Triathlon injuries: A review of the literature and discussion of potential injury mechanisms

Clinical Chiropractic

Volumn 9, Issue 3, 2006, Pages 129-138

  McHardy, Andrew ^a   Pollard, Henry ^a   Fernandez, Matthew ^a  

^a MACQUARIE UNIVERSITY   (Australia)

Author keywords

Injuries; Sport; Triathletes; Triathlon

Indexed keywords

EID: 78449241127     PISSN: 14792354     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.clch.2006.04.001     Document Type: Review

References (54)

1. Korkia PK, Tunstall-Pedoe DS, Maffulli N. An epidemiological investigation of training and injury patterns in British triathletes. Br J Sports Med 1994;28(3): 191-6.
2. Wilk BR, Fisher KL, Rangelli D. The incidence of musculoskeletal injuries in an amateur triathlete racing club. J Orthop Sports Phys Ther 1995;22(3): 108-12.
3. O'Toole ML, Hiller WD, Smith RA, Sisk TD. Overuse injuries in ultraendurance triathletes. Am J Sports Med 1989;17(4): 514-8.
4. Vleck VE, Garbutt G. Injury and training characteristics of male elite, development squad, and club triathletes. Int J Sports Med 1998;19(1): 38-42.
5. Collins K, Wagner M, Peterson K, Starey M. Overuse injuries in triathletes. A study of the 1986 Seafair Triathlon. Am J Sports Med 1989;17(5): 675-80.
6. Clements K, Yates B, Curran M. The prevalence of chronic knee injury in triathletes. Br J Sports Med 1999;33(3): 214-6.
7. Egermann M, Brocai D, Lill CA, Schmitt H. Analysis of injuries in long-distance triathletes. Int J Sports Med 2003;24(4): 271-6.
8. Shaw T, Howat P, Trainor M, Maycock B. Training patterns and sports injuries in triathletes. J Sci Med Sport 2004;7(4): 446-50.
9. Cipriani DJ, Swartz JD, Hodgson CM. Triathlon and the multisport athlete. J Orthop Sports Phys Ther 1998;27(1): 42-50.
10. Massimino FA, Armstrong MA, O'Toole ML, et al. Common triathlon injuries: special considerations for multisport training. Ann Sp Med 1988;4(2): 82-6.
11. Burns J, Keenan AM, Redmond AC. Factors associated with triathlon-related overuse injures. J Orthop Sports Phys Ther 2003;33(4): 177-84.
12. Manninen JS, Kallinen M. Low back pain and other overuse injuries in a group of Japanese triathletes. Br J Sports Med 1996;30(2): 134-9.
13. Barclay S, Todd C, Finlay I, Grande G, Wyatt P. Not another questionnaire! Maximising the response rate, predicting nonresponse and assessing non-response bias in postal questionnaire studies of GPs. Fam Pract 2002;19(1): 105-11.
14. Greenberg RS, Daniels SR, Flanders WD, Eley JW, Boring JR. Medical epidemiology. 3rd ed. New York: McGraw Hill Companies Edition; 2001. p. 116.
15. Dawson B, Trapp RG. Basic and clinical biostatistics. 3rd ed. New York: McGraw Hill Companies Edition; 2001. p. 304.
16. Gabbe BJ, Finch CF, Bennell KL, Wajswelner H. How valid is a self reported 12 month sports injury history? Br J Sports Med 2003;37(6): 545-7.
17. Portney LG, Watkins MP. Foundations of clinical research: Applications to practice. 2nd ed. New Jersey: Prentice Hall Health; 2000. p. 403.
18. Trappe TA, Starling RD, Jozsi AC, et al. Thermal responses to swimming in three water temperatures: influence of a wet suit. Med Sci Sports Exerc 1995;27(7): 1014-21.
19. Toussaint HM, Bruinink L, Coster R, et al. Effect of a triathlon wet suit on drag during swimming. Med Sci Sports Exerc 1989;21(3): 325-8.
20. de Lucas RD, Balikian P, Neiva CM, Greco CC, Denadai BS. The effects of wet suits on physiological and biomechanical indices during swimming. J Sci Med Sport 2000;3(1): 1-8.
21. Pollard H, Fernandez M. Spinal musculoskeletal injuries associated with swimming: a discussion of technique. Chiropr Osteopat 2004;12(2): 72-80.
22. Troup JP. The physiology and biomechanics of competitive swimming. Clin Sport Med 1999;18(2): 267-85.
23. Ciullo JV, Stevens GG. The prevention and treatment of injuries to the shoulder in swimming. Sports Med 1989;7(3): 182-204.
24. Kennedy JC, Hawkins MD, Krissoff WB. Orthopaedic manifestations of swimming. Am J Sports Med 1978;6(6): 309-22.
