Overuse Injury in Tennis

NewsBot · Jul 19, 2016

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Is risk-taking in talented junior tennis players related to overuse injuries?
A. Van der Sluis et al
Scandinavian Journal of Medicine & Science in Sports; Early View

Youth tennis players;risk-taking;chronic injuries;prospective cohort study
Overuse injuries are a serious problem in junior tennis. Gaining insight in age-specific risk factors can contribute to prevention. The developmental cognitive processes that take place during adolescence make talented players more inclined to take risks. This may be even more pronounced in the high performance culture in which they move. Therefore, this study focuses on the relationship between risk-taking and overuse injuries in talented tennis players. Seventy-three talented tennis players (45 boys and 28 girls, age 11?14 years) were monitored for 32 weeks, using the Oslo Sports Trauma Research Centre Questionnaire on Health Problems. Risk-taking was measured at the start of the season with the Iowa Gambling Task. Linear regression analyses were executed to predict (a) overuse injuries, (b) time loss overuse injuries and (c) overuse severity, by risk-taking, exposure time, and injury history. In boys, risk-taking contributed significantly to time loss overuse injuries [F(1,39) = 7.764, P = 0.008, R2 = 0.15] and to overuse severity [F(1,39) = 5.683, P = 0.022, with an R2 of 0.13] In girls, time loss overuse injuries [F(1,23) = 6.889, P = 0.018, R2 = 0.20] and overuse severity [F(1,23) = 7.287, P = 0.013, R2 = 0.24] were predicted by exposure time. Coaches and trainers should be aware that talented male tennis players who are inclined to take risks, are more likely to maintain risky behavioral patterns related to overuse injuries.
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NewsBot · Mar 3, 2017

From Podiatry Today:
Pertinent Insights On Preventing Injuries On Tennis Court Surfaces

NewsBot · Jul 7, 2017

Injury epidemiology of tennis players at the 2011–2016 Australian Open Grand Slam
Danielle T Gescheit et al
Br J Sports Med Published Online First: 07 July 2017

Aim To examine the epidemiology and in-event treatment frequency of injury at the 2011–2016 Australian Open tournaments.

Methods Injury incidence was defined as a medical consultation by a tournament physician and in-event treatment frequency as the mean total number of follow-up medical/physiotherapy consultations (2013–2016 tournaments only). Data were collated by sex, injury region and type and reported as frequencies per 10 000 game exposures. Incidence rate s± 95% CI and rate ratios were used to test effects for injury, sex and year.

Results Female players experienced more injuries than male players (201.7 vs 148.6). The shoulder (5.1±1.1 injuries per year), foot (3.2±1.1), wrist (3.1±1.5) and knee (3.1±1.1) were the most commonly injured regions among females. Knee (3.5±1.6), ankle (2.3±1.3) and thigh (2.3±1.5) were the most prevalent male injuries. Upper arm injuries and in-event treatment frequency increased by ≥2.4 times in both sexes over the 5-year period. Muscle injuries were most frequent. There was a greater than twofold increase in men and women with stress fractures over the 5-year period. The torso region, including the neck, thoracic spine, trunk and abdominal, lumbar spine, hip and groin, pelvis/buttock, attracted high in-event treatment frequencies in both sexes.

Conclusion Investigation of injury at the Australian Open suggests that females are more commonly injured than males. Upper and lower extremity injuries affected females while lower limb injuries were more prominent in males. There was an increasing rate of in-event treatments of upper limb and torso injuries as well as stress fractures during the observation period.
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NewsBot · Oct 11, 2017

Incidence of musculoskeletal sport injuries in a sample of male and female recreational paddle-tennis players.
Castillo-Lozano R, Casuso-Holgado MJ
J Sports Med Phys Fitness. 2017 Jun;57(6):816-821. doi: 10.23736/S0022-4707.16.06240-X. Epub 2016 Feb 12.

