OCCURRENCE OF LOWER EXTREMITY MUSCULOSKELETAL INJURIES DURING THE LOCKDOWN IN ATHLETES

Authors

  • Ghazal Azhar Physical Therapist, Pakistan society for the Rehabilitation of Differently Abled, Lahore, Pakistan
  • M. Faheem Afzal Assistant Professor, Pakistan society for the Rehabilitation of Differently Abled, Lahore, Pakistan
  • Dr. Haseeb Ullah Ammad Principal, Pakistan society for the Rehabilitation of Differently Abled, Lahore Pakistan
  • Ghousia Iftikhar Senior Lecturer, Pakistan society for the Rehabilitation of Differently Abled, Lahore, Pakistan
  • Dr. Adeela Arif Senior Lecturer, Physiotherapy Riphah International University, Lahore, Pakistan

Keywords:

Athletes, COVID-19, Lockdown, lower extremity, lower limb , quarantine, SARS-CoV

Abstract

Background of the Study: Lockdown was implemented worldwide to limit the spread of COVID-19. This sudden implementation of lockdown causes significant lifestyle changes for every individual. Along with the general population, it also has psychological, behavioral, and physical consequences on athletes. The study objective is to determine the occurrence of lower extremity musculoskeletal injuries during the COVID-19 lockdown in athletes.

Methodology: Retrospective cross-sectional study design was used, and participants were recruited by a non-probability convenient sampling technique. A sample size of 147 was taken as calculated by the Raosoft software, and the study was completed 6 months. Both male and female athletes between the age group of 18-35 years, participants who did not participate in any official training session during the lockdown and registered at domestic level for at least 2 years were recruited from Pakistan Sports Board and Wapda Sports Complex Lahore. Data was collected using a semi-structured questionnaire. Nordic Musculoskeletal Questionnaire was used to identify the problematic painful areas of body. Data entry, analysis, and interpretation were done by using SPSS software version 22.0.

Results: The mean age and BMI of participants were 25.6531±4.49 (years) and 23.28±3.24 (kg/m2) respectively. From the total, 39.5% of participants reported lower extremity musculoskeletal injuries. And most reported problematic areas include lower back and knee. 75% of participants continue to do workouts at home as a prevention strategy against injury occurrence.

Conclusion: This concluded that the occurrence of lower extremity musculoskeletal injuries during the lockdown was moderate.

References

Zu ZY, Jiang MD, Xu PP, et al. Coronavirus disease 2019 (COVID-19): a perspective from China. Radiology 2020; 296(2):E15-25.

Rodriguez-Morales AJ, Bonilla-Aldana DK, Tiwari R, et al. COVID-19, an emerging coronavirus infection: current scenario and recent developments-an overview. J Pure Appl Microbiol 2020;14(1):5-12.

Wu D, Wu T, Liu Q, et al. The SARS-CoV-2 outbreak: what we know. Int. J. infect. dis 2020; 94: 44-8

Hoehl S, Rabenau H, Berger A, et al. Evidence of SARS-CoV-2 infection in returning travelers from Wuhan, China. N. Engl. J. Me. 2020;382(13):1278-80.

Abid K, Bari YA, Younas M, et al.covid19: Progress of COVID-19 Epidemic in Pakistan. Asia Pac J Public Health 2020;32(4):154-6.

Nadeem D. Coronavirus Outbreak: Health Care Measures taken by Pakistan. Life and Sci 2020;1(supplement):4-.

Pulla P. Covid-19: India imposes lockdown for 21 days and cases rise. BMJ-BRIT Med J Publishing Group; 2020;368:m1251.

Nieman DC. Coronavirus disease-2019: A tocsin to our aging, unfit, corpulent, and immunodeficient society. J sport health sci 2020;9(4):293-301.

Jukic I, Calleja-González J, Cos F, et al. Strategies and solutions for team sports athletes in isolation due to COVID-19 MDPI; 2020;8(4):56.

Narici M, Vito GD, Franchi M, et al. Impact of sedentarism due to the COVID-19 home confinement on neuromuscular, cardiovascular and metabolic health: Physiological and pathophysiological implications and recommendations for physical and nutritional countermeasures. Eur J sport sci 2021;21(4):614-35.

Mon-López D, de la Rubia Riaza A, Hontoria Galán M, et al. The impact of Covid-19 and the effect of psychological factors on training conditions of handball players. Int. J. Environ. Res. Public Health 2020;17(18):6471.

Di Fronso S, Nakamura FY, Bortoli L, et al. Stress and recovery balance in amateur basketball players: differences by gender and preparation phase. Int J Sports Physiol Perform 2013;8(6):618-22.

