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Pelvic and trunk mechanics and injury in cricket: A spin bowling case study
Abstract
An international cricket spin bowler was experiencing asymmetrical low back pain while bowling his off-break delivery. The aim of this study was to identify technical discrepancies between the bowler’s off-break delivery and his other variations, which did not cause low back pain. The bowler underwent a three-dimensional kinematic bowling analysis based on data captured using a 14-camera Vicon system operating at 250 images per second. To increase task representativeness, the analysis was undertaken outdoors on a turf cricket pitch. The bowler was required to bowl six deliveries of his off-break delivery and three variations. A range of pelvic and trunk kinematics were measured. A one-way independent samples analysis of variance with planned comparisons and a bootstrapping procedure was used to identify technical differences between the delivery types. Results showed that the off-break delivery displayed significantly higher trunk alignment, shoulder counter-rotation, trunk contralateral flexion and ‘crunch factor’ when compared with other delivery variations. It was concluded that the bowler who participated in this study was using an off-break technique that exhibited technical characteristics that have previously been associated with an increased likelihood of sustaining a lower back injury.
... A customised marker set and model was used to anatomically model the shoulders, thorax and pelvis Dempsey et al., 2007). An upper thorax segment was created for measurement of shoulder counter-rotation (SCR) and SPS (Middleton, Foster, & Alderson, 2016). Anatomically defined segment coordinate systems are henceforth referred to as RRanat. ...
Identifying lumbar injury risk amongst cricket bowlers is a challenge to those involved in the sport. Bowling technique injury risk factors concerning thoracic and pelvic motion have been identified by previous research that used three-dimensional (3D) retro-reflective (RR) motion analysis. Inertial measurement units (IMUs) are considered a feasible and more portable means of 3D motion analysis. However, the validity of IMU measurement of thorax and pelvis movement during bowling has not yet been fully determined. This study aimed to achieve this by comparing concurrent IMU and RR angle outputs. Results suggest that when RR coordinate systems are aligned with the IMUs’ there are no significant differences in cricket bowling relevant angle outputs. However, some differences arise when IMUs are compared to the anatomically derived RR angle outputs typically used in 3D analysis.
Objective. To compile an injury profile of 46 fast bowlers aged 11 - 18 years, and to identify the associated risk factors for injury during one academy cricket season. Methods. The fast bowlers selected were tested and observed for one academy cricket season (March - November). Subjects were grouped into injury classifications (uninjured=S1; injured but able to play=S2; injured and unable to play=S3). Anthropometrical and postural data for the subjects were collected preseason (T1). Physical fitness screenings were conducted and the relationship between fitness and occurrence of injuries was assessed. Additional factors such as bowling techniques and bowling workload were assessed. A regression analysis was conducted to analyse the relationship between bowling workload and weeks incapacitated. Results. Fifteen per cent of the subjects remained injury free for the duration of the season. The incidence of serious injury (S3) showed a statistical and moderate, practical significant increase (V=0.23, df≥2) throughout the data collection period (4% at T1 - 30% at T3 (post-season)). The most common injuries were to the knee (41%) and lower back (37%), occurring from mid-season (T2) to T3. The nature of the injuries was predominantly strains (39%) and ‘other' (39%), with the highest reported incidence during the period T1 - T3. Sprains followed, with an overall incidence of 14%. Subjects were incapacitated approximately 1 out of every 7 weeks of play. The S1 and S2 bowlers performed consistently better than the S3 bowlers in all the fitness variables tested. Bowling workload presented a statistically significant (p
Abstract This modelling study sought to describe the relationships between elbow joint kinematics and wrist joint linear velocity in cricket fast bowlers, and to assess the sensitivity of wrist velocity to systematic manipulations of empirical joint kinematic profiles. A 12-camera Vicon motion analysis system operating at 250 Hz recorded the bowling actions of 12 high performance fast bowlers. Empirical elbow joint kinematic data were entered into a cricket bowling specific "Forward Kinematic Model" and then subsequently underwent fixed angle, angular offset and angle amplification manipulations. A combination of 20° flexion and 20° abduction at the elbow was shown to maximise wrist velocity within the experimental limits. An increased elbow flexion offset manipulation elicited an increase in wrist velocity. Amplification of elbow joint flexion-extension angular displacement indicated that, contrary to previous research, elbow extension range of motion and angular velocity at the time of ball release were negatively related to wrist velocity. Some relationships between manipulated joint angular waveforms and wrist velocity were non-linear, supporting the use of a model that accounts for the non-linear relationships between execution and outcome variables in assessing the relationships between elbow joint kinematics and wrist joint velocity in cricket fast bowlers.
