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  4. Epidemiology of sport-related spinal cord injuries: A systematic review

Epidemiology of sport-related spinal cord injuries: A systematic review

The Journal of Spinal Cord Medicine, 2016 · DOI: 10.1080/10790268.2016.1138601 · Published: May 1, 2016

Spinal Cord InjuryOrthopedicsPublic Health

Simple Explanation

This study systematically reviews the global epidemiology of sport-related spinal cord injuries (SCI). It looks at which sports and countries have higher rates of these injuries. The review identifies specific sports with high SCI risk, such as diving, skiing, rugby, and horseback riding. It also identifies the most common injury locations (cervical, thoracic, or lumbosacral) for different sports. The study suggests that implementing prevention programs and tracking systems in countries and sports with higher SCI rates could be helpful. It highlights the need for more research to fill gaps in our understanding.

Study Duration
1980 through to July 2015
Participants
54 studies covering 25 countries
Evidence Level
Systematic Review

Key Findings

  • 1
    Six countries (Russia, Fiji, New Zealand, Iceland, France, and Canada) have sports accounting for over 13% of all traumatic spinal cord injuries.
  • 2
    Diving, skiing, rugby, and horseback riding are individual sports associated with a high risk of spinal cord injury.
  • 3
    Hockey, skiing, diving and American football injuries are almost entirely cervical, while over half of horseback riding and snowboarding injuries are thoracic or lumbosacral.

Research Summary

This systematic review examined the epidemiology of sport-related spinal cord injuries (SCIs) worldwide, analyzing data from 54 studies across 25 countries. The review identified countries with higher proportions of sport-related SCIs and highlighted specific sports associated with increased risk, such as diving, skiing, rugby, and horseback riding. The study underscores the need for improved reporting systems, targeted prevention programs, and further research to address the gaps in current knowledge regarding sport-related SCI epidemiology.

Practical Implications

Targeted Prevention Programs

Focus prevention efforts on countries and sports with higher SCI rates.

Improved Reporting Systems

Implement systems to accurately track the epidemiology and etiology of SCIs.

Equipment and Regulation Improvement

Design better safety equipment and regulations based on injury characteristics in specific sports.

Study Limitations

  • 1
    Only 25 countries have published epidemiological data regarding sport-related SCIs.
  • 2
    Reporting systems vary in accuracy between countries.
  • 3
    Definitions for statistics collected in different countries may be different which may bias the results.

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