Audit of Injuries in Cricket

Audit of Injuries in playAn Audit of Injuries in play in Scotland in the 2008 Season goldbrickCricket is a popular sport played and followed by millions around the globe. It is a relatively non contact sport with a low to mode regularise lay on the line of combat detriment. However, in the last decade, the incidence of combat taint has been shown to be on the rise. This is possibly due to increase in workload for the modern cricketer.Aim of the written reportThe suggest of the get was to audit the preponderance and patterns of injuries in cricket in Scotland oer a substitute appease. A schooling of this constitution has never been undertaken in Scotland. This study exit act as pilot study for a long marches blur surveillance program in economical cricket. Cricket researchers gain long been in favour of a world cricket flaw surveillance report. This study, we reckon, will contribute to such a report when undertaken.MethodsA questionnaire was send to Cricket Scotl and who in make eng long timed cl professional cricket impostors from the Scottish inter home(a) squad, SNCL Premier League, SNCL division I and division II. Involvement of the team coaches through the initiative of Cricket Scotland was sought to increase the compliance for return of the questionnaire.ResultsWe received feedback from 26 of the 150 players that we approached. The sums of injuries reported throughout the season were 18. An increase prevalence of injuries was apparent at the start of the season with 27% of every injuries occurring in April. Of both the players, 42% suffered injuries at roughly point of time during the season. approximately of the injuries (66%) occurred in match situations. astute injuries accounted for 60% of the. As expected, bowling was responsible for 36.84% of injuries while field ca utilise 52.36% of injuries. top(prenominal) limb injuries contributed to 57.89% of the injuries. Finger injuries in the contour line of fractures or contusi ons had a prevalence footstep of 15.29%. Lower limb injuries accounted for 31.58% of all injuries with knee and shin nisus fracture being more common. Hamstring injuries having prevalence rate 16.67%. During the entire season, there was not a single case of head, neck or face blot. Midsection injuries accounted for 10.53 % of injuries with 5.26% prevalence rate for side or abdominal muscle strain.35.29% of injuries took more than 6 weeks to heal enough for the player to checkicipate in a match again, while almost half of the injure players took more than 4 weeks to recover from injury.Only 8.33% of international cricketers had access to a checkup make team while 75% of players did not piss injury advice at all. At the internal level, medical support as wellspring as provision of sports injury advice was lacking for cytosine% of players. Likewise, none of the clubs we came across had implemented injury data allurement or monitoring program.DiscussionThe injury patterns and prevalence range identified showed similarities to previous studies, especially for lower limb and senses injuries. Bowling and handle were recognised as study contributors for injury. The time lost due to injury as shown in the study is a concern. It is interesting to note that none of the domestic players had access to medical back up in the form of a doctor or a physiotherapist. Even at the international level lone(prenominal) one player had a sports doctor to attend to his injuries. In summary, we identified a need for the provision of medical support to players for helping them to realise their encompassing potential.A national database for cricket injuries within the confines of the Scottish government similar to the ACC or the SMAGG should be implemented. The ICC should opinion to help full as well as lad members in setting up injury pr yettion programs. It should allocate funds and provide expertness in the form trained power for the same. Appointment of injury statisticians for recording of injury data in every first class, one day or twenty 20 match should be looked at. At the end of every match an injury report should be sent to the team management, the SNCL which in turn will pass it on to the ICC. This collection of data should be anonymised as much as possible to help safeguard players interests.1. IntroductionCricket is a popular sport played and followed by millions around the globe. It is a relatively non contact sport with a low to moderate risk of injury as compared to sports uniform hockey or foot fruitcake.12 However, in the last decade, the incidence of injury has been shown to be on the rise.3 This is possibly due to increase in workload for the modern cricketer. Intense competition, higher levels of physical fitness and skills required and increase in the number of matches played throughout the season has resulted in this trend. Furthermore, pressures of international travel and acclimitisation to foreign playing conditi ons in a national of days have added to the direction.Although the popularity of cricket is on the rise, worldwide