Association of Intrinsic Factors with Non-contact Injury Prevalence of Front Foot Knee Pain Among First Class Fast Bowlers in Colombo Division
Background: Cricket is one of the most popular sports in Sri Lanka. Both intrinsic and extrinsic injury prevention and increase performance are of cardinal importance to a fast bowler to reach optimal performance. Intrinsic prevention methods may protect the fast bowler against too high level of stress experienced during bowling. In this study we aimed to assess the incidence of front foot knee pain and the associated intrinsic risk factors among first class cricket fast bowlers, to come up with recommendations to improve training regimes to prevent non-contact injury.
Method: Descriptive Cross-Sectional study was conducted with 30 fast bowlers with front foot knee pain. Severity of knee pain was measured by using knee evaluation form. Q angle, Hip internal rotation were measured using a modified goniometer. Quadricep and hamstring muscle strength were measured by cuff adapted sphygmomanometer. Ankle dorsiflexion was measured by Lunge Test.
Results: An insignificant, positive correlation in Ankle dorsiflexion (p=0.780, r=0.053), hip internal rotation (p=0.194, r=0.244), and quadriceps hamstring muscle strength ratio (p=0.952, r=0.012) of the fast bowlers with front foot knee pain was observed. Also, there was an insignificant negative correlation between quadriceps angle (p=0.827, r=-0.042) and front foot knee pain.
Keywords:Knee Pain, Fast Bowlers, Intrinsic Factors
Butcher JD, Zukowski CW, Brannen SJ, Fieseler C, O'Connor FG, Farrish S, Lillegard WA. Patient profile, referral sources, and consultant utilization in a primary care sports medicine clinic. Journal of family practice. 1996 Dec 1;43(6):556-60.
Orchard JW, Blanch P, Paoloni J, Kountouris A, Sims K, Orchard JJ, Brukner P. Cricket fast bowling workload patterns as risk factors for tendon, muscle, bone and joint injuries. British journal of sports medicine. 2015 Aug 1;49(16):1064-8.
Olivier B, Taljaard T, Burger E, Brukner P, Orchard J, Gray J, Botha N, Stewart A, Mckinon W. Which extrinsic and intrinsic factors are associated with non-contact injuries in adult cricket fast bowlers?. Sports Medicine. 2016 Jan 1;46(1):79-101.
Stretch, RA* & Venter D. Cricket injuries a longitudinal study of the nature of injuries in South African cricketers. South African Journal of Sports Medicine. 2003 Jun 1;15(2):4-8.
Dennis RJ, Finch CF, McIntosh AS, Elliott BC. Use of field-based tests to identify risk factors for injury to fast bowlers in cricket. British Journal of Sports Medicine. 2008 Jun 1;42(6):477-82.
Noorbhai MH, Essack FM, Thwala SN, Ellapen TJ, Van Heerden JH. Prevalence of cricket-related musculoskeletal pain among adolescent cricketers in KwaZulu-Natal. South African Journal of Sports Medicine. 2012;24(1).
Chalker WJ, Shield AJ, Opar DA, Keogh JW. Comparisons of eccentric knee flexor strength and asymmetries across elite, sub-elite and school level cricket players. PeerJ. 2016 Feb 18;4:e1594.
Khasawneh RR, Allouh MZ, Abu-El-Rub E. Measurement of the quadriceps (Q) angle with respect to various body parameters in young Arab population. PloS one. 2019 Jun 13;14(6):e0218387.
Denızoglu Kulli H, Yeldan I, Yildirim NU. Influence of quadriceps angle on static and dynamic balance in young adults. Journal of back and musculoskeletal rehabilitation. 2019 Jan 1;32(6):857-62.
Helewa A, Goldsmith CH, Smythe HA. The modified sphygmomanometer—an instrument to measure muscle strength: a validation study. Journal of Chronic diseases. 1981 Jan 1;34(7):353-61.
Bennell K, Talbot R, Wajswelner H, Techovanich W, Kelly D, Hall AJ. Intra-rater and inter-rater reliability of a weight-bearing lunge measure of ankle dorsiflexion. Australian Journal of physiotherapy. 1998 Jan 1;44(3):175-80.
Forrest MR, Hebert JJ, Scott BR, Brini S, Dempsey AR. Risk factors for non-contact injury in adolescent cricket pace bowlers: a systematic review. Sports medicine. 2017 Dec;47(12):2603-19.
Bayne, Helen, et al. "Lumbar load in adolescent fast bowlers: a prospective injury study." Journal of Science and Medicine in Sport 19.2 (2016): 117-122.
Souza TR, Pinto RZ, Trede RG, Kirkwood RN, Pertence AE, Fonseca ST. Late rearfoot eversion and lower-limb internal rotation caused by changes in the interaction between forefoot and support surface. Journal of the American Podiatric Medical Association. 2009 Nov;99(6):503-11.
Sanchez HM, Sanchez EG, Baraúna MA, Canto RS. Evaluation of Q angle in differents static postures. Acta ortopedica brasileira. 2014 Nov;22:325-9.
Ferdinands RE, Kersting U, Marshall RN. Three-dimensional lumbar segment kinetics of fast bowling in cricket. Journal of biomechanics. 2009 Aug 7;42(11):1616-21.
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