Citation

Pluim BM, Clarsen B, Verhagen E. Br. J. Sports Med. 2018; 52(9): 611-615.

Affiliation

Amsterdam Collaboration on Health and Safety in Sport, Department of Public and Occupational Health & Amsterdam Movement Sciences, VU University Medical Center, Amersfoort, The Netherlands.

Copyright

(Copyright © 2018, BMJ Publishing Group)

DOI

10.1136/bjsports-2016-097050

PMID

28209569

Abstract

OBJECTIVE: The aim of this study was to determine whether there is a difference in the prevalence of tennis injuries between the four most common court surfaces in the Netherlands, including hard court, clay, sand-fill artificial grass and red-sand-fill artificial grass. Natural grass was not included in this study.

METHODS: This was a repeated cross-sectional study over 6 months, involving members of the Royal Netherlands Lawn Tennis Association (KNLTB). A monthly questionnaire was sent to a random sample of 20 000 KNLTB members, stratified by their club's playing surface. The questionnaire included questions on court surface, tennis exposure and physical complaints, using the Oslo Sports Trauma Research Centre questionnaire on health problems.

RESULTS: A total of 3656 (18%) of the 20 000 invited members completed at least one of the monthly questionnaires [mean age 49 years (15)]. A total of 4047 injuries were reported by 1957 respondents. Of these injuries, 3246 (80%) were overuse and 801 (20%) were acute. There were no statistically significant differences in injury prevalence between groups who played primarily on any one of the four court surfaces. However, players who played on multiple surfaces had a higher injury prevalence, particularly of overuse injuries, than those who primarily played on one court surface. Compared with the other court surfaces, there was a higher prevalence of lower limb overuse injuries when playing on hard court.

CONCLUSION: There is no significant difference in the overall prevalence of injury on clay, hard court, sand-fill artificial grass and red-sand-fill artificial grass.

© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Language: en

Keywords

Epidemiology; Injury prevention; Overuse injury; Tennis