Comprehensive Injury Prevention Strategies in Gymnastics: A Systematic Review of Biomechanical and Training-Related Risk Factors

Authors

DOI:

https://doi.org/10.53905/inspiree.v6i02.148

Keywords:

Gymnastics, injury prevention, biomechanical risk factors, sports safety, training load, athlete protection

Abstract

The  purpose  of  the study. To comprehensively analyze gymnastics injury prevention research, evaluate existing safety protocols, and identify best practices for reducing injury risks in middle school and competitive gymnastics programs through a systematic review of recent literature.

Materials and methods. A systematic literature review was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) methodology. The study examined peer-reviewed articles published between 2012 and 2024, focusing on human participants and injury prevention in gymnastics. A comprehensive electronic search was performed across multiple academic databases, utilizing search terms including "gymnastics injury prevention," "gymnastics safety," and "biomechanical risk factors." The research employed thematic analysis and qualitative comparative techniques to synthesize findings from 19 selected studies.

Results. The review revealed alarming injury statistics, with 91.4% of gymnasts experiencing at least one injury per season and 480.7 musculoskeletal injuries per 100,000 person-years. Key findings highlighted the complex interplay of factors contributing to gymnastics injuries. These included specific biomechanical techniques affecting joint loading, correlation between training load and injury risk, impact of age and physical attributes on injury susceptibility, and significant variations in injury rates between national and non-national team gymnasts.

Conclusions. The systematic review underscores the critical need for comprehensive, holistic approaches to gymnastics safety. Recommendations include developing standardized injury prevention protocols, implementing regular biomechanical assessments, enhancing coach education, and creating individualized training strategies that consider athletes' unique physiological characteristics and technical capabilities.

Author Biographies

  • Hafiz Yazid Lubis, Sekolah Tinggi Olahraga dan Kesehatan Bina Guna

    Affiliation: Sekolah Tinggi Olahraga dan Kesehatan Bina Guna, Indonesia

    Address: Alumunium Raya Street No.77, Medan City, North Sumatera, Indonesia.

    Disciplines: Physical Education and Gymnastics Science

    Skills And Expertise: Physical Education

    Authors’ Contribution: abcde

    Contact e-Mail: yazid.fiz@gmail.com

     

  • Patsy Corwin , Anchorage Gymnastics Association

    Affiliation: Anchorage Gymnastics Association

    Address: 525 W Potter Dr, Anchorage, AK 99518, United States.

    Disciplines: Sport Education

    Skills And Expertise: Sport Education

    Authors’ Contribution: abc

    Contact e-Mail: patsy9dircorwin@outlook.com

     

  • Masoud Kharatzadeh, Islamic Azad University

    Affiliation: PhD Student at Islamic Azad University, Iran

    Address: Fereshtegaan International Branch, No 1, Iran Zamin Blvd, Khovardin St, Sanaat square, Shahrake-e-Gharb, Tehran, Iran.

    Disciplines: Sport Science Analysis

    Skills And Expertise: Small-sided games, High-Intensity interval training, training load, Monitoring, Performance

    Authors’ Contribution: cd

    Contact e-Mail: masoud.kharatzadeh@gmail.com

     

  • Phoebe Kessler , Goethe University Frankfurt

    Affiliation: Goethe University Frankfurt, Germany.

    Address: Theodor-W.-Adorno-Platz 1, 60629 Frankfurt am Main, Germany.

    Disciplines: Sport Science

    Contact e-Mail: Skills And Expertise: Sport Science

    Authors’ Contribution: ad

    Contact e-Mail: phoebevwake@outlook.com

     

References

Albright, J. A., Meghani, O., Lemme, N. J., Owens, B. D., & Tabaddor, R. R. (2022). Characterization of musculoskeletal injuries in gymnastics participants from 2013 to 2020. Sports Health: A Multidisciplinary Approach, 15(3), 443-451. https://doi.org/10.1177/19417381221099005

Annals of the Rheumatic Diseases. (2024). In Annals of the Rheumatic Diseases. BMJ. https://doi.org/10.1136/annrheumdis

Armstrong, R. and Relph, N. (2021). Screening tools as a predictor of injury in gymnastics: systematic literature review. Sports Medicine - Open, 7(1). https://doi.org/10.1186/s40798-021-00361-3

