Incidence and characteristics of acute and overuse injuries in elite powerlifters

Injuries in weightlifting and powerlifting: an updated systematic review

ABSTRACT

Objective

To systematically review the literature on the incidence, prevalence, anatomical injury localisation and risk factors in Olympic weightlifting and powerlifting.

Design

Updated systematic review, PROSPERO registration (CRD42022382364).

Data sources

Four databases (PubMed, Embase, SPORTDiscus and Web of Science) were searched on 19 February 2024.

Eligibility

Reports assessing injury incidence and prevalence in Olympic weightlifting and powerlifting, published between January 2015 and February 2024, were included in addition to reports from a previous systematic review. The 'Quality Assessment Tool for Observational Cohort and Cross-sectional Studies' was used to assess methodological quality.

Results

Of 1765 screened records, eight new reports were found, resulting in 17 reports in the review. 12 reports covered weightlifting and seven covered powerlifting, with two of the reports included in both categories as they addressed both sports. In weightlifting, the period prevalence of injuries during competitions was 10.7%-68%, the incidence was 2.4-3.3 injuries/1000 hours of training, and the most common injury sites were the knee, lower back, shoulder and hands/fingers. In powerlifting, one report showed a point prevalence of 70%. Injury incidence was 1.0-4.4 injuries/1000 hours of training, and the most common injury sites were the lower back/pelvis, shoulder and elbow/upper arm. Both sports showed a high prevalence of pelvic floor dysfunction (eg, urinary incontinence) among females (50%) compared with males (9.3%).

Conclusions

This updated systematic review supports the conclusions of previous reviews and shows new findings that pelvic floor dysfunction is very common in both sports. Due to the distinctly different study designs and settings, further direct comparisons between sports were difficult. In weightlifting, reports mainly focused on injuries during competitions. In powerlifting, injury incidence was low, but injury prevalence was high when defining injury as a painful condition that impairs training/competition.

The Effect of Cautionary Versus Resiliency Spine Education on Maximum Deadlift Performance and Back Beliefs: A Randomized Control Trial

ABSTRACT

Scott, KM, Kreisel, BR, Florkiewicz, EM, Crowell, MS, Morris, JB, McHenry, PA, and Benedict, TM. The effect of cautionary versus resiliency spine education on maximum deadlift performance and back beliefs: A randomized control trial. J Strength Cond Res 38(7): e341-e348, 2024-The purpose of this study was to determine the effect of cautionary information about the spine vs. a message of spine resiliency on maximum deadlift (MDL) performance and beliefs regarding the vulnerability of the spine. This cluster randomized control trial involved 903 military new cadets (n = 903) during their mandatory fitness test in cadet basic training (mean age 18.3 years, body mass index 23.8 kg·m-2, 22% female). Subjects were cluster randomized to 3 groups. The cautionary group received a message warning them to protect their backs while deadlifting, the resiliency group received a message encouraging confidence while deadlifting, and the control group received the standardized Army deadlift education only. The outcome measures were MDL weight lifted and perceived spine vulnerability. Significance was set at alpha ≤0.05. There were no between-group differences in weight lifted (p=0.40). Most subjects believed that the spine is vulnerable to injury. Three times as many subjects who received the resiliency education improved their beliefs about the vulnerability of their spines compared with those receiving the cautionary education (p<0.001). This study demonstrated the potential for brief resiliency education to positively influence beliefs about spine vulnerability, whereas cautionary education did not impair performance.

Shouldering the load: A scoping review of incidence, types, and risk factors of shoulder injuries in weight-lifting athletes

Lifestyles advocating for proper health and fitness have been trending in recent years, and as such, sports like weightlifting have become very popular worldwide. While these sports improve physical fitness and cardiovascular health, they carry an inherent risk for physical injuries, mainly to the shoulder. In this review, we aimed to explore the epidemiology of shoulder injuries in weightlifting using a systematic search of the literature. The databases PubMed, Google Scholar (pages 1-20), Embase, and SPORTDiscus were queried using relevant search terms to extrapolate all studies pertaining to shoulder injuries in these two sports. Shoulder injuries turned out to be common in both sports with varying incidence rates and were shown to occur to athletes independent of gender and age. Anterior instability and overuse injuries were the most common injury types, and presentation varied with regards to symptoms and severity. Both intrinsic and extrinsic factors can contribute to shoulder injuries in the setting of these two sports, including incorrect implementation of techniques, age, vulnerable positioning of the shoulder during the lift, and overtraining which leads to overuse injuries.

Facile Hydrothermal Synthesis of BiVO4/MWCNTs Nanocomposites and Their Influences on the Biofilm Formation of Multidrug Resistance Streptococcus mutans and Proteus mirabilis

