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Published on: May 26, 2020
Epidemiology of injuries in amateur boxing: A systematic review and meta-analysis
Alexander J Alevras1, Joel T Fuller2, Rebecca Mitchell1
1Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Australia.
Objectives:
To synthesise competition and training injury data in amateur boxing.
Design:
Systematic review and meta-analysis. Pooled estimates of competition injury incidence rates per 1000 athlete-exposures (IIRAE) and per 1000 min of exposure (IIRME), and training injury incidence rates per 1000 h of exposure (IIRHE) were obtained by fitting random-effects models.
Methods:
MEDLINE, Embase, AMED, AUSPORT, and SPORTDiscus databases were searched from inception to 27 May 2022. Cohort studies with prospectively collected injury and exposure data from amateur boxing competition or training published in peer-reviewed journals were eligible for inclusion.
Results:
Seventeen studies were eligible for inclusion. The competition IIRAE and IIRME summary estimates were 54.7 (95 % CI 33.8-88.4) and 6.8 (95 % CI 4.2-10.9), respectively. The training IIRHE summary estimate was 1.3 (95 % CI 0.2-7.0). The most commonly injured body regions in the competition and training settings were the head and neck (median: 72 %; range: 46 % to 100 %) and upper limb (median: 49 %; range: 40 % to 53 %), respectively. The predominant types of injury were contusions (median: 35 %; range: 5 % to 100 %) and lacerations and abrasions (median: 20 %; range: 0 % to 69 %) in the competition setting, and sprains and strains (median: 60 %; range: 50 % to 81 %) in the training setting.
Conclusions:
Amateur boxing athletes sustain, on average, 1 injury every 2.5 h of competition and every 772 h of training. There is a need for identifying injury mechanisms and modifiable risk factors that can be targeted by preventive measures to reduce the burden of injury in amateur boxing.
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