Hp. Raty et al., LIFETIME MUSCULOSKELETAL SYMPTOMS AND INJURIES AMONG FORMER ELITE MALE-ATHLETES, International journal of sports medicine, 18(8), 1997, pp. 625-632
We studied the lifetime occurrence of musculoskeletal symptoms in form
er elite male athletes: 29 weight-lifters, 31 soccer players, 28 long-
distance runners, and 29 shooters, 45-68 years of age. The proportion
of subjects with monthly back pain during the past year was smaller am
ong runners than among the other athletes, although not statistically
significant. Monthly back pain was more common in weight-lifters with
lifetime training hours above the median as compared with those below
the median. The average intensity of the worst back pain during the pa
st year was clearly higher in weight-lifters and soccer players, than
in runners and shooters. Knee pain at least once a month during the pa
st year was reported by 52% (CI 33-70%) of the soccer players, 31% (CI
15-51%) of the weight lifters, 21% (CI 8-41%) of the runners, and 17%
(CI 6-36%) of the shooters (p=0.019). Soccer players had the highest
number of sports-related knee injuries (p<0.0001). Past knee injuries
were associated with knee pain in later adulthood (p=0.048). More runn
ers reported having had hip pain episodes during their lifetime than o
ther athletes, but no differences were found in the occurrence of hip
pain during the past year. In conclusion, compared with shooters, athl
etes formerly exposed to heavy exercise did not report more frequent b
ack pain during the past year, whereas a high intensity of back pain w
as typical of soccer players and weight-lifters. A predisposition to k
nee injuries in soccer players appears to increase the risk of future
knee pain. Similarly, knee pain later in life seems to be more common
in weight-lifters than in runners and shooters. Long-distance runners,
on the other hand, are prone to an increased lifetime risk of hip pai
n.