{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T22:58:19Z","timestamp":1781305099718,"version":"3.54.1"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Sports Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Equestrian sport is a major component of German athletics, with broad\n                    recreational participation and a strong competitive sector. In 2019, about 2.32\n                    million people identified as active riders, and more than 60,000 competitional\n                    licences were issued in 2021, reflecting substantial competitive engagement\n                    across the Olympic disciplines and national performance levels. Hip pain is a\n                    frequent and clinically relevant complaint among athletes and can stem from\n                    structural, degenerative, or overuse-related causes. In riding, the hip joint is\n                    crucial for transmitting forces and coordinating rider\u2013horse interaction. Fine\n                    adjustments in tension and release at the hip allow riders to follow and\n                    influence the horse\u2019s movement; pain can therefore disrupt key control\n                    mechanisms. Studies consistently show a notable burden of musculoskeletal\n                    symptoms among equestrians. Hip pain affects 8\u201319% of riders and is associated\n                    with impaired pelvic stability, reduced lower limb control, and performance\n                    limitations. Chronic symptoms frequently relate to previous injuries, and older\n                    riders report persistent discomfort, likely due to cumulative mechanical\n                    loading. This study aims to determine the prevalence and characteristics of hip\n                    problems in competitive German equestrians and identify relevant risk and\n                    protective factors.<\/jats:p>","DOI":"10.1055\/a-2884-0228","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T22:52:52Z","timestamp":1781304772000},"source":"Crossref","is-referenced-by-count":0,"title":["Musculoskeletal Burden in German Equestrians: Hip-Specific Symptoms\n                    and Risk Factors"],"prefix":"10.1055","clinical-trial-number":[{"clinical-trial-number":"drks00025825","registry":"10.18810\/drks"}],"author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9886-6475","authenticated-orcid":false,"given":"Carla","family":"Ramsauer","sequence":"additional","affiliation":[{"name":"Leipzig University, Germany","place":["Leipzig"],"department":["Department of Orthopaedic, Trauma and Plastic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Hepp","sequence":"additional","affiliation":[{"name":"Leipzig University, Germany","place":["Leipzig"],"department":["Department of Orthopaedic, Trauma and Plastic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Dirk","family":"Theopold","sequence":"additional","affiliation":[{"name":"Leipzig University, Germany","place":["Leipzig"],"department":["Department of Orthopaedic, Trauma and Plastic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adreas","family":"K\u00fchnapfel","sequence":"additional","affiliation":[{"name":"Leipzig University, SN, Germany","place":["Leipzig"],"department":["Institute for Medical Informatics, Statistics and Epidemiology\n                    (IMISE)"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf","family":"Henkelmann","sequence":"additional","affiliation":[{"name":"Leipzig University, Germany","place":["Leipzig"],"department":["Department of Orthopaedic, Trauma and Plastic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"issue":"11","key":"ref3","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1136\/bjsports-2019-101453","article-title":"Consensus recommendations on the classification, definition and diagnostic\n                    criteria of hip-related pain in young and middle-aged active adults from the\n                    International Hip-related Pain Research Network, Zurich 2018","volume":"54","author":"M P Reiman","year":"2020","journal-title":"Br J Sports Med"},{"issue":"01","key":"ref4","doi-asserted-by":"publisher","first-page":"53","DOI":"10.3920\/CEP12003","article-title":"A systematic review of physical fitness, physiological demands and biomechanical\n                    performance in equestrian athletes","volume":"8","author":"J-L 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