Injury and Illness Surveillance in Para-Cycling: A Single-Centre One-Season Prospective Longitudinal Study

<b>Introduction:</b> Para-cycling is a competitive sport governed by the World Body for Cycling, Union Cycliste Internationale (UCI), encompassing various cycling disciplines tailored to athletes with physical or visual impairments. This study aimed to prospectively monitor the incidence...

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Main Authors: Thomas Fallon, Paul Carragher, Neil Heron
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Sports
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Online Access:https://www.mdpi.com/2075-4663/13/6/158
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author Thomas Fallon
Paul Carragher
Neil Heron
author_facet Thomas Fallon
Paul Carragher
Neil Heron
author_sort Thomas Fallon
collection DOAJ
description <b>Introduction:</b> Para-cycling is a competitive sport governed by the World Body for Cycling, Union Cycliste Internationale (UCI), encompassing various cycling disciplines tailored to athletes with physical or visual impairments. This study aimed to prospectively monitor the incidence of injury and illness in Para cyclists during the 2024 Paralympic season. <b>Methods:</b> This prospective, observational study included ten professional Para cyclists (five male, five female) with impairments ranging from spinal cord-related, neuromuscular, and musculoskeletal conditions to vision impairment. The definitions of an ‘athlete health problem’, ‘injury’, and ‘illnesses’ followed the Para sport translation of the IOC consensus. Injury and illness data were collected weekly using the Oslo Sports Trauma Research Centre Questionnaire on Health Problems V2 (OSTRC-H2), with the addition of subjective markers of well-being and training load, between February 2024 and October 2024. All medical contacts for any injury or illness were logged in line with consensus statement recommendations. <b>Results:</b> The OSTRC-H2 questionnaire had a response rate of 76.5% (±12.2%, range 55–88%) across the 35 weeks. Athletes reported 7.36 (95% CI: 5.41–9.46) health problems per 365 days, with a medical attention rate of 5.56 (95% CI: 3.91–7.36) per 365 days. The overall injury rate was 1.94 per 365 athlete days (95% CI: 1.23–2.93), with a higher incidence in males (2.44, 95% CI: 1.53–3.67) than in females (1.51, 95% CI: 0.68–2.95). Conversely, illness rates were higher in females (5.40, 95% CI: 3.00–8.11) than in males (1.80, 95% CI: 0.60–3.30), with an overall illness rate of 3.60 per 365 days (95% CI: 2.29–5.10). <b>Conclusions:</b> This is the first study to present prospective injury and illness epidemiology rates in Para cyclists in combination with subjective well-being markers. The findings underscore the importance and feasibility of longitudinal health monitoring in Para cyclists, ensuring that both physical and mental health concerns are systematically tracked and addressed. This enables a proactive, multidisciplinary support system to respond effectively to fluctuations in well-being, particularly during periods of injury or illness.
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spelling doaj-art-db04f96ed4ad41b4b5a7584e976958c12025-06-25T14:27:07ZengMDPI AGSports2075-46632025-05-0113615810.3390/sports13060158Injury and Illness Surveillance in Para-Cycling: A Single-Centre One-Season Prospective Longitudinal StudyThomas Fallon0Paul Carragher1Neil Heron2Centre for Public Health, Queen’s University Belfast, Belfast BT7 1NN, UKSport Ireland Institute, National Sports Campus, Abbotstown, 17301 Dublin, IrelandCentre for Public Health, Queen’s University Belfast, Belfast BT7 1NN, UK<b>Introduction:</b> Para-cycling is a competitive sport governed by the World Body for Cycling, Union Cycliste Internationale (UCI), encompassing various cycling disciplines tailored to athletes with physical or visual impairments. This study aimed to prospectively monitor the incidence of injury and illness in Para cyclists during the 2024 Paralympic season. <b>Methods:</b> This prospective, observational study included ten professional Para cyclists (five male, five female) with impairments ranging from spinal cord-related, neuromuscular, and musculoskeletal conditions to vision impairment. The definitions of an ‘athlete health problem’, ‘injury’, and ‘illnesses’ followed the Para sport translation of the IOC consensus. Injury and illness data were collected weekly using the Oslo Sports Trauma Research Centre Questionnaire on Health Problems V2 (OSTRC-H2), with the addition of subjective markers of well-being and training load, between February 2024 and October 2024. All medical contacts for any injury or illness were logged in line with consensus statement recommendations. <b>Results:</b> The OSTRC-H2 questionnaire had a response rate of 76.5% (±12.2%, range 55–88%) across the 35 weeks. Athletes reported 7.36 (95% CI: 5.41–9.46) health problems per 365 days, with a medical attention rate of 5.56 (95% CI: 3.91–7.36) per 365 days. The overall injury rate was 1.94 per 365 athlete days (95% CI: 1.23–2.93), with a higher incidence in males (2.44, 95% CI: 1.53–3.67) than in females (1.51, 95% CI: 0.68–2.95). Conversely, illness rates were higher in females (5.40, 95% CI: 3.00–8.11) than in males (1.80, 95% CI: 0.60–3.30), with an overall illness rate of 3.60 per 365 days (95% CI: 2.29–5.10). <b>Conclusions:</b> This is the first study to present prospective injury and illness epidemiology rates in Para cyclists in combination with subjective well-being markers. The findings underscore the importance and feasibility of longitudinal health monitoring in Para cyclists, ensuring that both physical and mental health concerns are systematically tracked and addressed. This enables a proactive, multidisciplinary support system to respond effectively to fluctuations in well-being, particularly during periods of injury or illness.https://www.mdpi.com/2075-4663/13/6/158injury and illness surveillancepara-cyclingcyclinghealth
spellingShingle Thomas Fallon
Paul Carragher
Neil Heron
Injury and Illness Surveillance in Para-Cycling: A Single-Centre One-Season Prospective Longitudinal Study
Sports
injury and illness surveillance
para-cycling
cycling
health
title Injury and Illness Surveillance in Para-Cycling: A Single-Centre One-Season Prospective Longitudinal Study
title_full Injury and Illness Surveillance in Para-Cycling: A Single-Centre One-Season Prospective Longitudinal Study
title_fullStr Injury and Illness Surveillance in Para-Cycling: A Single-Centre One-Season Prospective Longitudinal Study
title_full_unstemmed Injury and Illness Surveillance in Para-Cycling: A Single-Centre One-Season Prospective Longitudinal Study
title_short Injury and Illness Surveillance in Para-Cycling: A Single-Centre One-Season Prospective Longitudinal Study
title_sort injury and illness surveillance in para cycling a single centre one season prospective longitudinal study
topic injury and illness surveillance
para-cycling
cycling
health
url https://www.mdpi.com/2075-4663/13/6/158
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AT neilheron injuryandillnesssurveillanceinparacyclingasinglecentreoneseasonprospectivelongitudinalstudy