This modelling study sought to describe the relationships between elbow joint kinematics and wrist joint linear velocity in cricket fast bowlers, and to assess the sensitivity of wrist velocity to systematic manipulations of empirical joint kinematic profiles. A 12-camera Vicon motion analysis system operating at 250 Hz recorded the bowling actions of 12 high performance fast bowlers. Empirical elbow joint kinematic data were entered into a cricket bowling specific “Forward Kinematic Model” and then subsequently underwent fixed angle, angular offset and angle amplification manipulations. A combination of 20° flexion and 20° abduction at the elbow was shown to maximise wrist velocity within the experimental limits. An increased elbow flexion offset manipulation elicited an increase in wrist velocity. Amplification of elbow joint flexion–extension angular displacement indicated that, contrary to previous research, elbow extension range of motion and angular velocity at the time of ball release were negatively related to wrist velocity. Some relationships between manipulated joint angular waveforms and wrist velocity were non-linear, supporting the use of a model that accounts for the non-linear relationships between execution and outcome variables in assessing the relationships between elbow joint kinematics and wrist joint velocity in cricket fast bowlers.
Twenty-four male fast bowlers of mean age 13.7 years, who bowled competitively at a school and club level were selected from five Western Australian schools. At the time of the testing all bowlers, who were bowling completely freely, underwent magnetic resonance imaging to detect the presence of intervertebral disc abnormalities. While these radiological data were being analysed, the players were filmed both laterally (200 Hz) and from directly above (100 Hz) as their front foot impacted a force platform during the delivery stride of the fast bowling action. In addition these bowlers performed selected physical capacity tests. The occurrence of abnormal radiological data were then used to group the bowlers (group 1, no abnormal features; group 2, disc degeneration and/or bulging on scan). A Mann-Whitney U rank test was then used to identify any significant differences (P < 0.1) between the groups for all dependent variables. Five of the subjects recorded abnormal magnetic resonance imaging scans of the lumbar spine, while nineteen recorded normal intervertebral discs, normal alignment of the lumbar spine, and no sign of spondylolisthesis. Bowlers who rotated the trunk to realign the shoulders to a more side-on position between back foot impact and front foot impact in the delivery stride were more likely to record abnormal intervertebral disc features.
The 20 members of the Western Australian fast bowling development squad (mean age, 17.9 years), who had previously undergone routine computed tomography (CT) and magnetic resonance imaging (MRI) scans to detect the presence of bony and intervertebral disk abnormalities, acted as subjects for this study. While these radiologic data were being analyzed, these players were filmed both laterally (200 Hz) and from directly above (100 Hz) as their front foot impacted a force platform during the delivery stride of the fast bowling action. On a subsequent trial, kinetic data from the platform were recorded when their back foot impacted the force platform. In addition, these bowlers performed selected physical capacity tests. The occurrence of abnormal radiologic data were then used to group the bowlers (group 1: no abnormal radiologic features from CT or MRI scans; group 2: disk degeneration or bulging on MRI scan; group 3: spondylolysis, spondylolisthesis, or pedicle sclerosis). A Mann‐Whitney U‐rank test was then used to identify any significant differences (p < 0.05) between the groups for all dependent variables. Pars interarticularis and intervertebral disk abnormalities were commonly identified in this sample of fast bowlers (55 and 65%, respectively) and all players who had experienced back pain had evidence of a radiologic abnormality. No player with a normal diagnosis complained of pain. The appearance of these features was attributed to a combination of factors rather than a single cause. Bowlers who recorded poorer hamstring or low back flexibility predisposed themselves to a disk abnormality, whereas those who delivered the ball from a high release height relative to their standing height and players who had bowled over several seasons during their growth period were predisposed to a bony abnormality. Furthermore, bowlers who used a technique that combined a front‐on back foot placement and a side‐on shoulder alignment were more likely to present abnormal radiologic features in the lumbar spine.
