ORIGINAL ARTICLE  SPORT INJURIES AND REHABILITATION 

The Journal of Sports Medicine and Physical Fitness 2017 November;57(11):1486-93

DOI: 10.23736/S0022-4707.16.06537-3

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Upcoming Paralympic summer games in Rio: what did the German medical team learn from the London Games?

Eva J. KUBOSCH ¹ ✉, Jürgen KOSEL ², Kathrin STEFFEN ³, Lukas KONSTANTINIDIS ¹, David KUBOSCH ¹, Norbert P. SÜDKAMP ¹, Anja HIRSCHMÜLLER ¹

¹ Department of Orthopedic and Trauma Surgery, Faculty of Medicine, Albert Ludwigs University of Freiburg, Freiburg, Germany; ² Orthopedic Outpatient Clinic Cologne, German Disabled Athletes Federation, Köln-Lövenich, Germany; ³ Department of Sports Medicine Oslo, Oslo Sports Trauma Research Center, Norwegian School of Sports Sciences, Oslo, Norway

BACKGROUND: Musculoskeletal complaints are frequently diagnosed in Paralympic athletes. Despite the increased professionalism in Paralympic Sports, the documentation of injuries and other health complaints during high-level competition is sparse. With respect to the upcoming Paralympic Summer Games in Rio de Janeiro, the aim of this study was the analysis of all musculoskeletal complaints within the German Paralympic Athletes during the London 2012 Paralympic Games.
METHODS: All musculoskeletal complaints (MSC) of the 150 German athletes seeking medical attention, hereby defined as “injury”, were recorded during the in-competition period of the London Paralympics Games (22 days), regardless of their severity and consequences. Standardized documentation included the onset of symptoms, the medical diagnoses, the therapeutic measures taken as well as consecutive restrictions in training and competition. Incidence rates and localizations were analyzed by sports discipline.
RESULTS: A total of 201 musculoskeletal complaints were recorded for 140 athletes (93.3%), corresponding to 1.4 musculoskeletal complaints per “injured” athlete. The incidence of musculoskeletal complaints in German athletes was 62.9±15.4/1000 athlete-days. High incidence rates (IR) were observed in wheelchair basketball (IR 72/1000 athlete-days, 1.6 injuries per athlete) and equestrian events (IR 72.7, 1.6). Musculoskeletal complaints were mainly located in the upper extremities (37.6%) and the spine (37.6%). The most frequent diagnoses were myalgia (N.=105, 52%).
CONCLUSIONS: We noted a high rate of musculoskeletal complaints among German Paralympic athletes across sports and body parts, highlighting the need for prevention programs that focus on the upper extremities and spine.

KEY WORDS: Disabled persons - Athletes - Wounds and injuries - Musculoskeletal diseases - Epidemiology