Epidemiology of ankle and foot overuse injuries in sports: A systematic review

S. Sobhani*, R. Dekker, K. Postema, P. U. Dijkstra

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

120 Citations (Scopus)

Abstract

Studies regarding ankle and foot overuse injuries are quite diverse in research methodology, data reporting, and outcomes. The aims of this systematic review were to analyze the methodology of published studies regarding ankle and foot overuse injuries in different sports disciplines and to summarize epidemiological data of ankle and foot overuse injuries. Four electronic databases, PubMed (MEDLINE), EMBASE, CINAHL, and SPORT-Discus (R) were systematically searched up to June 2011. A total of 89 articles on 23 sports disciplines were included in this review. Soccer, running, and gymnastics were the most frequently studied sports. Achilles tendinopathy, plantar fasciitis, and stress fracture were the most frequently studied injuries. Study design and reporting methods were heterogeneous. Most studies suffered from a weak methodology and poor reporting. The most common weaknesses were lack of a clear case definition, describing assessment procedures and reporting sample characteristics. Due to methodological heterogeneity of studies, inter-sports and intra-sports comparisons and meta-analysis were not possible. Methodology of most studies on incidence and prevalence of ankle and foot overuse injuries is insufficient. Based on the results, we recommend authors to clearly define cases, describe assessment procedures and report sample characteristics adequately.

Original languageEnglish
Pages (from-to)669-686
Number of pages18
JournalScandinavian Journal of Medicine & Science in Sports
Volume23
Issue number6
DOIs
Publication statusPublished - Dec-2013

Keywords

  • athletic injuries
  • overuse injuries
  • incidence
  • prevalence
  • tendinopathy
  • fractures
  • stress
  • WORLD ATHLETICS CHAMPIONSHIPS
  • DATA-COLLECTION PROCEDURES
  • PROFESSIONAL RUGBY UNION
  • ACHILLES-TENDON REGION
  • LONG-DISTANCE RUNNERS
  • FEMALE SOCCER PLAYERS
  • DESCRIPTIVE EPIDEMIOLOGY
  • SURVEILLANCE SYSTEM
  • STRESS-FRACTURES
  • RISK-FACTORS

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