This study aimed to find the most appropriate marker location, or combination thereof, for the centre of the humeral head (Wang et al. in J Biomech 31: 899–908, 1998) location representation during humeral motion. Ten male participants underwent three MRI scans in three different humeral postures. Seven technical coordinate systems (TCS) were defined from various combinations of an acromion, distal upper arm and proximal upper arm clusters of markers in a custom Matlab program. The CHH location was transformed between postures and then compared with the original MRI CHH location. The results demonstrated that following the performance of two near 180° humeral elevations, a combined acromion TCS and proximal upper arm TCS produced an average error of 23 ± 9 mm, and 18 ± 4 mm, which was significantly smaller (p < 0.01) than any other TCS. A combination of acromion and proximal upper arm TCSs should therefore be used to reference the CHH location when analysing movements incorporating large ranges of shoulder motion.
To describe the prevalence and nature of lumbar spinal abnormalities in adolescent cricket fast bowlers.
Observational study.
46 asymptomatic fast bowlers aged 13-18 years participated in the study and were grouped into under-15 (U15), under-17 (U17) and under-19 (U19) classifications. All participants underwent magnetic resonance imaging of the lumbar spine and abnormalities of the pars interarticularis and intervertebral discs were graded according to type and severity. Other abnormalities were also noted.
Fifteen bowlers (33%) had at least one pars interarticularis abnormality. Six bilateral and 10 unilateral defects were identified. Of the 10 unilateral pars abnormalities, 6 occurred on the non-dominant side. Nineteen of the abnormalities occurred at the L5 vertebral level, 2 at L4 and 1 at L3. The most common type of pars abnormality was the subtotal stress fracture, which was found in 38% of bowlers aged 16 years and under. Sixteen participants (35%) were found to have degeneration of at least 1 lumbar disc and the prevalence increased with each successive age group (29% U15, 33% U17 and 43% U19). Of the 25 discs with signs of degeneration, 9 occurred at L4/5 and 7 at L5/S1. Eleven of these were classified as mild degeneration, 13 as moderate, and 1 as severe. Disc bulges were found in 33% of participants.
Lumbar radiological abnormalities are common in asymptomatic adolescent fast bowlers. Acute bone stress reactions of the lumbar pars interarticularis are visible on magnetic resonance imaging and, in some instances, occur before the onset of activity-related pain.
In this study we analysed technique, ball speed and trunk injury data collected at the Australian Institute of Sport (AIS) from 42 high performance male fast bowlers over a four year period. We found several notable technique inter-relationships, technique and ball speed relationships, and associations between technique and trunk injuries. A more front-on shoulder alignment at back foot contact was significantly related to increased shoulder counter-rotation (p < 0.001). Bowlers who released the ball at greater speeds had an extended front knee, or extended their front knee, during the front foot contact phase (p < 0.05). They also recorded higher braking and vertical impact forces during the front foot contact phase and developed those forces more rapidly (p < or =0.05). A maximum hip-shoulder separation angle occurring later in the delivery stride (p = 0.05) and a larger shoulder rotation to ball release (p = 0.05) were also characteristics of faster bowlers. Bowlers suffering lower back injuries exhibited typical characteristics of the 'mixed' technique. Specifically, the hip to shoulder separation angle at back foot contact was greater in bowlers who reported soft tissue injuries than in non trunk-injured bowlers (p = 0.03), and shoulder counter-rotation was significantly higher in bowlers who reported lumbar spine stress fractures than non trunk-injured bowlers (p = 0.01). The stress fracture group was also characterised by a larger hip angle at front foot contact and ball release, whereas a more flexed front knee at ball release characterised the non trunk-injured group.
