Injury Epidemiology and Risk Factors in Older Pickleball Players

This study aimed to identify pickleball-related injury prevalence and risk factors in older adults and evaluate injury incidence during a pickleball tournament. A cross-sectional study analyzed self-reported injuries from the past 12 months and new injuries during the 2018 US Open Pickleball Championships. Data were collected on demographics, play characteristics, and psychological attributes. Injury details came from self-reports and medical tent records. Hierarchical logistic regression identified significant injury predictors. Of 237 participants, 32.1% reported past-year injuries, mainly in lower extremities (57.9%) and muscle/tendon tissues (61.8%). The tournament had a 5.8% incidence of new injuries, primarily in lower extremities and skin/muscle tissues. Key risk factors were male gender, lower BMI, and increased weekly play hours. No significant associations were found with psychological variables. Pickleball players have a high injury prevalence, especially in lower extremities, linked to longer play hours, male gender, and lower BMI.