ORIGINAL PAPER
Prevalence, pattern, and risk factors of musculoskeletal injuries among wheelchair athletes in Lagos, Nigeria
More details
Hide details
1
Department of Physiotherapy, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos, Nigeria
Submission date: 2020-10-24
Acceptance date: 2021-04-27
Publication date: 2022-03-10
Hum Mov. 2022;23(4):156-164
KEYWORDS
TOPICS
ABSTRACT
Purpose:
Participation in elite sporting competition for athletes with a disability has seen significant growth in recent years. There are relatively few studies on sports-related injuries in this population of athletes. Thus, detailed understanding of musculoskeletal injury in this complex area of sport remains poor. The aim of this study was to determine the prevalence, pattern, and perceived risk factors of musculoskeletal injuries among wheelchair athletes in Lagos State, South West, Nigeria.
Methods:
The study was a cross-sectional survey involving 63 wheelchair athletes, recruited from various stadia in Lagos State. Data on musculoskeletal injuries were collated by using an adapted questionnaire. Frequency and percentages were applied to summarize data. The chi-squared test served to find associations between variables.
Results:
The career, 12-month, and point prevalence of musculoskeletal injuries among the wheelchair athletes were 93.7%, 61.9%, and 3.2%, respectively. The shoulder (66.7%) and forearm (31.7%) were the most common sites of injury. The most frequent perceived risk factors of musculoskeletal injury were fatigue (30.2%) and contact with other athletes (28.6%). No significant connections were found between the injured body parts and the 12-month injury prevalence in the wheelchair athletes (p ≥ 0.05).
Conclusions:
There is a high prevalence of musculoskeletal injuries among wheelchair athletes. The upper extremities are the major site of injury owing to their continuous use to propel wheelchairs during sports activities and activities of daily living, which makes them vulnerable to injury.
REFERENCES (37)
1.
Magnan RE, Kwan BM, Bryan AD. Effects of current physical activity on affective response to exercise: physical and social-cognitive mechanisms. Psychol Health. 2013;28(4):418–433; doi: 10.1080/08870446.2012.733704.
2.
Smith B, Kirby N, Skinner B, Wightman L, Lucas R, Foster C. Infographic. Physical activity for disabled adults. Br J Sports Med. 2019;53(6):335–336; doi: 10.1136/bjsports-2018-100158.
3.
Jaarsma EA, Smith B. Promoting physical activity for disabled people who are ready to become physically active: a systematic review. Psychol Sport Exerc. 2018;37:205–223; doi: 10.1016/j.psychsport.2017.08.010.
4.
Williams TL, Smith B, Papathomas A. The barriers, benefits and facilitators of leisure time physical activity among people with spinal cord injury: a meta-synthesis of qualitative findings. Health Psychol Rev. 2014;8(4):404–425; doi: 10.1080/17437199.2014.898406.
5.
Williams TL, Ma JK, Martin Ginis KA. Participant experiences and perceptions of physical activity-enhancing interventions for people with physical impairments and mobility limitations: a meta-synthesis of qualitative research evidence. Health Psychol Rev. 2017;11(2):179–196; doi: 10.1080/17437199.2017.1299027.
6.
Kung SP, Taylor P. The use of public sports facilities by the disabled in England. Sport Manag Rev. 2014;17(1):8–22; doi: 10.1016/j.smr.2013.08.009.
7.
Webborn N, Emery C. Descriptive epidemiology of Paralympic sports injuries. PM R. 2014;6(8 Suppl.):18–22; doi: 10.1016/j.pmrj.2014.06.003.
8.
Tweedy SM, Beckman EM, Connick MJ. Paralympic classification: conceptual basis, current methods, and research update. PM R. 2014;6(8 Suppl.):11–17; doi: 10.1016/j.pmrj.2014.04.013.
9.
Fagher K, Lexell J. Sports-related injuries in athletes with disabilities. Scand J Med Sci Sports. 2014;24(5):e320–e331; doi: 10.1111/sms.12175.
10.
Ferrara MS, Peterson CL. Injuries to athletes with disabilities: identifying injury patterns. Sports Med. 2000;30(2):137–143; doi: 10.2165/00007256-200030020-00006.
11.
Ferrara MS, Buckley WE. Athletes with Disabilities Injury Registry. Adapt Phys Activ Q. 1996;13(1):50–60; doi: 10.1123/apaq.13.1.50.
12.
Thompson E, Snodgrass S, Osmotherly P. Injuries, practices and perceptions of wheelchair sports participants. Physiotherapy. 2015;101(Suppl. 1):1515–1516; doi: 10.1016/j.physio.2015.03.1500.
13.
Mateus I, Pillay J. Musculoskeletal pain in wheelchair basketball players of different point classifications, in South Africa. S Afr J Sports Med. 2019;31(1):1–5; doi: 10.17159/2078-516X/2019/v31i1a6067.
14.
Taylor D, Williams T. Sports injuries in athletes with disabilities: wheelchair racing. Paraplegia. 1995;33(5):296–299; doi: 10.1038/sc.1995.67.
15.
McCormack DAR, Reid DC, Steadward RD, Syrotuik DG. Injury profiles in wheelchair athletes: results of a retrospective survey. Clin J Sport Med. 1991;1(1):35–40; doi: 10.1097/00042752-199101000-00005.
16.
Bello B, Sa’Ad U, Ibrahim A, Mamuda A. Pattern and risk factors of sport injuries among amateur football players in Kano, Nigeria. Hum Mov. 2020;21(4):61–68; doi: 10.5114/hm.2020.93425.
