A Longitudinal Study of Injuries to Athletes with Disabilities

This study investigated the number and type of injuries that occurred to athletes with disabilities from 1990 - 1996. The subjects were U.S. athletes who participated in the 1990 World Games and Championships, 1991 U.S. Paralympic Trials, 1992 Paralympic Games, the 1994 World Athletics Championship, and the 1996 Paralympic Games. A reportable injury was defined as an injury/illness that was evaluated by the U.S. Medical Staff during these competitions. Illnesses (29.8 %) were the most commonly reported problem followed by muscular strains (22.1 %). The most commonly injured body locations were the thorax/spine at 13.3 %, the shoulder complex at 12.8 %, the lower leg/ankle and toes at 12.0 %. The majority of these injuries were musculoskeletal to include strains at 22.1 %, sprains at 5.8 %, contusion at 5.6 %, and abrasions at 5.1 %. An area of concern was the high number of strains to the thorax and spine when compared to other body locations and injury types. Attention should be paid to the musculature of the thorax/spine, shoulder and hip/thigh to help reduce the number of the injuries in this region.

Disability sports, sport injuries, Paralympics.

References

• 01 Boninger M L, Robertson R N, Wolff M, Copper R. Upper limb nerve entrapment in elite wheelchair racers.  Am J Phys Med Rehabil. 1996;  75 170-176
• 02 Burnham R, May L, Nelson E, Steadward R, Reid D C. Shoulder pain in wheelchair athletes. The role of muscle imbalance.  Am J Sports Med. 1993;  21 238-242
• 03 Burnham R, Newell E, Steadward R. Sports medicine for the physically disabled: The Canadian team experience at the 1988 Seoul Paralympic games.  Clin J Sports Med. 1991;  1 193-196
• 04 Burnham R, Steadward R. Upper extremity peripheral nerve entrapment among wheelchair athletes: Prevalence, location and risk factors.  Arch Phys Med Rehabil. 1994;  75 519-524
• 05 Curtis K, Dillon D A. Survey of wheelchair athletic injuries: Common patterns and prevention.  Paraplegia. 1985;  23 170-175
• 06 DePauw K P, Gavron S J. Disability and sport. Champaign, IL; Human Kinetics 1995
• 07 Ferrara M S, Buckley W E. Athletes with disabilities injury registry.  Adapt Phys Act Q. 1996;  13 50-60
• 08 Ferrara M S, Buckley W E, McCann B C, Limbird T J, Powell J P. The injury experience of the athlete with a disability: Prevention Implications.  Med Sci Sport Exerc. 1992;  24 184-188
• 09 Ferrara M S, Buckley W E, Messner D G, Benedict J. The injury experience and training history of the competitive skier with a disability.  Am J Sports Med. 1992;  20 55-60
• 10 Ferrara M S, Davis R W. Injuries to elite wheelchair athletes.  Paraplegia. 1990;  28 335-341
• 11 Greene J J, Bernhardt D. Medical coverage analysis for Wisconsin's Olympics: the Badger State Games.  Wisc Med J. 1997;  96 41-44
• 12 Guttmann L. Textbook of sports for the disabled. Aylesburg, England; HM & M 1979
• 13 Harmer P A. Disability sports. In: Caine DJ, Caine CG, Lindner K (eds) Epidemiology of Sports Injuries. Chamaign, IL; Human Kinetics 1996: 161-175
• 14 Hoeberigs J H, Verstappen F TJ. Muscle soreness in wheelchair basketball players. [Abstract].  Int J Sports Med. 1984;  5 177-179
• 15 Jackson R W, Fredrickson A. Sports for the physically disabled - the 1976 Olympiad (Toronto).  Am J Sports Med. 1979;  7 293-296
• 16 Kegel B, Malchow D. Incidence of injury in amputees playing soccer.  Palaestra. 1994;  10 50-54
• 17 Martin R K, Yesalis C E, Foster D, Albright J P. Sport injuries at the 1985 Junior Olympics: An epidemiological analysis.  Am J Sports Med. 1987;  15 603-608
• 18 Reynolds J, Stirk A, Thomas A, Geary F. Paralympics - Barcelona 1992.  Br J Sports Med. 1994;  28 14-17
• 19 Richter K J, Hyman S C, Mushett C A, Ellenburg M R, Ferrara M S. Injuries in world class cerebral palsy athletes of the 1988 South Korea Paralympics.  J Osteopathic Sport Med. 1991;  7 15-18
• 20 Taylor D, Williams T. Sport injuries in athletes with disabilities: Wheelchair racing.  Paraplegia. 1995;  33 296-299
• 21 Wright J E, Vogel J A, Sampson J B, Knapik J J, Patton J F, Daniels W L. Effects of travel across time zones (jet-lag) on exercise capacity and performance.  Aviat Space Environ Med. 1983;  54 132-137