BACKGROUND:
Nowadays paddle-tennis is practiced by the Spanish population, not only in a professional or semi-professional way, but also as a recreational sport. As occurs in tennis, the repetition of specific actions and gestures in paddle-tennis could be a factor associated with one or more types of musculoskeletal injuries in this population. The aim of this research was to describe the incidence and location of musculoskeletal injuries in a sample of Spanish recreational paddle-tennis and to explore a possible causality injury model, focusing on gender contribution.
METHODS:
The sample was composed of 113 active paddle-tennis players, of whom 47.78% were men. The participants were asked about the injuries they had suffered during their paddle participation. Other variables such as age, physical position in the game and level of ability were taken into account.
RESULTS:
85.4% of the players reported any sport paddle injury. The elbow and the lower back have been shown as the most common regions of injury, followed by knee and shoulder injuries. Female group reported a higher injury incidence due to playing paddle-tennis (OR=0.169; P=0.008). Significant differences also existed between the genders for calf injury location (OR=0.208; P=0.020). A global injury model explaining 22.5% of the variance has been observed. Gender seems to explain 7.4% of the variance.
CONCLUSIONS:
Being a medium-aged weighty right-handed woman seems to be the profile more likely to report paddle-tennis related musculoskeletal injuries. A lack of literature regarding paddle-tennis related injuries has been observed. It could be said that our results contribute substantially in this field.
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NewsBot · Jun 24, 2018

Risk factors for musculoskeletal injuries in elite junior tennis players: a systematic review
Jacobien H.F. Oosterhoff et al
Journal of Sports Sciences

The objective was to systematically review the literature on risk factors and prevention programs for musculoskeletal injuries among tennis players. PubmedMedline, Embase, CINAHL, Cochrane, SportDiscus were searched up to February 2017. Experts in clinical and epidemiological medicine were contacted to obtain additional studies.

For risk factors, prospective cohort studies (n > 20) with a statistical analysis for injured and non-injured players were included and studies with a RCT design for prevention programs. Downs&Black checklist was assessed for risk of bias for risk factors. From a total of 4067 articles, five articles met our inclusion criteria for risk factors. No studies on effectiveness of prevention programs were identified. Quality of studies included varied from fair to excellent.

Best evidence synthesis revealed moderate evidence for previous injury regardless of body location in general and fewer years of tennis experience for the occurrence of upper extremity injuries. Moderate evidence was found for lower back injuries, a previous back injury, playing >6hours/week and low lateral flexion of the neck for risk factors. Limited evidence was found for male gender as a risk factor.

The risk factors identified can assist clinicians in developing prevention-strategies. Further studies should focus on risk factor evaluation in recreational adult tennis players.
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NewsBot · Jan 31, 2020

Effectiveness of an e-health tennis-specific injury prevention programme: randomised controlled trial in adult recreational tennis players
Haiko Ivo Maria Franciscus Lodewijk Pas et al
British Journal of Sports Medicine Published Online First: 30 January 2020

Background Despite reported injury rates of up to 3 per 1000 hours exposure, there are no evidence-based prevention programmes in tennis.

Purpose To evaluate the effectiveness of an e-health prevention programme for reducing tennis injury prevalence.

Study design Two-arm, researcher-blinded randomised controlled trial.

Methods Adult tennis players of all playing levels were randomised in an unsupervised programme lasting 12 weeks (TennisReady group or control group). The primary outcome was the overall injury prevalence over a 16-week period, measured at 2 weekly intervals with the Oslo Sports and Trauma Research Centre questionnaire. Estimates for the primary outcome and associated 95% CIs were obtained using generalised estimating equation models. Secondary outcome scores included prevalence of substantial injuries, overall incidence, adherence and time-loss injuries.

Results A total of 579 (83%) (TennisReady n=286, control n=293) participants were included in the primary analysis. The mean injury prevalence was 37% (95% CI 33% to 42%) in the TennisReady vs 38% (95% CI 34% to 42%) in the control group (adjusted p-value 0.93). The prevalence of substantial injuries was 11% (95% CI 9% to 14%) in the TennisReady vs 12% (95% CI 9% to 15%) in the control group (p value of 0.79). Analysis of the secondary outcome scores showed no difference between groups. The mean prevalence rates between high (8%) and low (92%) adherent groups were 32% (95% CI 23% to 44%) and 37% (95% CI 33% to 42%), respectively (p value 0.36).

