Injury Prevention Strategies in Cricket: July 2018
Injury Prevention Strategies in Cricket: July 2018
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ABSTRACT traditionally been associated with a low based, cricket-specific injury prevention
to moderate injury risk, there has been programs are currently available to assist
THE GAME OF CRICKET HAS
an increase in the incidence of injuries coaches, strength and conditioning spe-
GROWN IN POPULARITY OVER
over the years, and the “average” injury cialists, and players to reduce the risk of
THE PAST YEARS. SEASONS HAVE
is becoming more severe (19,26). injury. This was then linked to injury
BECOME LONGER, AND THUS, data to make recommendations for
PLAYERS MAY BE MORE PRONE There is a lack of injury prevention
research, specifically at an adolescent future research with respect to cricket
TO INJURIES. THEREFORE, TRAIN- player preparedness for training and
ING PROGRAMS NEED TO ENSURE and schoolboy cricket level, besides the
known potential for injury risk (10). To competition.
THAT INJURIES ARE PREVENTED
date and to the authors’ knowledge,
OR MINIMIZED. THIS REVIEW
there are limited scientifically based OVERVIEW OF THE NATURE AND
SOUGHT TO DETERMINE WHICH INCIDENCE OF INJURIES IN
cricket injury prevention programs that
INJURY PREVENTION STRATEGIES CRICKET
have been developed. There are a num-
ARE AVAILABLE. THERE IS A PAU- There are only 5 major cricket playing
ber of programs that have been designed
CITY OF LITERATURE THAT HAS nations that have collected long-term
and published by well-renowned cricket
EXAMINED INJURY PREVENTION injury data. These nations include
coaches and academics (13,29,31,34), but
STRATEGIES FOR CRICKET. WHAT these are anecdotal and focus specifically South Africa, Australia, New Zealand,
IS AVAILABLE HAS FOCUSED on elite athletes. Furthermore, when West Indies, and England. Of these na-
MOSTLY ON THE MAIN INJURIES observing the different injury prevention tions, only South Africa and Australia
THAT OCCUR DURING CRICKET programs, it would seem as if the incor- have published more than one article
WITH LIMITED INFORMATION ON rect practices are being focused on, par- regarding injury statistics and causa-
PREVENTION PROGRAMS. FUR- ticularly in terms of injury prevention. tion, with the Australian data being
THERMORE, MOST PROGRAMS This is mainly due to lack of experience, more comprehensive. A summary of
ARE NOT MULTIFACTORIAL IN incorrect qualifications (non–sport sci- these findings is shown in Table 1.
NATURE, WHICH IS AN IMPORTANT ence or conditioning-related qualifica- South Africa has the most literature
CONSIDERATION WHEN TRAINING tions) and due to a lack of education of available (Table 1) in terms of injury
AND DESIGNING CONDITIONING cricket coaches (30). It has been shown surveillance and data collection
PROGRAMS. that coaches (in South Africa) focus (1993–2014). Furthermore, it is the on-
mainly on core work and general fitness ly cricket-playing nation that has inves-
(rowing, cycling, and long-distance run- tigated the nature and incidence of
INTRODUCTION ning) for batsmen and strength training injuries at the adolescent level
he demands placed on cricket for bowlers, when conditioning adoles- (38,40,41). However, these are largely
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2
Country/competition Author Year Sample size Age/level Most injured Most injured Match or
region discipline practice injury
South Africa
Stretch (36) 1993 308 26a, club/provincial Lower limbs Fast bowlers Match
Stretch and Venter (38) 2005 594 12 and above, Lower limbs Fast bowlers Match
provincial/national
Milsom et al. (19) 2007 196 U/19, provincial Lower back Fast bowlers Match
Stretch and Raffan (39) 2011 36 N/A, national Lower limbs Fast bowlers Match
Stretch and Trella (40) 2012 1,292 U/15/17/18, provincial Lower limbs Fast bowlers Match
Stretch (41) 2014 2081 U/15/17/18, provincial Lower limbs Fast bowlers Match
Australia
Orchard et al. 2002 N/A N/A, state/national Lower back Fast bowlers N/A
b
Orchard et al. (26) 2006 175 N/A, state/national Lower limbs Fast bowlers Match
Finch et al. (10) 2010 88 U/12, amateur (juniors) Lower limbs Batting/fielding Match
b b
Orchard et al. (27) 2010 243 21–33 , state/national Lower limbs Fast bowlers Match
Orchard et al. (28) 2016 N/A (2006–2016 N/A, national Lower limbs/ Fast bowlers N/A
season) lower back
New Zealand
Frost and Chalmers (11) 2014 248 N/A, national Lower limbs Fast bowlers Match
West Indies
Mansingh et al. (16) 2006 323 18–37, domestic/ Lower back Fast bowlers Match
national
England
Leary and White (15) 2000 54 27a, county Lower limbs Fast bowlers N/A
Asian Cricket Council Das et al. (7) 2014 112 U19, national Lower limbs Batsmen Match
(U/19 Elite Cup)
it has looked at injury data and statistics These studies show that pace bowlers
continuously over a 10-year period. are the most prone to injuries, specifi-
However, comparisons between the na- cally in the lumbar spine and lower
tions are difficult because each have used limb regions. This is mainly due to
different methods and definitions of inadequate physical attributes, poor
Fast bowlers (time-loss N/A
time-loss injuries from the main defini- cal demands, and excess workload
tion (the original definition only includes (overload or spikes in acute workload)
injuries); and
loss injuries)
is besides the fact that a recent publica- injuries were also common in batsmen
lower back
Lower limbs
ing, and wicket keeping is lacking; this is programs and techniques. Injuries are
(continued )
grams. Thus, there is perhaps a need to a point that strength and conditioning
focus on the movement demands of professionals need to take into account
these disciplines (positional differences) when training individual players. What
to adequately address injury prevention. is noteworthy is that a lot of the injuries
Finally, Table 1 shows that most injuries can be mitigated with adequate physi-
76
occur during match play, despite the fact cal preparedness in the form of
that most studies have looked at injuries conditioning.
