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Rowing Injuries in Elite Athletes: A Review of Incidence with Risk Factors and the Role of Biomechanics in Its Management.
Indian J Orthop. 2020 May; 54(3):246-255.IJ

Abstract

Background

Rowing is an Olympic sport gaining popularity in India and injuries are common in these athletes. Determinants of performance, injury risk and training are all interrelated in rowing. Injuries result from various risk factors including fitness issues and improper techniques. Rowers should have adequate leg extension strength and lumbo-pelvic coordination to produce and transmit power from the legs to the oar handle. Biomechanical analysis of the rowing stroke can help in preventing injuries and optimise technique for best performance. It involves a detailed and systematic observation of movement patterns to establish the quality of the movement and provide feedback to the rower about the key variables affecting performance and injury risk. Kinetics such as foot forces and kinematics such as key joint angles can be accurately measured by instrumented foot stretcher and three-dimensional motion capture.

Aim

To do a detailed review of literature regarding the incidence and risk factors for rowing injuries and to get an insight on the role of biomechanics in its management.

Materials and methods

Literature review was carried out with standard academic search engines and databases including Science Direct, PubMed and Google Scholar using keywords of relevance. A total number of 38 articles were analysed and results were collated to compile this review report.

Results

Lumbar spine is most commonly injured (up to 53%), followed by rib cage (9-10%) and shoulder and other anatomical areas. Rowers with a trunk-driven rowing action will have a lower hip:trunk score and carry a high injury risk. A player with lumbar injury will take a minimum of 3-4 months to recover.

Conclusion

Rowing injuries are common. Regular screening of the rowing athletes by comprehensive fitness and biomechanics assessment will help in prevention of injuries. Rowers need to be tested for pain, strength, flexibility, reproducibility of rowing action with modified mechanics, coordination, fatigue level, explosive power, aerobic and anaerobic endurance. Early recognition of risk factors and timely intervention is the key aspect of a successful return to play.

Authors+Show Affiliations

Department of Arthroscopy and Sports Medicine, Centre for Sports Science, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), No. 1, Ramachandra Nagar, Porur, Chennai, 600116 India.Department of Arthroscopy and Sports Medicine, Centre for Sports Science, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), No. 1, Ramachandra Nagar, Porur, Chennai, 600116 India.Department of Arthroscopy and Sports Medicine, Centre for Sports Science, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), No. 1, Ramachandra Nagar, Porur, Chennai, 600116 India.Department of Arthroscopy and Sports Medicine, Centre for Sports Science, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), No. 1, Ramachandra Nagar, Porur, Chennai, 600116 India.Department of Arthroscopy and Sports Medicine, Centre for Sports Science, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), No. 1, Ramachandra Nagar, Porur, Chennai, 600116 India.Department of Arthroscopy and Sports Medicine, Centre for Sports Science, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), No. 1, Ramachandra Nagar, Porur, Chennai, 600116 India.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32399142

Citation

Arumugam, S, et al. "Rowing Injuries in Elite Athletes: a Review of Incidence With Risk Factors and the Role of Biomechanics in Its Management." Indian Journal of Orthopaedics, vol. 54, no. 3, 2020, pp. 246-255.
Arumugam S, Ayyadurai P, Perumal S, et al. Rowing Injuries in Elite Athletes: A Review of Incidence with Risk Factors and the Role of Biomechanics in Its Management. Indian J Orthop. 2020;54(3):246-255.
Arumugam, S., Ayyadurai, P., Perumal, S., Janani, G., Dhillon, S., & Thiagarajan, K. A. (2020). Rowing Injuries in Elite Athletes: A Review of Incidence with Risk Factors and the Role of Biomechanics in Its Management. Indian Journal of Orthopaedics, 54(3), 246-255. https://doi.org/10.1007/s43465-020-00044-3
Arumugam S, et al. Rowing Injuries in Elite Athletes: a Review of Incidence With Risk Factors and the Role of Biomechanics in Its Management. Indian J Orthop. 2020;54(3):246-255. PubMed PMID: 32399142.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rowing Injuries in Elite Athletes: A Review of Incidence with Risk Factors and the Role of Biomechanics in Its Management. AU - Arumugam,S, AU - Ayyadurai,Prakash, AU - Perumal,Suresh, AU - Janani,G, AU - Dhillon,Sidak, AU - Thiagarajan,K A, Y1 - 2020/01/31/ PY - 2019/12/23/received PY - 2020/01/10/accepted PY - 2021/01/31/pmc-release PY - 2020/5/14/entrez PY - 2020/5/14/pubmed PY - 2020/5/14/medline KW - Biomechanics KW - Incidence KW - Instrumented Foot Stretcher KW - Kinematics KW - Kinetics KW - Prevention KW - Return to sport KW - Rowing injuries KW - Training SP - 246 EP - 255 JF - Indian journal of orthopaedics JO - Indian J Orthop VL - 54 IS - 3 N2 - Background: Rowing is an Olympic sport gaining popularity in India and injuries are common in these athletes. Determinants of performance, injury risk and training are all interrelated in rowing. Injuries result from various risk factors including fitness issues and improper techniques. Rowers should have adequate leg extension strength and lumbo-pelvic coordination to produce and transmit power from the legs to the oar handle. Biomechanical analysis of the rowing stroke can help in preventing injuries and optimise technique for best performance. It involves a detailed and systematic observation of movement patterns to establish the quality of the movement and provide feedback to the rower about the key variables affecting performance and injury risk. Kinetics such as foot forces and kinematics such as key joint angles can be accurately measured by instrumented foot stretcher and three-dimensional motion capture. Aim: To do a detailed review of literature regarding the incidence and risk factors for rowing injuries and to get an insight on the role of biomechanics in its management. Materials and methods: Literature review was carried out with standard academic search engines and databases including Science Direct, PubMed and Google Scholar using keywords of relevance. A total number of 38 articles were analysed and results were collated to compile this review report. Results: Lumbar spine is most commonly injured (up to 53%), followed by rib cage (9-10%) and shoulder and other anatomical areas. Rowers with a trunk-driven rowing action will have a lower hip:trunk score and carry a high injury risk. A player with lumbar injury will take a minimum of 3-4 months to recover. Conclusion: Rowing injuries are common. Regular screening of the rowing athletes by comprehensive fitness and biomechanics assessment will help in prevention of injuries. Rowers need to be tested for pain, strength, flexibility, reproducibility of rowing action with modified mechanics, coordination, fatigue level, explosive power, aerobic and anaerobic endurance. Early recognition of risk factors and timely intervention is the key aspect of a successful return to play. SN - 0019-5413 UR - https://www.unboundmedicine.com/medline/citation/32399142/Rowing_Injuries_in_Elite_Athletes:_A_Review_of_Incidence_with_Risk_Factors_and_the_Role_of_Biomechanics_in_Its_Management DB - PRIME DP - Unbound Medicine ER -
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