One possible reason for the continued neglect of statistical power analysis in research in the behavioral sciences is the inaccessibility of or difficulty with the standard material. A convenient, although not comprehensive, presentation of required sample sizes is provided. Effect-size indexes and conventional values for these are given for operationally defined small, medium, and large effects. The sample sizes necessary for .80 power to detect effects at these levels are tabled for 8 standard statistical tests: (1) the difference between independent means, (2) the significance of a product-moment correlation, (3) the difference between independent rs, (4) the sign test, (5) the difference between independent proportions, (6) chi-square tests for goodness of fit and contingency tables, (7) 1-way analysis of variance (ANOVA), and (8) the significance of a multiple or multiple partial correlation.
The predominance of upper-limb elbow models have been based on earlier lower-limb motion analysis models. We developed and validated a functionally based 2 degree-of-freedom upper-limb model to measure rotations of the forearm using a marker-based approach. Data were collected from humans and a mechanical arm with known axes and ranges of angular motion in 3 planes. This upper-limb model was compared with an anatomically based model following the proposed ISB standardization. Location of the axes of rotation relative to each other was determined in vivo. Data indicated that the functional model was not influenced by cross-talk from adduction-abduction, accurately measuring flexion-extension and pronation-supination. The functional flexion-extension axis in vivo is angled at 6.6 degrees to the anatomical line defined from the humeral medial to lateral epicondyles. The pronation-supination axis intersected the anatomically defined flexion-extension axis at 88.1 degrees. Influence of cross-talk on flexion-extension kinematics in the anatomical model was indicated by strong correlation between flexion-extension and adduction-abduction angles for tasks performed by the subjects. The proposed functional model eliminated cross-talk by sharing a common flexion axis between the humerus and forearm. In doing so, errors due to misalignment of axes are minimized providing greater accuracy in kinematic data.
The 'crunch factor' is defined as the instantaneous product of lateral flexion and axial rotational velocity of the lumbar spine. It was originally implicated in the development of lumbar spine pathology and lower back pain in golfers and, although empirical evidence supporting or refuting the crunch factor is inconclusive, it remains an intuitively appealing concept that requires further investigation, not only in golf, but also in other sports involving hitting and throwing motions. This article considers whether the crunch factor might be instrumental in the aetiology of contralateral lumbar spine injuries sustained by cricket fast bowlers. Based on recent empirical research, it is argued that the crunch factor could be important in cricket fast bowling especially considering that peak crunch factor appears to occur just after front foot impact when ground reaction forces are known to be at their highest. The crunch factor may also occupy an integral role in lower back injuries sustained in other sports involving unilateral overhead throwing (e.g. javelin throwing) and hitting (e.g. tennis serving) actions where the spatial orientation of the arm at release or impact is largely determined by lateral flexion of the trunk and where the transfer of energy and momentum along the kinetic chain is initiated by a rapid rotation of the pelvis. Further research is required to empirically verify the role of the crunch factor in the development of lower back injuries in cricket fast bowling and sports that involve similar lower trunk mechanics. This research programme should ideally be supported by modelling work examining the stresses imposed on bony, disc and joint structures by lateral flexion and axial rotation motions so that their respective contribution to injury can be identified.
We compared the movement patterns of cricketers in different playing positions across three formats of cricket (Twenty20, One Day, multi-day matches). Cricket Australia Centre of Excellence cricketers (n = 42) from five positions (batting, fast bowling, spin bowling, wicketkeeping, and fielding) had their movement patterns (walk, jog, run, stride, and sprint) quantified by global positioning system (GPS) technology over two seasons. Marked differences in movement patterns were evident between positions and game formats, with fast bowlers undertaking the greatest workload of any position in cricket. Fast bowlers sprinted twice as often, covered over three times the distance sprinting, with much smaller work-to-recovery ratios than other positions. Fast bowlers during multi-day matches covered 22.6 +/- 4.0 km (mean +/- s) total distance in a day (1.4 +/- 0.9 km in sprinting). In comparison, wicketkeepers rarely sprinted, despite still covering a daily total distance of 16.6 +/- 2.1 km. Overall, One Day and Twenty20 cricket required approximately 50 to 100% more sprinting per hour than multi-day matches. However, multi-day cricket's longer duration resulted in 16-130% more sprinting per day. In summary, the shorter formats (Twenty20 and One Day) are more intensive per unit of time, but multi-day cricket has a greater overall physical load.
