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Association between SARS-COV-2 infection and muscle strain injury occurrence in elite male football players : a prospective study of 29 weeks including three teams from the Belgian professional football league

Evi Wezenbeek (UGent) , Sander Denolf (UGent) , Tine Willems (UGent) , Dries Pieters (UGent) , Jan Bourgois (UGent) , Renaat M. Philippaerts, Bram De Winne, Matthias Wieme, Robbe Van Hecke, Laurence Markey, et al.
(2022) BRITISH JOURNAL OF SPORTS MEDICINE. 56(14). p.818-823
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Organization
Abstract
Objectives The aim of this study was to investigate the association between SARS-CoV-2 infection and muscle strain injury in elite athletes. Methods A prospective cohort study in three Belgian professional male football teams was performed during the first half of the 2020-2021 season (June 2020-January 2021). Injury data were collected using established surveillance methods. Assessment of SARS-CoV-2 infection was performed by a PCR test before each official game. Results Of the 84 included participants, 22 were infected with SARS-CoV-2 and 14 players developed a muscle strain during the follow-up period. Cox's proportional hazards regression analyses demonstrated a significant association between SARS-CoV-2 infection and the development of muscle strain (HR 5.1; 95% CI 1.1 to 23.1; p=0.037), indicating an increased risk of developing muscle strains following SARS-CoV-2 infection. All athletes who sustained a muscle strain after infection were injured within the first month (15.71 +/- 11.74 days) after sports resumption and completed a longer time in quarantine (14.57 +/- 6.50 days) compared with the infected players who did not develop a muscle strain (11.18 +/- 5.25days). Conclusion This study reported a five times higher risk of developing a muscle strain after a SARS-CoV-2 infection in elite male football players. Although this association should be examined further, it is possible that short-term detraining effects due to quarantine, and potentially pathological effects of the SARS-CoV-2 infection are associated with a higher risk of muscle strain injury.
Keywords
PERFORMANCE ADAPTATIONS, SOCCER, RISK, MECHANISMS, RESPONSES, FATIGUE

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Citation

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MLA
Wezenbeek, Evi, et al. “Association between SARS-COV-2 Infection and Muscle Strain Injury Occurrence in Elite Male Football Players : A Prospective Study of 29 Weeks Including Three Teams from the Belgian Professional Football League.” BRITISH JOURNAL OF SPORTS MEDICINE, vol. 56, no. 14, 2022, pp. 818–23, doi:10.1136/bjsports-2021-104595.
APA
Wezenbeek, E., Denolf, S., Willems, T., Pieters, D., Bourgois, J., Philippaerts, R. M., … Verstockt, S. (2022). Association between SARS-COV-2 infection and muscle strain injury occurrence in elite male football players : a prospective study of 29 weeks including three teams from the Belgian professional football league. BRITISH JOURNAL OF SPORTS MEDICINE, 56(14), 818–823. https://doi.org/10.1136/bjsports-2021-104595
Chicago author-date
Wezenbeek, Evi, Sander Denolf, Tine Willems, Dries Pieters, Jan Bourgois, Renaat M. Philippaerts, Bram De Winne, et al. 2022. “Association between SARS-COV-2 Infection and Muscle Strain Injury Occurrence in Elite Male Football Players : A Prospective Study of 29 Weeks Including Three Teams from the Belgian Professional Football League.” BRITISH JOURNAL OF SPORTS MEDICINE 56 (14): 818–23. https://doi.org/10.1136/bjsports-2021-104595.
Chicago author-date (all authors)
Wezenbeek, Evi, Sander Denolf, Tine Willems, Dries Pieters, Jan Bourgois, Renaat M. Philippaerts, Bram De Winne, Matthias Wieme, Robbe Van Hecke, Laurence Markey, Joke Schuermans, Erik Witvrouw, and Steven Verstockt. 2022. “Association between SARS-COV-2 Infection and Muscle Strain Injury Occurrence in Elite Male Football Players : A Prospective Study of 29 Weeks Including Three Teams from the Belgian Professional Football League.” BRITISH JOURNAL OF SPORTS MEDICINE 56 (14): 818–823. doi:10.1136/bjsports-2021-104595.
Vancouver
1.
Wezenbeek E, Denolf S, Willems T, Pieters D, Bourgois J, Philippaerts RM, et al. Association between SARS-COV-2 infection and muscle strain injury occurrence in elite male football players : a prospective study of 29 weeks including three teams from the Belgian professional football league. BRITISH JOURNAL OF SPORTS MEDICINE. 2022;56(14):818–23.
IEEE
[1]
E. Wezenbeek et al., “Association between SARS-COV-2 infection and muscle strain injury occurrence in elite male football players : a prospective study of 29 weeks including three teams from the Belgian professional football league,” BRITISH JOURNAL OF SPORTS MEDICINE, vol. 56, no. 14, pp. 818–823, 2022.
@article{8752587,
  abstract     = {{Objectives The aim of this study was to investigate the association between SARS-CoV-2 infection and muscle strain injury in elite athletes. Methods A prospective cohort study in three Belgian professional male football teams was performed during the first half of the 2020-2021 season (June 2020-January 2021). Injury data were collected using established surveillance methods. Assessment of SARS-CoV-2 infection was performed by a PCR test before each official game. Results Of the 84 included participants, 22 were infected with SARS-CoV-2 and 14 players developed a muscle strain during the follow-up period. Cox's proportional hazards regression analyses demonstrated a significant association between SARS-CoV-2 infection and the development of muscle strain (HR 5.1; 95% CI 1.1 to 23.1; p=0.037), indicating an increased risk of developing muscle strains following SARS-CoV-2 infection. All athletes who sustained a muscle strain after infection were injured within the first month (15.71 +/- 11.74 days) after sports resumption and completed a longer time in quarantine (14.57 +/- 6.50 days) compared with the infected players who did not develop a muscle strain (11.18 +/- 5.25days). Conclusion This study reported a five times higher risk of developing a muscle strain after a SARS-CoV-2 infection in elite male football players. Although this association should be examined further, it is possible that short-term detraining effects due to quarantine, and potentially pathological effects of the SARS-CoV-2 infection are associated with a higher risk of muscle strain injury.}},
  author       = {{Wezenbeek, Evi and Denolf, Sander and Willems, Tine and Pieters, Dries and Bourgois, Jan and Philippaerts, Renaat M. and De Winne, Bram and Wieme, Matthias and Van Hecke, Robbe and Markey, Laurence and Schuermans, Joke and Witvrouw, Erik and Verstockt, Steven}},
  issn         = {{0306-3674}},
  journal      = {{BRITISH JOURNAL OF SPORTS MEDICINE}},
  keywords     = {{PERFORMANCE ADAPTATIONS,SOCCER,RISK,MECHANISMS,RESPONSES,FATIGUE}},
  language     = {{eng}},
  number       = {{14}},
  pages        = {{818--823}},
  title        = {{Association between SARS-COV-2 infection and muscle strain injury occurrence in elite male football players : a prospective study of 29 weeks including three teams from the Belgian professional football league}},
  url          = {{http://doi.org/10.1136/bjsports-2021-104595}},
  volume       = {{56}},
  year         = {{2022}},
}
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