BJSM E-edition: Cricket

After Australia’s 1882 victory over England at The Oval in London, its first Test win on English soil, The Sporting Times published an obituary for English cricket. "In affectionate remembrance of English cricket which died at The Oval, 29 August 1882. Deeply lamented by a large circle of sorrowing friends and acquaintances, R.I.P. - N.B. The body will be cremated and the Ashes taken to Australia.” In over a century of Test cricket series between Australia and England, the Ashes have changed hands many times – and this year, many of our readers will be celebrating and others mourning that Australia has retained the Ashes on English soil for the first time in 18 years. In the limelight again (for other reasons this time), former Australian captain Steve Smith suffered a sickening blow to the neck from a 92.4 mph bouncer (a type of delivery pitched short so that it bounces up to chest or head height of the batsman) during the second Test. Watching Smith collapse revived images of the Phillip Hughes tragedy that made the sporting world stand still in 2014, and reignited ongoing debate about head injuries in cricket. A collective sigh of relief could be heard around the ground as Smith managed to stand up and was forced off the ground by the medical team, however he returned less than an hour later to return to bat after passing concussion tests. The following day Smith developed a headache, was diagnosed with delayed onset concussion and was withdrawn from the Test, becoming the first ever player to be substituted under cricket’s new concussion rules. During that Test, there were three other head impacts, but Smith was the only player to develop concussion. Cricket has recently changed its concussion rules to align with other sports, such as football (soccer for our Aussies) and rugby, which require any player suspected of having concussion to be assessed by a physician, or a physiotherapist if a physician is not available, before returning. Concussed players can be withdrawn from games and can be replaced by a designated substitute, subject to approval by the match referee. Australia, England and South Africa are the only teams that tour with a team physician, but this might soon change given the new rules.

Although the media spotlight is currently on concussion, the BJSM community understands there are many other cricket injuries of which clinicians must be wary. In this e-edition, we focus on injury surveillance, back pain, throwing-related injuries, managing work load… and yes, also head injuries, to help you improve your practice. With a mix of consensus statements, original articles, editorials, podcasts and blog posts, there’s enough content here to last you until the next quest for the Ashes. If you have comments, questions, want to suggest topics for future editions or join the conversation, use #BJSMOnlineEdition on Facebook, Twitter or Instagram. Also, don’t forget to download the BJSM App! The BJSM App features all of our latest podcasts, blogs and other great content in one easily accessible place (for FREE!). We hope you enjoy these supplementary BJSM editions and as always, wish you a physically active day! Your BJSM online editors

Introduction

CONSENSUS STATEMENT

International consensus statement on injury surveillance in cricket: a 2016 update John W Orchard, Craig Ranson, Benita Olivier, et al.

DISCUSSION

Misclassification of cricket in the American College of Cardiology (ACC) Task Force classification of sports Jessica J Orchard, John W Orchard, Andre La Gerche, et al.

PODCAST

Cricket injuries with Alex Kountaris

Dr Alex Kountaris (@Alex_Kountouris), Cricket Australia Sports Science & Sports Medicine Manager and former physiotherapist for the Australian cricket team, discusses injury prevention and treatment in cricket. [https://soundcloud.com/bmjpodcasts/cricket-injuries-with-alex](Cricket injuries, with Alex Kountouris)

Back pain

PODCAST

Lower back injuries in cricket players, with Alex Kountaris Dr Alex Kountaris (@Alex_Kountouris), Cricket Australia Sports Science & Sports Medicine Manager and former physiotherapist for the Australian cricket team, discusses strategies for the prevention and treatment of lumbar spine injuries in cricket, and answers some interesting questions from Twitter. [https://soundcloud.com/bmjpodcasts/low-back-injuries-in-cricket](Lower back injuries in cricket players, with Alex Kountouris)

Head injuries

CONSENSUS STATEMENT

Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016 Paul McCrory, Willem Meeuwisse, Jiří Dvorak

EDITORIAL

Sport concussion assessment tool - 5th edition

PODCAST

Cricket fatalities, with Dr Peter Brukner (MJA Podcasts) Dr Peter Brukner, former team doctor to the Australian cricket team, discusses cricket fatalities and preventative measures.

ORIGINAL ARTICLE

Batting head injury in professional cricket: a systematic video analysis of helmet safety characteristics Craig Ranson, Nicholas Peirce, Mark Young

BJSM BLOG

Tragic injury in sport: the shock, grief, and honouring of cricket player Phillip Hughes Dr Mike Burdon, Consultant in Sports and Exercise Medicine, Peninsula Sports Medicine

ORIGINAL ARTICLE

Injuries to junior club cricketers: the effect of helmet regulations L Shaw, C F Finch

BJSM BLOG

Are the new cricket helmet standards enough: what does the evidence say? BJSM Editors

ORIGINAL ARTICLE (Sports Health)

Incidence of Concussion and Head Impacts in Australian Elite-Level Male and Female Cricketers After Head Impact Protocol Modifications Thomas Hill, John Orchard, Alex Kountouris

Shoulder injuries

ORIGINAL ARTICLE

Use of field-based tests to identify risk factors for injury to fast bowlers in cricket R J Dennis, C F Finch, A S McIntosh, B C Elliott

ORIGINAL ARTICLE

Cricket fast bowling workload patterns as risk factors for tendon, muscle, bone and joint injuries John W Orchard, Peter Blanch, Justin Paoloni, et al

ORIGINAL ARTICLE

Comparison of three types of full-body compression garments on throwing and repeat-sprint performance in cricket players Rob Duffield, Marc Portus

ORIGINAL ARTICLE

Spikes in acute workload are associated with increased injury risk in elite cricket fast bowlers Billy T Hulin, Tim J Gabbett, Peter Blanch, et al

REVIEW

Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review with best-evidence synthesis Martin Asker, Hannah L Brooke, Markus Waldén, et al

PODCAST

Shoulder injuries, with Prof. Ann Cools (PhD, PT)

Babette Pluim (BJSM deputy editor) talks to Ann Cools (professor in the Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Belgium) about her varied research into shoulder injuries. Including: Scapular involvement in shoulder pain in overhead athletes; treatment strategies for managing impingement in the overhead athlete; eccentric training for shoulder injuries; Scapula Dyskinesis; age related change in the shoulder in tennis players; and adaptations in scapular movement, subacromial space, and range of movement and strength in elite handball players. [https://soundcloud.com/bmjpodcasts/shoulder-injuries-with-ann](Shoulder injuries, with Ann Cools)