research into injuries has been dismal. The world(prenominal) Cricket Council (ICC), which governs the game, boasts a membership of 104 countries including 10 full, 34 associate and 60 assort members. However, most of the statistical data on incidence and prevalence of injuries comes from just four countries, namely, Australia, South Africa, England and the West Indies.Australia was the first country to introduce long term injury surveillance in professional cricket in the summer of 1998-99.2 The Sports Science Medicine Advisory Group (SSMAG) set up by Cricket Australia is responsible for the collection and maintenance of a long term injury database.3 Recently, the English and the South African Boards have set up their own injury surveillance programs. In New Zealand, the Accident Compensation Corporation is responsible for recording all sporting injuries. The rest o f the see playing nations, however, along with the associate members of the ICC do not have programs implemented to record cricketing injuries. Although cricket has a vast following in the subcontinent, availability of statistical data regarding injuries is lacking. Similarly, a study of the nature and prevalence of injuries in cricket has never been undertaken in Scotland.In the backdrop of researchers pushing for a world cricket injury report, all test playing and associate member countries should set up injury surveillance programs to identify patterns along with prevalence and incidence of injuries. This would enable comparisons of data across varying sets of playing conditions prevailing in different countries.2. Injuries in CricketAlthough cricket is a non contact sport, injuries are quite common, especially in prompt bowlers.4-7 any(prenominal) instances of death due to cricket have also been documented in literature.8Importance of Injury SurveillanceLong term injury surve illance in sport is the basis for prevention of injuries. Identification of causes with subsequent designing and implementation of interventions forms the sequence of prevention of injuries.9Surveillance of injuries across nations has however proved to be more difficult than previously thought. Over the years, different studies have sought to define injury in cricket and devise methods for injury surveillance.10-14 However, disparity in the definitions employ by different researchers has been a problem in comparing injury rates from across the world. 31215 Orchard et al. defined injury in cricket as any injury or medical condition that either (a) prevents a player from being fully purchasable for woof for a major match or (b) during a major match, causes a player to be unable to bat, bowl or keep wickets when required by either the rules or the teams captain 312.whereas,Leary et al. defined injury in cricket as an event which caused a player to seek medical attention.10 general i ncidence of InjuriesDifferent studies report injury incidence in cricket varying from 2.6 to 333/ 10,000 player hours.121617 Of all the Accident and hint department presentations in Australia, 8% cases were cricket related injuries, making cricket the 5th commonest injury prone sport in Australia.2 In South Africa, scope found that there was an injury incidence per player of 1.6 to 1.91 per season also 49% of all players get injured somewhattime throughout a season.13 Leary et. al. in their 10 year study of professional English county cricketers found the acute injury incidence to be 57.4 per 1000 days of cricket.10Injuries by anatomical localizeLower limb injuries are the most common with an incidence of 45% to 49.8% where as trunk (20-32.6%) and upper limb (18.9 to 29 %) were the other sites commonly involved.71013 The tissues mostly involved are muscles and other soft tissues (41.0%), formulates (22.2%), tendons (13.2%), and ligaments (6.2%).7 Muscle strains were found to be most common. Of the lower limb injuries, hamstring injuries were reported to be most common by Orchard et al (11% of all injuries).2 Most of these were in the form of muscle strains and tears especially in bowlers and fielders.18Knee injuries, normally comprise of joint sprains (27.6%), tendonitis (26.5%) and contusions (16.3%).10 Orchard et al reported that knee ligament injuries were uncommon in cricket. An interesting observation was that cricketers were more likely to suffer from knee ligament injuries during the game of football that cricketers play as a form of pre-match warming up or cross training. Groin injuries in bowlers (8% of all injuries in bowlers) and batsmen (9% of all injuries in batsmen) had an overall incidence of 7%. 