This study sought to identify kinematic differences in finger-spin bowling actions required to generate variations in ball speed and spin between different playing groups. A 12-camera Vicon system recorded the off-spin bowling actions of six elite and 13 high-performance spin bowlers, and the "doosra" actions of four elite and two high-performance players. Forearm abduction and fixed elbow flexion in the bowling arm were higher for the elite players compared with the high-performance players. The elite bowlers when compared with the high-performance players delivered the off-break at a statistically significant higher velocity (75.1 and 67.1 km/hr respectively) and with a higher level of spin (26.7 and 22.2 rev/s respectively). Large effect sizes were seen between ball rotation, pelvic and shoulder alignment rotations in the transverse plane. Elbow extension was larger for elite bowlers over the period upper arm horizontal to ball release. Compared to the off-break, larger ranges of shoulder horizontal rotation, elbow and wrist extension were evident for the "doosra". Furthermore, the "doosra" was bowled with a significantly longer stride length and lower ball release height. Although not significantly different, moderate to high effect size differences were recorded for pelvis rotation, elbow extension and elbow rotation ranges of motion.
Identification of the centre of the glenohumeral joint (GHJ) is essential for three-dimensional (3D) upper limb motion analysis. A number of convenient, yet un-validated methods are routinely used to estimate the GHJ location in preference to the International Society of Biomechanics (ISB) recommended methods. The current study developed a new regression model, and simple 3D offset method for GHJ location estimation, employing easy to administer measures, and compared the estimates with the known GHJ location measured with magnetic resonance imaging (MRI). The accuracy and reliability of the new regression and simple 3D offset techniques were compared with six established predictive methods. Twenty subjects wore a 3D motion analysis marker set that was also visible in MRI. Immediately following imaging, they underwent 3D motion analysis acquisition. The GHJ and anatomical landmark positions of 15 participants were used to determine the new regression and simple 3D generic offset methods. These were compared for accuracy with six established methods using 10 subject's data. A cross validation on 5 participants not used for regression model development was also performed. Finally, 10 participants underwent a further two MRI's and subsequent 3D motion analysis analyses for inter-tester and intra-tester reliability quantification. When compared with any of the other established methods, our newly developed regression model found an average GHJ location closer to the actual MRI location, having an GHJ location error of 13+/-2 mm, and had significantly lower inter-tester reliability error, 6+/-4 mm (p<0.01).
Eighty-two high performance young male fast bowlers (mean age 16.8 years) were tested immediately prior to the season for selected kinanthropometric and physiological data. Subjects were also filmed both laterally (200 Hz) and from above (100 Hz) while bowling so that their front foot impacted a force platform during the delivery stride. The players then completed a log book over the ensuing season that detailed their training and playing programmes. All cricket related injuries over this season were assessed by a sports physician who used computerized tomography to assist in the diagnosis of spinal injuries. At the completion of this season the players were grouped according to their injury status (Group 1--bony injury to a vertebra; Group 2--soft tissue injury to the back that caused the player to miss at least one game, and Group 3--no injuries). A one-way analysis of variance was used to identify if any variables were significantly (P less than 0.05) different between the three groups, and a Scheffe post hoc comparison was used to determine which groups were significantly different. Eleven per cent of the players sustained a stress fracture to a vertebra(e) (L4 to S1), while 27 per cent sustained a soft tissue injury to the back. Bowlers with a low longitudinal foot arch were more likely to develop a stress fracture than those with a high arch. Shoulder depression and horizontal flexion strength for the preferred limb and quadriceps power in the non-preferred limb were also significantly related to back injuries. Results suggest that bowlers with the above physical characteristics, who bowl with these biomechanical techniques for extended periods, are predisposed to back injuries.