25. Cavallo RJ, Speer KP. Shoulder instability and impingement in throwing athletes. Med Sci Sports Exerc 1998;30(4): S18-25.
26. Pribicevic M, Pollard H. Rotator cuff impingement. J Manipul Physiol Ther 2004;27(9): 580-90.
27. Matsen FA, Harryman DT, Sidles JA. Mechanics of glenohumeral instability. Clin Sports Med 1991;10: 783-8.
28. Bentley DJ, Millet GP, Vleck VE, McNaughton LR. Specific aspects of contemporary triathlon. Implications for physiological analysis and performance. Sport Med 2002;32(6): 345-59.
29. Laird RH. Medical care at ultraendurance triathlons. Med Sci Sports Exerc 1989;21(5 Suppl.): S222-5.
30. Kerr CG, Trappe TA, Starling RD, Trappe SW. Hyperthermia during Olympic triathlon: influence of body heat storageduring the swimming stage. Med Sci Sports Exerc 1998;30(1): 99-104.
31. Jeukendrup AE, Martin J. Improving cycling performance: how should we spend our time and money. Sports Med 2001;31(7): 559-69.
32. Gnehm P, Reichenbach S, Altpeter E, Windmer H, Hoppeler H. Influence of different racing positions on metabolic cost in elite cyclists. Med Sci Sports Exerc 1997;29(6): 818-23.
33. Kyle CR. Energy and aerodynamics in bicycling. Clin Sports Med 1994;13(1): 39-73.
34. Brown DA, Kautz SA, Dairaghi CA. Muscle activity patterns altered during pedaling at different body orientations. J Biomech 1996;29(10): 1349-56.
35. Burke ER. Proper fit of the bicycle. Clin Sports Med 1994;13(1): 1-14.
36. Mellion MB. Neck and back pain in bicycling. Clin Sports Med 1994;13(1): 137-64.
37. Holmes JC, Pruitt AL, Whalen NJ. Lower extremity overuse in bicycling. Clin Sports Med 1994;13(1): 187-205.
38. Gregor RJ, Wheeler JB. Biomechanical factors associated with shoe/pedal interfaces. Implications for injury. Sports Med 1994;17(2): 117-31.
39. Bogduk N. The anatomical basis for cervicogenic headache. J Manipul Physiol Therapeut 1992;15(1): 67-70.
40. Vincent MB. Cervicogenic headache: clinical aspects. Clin Exp Rheumatol 2000;18(2 Suppl. 19): S7-10.
41. Hausswirth C, Bigard AX, Guezennec CY. Relationships between running mechanics and energy cost of running at the end of a triathlon and a marathon. Int J Sports Med 1997; 18(5): 330-9.
42. Qiugley EJ, Richards JG. The effects of cycling on running mechanics. J Appl Biomech 1996;12: 470-9.
43. Guezennec CY, Vallier JM, Bigard AX, Durey A. Increase in energy cost of running at the end of a triathlon. Eur J Appl Physiol Occup Physiol 1996;73(5): 440-5.
44. Asplund CA, Brown DL. The running shoe prescription: fit for performance. Phys Sportsmed 2005;33(1): 17-24.
45. Burns J, Keenan AM, Redmond A. Foot type and overuse injury in triathletes. J Am Podiatr Med Assoc 2005;95(3): 235-41.
46. Speedy DB, Faris JG, Hamlin M, Gallagher PG, Campbell RG. Hyponatremia and weight changes in an ultradistance triathlon. Clin J Sport Med 1997;7(3): 180-4.
47. Speedy DB, Campbell R, Mulligan G, et al. Weight changes and serum sodium concentrations after an ultradistance multisport triathlon. Clin J Sport Med 1997;7(2): 100-3.
48. Speedy DB, Rogers IR, Noakes TD, et al. Exercise-induced hyponatraemia in ultradistance triathletes is caused by inappropriate fluid retention. Clin J Sport Med 2000;10(4): 272-8.
49. Speedy DB, Noakes TD, Rogers IR, et al. Hyponatremia in ultradistance triathletes. Med Sci Sports Exerc 1999;31(6): 809-15.
50. Speedy DB, Rogers IR, Noakes TD, et al. Diagnosis and prevention of hyponatremia at an ultradistance triathlon. Clin J Sport Med 2000;10(1): 52-8.
51. Hiller WD. Dehydration and hyponatremia during triathlons. Med Sci Sports Exerc 1989;21(5 Suppl.): S219-21.
52. Montain SJ, Sawka MN, Wenger CB. Hyponatremia associated with exercise: risk factors and pathogenesis. Exer Sports Sci Rev 2001;29(3): 113-7.
53. Sawka MN. Physiological consequences of hypohydration: exercise performance and thermoregulation. Med Sci Sports Exerc 1992;24(6): 657-70.
54. Laird RH. Medical care at ultraendurance triathlons. Med Sci Sports Exerc 1989;21(5 Suppl.): S222-5.