Context: Taekwondo epidemiology studies have been in short supply since the rule changes introduced by World Taekwondo in 2017. Objective: To describe injury and illness patterns at the 2017 World Taekwondo Championships (WTC) in Muju, South Korea, after the implementation of the web-based surveillance system by World Taekwondo. Design: Prospective cohort study. Setting: All injuries and illnesses were recorded during the 2017 WTC using a web-based system developed by the International Olympic Committee. Patients or Other Participants: A total of 971 athletes who participated in the 2017 WTC. Main Outcome Measure(s): Profiles and mechanisms of injury and illness in the 2017 WTC. Results: We analyzed a total of 131 injuries and 26 illnesses, corresponding to an overall clinical incidence of 13.5 (95% CI = 11.2, 15.8) injuries and 2.7 (95% CI = 1.6 3.7) illnesses per 100 athletes and an overall incidence rate of 19.3 (95% CI = 16.0, 22.6) injuries and 3.8 (95% CI = 2.4, 5.3) illnesses per 1000 athlete-days. Most injuries occurred in the lower extremities (n = 61, 46.6%), and knee injuries were most frequent (n = 26, 19.8%). Among head and trunk injuries (n = 39, 29.8%), face injuries (n = 32, 24.4%) were most common, whereas among upper extremity injuries (n = 31, 23.7%), finger injuries (n = 8, 6.1%) were seen most often. Contusions (n = 44, 33.6%) were the most frequent injury type, followed by fractures and ligamentous ruptures or sprains. The most common injury mechanism was contact with another athlete (n = 97, 74.0%), whereas the least common was concussion (n = 5). The major affected system was the respiratory system (n = 11, 42.3%), with major symptoms being pain (n = 11, 42.3%) and fever (n = 7, 26.9%). Environmental factors were the most typical cause of illness (n = 15, 57.7%). Conclusions: The web-based surveillance system used at the 2017 WTC revealed that 13.5 per 100 athletes (77.8/1000 athlete-exposures, 13.9/1000 minute-exposures) had new or recurrent injuries, whereas 2.7 per 100 athletes became ill.
Bibliographical noteFunding Information:
This study was conducted in cooperation with the World Taekwondo Medical & Anti-Doping Committee, which is part of the World Taekwondo Sports and Event Management Department and IOC Research Centre Korea (Yonsei Institute of Sports Science and Exercise Medicine); the latter is dedicated to preventing injury to and protecting athletes. We acknowledge all athletes at the 2017 WTC who participated in this study. We deeply appreciate the cooperation of all team physicians and the Yonsei Institution of Sports Science and Exercise Medicine and Muju Taekwondo Committee medical staff who volunteered their time to collect the data for this project. We would like to thank World Taekwondo for all practical support. This work was supported by the Yonsei University Research Grant of 2020.
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All Science Journal Classification (ASJC) codes
- Orthopedics and Sports Medicine
- Physical Therapy, Sports Therapy and Rehabilitation