Conclusion Providing an unsupervised e-health tennis-specific exercise programme did not reduce the injury rates and should not be implemented.
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NewsBot · Jan 5, 2021

Risk Factors for Lower Limb Injury in Female Team Field and Court Sports: A Systematic Review, Meta-analysis, and Best Evidence Synthesis
Tyler J. Collings, Matthew N. Bourne, Rod S. Barrett, William du Moulin, Jack T. Hickey & Laura E. Diamond
Sports Medicine (2021)

Background
Identifying risk factors for lower limb injury is an important step in developing injury risk reduction training and testing for player monitoring. Female athletes are distinct from male athletes, warranting separate investigation into risk factors.

Objective
To systematically review the literature and synthesise the evidence for intrinsic risk factors for lower limb injury in female team field and court sports.

Methods
Five online databases were searched from inception to April 2020. To be eligible for inclusion, studies were required to be a prospective study presenting intrinsic risk factors for lower limb injury in female team field or court sport athletes. Risk of bias was assessed using the Quality of Prognosis Studies tool.

Results
Sixty-nine studies, capturing 2902 lower limb injuries in 14,492 female athletes, and analysing 80 distinct factors met the inclusion criteria. Risk factors for any lower limb injury included greater body mass (standardised mean difference [SMD] = 0.24, 95% confidence interval [95% CI] 0.18–0.29), greater body mass index (BMI) (SMD = 0.22, 95% CI 0.05–040), older age (SMD = 0.20, 95% CI 0.09–0.31), greater star excursion balance test (SEBT) anterior reach distance (SMD = 0.18, 95% CI 0.12–0.24), and smaller single-leg hop distance (SMD = − 0.09, 95% CI − 0.12 to − 0.06). Lower knee injury and osteoarthritis outcome score (KOOS) increased the risk of knee injury. Anterior cruciate ligament (ACL) injury risk factors included prior ACL injury (odds ratio [OR] = 3.94, 95% CI 2.07–7.50), greater double-leg postural sway (SMD = 0.58, 95% CI 0.02–1.15), and greater body mass (SMD = 0.25, 95% CI 0.12–0.39). Ankle injury risk factors included smaller SEBT anterior reach distance (SMD = − 0.13, 95% CI − 0.14 to − 0.13), greater single-leg hop distance asymmetry (OR = 3.67, 95% CI 1.42–9.45), and slower agility course time (OR = 0.20, 95% CI 0.05–0.88). Remaining factors were not associated with injury or had conflicting evidence.

Conclusion
Prior injury, older age, greater body mass, and greater BMI are risk factors for lower limb injury in female athletes. Limited evidence showed an association between KOOS, SEBT anterior reach, single-leg hop distance and asymmetry, double-leg postural sway, agility, and lower limb injury.
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NewsBot · Jul 20, 2021

Epidemiology of Injuries in National Collegiate Athletic Association Women's Tennis: 2014-2015 Through 2018-2019
Hannah J Robison et al
J Athl Train. 2021 Jul 1;56(7):766-772

Context: The National Collegiate Athletic Association (NCAA) has sponsored women's tennis programs since 1966. Women's tennis has risen in global prominence and popularity within the NCAA.

Background: Continued surveillance of athletic injuries in the NCAA is critical for identifying emerging injury trends and assessing injury prevention strategies.

Methods: Exposure and injury data collected in the NCAA Injury Surveillance Program from 2014-2015 through 2018-2019 were analyzed. Injury counts, rates, and proportions were used to describe injury characteristics, and injury rate ratios were used to examine differential injury rates.

Results: The overall injury rate was 4.16 per 1000 athlete exposures. Injury to the shoulder, foot, and trunk were the most prevalent throughout the study period. Approximately 30% of all injury diagnoses were related to inflammatory conditions. Also, 32.1% of all injuries were time-loss injuries, and 45.0% of all injuries were non-time-loss injuries.