2 Stress fractures of the tibia, fibula and foot, and ankle sprains occurred mostly in fast bowlers and had a combined incidence of 6% in the study conducted by Orchard et al.2Upper limb injuries make up 19.8% to 34.1% of all injuries in cricket.21 718 Most of these are finger injuries due to ball trespass occurring during fielding or batting.171819 Contusions account for a major share of finger injuries (40%) while fractures/dislocations (28.9%) and joint sprains (23%) are the other finger injuries commonly encountered.10Although, most of the finger injuries in cricket have a satisfactory treatment outcome, cricketers report a counterbalance component of occasional pain or minor swelling and / or deformity.19 Most of the wicket keepers have been known to carry finger injuries but rarely report them for the fear of being made to miss the match. lift injuries unremarkably occur in fielders and bowlers while batsmen and wicket keepers are characteristically spared.1018 Shoulder tendon injuries were reported to comprise of 6% of all injuries by Orchard et al. 2, Supraspinatus tendon was seen to be mostly affected. Incidence of shoulder dislocation or subluxation was shown to be low 1%. Upper limb lacerations or fractures were reported to have a low incidence and occurred mostly in batsmen.2Side strain occurring on the non dominant arm in bowlers is quite notorious to heal.2 Incidence of side or abdominal muscle strain is 9% of all injuries 1% of all cricket injuries are side strains due to a stress or traumatic fracture of the rib.2The overall incidence of back and trunk injuries accounted was 18% to 33% of all injuries.716-18 Fast bowlers were found to be at particular risk of developing lower back injury.420-24 So much so that Foster et al. and chime have likened the injuries in fast bowlers to en epidemic.425The incidence for head, neck and face injuries vary from 5% to 25 % usually resulting from tint of the cricket ball causing lacerations or contusions and rarely concussions.121316-18 Weightman and Brown reported a quarter of cricket injuries to be concussions due to a ball impact on the head.1 This was probably due to the fact that use of helmets in cricket was not in fashion when the study was conducted.Of the cervical spurring injuries, 63.6% were in the form of sprains or strains resulting from batting for long periods of time.7Jones and Tullo reported an incidence of 9% for eye injuries in sports in the UK.26 Although, eye injuries in cricket are rare, some studies have reported a few cases associated with cricket.2728 These are usually more severe.Seasonal Variation of injuriesInjuries in cricket are shown to occur more at the start of the season and then at the end of the season.710 The highest incidence number of injuries mostly muscle, tendon and ligament injuries occur at the start of the season (April-27.3%).10 tour injuries like fractures or dislocations occur with the same frequency throughout the season. reaching reported a similar incidence of higher injuries at the start of the season (32.3%) compared to than mid-season (21.7%) or towards the end (12.5%) or offseason (12.5%).18Role performed in the team adulterate reported an injury incidence according t o activity as follows bowling (41.3%), fielding and wicket keeping (28.6%), and batting (17.1%).18 A study by Orchard et al, however reports that wicketkeepers had the lowest injury incidence (2%) probably because of minimal sprinting, throwing or bowling.2 Bowlers usually sustained lower limb or back injuries while fielders and wicket keepers usually suffered upper limb (42.9%) or lower limb injuries (40.6%). Batsman on the other hand suffered mainly lower limb injuries (54.4%).Delivery and follow through of the fast bowler (25.6%), overuse (18.3%), and fielding (21.4%) were the main mechanisms of injury.18Age IncidenceYoung fast bowlers tend to get injured more often.7131418 Also the incidence of overuse injuries in cricketers in the age group of 19-24 years tends to be higher than their older counterparts.7 An important observation in a study by Stretch is that all 14 stress fractures occurred in young cricketers with 13 of them due to bowling.7Chronicity of injuryAcute injuries account for 64.8% of all injuries while 16.6% are continuing and 25.4% of the injuries are of acute on chronic nature. Majority of injuries are first time injuries (64.5%) while recurrent injuries from the previous season account for 22.8% of injuries.13Recovery time of injuriesIn a study by Stretch, 47.8% of injured players were able to return to play within a week while 28.4% took 3 week. However, 23.8% of the players were not able to train or play matches even more than 3 weeks after the incidence.73.0 Methodolgy3.1 Aim of the StudyThe aim of the study was to audit the prevalence and patterns of injuries occurring in cricket in Scotland over a complete season. A study of this nature has never been undertaken in Scotland. This study will act as pilot study for a long term injury surveillance program in Scottish cricket. Cricket researchers have long been in favour of a world cricket injury surveillance report. This study, we reckon, will contribute to such a report, if and when i t is undertaken.3.2 Study designThe study was a retrospective, questionnaire based study carried out online with the support of Cricket Scotland. The involvement of Cricket Scotland, the national governing body body for the sport in Scotland, we hoped, would increase the response rate for the questionnaires and thus