Are Football Players More Prone to Muscle Injury after COVID-19 Infection? The 'Italian Injury Study' during the Serie a Championship

Autor: Alessandro Corsini, Andrea Bisciotti, Raffaele Canonico, Andrea Causarano, Riccardo Del Vescovo, Pierluigi Gatto, Paolo Gola, Massimo Iera, Stefano Mazzoni, Paolo Minafra, Gianni Nanni, Giulio Pasta, Ivo Pulcini, Stefano Salvatori, Marco Scorcu, Luca Stefanini, Fabio Tenore, Stefano Palermi, Maurizio Casasco, Stefano Calza
Rok vydání: 2023
Předmět:
Zdroj: International Journal of Environmental Research and Public Health; Volume 20; Issue 6; Pages: 5182
ISSN: 1660-4601
Popis: Introduction: Football was the first sport to resume competitions after the coronavirus disease 2019 (COVID-19) lockdown and promptly the hypothesis was raised of a potential relationship between the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and musculoskeletal injuries in athletes. This study aimed to confirm the association between SARS-CoV-2 infection and muscle strain injury in a large population of elite football players and to investigate if the COVID-19 severity level could affect the risk of injury. Methods: A retrospective cohort study involving 15 Italian professional male football teams was performed during the Italian Serie A 2020–2021 season. Injuries and SARS-CoV-2 positivity data were collected by team doctors through an online database. Results: Of the 433 included players, we observed 173 SARS-CoV-2 infections and 332 indirect muscle strains. COVID-19 episodes mostly belonged to severity level I and II. The injury risk significantly increased after a COVID-19 event, by 36% (HR = 1.36, CI95% 1.05; 1.77, p-value = 0.02). The injury burden demonstrated an 86% increase (ratio = 1.86, CI95% 1.21; 2.86, p-value = 0.005) in the COVID-19 severity level II/III versus players without a previous SARS-CoV-2 infection, while level I (asymptomatic) patients showed a similar average burden (ratio = 0.92, CI95% 0.54; 1.58, p-value = 0.77). A significantly higher proportion of muscle–tendon junction injuries (40.6% vs. 27.1%, difference = 13.5%, CI95% 0.002%; 26.9%, p-value = 0.047) was found when comparing level II/III versus Non-COVID-19. Conclusions: This study confirms the correlation between SARS-CoV-2 infection and indirect muscle injuries and highlights how the severity of the infection would represent an additional risk factor.
Databáze: OpenAIRE