Conclusions: The findings of this study differed slightly from those of previous investigations, most notably with regard to injury rate by season segment and commonly injured body parts. Future surveillance efforts should attempt to capture the nuances of tennis competitions.
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NewsBot · Aug 31, 2021

Injury Prevention in Tennis Players, Linking the Kinetic Chain Approach With Myofascial Lines
A Narrative Review With Practical Implications
Ličen, Teja al
Strength and Conditioning Journal: August 26, 2021 - Volume - Issue -

Myofascial chains refer to the soft tissue elastic connections that envelop the muscles throughout the entire body. Evidence points to the ability of myofascial chains to transfer the force developed in one muscle-tendon-joint unit to other proximal or distal musculotendinous units. Tennis is a sport demanding repetitive high-power unilateral movements, which predisposes the players to various musculoskeletal adaptations that may interrupt their optimal biomechanics and result in possible injuries. Myofascial training addresses the player's biomechanics of movement, muscle coordination, and muscle force production. This narrative review with practical examples links the well-known kinetic chain approach with myofascial training aiming to optimize rehabilitative and prevention programs, directed to primarily decrease injury incidence and beneficially impact biomechanical patterns of movement.
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NewsBot · Jun 16, 2022

THE INTRINSIC AND EXTRINSIC RISK FACTORS
FOR INJURY IN PROFESSIONAL TENNIS PLAYERS
ON CLAY AND GRASS COURT: A SYSTEMATIC
REVIEW
SHINYANG KIM
Thesis; 21st April 2022

Tennis is a worldwide sport played on various court surfaces such as clay, grass,
and hard court. Court surface type demands to change the physical performance of
tennis players. There are various risk factors in tennis injuries, but this systematic
review aims to examine the intrinsic and extrinsic risk factors for injury in
professional tennis players on different court surfaces. Intrinsic risk factors for tennis
injuries, associated with the athlete-related risk factors, are gender and age. Female
players are more likely to injury on clay courts. However, there was no significant
differences in injury type and region between male and female tennis players. Age is
also one of the risk factors to tennis injuries. Adults and adolescent players are
higher injured than young players, but there were not enough studies to prove their
relationships. As the extrinsic risk factors, frictional resistance and equipment were
described. Frictional resistance was measured by the shoe surface interface
between court surfaces, and clay courts showed the lower coefficient of friction.
Tennis racquet and ball properties affect to player’s performance. The different grip
positions and the string tension can cause the wrist and arm injuries due to the
stroke and vibration. In conclusion, there are various intrinsic and extrinsic risk
factors for tennis injuries in professional tennis players, but they can adjust their
equipment or physical performance on different court surfaces to prevent tennis
injuries.
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NewsBot · Jul 12, 2022

Risk Factors for Lower Limb Injury in Female Team Field and Court Sports: A Systematic Review, Meta-analysis, and Best Evidence Synthesis
Tyler J. Collings, Matthew N. Bourne, Rod S. Barrett, William du Moulin, Jack T. Hickey & Laura E. Diamond
Sports Medicine volume 51, pages759–776 (2021)

Background
Identifying risk factors for lower limb injury is an important step in developing injury risk reduction training and testing for player monitoring. Female athletes are distinct from male athletes, warranting separate investigation into risk factors.

Objective
To systematically review the literature and synthesise the evidence for intrinsic risk factors for lower limb injury in female team field and court sports.

Methods
Five online databases were searched from inception to April 2020. To be eligible for inclusion, studies were required to be a prospective study presenting intrinsic risk factors for lower limb injury in female team field or court sport athletes. Risk of bias was assessed using the Quality of Prognosis Studies tool.