Azari, A., & Zulkifli, N. (2020). Kemampuan Gerakan Radslag Melalui Metode Bagian Dalam Meningkatkan Hasil Belajar Senam. INSPIREE Indonesian Sport Innovation Review, 1(1), 45–56. https://doi.org/10.53905/inspiree.v1i1.7

Bradshaw, E. and Hume, P. A. (2012). Biomechanical approaches to identify and quantify injury mechanisms and risk factors in women's artistic gymnastics. Sports Biomechanics, 11(3), 324-341. https://doi.org/10.1080/14763141.2011.650186

Caine, D., & Nassar, L. (2005). Gymnastics Injuries [Review of Gymnastics Injuries]. Medicine and Sport Science/Medicine and Sport, 18. Karger Publishers. https://doi.org/10.1159/000084282

Caine, D., Cochrane, B. B., Caine, C., & Zemper, E. D. (1989). An epidemiologic investigation of injuries affecting young competitive female gymnasts [Review of An epidemiologic investigation of injuries affecting young competitive female gymnasts]. The American Journal of Sports Medicine, 17(6), 811. SAGE Publishing. https://doi.org/10.1177/036354658901700616

Campbell, R., Bradshaw, E., Ball, N., Pease, D. L., & Spratford, W. (2019). Injury epidemiology and risk factors in competitive artistic gymnasts: a systematic review [Review of Injury epidemiology and risk factors in competitive artistic gymnasts: a systematic review]. British Journal of Sports Medicine, 53(17), 1056. BMJ. https://doi.org/10.1136/bjsports-2018-099547

Camuncoli, F., Barni, L., Nutarelli, S., Rocchi, J. E., Barcillesi, M., Dio, I. D., Sambruni, A., & Galli, M. (2022). Validity of the Baiobit Inertial Measurements Unit for the Assessment of Vertical Double- and Single-Leg Countermovement Jumps in Athletes. In International Journal of Environmental Research and Public Health (Vol. 19, Issue 22, p. 14720). Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/ijerph192214720

Casis, L., & Martnez, M. (2012). Intervention Strategies in the Prevention of Sports Injuries From Physical Activity. In InTech eBooks. https://doi.org/10.5772/25804

Chandra, D. T., Syamsulrizal, S., Razali, R., & Iqbal, M. (2021). Meningkatkan Hasil Belajar Guling Depan Pada Pembelajaran Senam Lantai Melalui Model Permainan. INSPIREE Indonesian Sport Innovation Review, 2(3), 194–203. https://doi.org/10.53905/inspiree.v2i3.50

Charpy, S., Billard, P., Dandrieux, P., Chapon, J., & Édouard, P. (2023). Epidemiology of injuries in elite women's artistic gymnastics: A retrospective analysis of six seasons. BMJ Open Sport & Exercise Medicine, 9(4), e001721. https://doi.org/10.1136/bmjsem-2023-001721

Claussen, M. C., Currie, A., Koh, E. B. Y., Nishida, M., Martínez, V., Burger, J. W., Creado, S., Schorb, A., Nicola, R. F., Pattojoshi, A., Menon, R., Glick, I. D., Whitehead, J., Edwards, C., & Baron, D. (2024). First international consensus statement on sports psychiatry. In Scandinavian Journal of Medicine and Science in Sports (Vol. 34, Issue 4). Wiley. https://doi.org/10.1111/sms.14627

Cui, Z. (2023). Analysis of the articular load on the lower limbs during backflip. Revista Brasileira De Medicina Do Esporte, 29. https://doi.org/10.1590/1517-8692202329012022_0464

Édouard, P., Steffen, K., Junge, A., Léglise, M., Soligard, T., & Engebretsen, L. (2017). Gymnastics injury incidence during the 2008, 2012 and 2016 olympic games: analysis of prospectively collected surveillance data from 963 registered gymnasts during olympic games. British Journal of Sports Medicine, 52(7), 475-481. https://doi.org/10.1136/bjsports-2017-097972

Emery, C. A. (2024). Risk Factors for Injury in Child and Adolescent Sport. https://journals.lww.com/cjsportsmed/abstract/2003/07000/risk_factors_for_injury_in_child_and_adolescent.11.aspx

Emery, C. A., & Pasanen, K. (2019). Current trends in sport injury prevention [Review of Current trends in sport injury prevention]. Best Practice & Research Clinical Rheumatology, 33(1), 3. Elsevier BV. https://doi.org/10.1016/j.berh.2019.02.009