the reliability of the audit. We feared that compliance would be an issue. However, we were hopeful that involvement of the club coaches via the governing body for cricket in Scotland would maximise the return rate.The first class structure for cricket in Scotland, Scottish National Cricket League (SNCL) is split into three levels, the SNCL Premiere League, the SNCL division I and the SNCL division II. Each of these levels consists of 10 teams, playing each other home and away. In addition, there is an under 19s Scottish cricket team. Each of the first class teams plays an extra game with the under 19s, making a total of 19 matches over the season for each team.Cricket Scotland distributed the questionnaire to 150 elite cricketers from the international team as well as those in the three divisions of the SNCL. The audit assessed areas such as nature of injury, body part affected, mechanism of injury, recovery time, etc as well as the provision of medical support at the club (see attached questionnaire). selective information was recorded from the feedback received from the questionnaire. Data analysis was done on a prevalence percentage basis and comparisons made with the limited existing studies.3.3 Ethical ApprovalEthical approval for task this study was sought from and granted by the Faculty of Medicine Ethics Committee for Non Clinical Research involving Human Subjects, University of Glasgow, Scotland.3.4 SubjectsThe subjects involved in the study were 150 elite cricket players from the Scottish national team and clubs in the top 3 divisions of the Scottish National Cricket league (SNCL).3.5 Data AnalysisMinitab 15.1 was used to carry out s tatistical analysis whereas Microsoft Excel 2007 was used to provide graphical analysis of the data. Also, for comparison with the existing data, literature searches were carried out using germ Manager Professional Network Edition 12.0. The databases used were Pubmed and ISI Web of Knowledge for the period of 1970 to 2009 with key words for search being cricket, injury, surveillance, patterns, incidence, and prevalence. The review considered all text file up to May 2009 relevant to definition, incidence, prevalence, causes and prevention of injuries in cricket.4.0 ResultsDuring the study, Cricket Scotland distributed the questionnaires to 150 cricket players from the international team and the three divisions of the SNCL. To improve the response rate, the coaches were instructed get the players to glut in the questionnaires.We received feedback from 26 of the 150 players that we approached. Of these, almost 77% were of current international status with 85% having represented Scot land at some point in their careers. In the SNCL, 73.08% of all players represent the premier division, 19.23% division 1 while only one player each featured in division 2 and domestic matches outside the SNCL. 73% of the players that responded were in the age group of 19-25 while 15.38% were in the under 19 age group of and 12% in the over 24 age group. Batsmen comprised of 35% of players while bowlers and all-rounders formed a major share of 64%. Only one wicketkeeper featured in the study. The percentage of players who appeared in more than 30 matches over the season was 46% while 23% played between 11-30 matches.The numbers of injuries reported throughout the season were 18. An increased prevalence of injuries was apparent at the start of the season with 27% of all injuries occurring in April. This then leveled off as the season progressed. Of all the players, 42% suffered injuries at some point of time during the season. Most of the injuries (66%) occurred in match situations. Acute injuries accounted for 60% of the injuries while acute or gradual recurrence of a previous injury was responsible for 35% of the cases. As expected, bowling was responsible for 36.84% of injuries while fielding (along with catching and throwing) caused 52.36% of injuries with throwing alone was responsible for 10% of all injuries.Regional Distribution of injuriesUpper limb injuries contributed to 57.89% of the injuries, with shoulder tendon injury accounting for 27.27% of all upper limb and 15.79% of all injuries. Injuries to the fingers in the form of fractures or contusions had a prevalence rate of 15.29% for all injuries and 27.27% of all upper limb injuries. Lower limb injuries accounted for 31.58% of all injuries with knee and shin stress fracture being more common. Hamstring injuries having prevalence rate 16.67%. During the entire season, there was not a single case of head, neck or face injury. Midsection injuries accounted for 10.53 % of injuries with 5.26% prevalence rate for side or abdominal muscle strain.35.29% of injuries took more than 6 weeks to heal enough for the player to participate in a match again, while almost half of the injured players took more than 4 weeks to recover from injury.Injury Advice and SurveillanceIn our analysis we found that only 8.33% of international cricketers had any access to a medical support team in the form of a physiotherapist while 