Characteristics and incidence of injuries in male Korean professional basketball players in pre- and regular seasons of practice and competitions

Basketball players are prone to injury. Advanced sporting nations have systematic injury monitoring systems for managing player’s health. The epidemiology of injuries occurring during practice and competitions were investigated for the male professional basketball players (n = 60) in South Korea. The data were prospectively collected which covered the pre- and regular seasons of 2019–2020, 2020–2021 and 2021–2022. The calculated injury rate ratios (IRRs) assessed the injuries based on number of athletes involved in games and practice. The pre-season injury rate (IR) was ~1.6 times higher compared to the regular season IR (IRR = 1.55, 95% CI (confidence interval) = 1.11–2.17, p = 0.008). The competition IR was ~4.3 times higher compared to the practice IR (IRR = 4.33, 95% CI = 3.90–6.04, p < 0.001). Ankle was the most frequently injured wherein lateral ankle sprains were highly prevalent. Practice injuries were mostly of non-contact nature, while those of competition were contact related (p < 0.001). In conclusion, overuse injuries such as muscle strains/spasms and inflammatory conditions were prevalent in practice, whereas acute injuries like sprains and contusions occurred in competitions. These findings demonstrated that injury characteristics of Korean Basketball League players varied by season and event type, which emphasized the significance of season- and event-specific injury prevention programs.

Basketball; Injury; Practice; Competition; Injury rate ratio

[1] Lian J, Sewani F, Dayan I, Voleti PB, Gonzalez D, Levy IM, et al. Systematic review of injuries in the men’s and women’s national basketball association. The American Journal of Sports Medicine. 2022; 50: 1416–1429.

[2] Mihata LCS, Beutler AI, Boden BP. Comparing the incidence of anterior cruciate ligament injury in collegiate lacrosse, soccer, and basketball players. The American Journal of Sports Medicine. 2006; 34: 899–904.

[3] Achenbach L, Klein C, Luig P, Bloch H, Schneider D, Fehske K. Collision with opponents—but not foul play—dominates injury mechanism in professional men’s basketball. BMC Sports Science, Medicine and Rehabilitation. 2021; 13: 94.

[4] Morris SN, Chandran A, Lempke LB, Boltz AJ, Robison HJ, Collins CL. Epidemiology of injuries in national collegiate athletic association men’s basketball: 2014–2015 through 2018–2019. Journal of Athletic Training. 2021; 56: 681–687.

[5] Clifton DR, Onate JA, Hertel J, Pierpoint LA, Currie DW, Wasserman EB, et al. The first decade of web-based sports injury surveillance: descriptive epidemiology of injuries in us high school boys’ basketball (2005–2006 through 2013–2014) and national collegiate athletic association men’s basketball (2004–2005 through 2013–2014). Journal of Athletic Training. 2018; 53: 1025–1036.

[6] Sekine Y, Kamada K, Koyama T, Hoshikawa S, Uchino S, Komatsu T. Descriptive epidemiology of injuries in Japanese collegiate men’s basketball: 2013/2014 to 2019/2020. Injury Epidemiology. 2022; 9: 4–13.

[7] Louder T, Thompson BJ, Woster A, Bressel E. Kinetics of depth jumps performed by female and male national collegiate athletics association basketball athletes and young adults. Journal of Functional Morphology and Kinesiology. 2023; 8: 108–123.

[8] Kerr ZY, Marshall SW, Dompier TP, Corlette J, Klossner DA, Gilchrist J. College sports-related injuries—United States, 2009–10 through 2013–14 academic years. MMWR. Morbidity and Mortality Weekly Report. 2015; 64: 1330–1336.

[9] Drakos MC, Domb B, Starkey C, Callahan L, Allen AA. Injury in the national basketball association. Sports Health. 2010; 2: 284–290.

[10] Lee S, Oh T, Lim CH. The impact of environmental barriers on attendance of outdoor and indoor professional sports: the case of the South Korean soccer, baseball and basketball leagues. Sport, Business and Management. 2022; 12: 496–516.