Farana, R., Exell, T., Strutzenberger, G., & Irwin, G. (2018). Technique selection in young female gymnasts: elbow and wrist joint loading during the cartwheel and round‐off. European Journal of Sport Science, 18(3), 423-430. https://doi.org/10.1080/17461391.2018.1424941

Farana, R., Jandačka, D., Uchytil, J., Zahradník, D., & Irwin, G. (2016). The influence of hand positions on biomechanical injury risk factors at the wrist joint during the round-off skills in female gymnastics. Journal of Sports Sciences, 35(2), 124-129. https://doi.org/10.1080/02640414.2016.1158414

Farì, G., Fischetti, F., Zonno, A., Marra, F., Maglie, A., Bianchi, F. P., … & Megna, M. (2021). Musculoskeletal pain in gymnasts: a retrospective analysis on a cohort of professional athletes. International Journal of Environmental Research and Public Health, 18(10), 5460. https://doi.org/10.3390/ijerph18105460

Ferber, A., Howell, D. R., Seehusen, C. N., Tilley, D., Casey, E., & Sweeney, E. A. (2021). Intersection of surgical injuries and pain interference among former female collegiate gymnasts. PM&R, 14(5), 569-574. https://doi.org/10.1002/pmrj.12703

Ghezelbash, F., Eskandari, A. H., Robert‐Lachaine, X., Cao, S., Pesteie, M., Qiao, Z., Shirazi‐Adl, A., & Larivière, C. (2024). Machine learning applications in spine biomechanics. In Journal of Biomechanics (Vol. 166, p. 111967). Elsevier BV. https://doi.org/10.1016/j.jbiomech.2024.111967

Goulart, N. B. A., Lunardi, M., WALTRICK, J. F., Link, A., Garcias, L., Melo, M. d. O., … & Vaz, M. A. (2016). Injuries prevalence in elite male artistic gymnasts. Revista Brasileira De Educação Física E Esporte, 30(1), 79-85. https://doi.org/10.1590/1807-55092016000100079

Grapton, X., Lion, A., Gauchard, G. C., Barrault, D., & Perrin, P. (2012). Specific injuries induced by the practice of trampoline, tumbling and acrobatic gymnastics. Knee Surgery, Sports Traumatology, Arthroscopy, 21(2), 494-499. https://doi.org/10.1007/s00167-012-1982-x

Greier, K., Drenowatz, C., & Mairoser, J. (2022). Injuries in competitive austrian gymnasts. European Journal of Sport Sciences, 1(2), 10-15. https://doi.org/10.24018/ejsport.2022.1.2.10

Griffiths, D., Hargrove, R., & Clasper, J. (2006). Role of Gymnastics in the Army School of Physical Training. In Annals of The Royal College of Surgeons of England (Vol. 88, Issue 5, p. 459). Royal College of Surgeons of England. https://doi.org/10.1308/003588406x114721

Guedes, D. P., Yamaji, B. H. S., & Bessone, D. (2023). Prevalence of injuries and training correlates in brazilian young rhythmic gymnastics athletes. Human Movement, 24(4), 90-97. https://doi.org/10.5114/hm.2023.133922

Haddaway, N. R., Page, M. J., Pritchard, C. C., & McGuinness, L. A. (2022). PRISMA2020: An R package and Shiny app for producing PRISMA 2020-compliant flow diagrams, with interactivity for optimised digital transparency and Open Synthesis Campbell Systematic Reviews, 18, e1230. https://doi.org/10.1002/cl2.1230

Howe, L. P., Waldron, M., & Read, P. (2024). A Systems-Based Approach to Injury Prevention. https://journals.lww.com/nsca-scj/fulltext/2017/12000/a_systems_based_approach_to_injury_prevention_for.6.aspx

Hübscher, M., Zech, A., Pfeifer, K., Hänsel, F., Vogt, L., & Banzer, W. (2010). Neuromuscular Training for Sports Injury Prevention [Review of Neuromuscular Training for Sports Injury Prevention]. Medicine & Science in Sports & Exercise, 42(3), 413. Lippincott Williams & Wilkins. https://doi.org/10.1249/mss.0b013e3181b88d37

Jakše, B., Jakše, B., Čuk, I., & Šajber, D. (2021). Body composition, training volume/pattern and injury status of slovenian adolescent female high-performance gymnasts. International Journal of Environmental Research and Public Health, 18(4), 2019. https://doi.org/10.3390/ijerph18042019