Here, I review research that has investigated the aetiology of injuries experienced by adolescent and adult fast bowlers. Mechanical factors play an important role in the aetiology of degenerative processes and injuries to the lumbar spine. This is particularly so in fast bowling, where a player must absorb vertical and horizontal components of the ground reaction force that are approximately five and two times body weight at front-foot and rear-foot impact, respectively. Attenuated forces are transmitted to the spine through the lower limb, while additional forces at the lumbo-sacral junction are caused by trunk hyperextension, lateral flexion and twisting during the delivery stride. Fast bowlers are classified as side-on, front-on or mixed. The mixed action is categorized by the lower body configuration of the front-on action and the upper body configuration of the side-on technique. This upper body configuration is produced by counter-rotation away from the batsman in the transverse plane about the longitudinal axis of the body of a line through the two shoulders. Counter-rotations of 12-40 degrees during a delivery stride have predicted an increased incidence of lumbar spondylolysis, disc abnormality and muscle injury in fast bowlers. During the delivery stride, the mixed bowling action also shows: more lateral flexion and hyperextension of the lumbar spine at front-foot impact, and a greater range of motion of the trunk over the delivery stride when compared with the side-on and front-on techniques. The pars interarticularis of each vertebra is vulnerable to injury if repetitive flexion, rotation and hyperextension are present in the activity. Fast bowlers should reduce shoulder counter-rotation during the delivery stride to reduce the incidence of back injuries. When a player is required to bowl for extended periods irrespective of technique, overuse is also related to an increased incidence of back injuries and must be avoided.
We show how biomechanics can be used to accurately assess spin-bowling techniques (offspin, legspin and topspin) in cricket, under controlled conditions, when the player is suspected of throwing. A 50 Hz six-camera Vicon Motion Analysis system was used to record the movements of markers strategically placed on the upper limb during each of the above bowling actions. A kinematic model of the upper limb, created using Vicon BodyBuilder software, enabled the movements of the upper arm and forearm to be described during each delivery. Selected physical characteristics of the upper limb were also measured. The present 'no ball' law in cricket with reference to throwing states that 'the arm should not be straightened in the part of the delivery that immediately precedes ball release'. The bowler, Mutiah Muralitharan, was shown to maintain a relatively constant elbow angle in the 0.06 s before ball release. Furthermore, this angle changed little from the time that the upper arm was angled vertically downward until ball release during the three spin-bowling actions.
Lower back injuries, specifically lumbar stress fractures, account for the most lost playing time in professional cricket. The aims of this study were to quantify the proportion of lower trunk motion used during the delivery stride of fast bowling and to examine the relationship between the current fast bowling action classification system and potentially injurious kinematics of the lower trunk. Three-dimensional kinematic data were collected from 50 male professional fast bowlers during a standing active range of motion trial and three fast bowling trials. A high percentage of the fast bowlers used a mixed bowling action attributable to having shoulder counter-rotation greater than 30 degrees. The greatest proportion of lower trunk extension (26%), contralateral side-flexion (129%), and ipsilateral rotation (79%) was used during the front foot contact phase of the fast bowling delivery stride. There was no significant difference in the proportions of available lower trunk extension, contralateral side-flexion, and ipsilateral rotation range of motion used during fast bowling by mixed and non-mixed action bowlers. Motion of the lower trunk, particularly side-flexion, during front foot contact, in addition to variables previously known to be related to back injury (e.g. shoulder counter-rotation), should be examined in future cross-sectional and prospective studies examining the fast bowling action and low back injury.
