Thread by @physioshane

Talk #2 #IOCprev2021 : when setting up Athlete Health sys 4 teams 1st need 2 know what is the problem, from @TheRealPCB injury surv🗣️:
🏏Yes ✅injury & illness profiles diff
⚠️rates: resp illness, spine, calf mm's
⚠️burdens: LL tendons, respiratory
⚠️high reoccurrence
thread 1/

2/Reason: altho #cricket popular in South Asia there is lack of epidemiological research 2 provide a focus 4 optimal injury/illness manag & prev. Due 2 diff in socio-culture, diets, medical, workloads, play style, pitches, out-fields, dev/LTAD etc..cant assume same as West

3/ Injury surv over 365 days of all @TheRealPCB centrally contracted players + any players selected for #PakistanCricket camps/tours > contracts require reporting 2 PCB, but 2 ensure consistency also team physio phone/telehealth wth players + franchise/NCA/clubs regularly

⚠️54% of injuries occurred via gradual onset
⚠️36% occurred bowling
⚠️43% of all injuries were reoccurrence.
⚠️Match injury inc was 210/1000 4 medical attention inj (MA) & 22.5/1000 player-days 4 time-lose (TL) inj.
⚠️Match TL seasonal injury incidence was 86/100 players yrs.

Incidences:
🏏lumbar spine (16%) > Tests, 🚨 89% reocc
🏏medical illness (11%) > on intern tours respiratory illness rate was 160/100 players per yr.
🏏calf muscle injuries (8%) > ODI/T20s
🏏joint = 46%, tendon = 27%

🤔Doesn't have high hamstring injuries rate like 🇦🇺

Prevalence/burden:
🏏MTL: 4.3% unavailable/intern match, 10.5% in ODI's.
🏏GTL = 5.6% unavailable 4 training any time
⚠️ Domestic GTL = Tendons
⚠️ International tour GTL = Joints & Muscles; spec. respiratory illness, calf muscles
🤔 MA = At any time 39% of players injured

>> Similar injury incidence compared 🇦🇺🇳🇿🇬🇧🇿🇦; BUT ⏫ rates of lumbar spine & calf muscles, and ⏫ burdens of tendon injuries; with ⏬ rates of hamstring injuries & (?) relative lack of stress #'s 😷🤒High Illnesses rates & burden in cricket has not previously been reported!

Lack stress #s may b due 2 playing style + pitch conditions in PAK (⬇️ pace bowler workloads) BUT ⛔️ wth ⬆️ reoccurrence rates & youth squads data (not included), cld be poss survivorship bias: lost in youth, lack of Mx + miss diagnosis> current players those survived wth Dysf?

Medical illness🤒rates (international) similar (11%) for:
✅🇳🇿 14.8% or 7.9%, Frost et al 13, Dovbysh & @DreidDuncan 21
----- BUT
⚠️🏴󠁧󠁢󠁥󠁮󠁧󠁿 2.7% @Craig_Ranson et al 20
⚠️🇦🇺 3/100 players yr @DrJohnOrchard et al 2016
= didnt differentiate international rates & using MTL rates

Medical illness burdens (prevalence) is low across other studies, where-as for #PakistanCricket medical illness resulted in 22% of the general time-lose & 0.7% prev 🇵🇰 🆚 0.2% prev 🇦🇺 or 4.6% of time-lose 🇳🇿! Poss due to diff reportin, as players with illness often still play

Concern with #Pakistancricket injury reoccurrence rates too, 43% (SIC related 47%):
🇱🇰12% (SIC 31-35%) @stephen_mount 14, 15
WI: 20%
🇦🇺 Men: 8% @DrJohnOrchard '02, BUT women incl'in MA injuries = 27% @Nim_Perera
>need 4 @TheRealPCB improve med resources, RTP sys & protocols?

11/ ✅diff injury & illness profiles exist in South Asian players due a range of different factors. This study will help 2 implement specific strategies 2 improve players health in 🇵🇰, further research needed to determine the optimal strategies.

12/ Poss only wth support of Head Coach @Mickeyarthurcr1 , Fitness = G.Luden & @TheRealPCB @u_wahla dep. & NCAs help @Mushy_online @MudassarNazar56

To view full info on @ResearchGate #IOCprev2021 : researchgate.net/publication/35…