Jones, C. M., Griffiths, P. C., & Mellalieu, S. D. (2016). Training Load and Fatigue Marker Associations with Injury and Illness: A Systematic Review of Longitudinal Studies [Review of Training Load and Fatigue Marker Associations with Injury and Illness: A Systematic Review of Longitudinal Studies]. Sports Medicine, 47(5), 943. Springer Science+Business Media. https://doi.org/10.1007/s40279-016-0619-5

Kalkhoven, J. T. (2024). Athletic Injury Research: Frameworks, Models and the Need for Causal Knowledge. In Sports Medicine (Vol. 54, Issue 5, p. 1121). Springer Science+Business Media. https://doi.org/10.1007/s40279-024-02008-1

Leite, I., Fonseca, P., Ávila-Carvalho, L., Vilas‐Boas, J. P., Goethel, M. F., Mochizuki, L., & Conceiç�ão, F. (2023). Biomechanical Research Methods Used in Acrobatic Gymnastics: A Systematic Review [Review of Biomechanical Research Methods Used in Acrobatic Gymnastics: A Systematic Review]. Biomechanics, 3(1), 52. https://doi.org/10.3390/biomechanics3010005

Ling, D., Sleeper, M. D., & Casey, E. (2019). Identification of risk factors for injury in women's collegiate gymnastics with the gymnastics functional measurement tool. PM&R, 12(1), 43-48. https://doi.org/10.1002/pmrj.12184

Martínez, P. T. and Grande, I. (2021). Analysis and comparison of training load between two groups of women’s artistic gymnasts related to the perception of effort and the rating of the perceived effort session. Science of Gymnastics Journal, 13(1), 19-33. https://doi.org/10.52165/sgj.13.1.19-33

Patel, T. S., McGregor, A., Fawcett, L., Bekker, S., Williams, S., Williams, K., & Cumming, S. P. (2020). Coach awareness, knowledge and practice in relation to growth and maturation and training load in competitive, young gymnasts. In International Journal of Sports Science & Coaching (Vol. 16, Issue 3, p. 528). SAGE Publishing. https://doi.org/10.1177/1747954120978486

Saluan, P., Styron, J. F., Ackley, J. F., Prinzbach, A., & Billow, D. (2015). Injury types and incidence rates in precollegiate female gymnasts. Orthopaedic Journal of Sports Medicine, 3(4). https://doi.org/10.1177/2325967115577596

Serafim, T. T., Oliveira, E. S. de, Maffulli, N., Migliorini, F., & Okubo, R. (2023). Which resistance training is safest to practice? A systematic review [Review of Which resistance training is safest to practice? A systematic review]. Journal of Orthopaedic Surgery and Research, 18(1). BioMed Central. https://doi.org/10.1186/s13018-023-03781-x

The Physiological Demands of Youth Artistic Gymnastics. (2024). https://journals.lww.com/nsca-scj/fulltext/2019/02000/the_physiological_demands_of_youth_artistic.1.aspx

Tisano, B., Zynda, A. J., Ellis, H. B., & Wilson, P. L. (2022). Epidemiology of Pediatric Gymnastics Injuries Reported in US Emergency Departments: Sex- and Age-Based Injury Patterns. In Orthopaedic Journal of Sports Medicine (Vol. 10, Issue 6). SAGE Publishing. https://doi.org/10.1177/23259671221102478

Westermann, R. W., Giblin, M., Vaske, A., Grosso, K., & Wolf, B. R. (2023). Evaluation of Men’s and Women’s Gymnastics Injuries: A 10-Year Observational Study. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332645/?report=reader

Williams, E. J., Lloyd, R. S., Moeskops, S., & Pedley, J. S. (2023). Injury Pathology in Young Gymnasts: A Retrospective Analysis. In Children (Vol. 10, Issue 2, p. 303). Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/children10020303

Downloads

Published

2025-05-27

Issue

Section

Review Articles

Categories

How to Cite

Lubis, H. Y., Corwin , P., Kharatzadeh, M., & Kessler , P. (2025). Comprehensive Injury Prevention Strategies in Gymnastics: A Systematic Review of Biomechanical and Training-Related Risk Factors. INSPIREE: Indonesian Sport Innovation Review, 6(02), 106-116. https://doi.org/10.53905/inspiree.v6i02.148

Similar Articles

41-50 of 80

You may also start an advanced similarity search for this article.