during both training and matches. This is
most likely due to acute spikes in work- INJURY PREVENTION STRATEGIES
load, which gives credence to the fact FOR CRICKET
2011
that the monitoring of player workload Although there are existing data on
Estimated sample size based on information in the article.
evident in both adolescents and adults. also important that conditioning and
Mean age.
With respect to the proposed risk fac- injury prevention programs take into
2011
tors associated with the game, there account the demands of the game
are a number of similarities between through the specificity of replicating
b
a
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Cricket Strength and Conditioning
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Table 3
Injury risk factors for the different disciplines
Potential risk factors for fast bowlers
Inadequate physical attributes
Poor bowling technique (mixed-action technique)
High physical demands
Lack of flexibility (hamstrings and lower back)
Trunk lateral flexion postures during bowling and reduced lateral slide of the anterior abdominal fascia
Increase in shoulder counter rotation (the alignment of the shoulders between back foot and front foot contact)
Knee angle at ball release (a flexed front leg means reduced risk of injury)
Overuse (high number of deliveries bowled, back-to-back matches, enforcing the follow-on in a test match, and spikes in acute
workloads)
Increased stride length-to-height ratio as well as high ball release (114% of standing height)
Inadequate warm-up and return to match play too soon after experiencing an injury
Overload in the run-up, delivery stride, and follow through as well as incorrect foot placement during delivery
Repetitive trunk rotation in a mixed bowling action causing abnormalities to the spine (biomechanical technique)
An increase in the amount of cricket being played and an increase in the risk of injury associated with T20 cricket
Potential risk factors for batsmen
Lower limb injuries due to running between the wickets
Overuse injuries due to the introduction of T20 cricket
Lack of stretching (flexibility), strength, and cricket-specific training
Impact injuries (direct contact with a ball, bat, or other player and lack of protective equipment)
Potential risk factors for fielders
Muscle strains (quadriceps and hamstring strains) in the lower limbs due to explosive movements in the field
Impact injuries (contact with a ball or player, direct impact with the ground or boundary, and unanticipated bounce or poor
visual/spatial awareness)
Refs. 1,2,9,10,12,14,16,19,21,22,24–28,35–38.
players at risk of injury through the However, because of the factors such There is a significant correlation
measurements of both internal and as chronological and training age, differ- between injury occurrence and expo-
external workloads (4,43). This has been ent injury definitions, and time frames sure to high acute workloads (both
shown to be particularly important in used for monitoring, injury thresholds internal and external) relative to
fast bowlers who are most likely to remain unclear in these types of sports chronic workloads, regardless of
become injured if not monitored prop- (3). Furthermore, there is a limited whether the individual is a batsman,
erly (9). A number of cricketing studies bowler, or fielder (14,18,22,34). Thus,
amount of literature available that exam-
have shown that injuries can be reduced by monitoring the acute:chronic work-
ines the workload of cricket players and
if the number of balls bowled, days of load ratio, it may be possible to identify
the injury thresholds of individuals.
rest, and frequency of bowling are mon- injury risk (4,12,43). This ratio uses
itored and controlled (8,9,22,34). Besides Thus, it is important to monitor cricket rolling averages to compare acute
bowling, workload monitoring has also match play and training by using more training loads completed in a recent
been shown to be effective in identifying than one workload-monitoring tech- period (approximately 7–10 days) with
injury thresholds in certain throwing- nique, so that coaches may understand an individual’s chronic training load
dominated sports such as cricket, base- the factors that contribute to injury and completed over a longer period
ball, water polo, and handball (3). influence performance (3). (approximately 4–6 weeks) (4,43).