75% of players at did not have injury advice at all. Also, of all the players, only 7.69% had some sort of injury prevention advice at their club. At the domestic level, provision of sports injury advice as well as medical support was lacking for 100% of players.Likewise, none of the clubs have implemented injury data collection or monitoring program.Table I. Type of injuries in the 2008 seasonType of InjuryInternationalSNCL (domestic)Head / FaceFracturesEyes otherNeckSprainsOtherShoulderTendon / muscleDislocation / subluxationArm / Elbow / ForearmFractureOtherWrist / PalmDislo cation/FractureSplit webbingOtherFingersFracturesOtherTrunkAbd/Side strainOtherBackLumbar stress fractureOtherGroin/HipHam / QuadKneeLigamentOtherShin /Ankle / FootStress fractureSprainsOther000003021000311100010000000010001000000001100100Total 13 55.0 DiscussionThe prevalence of injuries in Scottish cricket players both international and domestic over a season was ascertained in this study. Players in Scotland do not feature in as many matches over a season as players from places like Australia or India. As such, injury rates have not reached alarming proportions but the injury patterns and prevalence rates do show some similarities. The scattering of injuries according to anatomical site is similar to other studies, especially prevalence rate for lower limb fingers injuries. Bowling and fielding were recognised as major contributors for injury. Seasonal variations are also similar to a previous English study.10The time lost due to injury as shown in the study is a concern. Proper injury prevention advice can help in avoiding injuries (most notable being those due to bowling). It is interesting to note that none of the domestic players had access to medical back up in the form of a doctor or a physiotherapist. Even at the international level only one player had a sports doctor to attend to his injuries.In summary, we identified a need for the provision of medical support to players for helping them to realise their full potential. An injury unloosen player is more likely to perform to the best of his ability ensuring good performance of the team. A successful team in turn can trace sponsors thereby further enhancing the injury aspect of the game.A national database for cricket injuries within the confines of the Scottish government similar to the ACC or the SMAGG should be implemented. The ICC should look to help full as well as associate members in setting up injury prevention programs. The ICC should allocate funds and provide expertise in the form train ed personnel for the same. Appointment of injury statisticians for recording of injury data in every first class, one day or twenty 20 match should be looked at. At the end of every match an injury report should be sent to the team management, the SNCL which in turn will pass it on to the ICC. This collection of data should be anonymised as much as possible to help safeguard players interests.6.0 Methodological Limitations6.1 SubjectsThe response we got for the questionnaire was not as good as expected. Unforeseen logistics and strategic problems due to prior commitment of the Scottish international team due to the World twenty 20 Cup and the domestic teams in the being busy in the final stages of the season hampered the feedback from the players.The selection of players from the elite level did serve the purpose of determining injury prevalence at the highest level. However, patterns of injury at the school and junior level need to be identified as well.6.2 ProceduralSince it was a retrospective study, the legitimacy of injuries reported form memory by the players can be questioned. Injuries should ideally have been diagnosed and recorded by professional medical personnel like a physiotherapist or a sports doctor.Furthermore, this study looked into injuries over just one season. Having said so, this study can prove to be a pilot abide on which future research can be based.6.3 Statistical and AnalyticalWe calculated prevalence of the different types of injuries. However, the study did not look into the incidence rates of different injuries. The incidence rates along with prevalence rates as done by some previous studies would have been a better watching of injuries affecting professional cricketers in Scotland.7.0 Future ResearchIn the future, researchers should ideally look to conduct a prospective study over a number of years to identify the consistent injury patterns. Also, diagnosis and recording of injuries by professional medical staff with maintainen ce of an nationwide epidemiological injury database should be aimed at.Also, impact of provision medical support staff on improved performance of the players and the team as a whole needs to be looked into.8.0 Reference slant(1) Weightman D, Browne RC. Injuries in Eleven Selected Sports. Br J Sports Med 1975 9(3)136-141.(2) Orchard J, James T, Alcott E, Carter S, Farhart P. Injuries in Australian cricket at first class level 1995/1996 to 2000/2001. Br J Sports Med 2002 36(4)270-274.