17.
Akodu AK, Akinbo SRA, Ajiboye AR. Injury patterns and perceived risk factors among basketball players in Nigeria. Med Sportiva. 2017;13(2):2918–2926.
18.
Owoeye OB A, Aiyegbusi AI, Fapojuwo OA, Badru OA, Babalola AR. Injuries in male and female semi-professional football (soccer) players in Nigeria: prospective study of a national tournament. BMC Res Notes. 2017;10(1):133; doi: 10.1186/s13104-017-2451-x.
19.
Aiyegbusi AI, Okafor UA, Leke OP. Prevalence of Achilles tendinopathy and its association with physical characteristics in recreational sport participants in Lagos, Nigeria. J Clin Sci. 2016;13(4):163–166; doi: 10.4103/2468-6859.192274.
20.
Owoeye OB A, Akinbo SRA, Olawale OA, Tella BA, Ibeabuchi NM. Injury prevention in football: knowledge and behaviour of players and availability of medical care in a Nigerian youth football league. S Afr J Sports Med. 2013;25(3):77–80; doi: 10.17159/SAJSM.471.
21.
Yazid LI. Sport development; the Nigerian way: a review. Int J Phys Educ Sports Health. 2014;1(4):20–24.
22.
Akarah EO. Sports marketing in Nigeria: governments’ funding and sports development recommendations. Acad J Interdiscip Stud. 2014;3(1):279–282; doi: 10.5901/ajis.2014.v3n1p279.
23.
Rekus L, Simaškaitė L, Šakalys E. Features of sports performance related injuries of elite track and field athletes in Lithuania. Balt J Sport Health Sci. 2016;4(103):24–31; doi: 10.33607/bjshs.v4i103.69.
24.
Timpka T, Alonso J-M, Jacobsson J, Junge A, Branco P, Clarsen B, et al. Injury and illness definitions and data collection procedures for use in epidemiological studies in athletics (track and field): consensus statement. Br J Sports Med. 2014;48(7):483–490; doi: 10.1136/bjsports-2013-093241.
25.
Chung WM, Yeung S, Wong AYL, Lam IF, Tse PTF, Daswani D, et al. Musculoskeletal injuries in elite ablebodied and wheelchair foil fencers – a pilot study. Clin J Sport Med. 2012;22(3):278–280; doi: 10.1097/JSM.0b013e31824a577e.
26.
Huzmeli ED, Katayifci N, Hallaceli H. Injuries in wheelchair basketball players. New Trends Issues Proc Adv Pure Appl Sci. 2017;8:29–35; doi: 10.18844/gjapas.v0i8.2785.
27.
Curtis KA, Dillon DA. Survey of wheelchair athletic injuries: common patterns and prevention. Paraplegia. 1985;23(3):170–175; doi: 10.1038/sc.1985.29.
28.
Webborn N, Willick S, Emery CA. The injury experience at the 2010 winter Paralympic games. Clin J Sport Med. 2012;22(1):3–9; doi: 10.1097/JSM.0b013e318243309f.
29.
Blauwet CA, Cushman D, Emery C, Willick SE, Webborn N, Derman W, et al. Risk of injuries in Paralympic track and field differs by impairment and event discipline: a prospective cohort study at the London 2012 Paralympic Games. Am J Sports Med. 2016;44(6):1455–1462; doi: 10.1177/0363546516629949.
30.
Adetokunboh O. The epidemiological trend of poliovirus in Nigeria (2009–2013). Int J Epidemiol. 2015;44(Suppl. 1):i68; doi: 10.1093/ije/dyv097.249.
31.
Derman W, Schwellnus MP, Jordaan E, Runciman P, Van de Vliet P, Blauwet C, et al. High incidence of injury at the Sochi 2014 Winter Paralympic Games: a prospective cohort study of 6564 athlete days. Br J Sports Med. 2016;50(17):1069–1074; doi: 10.1136/bjsports-2016-096214.
32.
Vanlandewijck Y, Theisen D, Daly D. Wheelchair propulsion biomechanics: implications for wheelchair sports. Sports Med. 2001;31(5):339–367; doi: 10.2165/00007256-200131050-00005.
33.
Nyland J, Snouse SL, Anderson M, Kelly T, Sterling JC. Soft tissue injuries to USA Paralympians at the 1996 summer games. Arch Phys Med Rehabil. 2000;81(3):368–373; doi: 10.1016/s0003-9993(00)90086-8.
34.
Heyward OW, Vegter RJK, de Groot S, van der Woude LHV. Shoulder complaints in wheelchair athletes: a systematic review. PLoS One. 2017;12(11):e0188410; doi: 10.1371/journal.pone.0188410.
35.
Arnet U, van Drongelen S, Scheel-Sailer A, van der Woude LHV, Veeger DHEJ. Shoulder load during synchronous handcycling and handrim wheelchair propulsion in persons with paraplegia. J Rehabil Med. 2012;44(3):222–228; doi: 10.2340/16501977-0929.
36.
Van Drongelen S, van der Woude LH, Janssen TW, Angenot EL, Chadwick EK, Veeger DH. Mechanical load on the upper extremity during wheelchair activities. Arch Phys Med Rehabil. 2005;86(6):1214–1220; doi: 10.1016/j.apmr.2004.09.023.
37.
Van Drongelen S, van der Woude LHV, Veeger HEJ. Load on the shoulder complex during wheelchair propulsion and weight relief lifting. Clin Biomech. 2011;26(5):452–457; doi: 10.1016/j.clinbiomech.2011.01.006.