This paper is a criticism of typical group research designs in which the data are analyzed by using standard analysis of variance structural models. A distinction is made between lawful relationships about averages and lawful relationships about people. It is argued that propositions about people cannot necessarily be derived from propositions about the mean of people because the patterns found by aggregating data across people do not necessarily apply to individuals. To find lawful universal relationships about people, data analysis strategies should recognize the person as a basic unit of analysis. Implications of this view for research conducted in adapted physical activity are outlined.
Purpose:
This study aimed to analyze lumbo-pelvic lateral flexion kinematics and kinetics in junior fast bowlers and compare bowlers with varying quadratus lumborum (QL) cross-sectional area (CSA) asymmetry profiles.
Methods:
Magnetic resonance imaging was used to determine QL CSA of 39 participants who also underwent three-dimensional analysis of their bowling action.
Results:
Bowlers with greater than 10% QL asymmetry (n = 26) experienced a larger peak lumbo-pelvic lateral flexion; angle (21.6° ± 4.2°), angular velocity (314.9°·s ± 86.6°·s), moment (12.8 ± 2.5 N·m·kg·m), positive power (25.6 ± 12.6 W·kg·m), and negative power (48.6 ± 20.9 W·kg·m) compared with the bowlers with less than 10% asymmetry (n = 13) (angle = 18.1° ± 1.9°, angular velocity = 243.8°·s ± 64.9°·s, moment = 10.4 ± 2.8 N·m·kg·m, positive power = 14.7 ± 7.4 W·kg·m, and negative power = 33.8 ± 17.7 W·kg·m; P < 0.05).
Conclusion:
Fast bowlers with QL CSA asymmetry in excess of 10% experience increased lumbo-pelvic lateral flexion loads during bowling. As increased lateral flexion loads may increase the risk of spondylolysis development, the presence of large QL asymmetry may be a useful screening tool for identifying bowlers at risk of developing lumbar spondylolysis.
OBJECTIVE: To determine the progression of thoracolumbar disc degeneration in young fast bowlers in cricket. DESIGN: Prospective fast bowling technique and MRI follow-up study. BACKGROUND: Previous studies on high-performance young fast bowlers have found that lumbar spine pathology was related to the mixed bowling technique. METHODS: Nineteen young male fast bowlers (mean age 13.6 years) underwent MRI scans to detect the presence of intervertebral disc abnormalities. Subjects were also filmed laterally (200 Hz) and from directly above (100 Hz) whilst bowling two maximum velocity deliveries (session 1). Subjects were tested using an identical methodology 2.7 years later (session 2). RESULTS: At session 1, the incidence of thoracolumbar disc degeneration was 21%; however, at session 2, the incidence significantly (P = 0.008) increased to 58%. Furthermore the increase in the incidence of back pain between session 1 and session 2 was also significant (P = 0.002). The progression of disc degeneration was found to be significantly (P = 0.015) related to the group of fast bowlers who utilized the mixed technique during both session 1 and 2 when compared to those who used this technique during one session only. CONCLUSIONS: Thoracolumbar disc degeneration and back pain increase significantly during the time period examined in this study. Further, bowlers who utilize the mixed bowling technique stand a greater chance of developing degenerative changes of the spine.
Biomechanical analyses under compression only, and for a combination of flexion, extension, rotation, and lateral bending were performed to evaluate the stress of the interarticular portion of the lumbar vertebra using a nonlinear three-dimensional finite element method. A detailed three-dimensional L4-L5 motion segment model was developed that took into consideration the material nonlinearities of ligaments and annular fibers and the contact nonlinearities of facet joints. For a more accurate examination, the separation of cortical bone and cancellous bone for both posterior and anterior elements were also considered. The stress in the pars interarticularis was weakest under compression alone, but stronger under compression with lateral bending loading, with flexion, with rotation, and with extension. Under each loading condition, the region of the stress concentration was consistent with the separated region of the spondylolysis observed in clinical situations. Since the stress in the pars interarticularis was high under extension and rotation in particular, those loadings were suggested to be relatively high risk factors leading to spondylolysis.
- J Orchard
- T James
- A Kountouris
Orchard J, James T, Kountouris A, et al. Injury report
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