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AbstractBackground The knowledge on Women Artistic Gymnastics (WAG) injuries mainly comes from studies performed in National College Athletics Association (NCAA) gymnastics. This practice differs compared to high-level/national-level gymnasts who are often younger and train more than NCAA gymnasts but have less competitions during the season and different sporting and governing bodies organization. Objective 1) to determine the one-year prevalence of injuries and their characteristics and 2) to analyze potential injury risk factors in elite (high-level/national-level) women artistic gymnasts.Design Cross-sectional study.Setting One-time online survey.Participants 88 Elite women artistic gymnasts from national training center and TOP 12 club in FranceMain outcomes measures self-reported injuries and potential injury risk factors (e.g., previous injuries, diseases, weight modification) during the 2020/2021 season.Results A total of 88 gymnasts between 9 and 23 years old, who trained in average 22.0±6.2 hours per week answered the questionnaire. A total of 95 injuries were reported from 62 (70.5%) of the 88 gymnasts. The one-year injury prevalence was 70.5% (95% CI 60.9 to 80.0%). Gymnasts had an average of 1.1 ± 1.0 injuries per year. The most common reported injury location was the knee (25.3%) and the most common reported injury type was the ligament (26.3%). Having an injury during the previous season (OR=9.06; CI 95% 2.66 to 36.73; p=0.0007) and using a prevention program (OR=3.97; CI 95% 1.46 to 11.15; p=0.007) were associated with a higher risk if injury in the multivariate analysis.Conclusions More than 70% of French high-level/national-level gymnasts had at least one injury during the 2020/2021 season. Improving injury prevention strategies appear fundamental to counter this high injury risk and their potential consequences.
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