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Injury prediction model for lower-limb sports injuries: A novel machine learning-based approach
Girinivasan Chellamuthu1,2,3, Santosh Sahanand3, Shyam Sundar3
1Orthopaedic Research Group, Coimbatore, India.
Journal of Clinical Orthopaedics and Trauma
|July 30, 2025
Summary
Machine learning accurately predicts lower-limb sports injuries in athletes. The K Nearest Neighbour (KNN) model with Random Oversampling (ROS) identifies at-risk individuals for enhanced injury prevention programs.
Area of Science:
- Sports Medicine
- Biomechanical Engineering
- Data Science in Sports
Background:
- Sports injuries result from complex interactions of risk factors.
- Identifying at-risk athletes is crucial for effective injury prevention.
- Machine learning and AI offer advanced tools for injury prediction.
Purpose of the Study:
- To develop an effective injury prediction model for lower-limb sports injuries.
- To compare the efficiency of different machine learning models for injury prediction.
Main Methods:
- Collected data from 120 male university athletes across football, cricket, and basketball.
- Recorded 44 variables including mental and physical screening, and previous season injury data.
- Built and compared various machine learning models for injury prediction.
Main Results:
- Ankle injuries were most common (52.6%), followed by hamstring (23.6%), foot (13.3%), and knee (10.5%).
- The K Nearest Neighbour (KNN) algorithm with Random Oversampling (ROS) achieved the highest accuracy (AUC=0.87, TPR=100%, TNR=62.5%).
- Thirty-two injuries were used to construct the final predictive model.
Conclusions:
- The KNN model with ROS demonstrates strong predictive accuracy for athlete injuries in football, cricket, and basketball.
- This model can be a valuable tool for enhancing sports injury prevention strategies.
- Further prospective studies are recommended to validate the model's efficacy.

