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Striking out squash injuries – What is the evidence?

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Injuries sustained during squash account for only a small proportion of the total injuries to sports participants. However, squash ranks as one of the sports most associated with severe injury. There are four major categories of squash injury: musculoskeletal injuries, eye and head injuries, heat illness, and cardiac injury/death. The indoor nature and specific equipment requirements of the sport highlight the importance of facility design, maintenance and management in preventing squash injuries. The aim of this paper was to critically review the literature for the demonstrated effectiveness of injury prevention measures designed specifically for the game of squash. This review of both formal literature and informal sources has shown that many injury prevention measures can be implemented to help reduce the risk of squash injury. However, few controlled studies of these countermeasures have been undertaken. To date, the most widely evaluated countermeasure has been protective eyewear with a number of studies indicating that its use considerably reduces the risk of eye injury. Other recommended squash injury countermeasures include good physical conditioning, pre-participation screening, specific training, warm-up/cool-down routines, and skill development. However, there is only limited information about the effectiveness of these countermeasures and further evaluative research is required. The implementation of countermeasures appears to be largely based on informed opinion and experiences from other sporting contexts. With the potential for severe injury in squash being relatively high, ongoing countermeasure research and development would seem to be a priority.

Document Type: Research Article


Publication date: 1999-09-01

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