5
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Cricket Strength and Conditioning
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balance and proprioception drills, which for high-velocity impacts, over 27 m$s21 can be implemented (2,24). If a player
may prevent injury in bowlers faced with (17). Other specialized equipment that is injured, skill has no influence, and so,
an action leading to inherently high can be used to protect batsmen against ensuring an injury-free season is seen as
loads (24). impact injuries includes chest guards as imperative.
The prevention of impact injuries is well as thigh and arm guards, which are
another important factor that needs to not used as often as other common PRACTICAL APPLICATIONS
be considered, particularly in batsmen equipment such as pads, gloves, and hel- The following section seeks to provide
and fielders, who are most prone to mets (10). In terms of fielders and impact workouts that can be implemented by
these types of injury. It has been shown injuries, skill development programs can practitioners and trainers to improve
that impact injuries can be avoided in be used to train players. Coaches need to strength, reduce the risk of injury, and
train fielders to focus on becoming more improve the physical fitness attributes
batsmen by training them to react (reac-
skilled in catching and throwing because of players. Table 4 represents some forms
tion time) to the line and length of
of field-based conditioning that can be
a delivery within a short period to avoid traditional training mainly focuses on
used by coaches to improve player
contact with the ball (9). This is however batting and bowling (10). This can be
fitness. Workouts A, B, and C (Tables
difficult because of the unpredictable performed through specific fielding drills 5–7) focus on aspects such as resistance
bounce of the ball on different surfaces that fine-tune ball-handling skills (10). training (including super-setting), plyo-
(9). Furthermore, studies have shown Therefore, although appropriate metrics, and core work, which are impor-
that the use of protective head gear (hel- coaching is essential for the success tant components to consider for injury
mets) can significantly reduce the fre- of a team, it is important to determine risk. It is important to remember, how-
quency of head, neck, and facial the intrinsic and extrinsic injury risk ever, that this is a blanket program, and
injuries in cricket batsmen (9,34); how- factors associated with the sport so that it may be necessary for trainers to
ever, these offer insufficient protection that appropriate preventative measures design and implement individual
Table 6
Workout B
Week 1–2 Week 3–4 Week 4–6
Exercise
Cyclinga 1 15 min 1 15 min 1 15 min
Overhand pull-ups/lat pull-downs 3 15 3 12 3 10
Seated row 3 15 3 12 3 10
Dumbbell curls 3 15 3 12 3 10
b
Split squats 3 30 s 3 45 s 3 1 min
b
Barbell push press 3 30 s 3 45 s 3 1 min
c
Medicine ball passes 3 30 s 3 45 s 3 1 min
Underhand pull-upsc 3 30 s 3 45 s 3 1 min
Core
Side plank 3 45 s 3 1 min 3 1 min 30 s
Bicycle crunches 3 30 s 3 45 s 4 45 s
a
Warm-up.
b
Superset 1.
c
Superset 2.
Break between supersets 5 30 seconds; break between strength work 5 2 minutes; and break between sets 5 2 minutes.
Reps 5 repetitions.
7
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Cricket Strength and Conditioning
Reps 5 repetitions.
Lee Pote is
programs depending on the needs of the prevention should be implemented as a doctoral candi-
player as well as their injury history. Fur- soon as possible at all levels to ensure date from the
thermore, they require some specialized the longevity of players from nonprofes- Department of
equipment that needs to be implemented sional to professional cricket. A positive, Human Kinetics
at the correct facilities and through super- however, is that the research examines and Ergonomics,
vised coaches. Thus, these programs players of all ages, more importantly Rhodes
could be used to improve the base fitness adolescents who are most likely to University.
levels of players, who have not previously become injured. Finally, it is important
followed a specific program, particularly that a standard definition for injury and
in the preseason period. injury surveillance techniques be devel-
oped, so that data can be compared
CONCLUSION across levels and countries. Furthermore,
Candice J.
Only 5 major cricket-playing nations fast bowlers have received the most Christie is an
have collected injury statistics. There is research attention (because they are the Assistant Profes-
therefore a need for the minor playing most prone to injury), but as a result, sor and head of
nations to start a database because the there is most likely a lack of understand- department in the
needs of different nations are diverse. ing in terms of the injury risk for bats- Department of
Furthermore, most of the data only take men, fielders, and wicket keepers. Human Kinetics
into consideration the players at Most of the conditioning and injury pre- and Ergonomics,
a domestic and international level. This vention practices are implemented by Rhodes
is problematic though because injury coaches who are experienced in the field University.
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