Injury risk and injury incidence rates in CrossFit

J Sports Med Phys Fitness. 2020 Jul;60(7):1005-1013. doi: 10.23736/S0022-4707.20.10615-7. Epub 2020 Apr 27.

Abstract

Introduction: Despite completing complex movements under cardiovascular and muscular fatigued conditions, CrossFit suggested safety of participants is one of the most important factors to consider. Therefore, the aim of this brief review was to provide an overview of the injury incidence and incidence rates reported in the current literature as well as to assess the injury risks associated with CrossFit.

Evidence acquisition: Research papers were searched using the following databases: Scopus, SPORTDiscus, Web of Science, PubMed, and MEDLINE. The search identified 718 potential articles across all databases. After the application of inclusion criteria, a total of 14 articles were included in this review.

Evidence synthesis: The shoulder, spine, and knee are the most commonly injured areas in CrossFit. Injury incidence of each study ranges from 12.8-73.5% and reported injury rates ranging from 0.27-3.3/1000 training hours.

Conclusions: Reported findings in the current literature would suggest CrossFit has a relatively low injury risk. The current review highlights three important factors associated with injury incidence and incidence rates in CrossFit: 1) training frequency; 2) duration of CrossFit experience; 3) individuals that compete in CrossFit competitions. Due to recall bias and selection bias further research is warranted over a longitudinal prospective study. Additionally, further research is needed to investigate mechanisms of injury and the relationship between training load and injury risk in CrossFit.

Publication types

  • Review

MeSH terms

  • Athletic Injuries / epidemiology*
  • Competitive Behavior / physiology
  • Humans
  • Incidence
  • Knee Injuries / epidemiology
  • Physical Conditioning, Human / adverse effects*
  • Physical Conditioning, Human / methods*
  • Risk Factors
  • Shoulder Injuries / epidemiology
  • Spinal Injuries / epidemiology