Di Fronso S, Costa S, Montesano C, et al. The effects of COVID-19 pandemic on perceived stress and psychobiosocial states in Italian athletes. Int J Sport Exerc Psychol 2022;20(1):79-91.

Nabhan D, Lewis M, Taylor D, et al. Expanding the screening toolbox to promote athlete health: how the US Olympic & Paralympic Committee screened for health problems in 940 elite athletes. Br. J. Sports Med 2021;55(4):226-30.

Fox JL, Scanlan AT, Stanton R, et al. Losing sleep over it: Sleep in basketball players affected by game but not training workloads. Int. J. Sports Physiol Perform 2020;15(8):1117-24.

Mujika I. Intense training: the key to optimal performance before and during the taper. Scand J Med Sci Sports 2010;20:24-31.

Gabbett TJ, Kennelly S, Sheehan J, et al. If overuse injury is a ‘training load error’, should undertraining be viewed the same way? : BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine; 2016;50(17): 1017-8.

Opar DA, Williams MD, Shield AJ, et al. Hamstring injuries. Sports Med 2012 Mar;42(3):209-26

de Paula Atti G, da Silva AP, Lazzareschi L, et al. Prospects and Risks of injuries in the Resumption of High-performance Sports Activities After Social Isolation due to COVID-19 Pandemic. Braz. J. Med. Biol. Res 2020 ;3(4):10319-30.

Mujika I, Padilla S. Detraining: Loss of training-induced physiological and performance adaptations. Part II. Sports Med 2000;30(3):145-54.

Jagim AR, Luedke J, Fitzpatrick A, et al. The impact of COVID-19-related shutdown measures on the training habits and perceptions of Athletes in the United States: a brief research report. Front. Sports Act. Living 2020;2:208.

Rozmiarek M, León-Guereño P, Tapia-Serrano MÁ, et al. Motivationa and Eco-Attitudes among Night runners during the COVID-19 Pandemic. Sustainability 2020 Jan 28; 14 (3): 1512.

Pillay L, van Rensburg DCCJ, van Rensburg AJ, et al. Nowhere to hide: The significant impact of coronavirus disease 2019 (COVID-19) measures on elite and semi-elite South African athletes. J Sci Med sport 2020;23(7):670-9.

Ahmed S, Akter R, Islam MJ, et al. Impact of lockdown on musculoskeletal health due to COVID-19 outbreak in Bangladesh: A cross sectional survey study. Heliyon 2021;7(6).

Marotta N, Gimigliano A, Demeco A, et al. Impact of COVID-19 lockdown on the epidemiology of soccer muscle injuries in Italian Serie A professional football players. The J Sports Med Phys Fitness 2021;62(3):356-360.

Toprak Celenay S, Karaaslan Y, Mete O, et al. Coronaphobia, musculoskeletal pain, and sleep quality in stay-at home and continued-working persons during the 3-month Covid-19 pandemic lockdown in Turkey. Chronobiol. Int 2020;37(12):1778-85.

Dawson AP, Steele EJ, Hodges PW, et al. Development and test–retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): a screening instrument for musculoskeletal pain. J Pain 2009;10(5):517-26.

Christiansen DH, McCray G, Winding TN, et al. Measurement properties of the musculoskeletal health questionnaire (MSK-HQ): a between country comparison. Health Qual. Life Outcomes 2020;18(1):1-11.

Krutsch W, Hadji A, Tröß T, et al. No increased injury incidence in the German Bundesliga after the SARS-CoV-2 virus lockdown. Arch. Orthop. Trauma Surg 2021:1-8.

Park J, Williams A, Son S. Social media as a personal branding tool: a qualitative study of student-athletes’ perceptions and behaviors. J Athl Dev Exp 2020;2:51-68.

Razi M, Alizadeh MH, Minoonejad H, et al. Home-based injury Prevention prevention program during COVID-19 lockdown reduced injuries during the remaining season in semi-professional football players. Br. J. Sports. Med 2021; 55(1): A166-A167.

Additional Files

Published

2024-01-05

How to Cite

Azhar, G., Afzal, M. F., Ammad, D. H. U., Iftikhar, G., & Arif, D. A. (2024). OCCURRENCE OF LOWER EXTREMITY MUSCULOSKELETAL INJURIES DURING THE LOCKDOWN IN ATHLETES. Pakistan Journal of Rehabilitation, 13(1), 79–87. Retrieved from http://ojs.zu.edu.pk/ojs/index.php/pjr/article/view/2083

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