@article{ref1,
title="The effect of hypermobility on the incidence of injury in professional football: a multi-site cohort study",
journal="Physical therapy in sport",
year="2015",
author="Konopinski, Matt and Graham, Ian and Johnson, Mark I. and Jones, Gareth",
volume="21",
number="",
pages="7-13",
abstract="BACKGROUND: A recent study demonstrated joint hypermobility increased the incidence of injury in an elite football (soccer) team utilising a univariate statistical model. <br><br>OBJECTIVES: To compare injury incidence between hypermobile and non-hypermobile elite football players incorporating a multi-site design and multivariate inferential statistics. <br><br>METHODS: 80 players comprising 3 English Championship football teams were followed prospectively during the 2012-2013 season. Joint hypermobility was assessed according to the 9-point Beighton Criteria at the start of the study period. A cut-off score of ≥4 categorised a participant as hypermobile. Player exposure and time-loss injuries were recorded throughout. <br><br>RESULTS: Mean ± standard deviation incidence of injuries was 9.2 ± 10.8 injuries/1000 h. The prevalence of hypermobility was 8.8%. Hypermobiles had a tendency for higher injury incidence (mean [95% confidence interval] difference, 5.2 [0.9-2.7] injuries/1000 h; p = 0.06). Cox regression analyses found training exposure to be highly significant in terms of injury risk (p < 0.001) for all participants. Non-hypermobiles had a lower injury risk (p = 0.11), according to the Cox model, which is suggestive but not conclusive that hypermobility predisposes injury risk. <br><br>CONCLUSIONS: Hypermobility showed a trend towards increased risk of injury. Training exposure is a significant injury risk factor in elite football.<br><br>Copyright © 2015 Elsevier Ltd. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1466-853X",
doi="10.1016/j.ptsp.2015.12.006",
url="http://dx.doi.org/10.1016/j.ptsp.2015.12.006"
}