Results
Sixty-nine studies, capturing 2902 lower limb injuries in 14,492 female athletes, and analysing 80 distinct factors met the inclusion criteria. Risk factors for any lower limb injury included greater body mass (standardised mean difference [SMD] = 0.24, 95% confidence interval [95% CI] 0.18–0.29), greater body mass index (BMI) (SMD = 0.22, 95% CI 0.05–040), older age (SMD = 0.20, 95% CI 0.09–0.31), greater star excursion balance test (SEBT) anterior reach distance (SMD = 0.18, 95% CI 0.12–0.24), and smaller single-leg hop distance (SMD = − 0.09, 95% CI − 0.12 to − 0.06). Lower knee injury and osteoarthritis outcome score (KOOS) increased the risk of knee injury. Anterior cruciate ligament (ACL) injury risk factors included prior ACL injury (odds ratio [OR] = 3.94, 95% CI 2.07–7.50), greater double-leg postural sway (SMD = 0.58, 95% CI 0.02–1.15), and greater body mass (SMD = 0.25, 95% CI 0.12–0.39). Ankle injury risk factors included smaller SEBT anterior reach distance (SMD = − 0.13, 95% CI − 0.14 to − 0.13), greater single-leg hop distance asymmetry (OR = 3.67, 95% CI 1.42–9.45), and slower agility course time (OR = 0.20, 95% CI 0.05–0.88). Remaining factors were not associated with injury or had conflicting evidence.

Conclusion
Prior injury, older age, greater body mass, and greater BMI are risk factors for lower limb injury in female athletes. Limited evidence showed an association between KOOS, SEBT anterior reach, single-leg hop distance and asymmetry, double-leg postural sway, agility, and lower limb injury.
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NewsBot · Mar 13, 2023

Comparison and analysis of the biomechanics of the lower limbs of female tennis players of different levels in foot-up serve
Zhiqiang Liang et al
Front Physiol. 2023 Feb 24;14:1125240

Purpose: The purpose of this study was to examine biomechanical performance of the foot-up serve (FUS) in female tennis players at different skill levels. Methods: FUS analysis was completed in the biomechanical laboratory by 32 female college tennis players at three different levels. During FUS, 3D-biomechanical data from tennis players' lower limbs were collected. One-way ANOVA was used to examine differences in kinematic and kinetic data between groups Results: Range of motion (ROM) of bilateral lower-limb joints revealed significant differences in kinematics performance during both the preparation and landing cushion phases (p < 0.05). During preparation, Level 3 was significantly longer than Level 2 (P-a = 0.042, P-b = 0.001, and P-c = 0.006). During the flight phase, significant differences between levels 1 and 3 (P-a:0.002) and levels 1 and 2 (P-c:0.000) were discovered (P-a:0.002 and P-c:0.000). There were significant height differences between levels 1 and 2 as well as between levels 1 and 3. (P-a = 0.001, P-c = 0.000). During serve preparation (P-c = 0.001) and landing, GRF's peak was significantly higher than level 3. (P-c:0.007). Significant differences were found between groups in the LLS preparation stage, with level 3 significantly higher than levels 1 and 2. (P-a = 0.000, P-b = 0.001, and P-c = 0.000); during landing, level 2 LLS was significantly higher than levels 1 and 3. (P-a = 0.000, P-b = 0.000, and P-c = 0.035). Conclusion: The range of motion of joints and the stiffness of the lower limbs have a significant impact on a tennis player's FUS performance. A larger of joint mobility and lower-limb stiffness promote better performance during the FUS preparation stage.
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NewsBot · Jun 5, 2023

Plantar pressure is changed to increase post-impact ball speed during longline forehand and backhand groundstroke in elite female tennis players
Johanna Lambrich, Thomas Muehlbauer
Front Sports Act Living. 2023 May 18

Introduction: Achieving high ball speed during the execution of groundstrokes represents a performance-relevant factor in tennis. However, it is unclear how plantar pressure data undergo change during the execution of groundstrokes by tennis players to achieve high postimpact ball speed. Thus, the objective of the present study is to determine how tennis players change the plantar pressure in each foot when they execute longline forehand and backhand groundstrokes in order to increase postimpact ball speed.

Methods: Seventeen healthy nationally ranked female tennis players (mean age: 21.7 ± 7.7 years) participated in this study. The players performed longline forehand and backhand groundstrokes (topspin) at four postimpact ball speed levels, i.e., at 80 km/h, 90 km/h, 100 km/h, and vmax. Plantar pressure was measured in each foot [i.e., dominant (equals the stroke arm) and non-dominant] using flexible instrumented insoles.