This study utilized a simple hydrothermal technique to prepare pure BiVO4 and tightly bound BiVO4/multiwalled carbon nanotubes (MWCNTs) nanocomposite materials. The surfactant was employed to control the growth, size, and assembly of BiVO4 and the nanocomposite. Various techniques including X-ray diffraction (XRD), Ultraviolet-visible (UV-vis), photoluminescence (PL), Raman, transmission electron microscopy (TEM), scanning electron microscopy (SEM), and energy-dispersive X-ray spectroscopy (EDS) were utilized to analyze and characterize BiVO4 and the BiVO4/MWCNTs nanocomposite. Through XRD analysis, it was found that the carbon nanotubes were effectively embedded within the lattice of BiVO4 without generating any separate impurity phase and had no influence on the BiVO4 monoclinic structure. TEM images confirmed the presence of MWCNTs within BiVO4. Furthermore, adding MWCNTs in the BiVO4/MWCNTs nanocomposite resulted in an effective charge transfer transition and improved carrier separation, as evidenced by PL analysis. The introduction of MWCNTs also led to a significant reduction in the optical band gap due to quantum effects. Finally, the antibacterial activity of pure BiVO4 and the BiVO4/MWCNTs nanocomposite was assessed by exposing Proteus mirabilis and Streptococcus mutans to these materials. Biofilm inhibition and antibiofilm activity were measured using a crystal violet assay and a FilmTracer LIVE/DEAD Biofilm Viability Kit. The results demonstrated that pure BiVO4 and BiVO4/MWCNTs effectively inhibited biofilm formation. In conclusion, both pure BiVO4 and BiVO4/MWCNTs are promising materials for inhibiting the bacterial biofilm during bacterial infections.

A Muscle Load Feedback Application for Strength Training: A Proof-of-Concept Study

Muscle overload injuries in strength training might be prevented by providing personalized feedback about muscle load during a workout. In the present study, a new muscle load feedback application, which monitors and visualizes the loading of specific muscle groups, was developed in collaboration with the fitness company Gymstory. The aim of the present study was to examine the effectiveness of this feedback application in managing muscle load balance, muscle load level, and muscle soreness, and to evaluate how its actual use was experienced. Thirty participants were randomly distributed into 'control', 'partial feedback', and 'complete feedback' groups and monitored for eight workouts using the automatic exercise tracking system of Gymstory. The control group received no feedback, while the partial feedback group received a visualization of their estimated cumulative muscle load after each exercise, and the participants in the complete feedback group received this visualization together with suggestions for the next exercise to target muscle groups that had not been loaded yet. Generalized estimation equations (GEEs) were used to compare muscle load balance and soreness, and a one-way ANOVA was used to compare user experience scores between groups. The complete feedback group showed a significantly better muscle load balance (β = -18.9; 95% CI [-29.3, -8.6]), adhered better to the load suggestion provided by the application (significant interactions), and had higher user experience scores for Attractiveness (p = 0.036), Stimulation (p = 0.031), and Novelty (p = 0.019) than the control group. No significant group differences were found for muscle soreness. Based on these results, it was concluded that personal feedback about muscle load in the form of a muscle body map in combination with exercise suggestions can effectively guide strength training practitioners towards certain load levels and more balanced cumulative muscle loads. This application has potential to be applied in strength training practice as a training tool and may help in preventing muscle overload.

Body Builder's Shoulder: Posterior Labrum Periosteal Sleeve Avulsion (POLPSA) and Glenoid Posterior Rim Stress Fracture due to Intense Bench Pressing

BACKGROUND

Shoulder overuse, both occupational and sports-related, is a major cause of shoulder pain with an estimated incidence of 0.9%-2.5% in the general population and a prevalence of 7%-27% in Europe and United States. We report on a young amateur bodybuilder presenting with a complex shoulder overuse lesion. A posterior labrum periosteal sleeve avulsion (POLPSA) with a chondral lesion of the posterior glenoid cavity and a SLAP lesion was diagnosed. Case presentation. A 33-year-old male construction worker complained of 9 months worsening right shoulder pain. He was an amateur body builder who would bench press heavy weights (up to 170 kg). A magnetic resonance arthrogram showed a posterior labrum sleeve avulsion, a stress chondral fracture of the posterior glenoid cavity and a SLAP lesion. Arthroscopic repair of the bicipital anchor, posterior labrum fixation and removal of the chondral fragment, proved successful and allowed the patient to return to his previous sports activity.

CONCLUSIONS

Bench press creates major forces along the anteroposter axis of the upper limbs, pushing the humeral head posteriorly and increasing joint reaction force on the posterior glenoid quadrant considerably as the scapula is locked resting on the bench. This may result in a tendency for the humeral head to subluxate posteriorly which, aggravated by the high number of repetitions, puts the posterior labrum and capsula under very high stress eventually leading to labrum failure. Arthroscopic repair was shown to restore shoulder function in these athletes.

Effect of Training Phase on Physical and Physiological Parameters of Male Powerlifters

Longitudinal research on training and dietary practices of natural powerlifters is limited. This study investigated the effect of phases of training on physical and physiological parameters in male natural powerlifters. Nine participants completed testing at two time points: (i) preparatory phase (~3 months prior to a major competition) and (ii) competition phase (1–2 weeks from a major competition). No significant changes between training phases were found for muscle strength and power. A trend for significance was found for decreased muscle endurance of the lower body (−24.4%, p = 0.08). A significant increase in leg lean mass was found at the competition phase (2.3%, p = 0.04), although no changes for other body composition measures were observed. No change was observed for any health marker except a trend for increased urinary creatinine clearance at the competition phase (12.5%, p = 0.08). A significant reduction in training volume for the lower body (−75.0%, p = 0.04) and a trend for a decrease in total energy intake (−17.0%, p = 0.06) was observed during the competition phase. Despite modifications in training and dietary practices, it appears that muscle performance, body composition, and health status remain relatively stable between training phases in male natural powerlifters.