[11] Joo HH, Oh T. Foreign players, competitive balance, and fan demand in the Korean basketball league. In Lee YH, Fort R (eds.) The sports business in the pacific rim. Sports economics, management and policy (pp. 43–57). 10th edn. Springer: Cham. 2015.

[12] Zeblisky P, Collins AP, Cassinat J, Riemenschneider J, Ebaugh P, Shaath MK, et al. Is video-based analysis a valid method for determining mechanisms of ankle injuries during gameplay in the national basketball association? Orthopaedic Journal of Sports Medicine. 2022; 10: 23259671221123027.

[13] Song M, Choi S. Descriptive epidemiology of injuries in professional basketball players during the 2020–2021 Korean basketball league season. The Korean Journal of Sports Medicine. 2022; 40: 94–101.

[14] Mack CD, Meisel P, Herzog MM, Callahan L, Oakkar EE, Walden T, et al. The establishment and refinement of the national basketball association player injury and illness database. Journal of Athletic Training. 2019; 54: 466–471.

[15] Ekegren CL, Gabbe BJ, Finch CF. Sports injury surveillance systems: a review of methods and data quality. Sports Medicine. 2016; 46: 49–65.

[16] Song M, Choi S, Choi H, Kim Y, Lee S, Kang H. Analysis of the Injuries of Korean Professional Basketball Players during the 2019–2020 Regular Season. The Korean Journal of Sports Medicine. 2020; 38: 182–189.

[17] Chandran A, Morris SN, Wasserman EB, Boltz AJ, Collins CL. Methods of the national collegiate athletic association injury surveillance program, 2014–2015 through 2018–2019. Journal of Athletic Training. 2021; 56: 616–621.

[18] Zuckerman SL, Wegner AM, Roos KG, Djoko A, Dompier TP, Kerr ZY. Injuries sustained in national collegiate athletic association men’s and women’s basketball, 2009/2010–2014/2015. British Journal of Sports Medicine. 2018; 52: 261–268.

[19] Kay MC, Register-Mihalik JK, Gray AD, Djoko A, Dompier TP, Kerr ZY. The epidemiology of severe injuries sustained by national collegiate athletic association student-athletes, 2009–2010 through 2014–2015. Journal of Athletic Training. 2017; 52: 117–128.

[20] Camp CL, Dines JS, van der List JP, Conte S, Conway J, Altchek DW, et al Summative report on time out of play for major and minor league baseball: an analysis of 49,955 injuries from 2011 through 2016. The American Journal of Sports Medicine. 2018; 46: 1727–1732.

[21] Okoroha KR, Conte S, Makhni EC, Lizzio VA, Camp CL, Li B, et al. Hamstring injury trends in major and minor league baseball: epidemiological findings from the major league baseball health and injury tracking system. Orthopaedic Journal of Sports Medicine. 2019; 7: 2325967119861064.

[22] Morikawa LH, Tummala SV, Brinkman JC, Buckner Petty SA, Chhabra A. Effect of a condensed NBA season on injury risk: an analysis of the 2020 season and player safety. Orthopaedic Journal of Sports Medicine. 2022; 10: 23259671221121116.

[23] Starkey C. Injuries and illnesses in the national basketball association: a 10-year perspective. Journal of Athletic Training. 2000; 35: 161–167.

[24] Dick R, Hertel J, Agel J, Grossman J, Marshall SW. Descriptive epidemiology of collegiate men’s basketball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. Journal of Athletic Training. 2007; 42: 194–201.

[25] Chan JJ, Geller JS, Chen KK, Huang HH, Huntley SR, Vulcano E, et al. Epidemiology of severe foot injuries in US collegiate athletes. Orthopaedic Journal of Sports Medicine. 2021; 9: 23259671211001131.

[26] Tummala SV, Morikawa L, Brinkman JC, Crijns TJ, Vij N, Gill V, et al. Characterization of ankle injuries and associated risk factors in the national basketball association: minutes per game and usage rate associated with time loss. Orthopaedic Journal of Sports Medicine. 2023; 11: 23259671231184459.