Results: Irrespective of the stroke technique, the repeated measures ANOVA procedure showed significant ball speed × foot dominance interactions. For the forehand stroke, post hoc analyses revealed significantly increased (dominant foot) and decreased (non-dominant foot) pressure values when the postimpact ball speed increased from 100 km/h to vmax. For the backhand stroke, the post hoc analyses yielded significantly decreased (dominant and non-dominant foot) plantar pressure values when the postimpact ball speed increased from 100 km/h to vmax. There were no further significant differences between the other ball speed levels.

Discussion: The significantly varying plantar pressure changes depending on the stroke technique and foot dominance to increase postimpact ball speed suggest that specific physical exercises related to the foot (dominant vs. non-dominant foot) and groundstroke (forehand vs. backhand) seem to be necessary for plantar pressure optimization.
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NewsBot · Oct 16, 2023

The influence of flat feet on lateral movement of tennis players.
K. Tanigawa et al
Source

Introduction: Lateral movement footwork is extremely important in tennis. In addition, previous studies have suggested the need to investigate the effects of different physical characteristics of tennis players on footwork. Flat feet are considered to be one of the factors that inhibit the forward propulsion of the body. On the other hand, the relationship between flat feet and lateral propulsion is unknown. Therefore, this study focused on foot morphology among body characteristics. This study aimed to investigate the effect of flat feet on the propulsive force of lateral movements in tennis players.
Methods:
The subjects were 17 male college tennis players. The study design was a case-control study. The Navicular Drop test was used to evaluate foot morphology, and a difference of 9 mm or more in navicular bone height between the sitting and standing positions of the non-dominant leg was judged to be flatfoot. The subjects were divided into two groups: a flat-footed group and a normal-footed group. The measurement task was a crossover step(XS) movement. Mechanical and kinematic data during the movement were collected using a three-dimensional motion analyzer (Vicon Motion Systems S.A., Oxford, England) and a floor reaction force meter (Kistler S.A., Winterthur, Switzerland). For statistical analysis, the Shapiro-Wilk test was first performed, and for those in which normality of distribution was observed, an uncorresponding t-test was performed, and for those in which normality was not observed, a Mann-Whitney's U test was performed. The significance level was set to p<0.05 for all tests.
Results:
The navicular drop test results showed 8 subjects in the flat-footed group and 9 in the healthy-footed group. There was no significant difference in maximum center of mass (COM) lateral acceleration, which represents lateral propulsion, between the groups. In the flat-footed group, the maximum plantar flexion angle of the shaft ankle joint and the maximum internal rebound moment was significantly higher.
Discussion:
In conclusion, no significant differences occurred in lateral center of gravity acceleration, a measure of lateral propulsion. In addition, the flat-footed group had significantly higher values in several items, suggesting that the flat-footed group may be compensating for the functional impairment caused by the reduced medial longitudinal arch by engaging in excessive muscle activity during XS movements. In order to investigate muscle activities during XS movements in detail, electromyographic measurements are needed to be addressed in future studies.
Impact/Application to the field:
This study suggests that flat feet may be one of the risk factors for injury in tennis, and will help further research such as investigation of muscle activity during XS movements and investigation of the actual condition of the disorder for disorder prevention and treatment planning.
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NewsBot · Oct 30, 2023

Lower-Extremity Injuries Predominate in American High School Tennis Players
Aaron C Llanes et al
Arthrosc Sports Med Rehabil. 2023 Oct 19;5(6):100811

Purpose: To describe injury epidemiology in U.S. adolescent tennis players between 2014 and 2018 via the High School Reporting Information Online (HS RIO) database.

Methods: The HS RIO database was queried for injury data on high school tennis players as reported by athletic trainers between 2014 and 2018. Injuries were analyzed according to athlete demographics, injury type, location, and context. Variables of interest between male and female athletes were compared using Pearson χ2 test or Fisher exact test.