(3) Orchard JW, James T, Portus MR. Injuries to elite male cricketers in Australia over a 10-year period. J Sci Med Sport 2006 9(6)459-467.(4) Foster D, John D, Elliott B, Ackland T, Fitch K. Back injuries to fast bowlers in cricket a prospective study. Br J Sports Med 1989 23(3)150-154.(5) Hardcastle P, Annear P, Foster DH, Chakera TM, McCormick C, Khangure M et al. Spinal abnormalities in young fast bowlers. J Bone stick Surg Br 1992 74(3)421-425.(6) Hardcastle PH. Repair of spondylolysis in young fas t bowlers. J Bone Joint Surg Br 1993 75(3)398-402.(7) Stretch RA. Cricket injuries a longitudinal study of the nature of injuries to South African cricketers. Br J Sports Med 2003 37(3)250-253.(8) Brasch R. How did sports begin? Sydney Camberwell Longman 1971.(9) Van MW, Hlobil H, Kemper HCG. Incidence Severity Aetiology and Prevention of Sports Injuries A Review of Concepts. Sports Medicine 1992 14(2)82-99.(10) Leary T, White JA. Acute injury incidence in professional county club cricket players (1985-1995). Br J Sports Med 2000 34(2)145-147.(11) Mitchell R, Hayen A. Defining a cricket injury. J Sci Med Sport 2005 8(3)357-358.(12) Orchard J, Newman D, Stretch R, Frost W, Mansingh A, Leipus A. Methods for injury surveillance in international cricket. J Sci Med Sport 2005 8(1)1-14.(13) Stretch RA. The incidence and nature of injuries in first-league and provincial cricketers. S Afr Med J 1993 83(5)339-342.(14) Stretch RA. The seasonal incidence and nature of injuries in schoolboy cri cketers. S Afr Med J 1995 85(11)1182-1184.(15) Finch CF, Elliott BC, McGrath AC. Measures to prevent cricket injuries an overview. Sports Med 1999 28(4)263-272.(16) Corrigan AB. Cricket injuries. Aust Fam Physician 1984 13(8)558-9, 562.(17) Crisp T. Cricket fast bowlers back and throwers shoulder. practitioner 1989 233(1469)790-792.(18) Stretch RA. Incidence and nature of epidemiological injuries to elite South African cricket players. S Afr Med J 2001 91(4)336-339.(19) Belliappa PP, Barton NJ. Hand injuries in cricketers. J Hand Surg Br 1991 16(2)212-214.(20) Bartlett RM, Stockill NP, Elliott BC, Burnett AF. The biomechanics of fast bowling in mens cricket a review. J Sports Sci 1996 14(5)403-424.(21) Bell PA. Spondylolysis in fast bowlers principles of prevention and a survey of awareness among cricket coaches. Br J Sports Med 1992 26(4)273-275.(22) Dennis R, Farhart P, Goumas C, Orchard J. Bowling workload and the risk of injury in elite cricket fast bowlers. J Sci Med Sport 200 3 6(3)359-367.(23) Dennis R, Farhart P, Clements M, Ledwidge H. The relationship between fast bowling workload and injury in first-class cricketers a pilot study. J Sci Med Sport 2004 7(2)232-236.(24) Engstrom CM, Walker DG. Pars interarticularis stress lesions in the lumbar spine of cricket fast bowlers. Med Sci Sports Exerc 2007 39(1)28-33.(25) Bell P. Cricket injury in long trousers. Br J Sports Med 1999 33(3)151-152.(26) Jones NP, Tullo AB. Severe eye injuries in cricket. Br J Sports Med 1986 20(4)178-179.(27) Abedin A, subgenus Chen HC. An uncommonly serious case of an uncommon sport injury. Br J Sports Med 2005 39(8)e33.(28) Aburn N. Eye injuries in indoor cricket at Wellington Hospital a survey January 1987 to June 1989. N Z Med J 1990 103(898)454-456.Cover Letter for the QuestionnaireAn Audit of Injuries in Cricket in Scotland in the 2008 Season.With increased participation in cricket in Scotland, sports doctors and physiotherapists have become aware of a corresponding incre ase in cricket related injuries. Also, researchers worldwide have felt the need for a global injury incidence report to identify risk factors for subsequent designing and implementation of interventions for prevention of injuries. Some data regarding injuries in cricket is available from Australia, South Africa, England and the West Indies. However, epidemiological collection of data of injuries from the rest of the world is dismal, to say the least.In Scotland as well, there has never been any audit of injuries in cricket, time lost due to injuries, implementation of injury prevention program and provision of medical support to players.This audit aims to look at the type and prevalence of injuries that occurred over the 2008 season in cricket in Scotland, allowing an insight into the mechanisms of injury in cricket. We hope that this will assist the development of medical support and injury prevention programmes. This study would also contribute to a World Injury Incidence Report t o be undertaken in the near future.This audit is being conducted by the Department of Sport Exercise Medicine, University of Glasgow with the support of Cricket Scotland.We are grateful for your valuable time spent in answering the questionnaire. If you have any questions regarding the study or the questionnaire please do not hesitate to contact eitherQuestionnaireDo you play international cricket?Yes, CurrentlyPreviouslyNo enliven indicate the level of domestic cricket that you play in.SNCL PremierSNCL Div 1SNCL Div 2OtherDoes your club provide access to sports injury advice and treatment?YesNo