Impact of the COVID-19 Pandemic on Injury Incidence in Japanese Male Professional Soccer Players

Ryo Matsunaga; Masashi Nagao; Ryuichiro Akagi; Atsushi Fukai; Takashi Sando; Hiroshi Ikeda; Shuji Taketomi

doi:10.1177/23259671221149373

Impact of the COVID-19 Pandemic on Injury Incidence in Japanese Male Professional Soccer Players

Orthop J Sports Med. 2023 Feb 24;11(2):23259671221149373. doi: 10.1177/23259671221149373. eCollection 2023 Feb.

Authors

Ryo Matsunaga¹, Masashi Nagao², Ryuichiro Akagi², Atsushi Fukai³, Takashi Sando¹, Hiroshi Ikeda⁴, Shuji Taketomi^{2

4}

Affiliations

¹ Kashima Antlers Football Club, Ibaraki, Japan.
² Surveillance Subcommittee, Medical Committee, Japan Football Association, Tokyo, Japan.
³ Faculty of Medical Technology, Teikyo University, Tokyo, Japan.
⁴ Medical Committee, Japan Football Association, Tokyo, Japan.

Abstract

Background: The outbreak of the 2019 novel coronavirus disease (COVID-19) led to an enforced quarantine period and limited training and match activities for athletes.

Purpose: To report the influence of the COVID-19 pandemic on the occurrence of injury in Japanese male professional soccer players.

Study design: Descriptive epidemiology study.

Methods: In total, 21 clubs in the 2019 season and 28 clubs in the 2020 season from the Japan Professional Football League were prospectively followed, and 16 clubs in 2019 and 24 clubs in 2020 were analyzed in this study. Individual training, match exposure, and time-loss injuries were recorded using an electronic data capture system. The influence of COVID-19-related suspension during the 2020 season was retrospectively investigated via comparisons with the 2019 season.

Results: Total activity time included 114,001 hours in training and 16,339 hours in matches in 2019 and 170,798 hours in training and 25,411 hours in matches in 2020. The mean training interruption period caused by COVID-19 in 2020 was 39.9 days (range, 3-65 days), and the mean game-interruption period was 70.1 days (range, 58-79 days). The total number of injuries was 1495 in 2019 and 1701 in 2020. The overall injury incidence per 1000 hours of exposure was 5.7 in 2019 and 5.8 in 2020. The overall injury burden per 1000 hours of exposure was 155.5 days in 2019 and 130.2 days in 2020. The muscle injury incidence was highest in May 2020, immediately after the suspension period.

Conclusion: The overall injury incidence did not differ between 2019 and 2020. However, muscle injury incidence notably increased in the 2 months after the COVID-19 pandemic suspension period.

Keywords: COVID-19; Japan Professional Football League (J-League); injury incidence; muscle injury.