Results: In total, 176 injuries in high school tennis players between 2014 and 2018 were identified in the HS RIO database. Overall, 25.6% (45/176) occurred in the ankle, 12.5% (22/176) in the knee, and 9.7% (17/176) in the wrist. The most common types of injuries were ligament sprains and muscle strains at 35.2% (62/176) and 17.6% (31/176) of injuries, respectively. Although most injuries were unrelated to contact, such as overuse and heat exertion or stroke, 28.7% (47/176) of injuries were the result of rotation around a planted foot/inversion of the foot. We found no difference in injury patterns between male and female high school tennis athletes.

Conclusions: We found no difference in injury patterns between male and female U.S. high school tennis athletes. The ankles, knees, and wrists were the most commonly injured areas in this population. The most common types of injuries were ligament sprains and muscle strains. Although many injuries were new, athletes rarely required surgery and returned to play. Finally, we found no difference in injury patterns between male and female high school tennis athletes.

Clinical relevance: The epidemiology of injuries among high school tennis players is poorly understood. The information from this study will help us to understand these injuries and how we may be able to better prevent them.
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NewsBot · Feb 23, 2024

Effects of Proprioceptive Insoles and Specific Core Training on Postural Stability for Preventing Injuries in Tennis
Giuseppe Messina et al
J. Funct. Morphol. Kinesiol. 2024, 9(1), 34; https://doi.org/10.3390/jfmk9010034

Tennis is a complex sport based on unpredictability that requires adequate physical and psychological preparation to prevent injuries. The aim of this study was to investigate the effects of 8-week specific core stability training on postural stability in competitive adolescent tennis players, aged between 14 and 19 years old. Sixty-one participants were randomly allocated into two groups: experimental (n = 32) and control (n = 29) groups. The first group wore proprioceptive insoles 8 h a day and performed a detailed training 3 times a week for 8 weeks; the second group only received proprioceptive insoles to wear 8 h a day for 8 weeks. The postural stability parameters (center-of-pressure length, center-of-pressure velocity, and 95% confidence ellipse sway area) included three assessment times: baseline (T0), intermediate test (T1), post-test (T2), and retention test (T3). Data analysis showed a significant improvement in the experimental group compared with the control group, indicating a large effect size in center-of-pressure length, ellipse sway area, and center-of-pressure velocity at T2 and T3 (p < 0.05). In conclusion, our results suggest that a specific and detailed core stability training plays a significant role in improving balance and postural stability in young tennis players, especially in terms of preventing the risk of injury.
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NewsBot · Apr 17, 2024

Epidemiology of Musculoskeletal Injuries in Tennis Players During the French Open Grand Slam Tournament From 2011 to 2022
Bernard Montalvan et al
Orthop J Sports Med. 2024 Apr 12;12(4)

Background: The epidemiology of musculoskeletal injuries at the Australian Open, Wimbledon, and US Open tennis tournaments has been investigated in recent studies; however, there is no published literature on the incidence of musculoskeletal injuries at the French Open.

Purpose: To describe the incidence, location, and type of musculoskeletal injuries in tennis players during the French Open tournament from 2011 to 2022.

Study design: Descriptive epidemiology study.

Methods: A review was performed of all injuries documented by a multidisciplinary medical team during the French Open from 2011 to 2022. All musculoskeletal injuries that occurred during the main draw of the female and male singles or doubles matches were included. Descriptive statistics were used to summarize the data. Injury locations were grouped into regions as well as into upper limb, trunk, and lower limb.

Results: In total, there were 750 injuries in 687 tennis players, resulting in a mean of 62.5 injuries per tournament; however, there were no obvious trends in injury incidence over the time frame evaluated. The number of injuries in female and male players was similar (392 vs 358, respectively). The most common injury regions were the thigh/hip/pelvis (n = 156), ankle/foot (n = 114), and spine (n = 103). The most common injury types were muscle-related (n = 244), tendon-related (n = 207), and joint-related (n = 163), and the most affected muscles were the adductors (n = 45), rectus abdominis (n = 38), and lumbar muscles (n = 25).

Conclusion: Over the 12-year period from 2011 to 2022 female and male players experienced similar numbers of musculoskeletal injuries, with most injuries occurring in the lower limbs compared with the upper limbs and trunk.
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