Abstract
Triathlon is an individual sport consisting of three disciplines -
swimming, cycling and running. Triathlon has changed from a novel appearance to
a very popular Olympic sport within the last fifteen years. Nevertheless, there
is not sufficient data about injuries in triathlon. The aim of this
retrospective survey was to investigate the incidence of injuries according to
class of injuries, anatomical sites and disciplines. Relations to age, sex,
performance level, training habits and medical care were analysed.
Questionnaires were sent to all German speaking participants of the Ironman
Europe 2000. With a response rate of 35 %, 656 questionnaires met
the inclusion criteria. At least one injury was experienced by
74.8 % (95 %-CI: 71.3-78.1) of all
respondents during their active time in triathlon. 51.1 %
(95 %-CI: 47.2-55.0) suffered one or more
contusion/skin-abrasions, 33.1 % (95 %-CI:
29.5-36.8) muscle-/tendon-injuries, 29.0 %
(95 %-CI: 25.5-32.6) ligament-/capsule-injuries and
11.9 % (95 %-CI: 9.5-14.6) fractures. Most of
the injuries happened during cycling (54.8 %
[95 %-CI: 51.9-57.8]) within training sessions.
18.7 % (95 %-CI: 16.4-21.2) of all injuries
occurred while the athletes were competing. Considering the low number of
competition hours per year, the incidence of injuries during competition was
higher than during training session. Significant relations were found
considering the age, performance level and weekly training hours of the
triathletes. Older athletes sustained more fractures
(p = 0.024), high performance athletes suffered more
contusions/abrasions (p = 0.003) and
muscle-tendon-injuries (p = 0.001) and athletes with a
large number of weekly training hours suffered more muscle-tendon-injuries
(p = 0.014). To summarize, injuries in triathlon seem to
be related to age, performance level and weekly training hours, but not to sex,
presence of training coach and medical care.
Key words
Training habits - age - performance level - sex - coach - medical care
References
-
1
Cipriani D J, Swartz J D, Hodgson C M.
Triathlon and the multisport athlete.
J Orthop Sports Phys Ther.
1998;
27
42-50
-
2
Clements K, Yates B, Curran M.
The prevalence of chronic knee injury in triathletes.
Br J Sports Med.
1999;
33
214-216
-
3
Collins K, Wagner M, Peterson K, Storey M.
Overuse injuries in triathletes.
Am J Sports Med.
1989;
17
675-680
-
4 Deutsche Triathlon Union .Geschichte der DTU. www.dtu.org/geschichte
-
5
Korkia P K, Tunstall-Pedoe D S, Maffulli N.
An epidemiological investigation of training and injury
patterns in British triathletes.
Br J Sports Med.
1994;
28
191-196
-
6
Manninen J SO, Kallinen M.
Low back pain and other overuse injuries in a group of
Japanese triathletes.
Br J Sports Med.
1996;
33
134-139
-
7
O'Tolle M L, Hiller D B, Smith R A, Sisk T D.
Overuse injuries in ultraendurance triathletes.
Am J Sports Med.
1989;
17
514-518
-
8 Statistical Programs for the Social Science Windows
Package .Chicago, Illinois; SPSS Inc.
-
9
Vleck V E, Garbutt G.
Injury and training characteristics of male elite,
development squad, and club triathletes.
Int J Sports Med.
1998;
19
38-42
-
10
Wilk B R, Fisher K L, Rangelli D.
The incidence of musculoskeletal injuries in an amateur
triathlete racing club.
J Orthop Sports Phys Ther.
1995;
22
108-112
-
11 Freizeit & Sport Promotions Detlef Kühnel
GmbH .Germany. Ergebnisliste 2000. www.ironman.de
-
12
McMaster W C.
Swimming injuries. An overview.
Sports Med.
1996;
22
332-336
-
13
Mellion M B.
Common cycling injuries. Management and prevention.
Sports Med.
1991;
11
52-70
-
14
Dannenberg A L, Needle S, Mullady D, Kolodner K B.
Predictors of injury among 1638 riders in a recreational
long-distance bicycle tour: cycle Across Maryland.
Am J Sports Med.
1996;
24
747-753
-
15
van Mechelen W.
Running injuries. A review of the epidemiological
literature.
Sports Med.
1992;
14
320-335
-
16
Hoeberigs J H.
Factors related to the incidence of running injuries. A
review.
Sports Med.
1992;
13
408-422
-
17
James S L, Bates B T, Oestering L R.
Injuries in runners.
Am J Sports Med.
1978;
6
40-50
-
18
Tanaka H.
Effects of cross-training. Transfer of training effects on
V˙O2max between cycling, running and swimming.
Sports Med.
1994;
18
330-339
Dr. H. Schmitt
Stiftung Orthopädische Universitätsklinik
Heidelberg
Schlierbacher Landstraße 200a · 69118 Heidelberg
· Germany ·
Phone: +49-6221-96-6378
Fax: +49-6221-96-6121
Email: Holger.Schmitt@ok.uni-heidelberg.de
