutic use |
| Chemical Substances | Anti-Inflammatory Agents, Non-Steroidal |
| Language | English |
| Publishing date | 2024-01-09 |
| Publishing country | Italy |
| Document type | Journal Article |
| ZDB-ID | 410823-1 |
| ISSN | 1827-1928 ; 0022-4707 |
| ISSN (online) | 1827-1928 |
| ISSN | 0022-4707 |
| DOI | 10.23736/S0022-4707.23.15558-7 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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