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Quantifying Workload and Injury Risk Among Cricket Fast Bowlers: A Systematic Review and Meta-Analysis
Arun Chelladurai1, Sai Aditya Raman2, Hari Kirthen1
1Sports and Exercise Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus
|April 9, 2026
Summary
High acute bowling workloads relative to chronic workloads increase injury risk in cricket fast bowlers. Monitoring strategies should focus on progressive load development and individualised interpretation, not rigid thresholds.
Area of Science:
- Sports Science
- Biomechanics
- Injury Prevention
Background:
- Bowling workload is a known factor in gradual-onset injuries for cricket fast bowlers.
- Significant variability exists in defining, quantifying, and interpreting workload across studies.
- The acute:chronic workload ratio (ACWR) is widely used but debated regarding its validity and application.
Purpose of the Study:
- To systematically review evidence on workload quantification and injury associations in cricket fast bowlers.
- To evaluate acute-chronic workload exposure using meta-analysis.
- To identify optimal workload monitoring strategies for injury prevention.
Main Methods:
- Comprehensive systematic literature search (2000-2024) across multiple databases.
- Narrative synthesis of 33 studies and random-effects meta-analysis of 6 prospective cohort studies.
- Inclusion of elite, sub-elite, and junior male and female fast bowlers with diverse monitoring methods.
Main Results:
- High acute workloads, rapid load increases, and insufficient recovery are linked to increased injury risk, especially spinal injuries.
- Elevated ACWR (≥1.4-2.0) correlated with higher injury incidence; higher chronic workload appeared protective.
- Meta-analysis showed a significant association between elevated acute-chronic workload exposure and injury risk (RR = 2.45), with substantial heterogeneity.
Conclusions:
- Acute workload spikes relative to chronic workload consistently increase injury risk in fast bowlers.
- Heterogeneity and bias limit definitive causal inference, necessitating individualised monitoring.
- Future research should address the limited evidence for Indian fast bowlers.
Keywords:
acute-to-chronic workload ratiocricket-related injuriesfast bowlingindian cricketersworkload managementMore Related Videos
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