{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:55:40Z","timestamp":1792072540444,"version":"4.4.0"},"reference-count":71,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T00:00:00Z","timestamp":1693353600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"\nBackground<\/jats:title>\nMountain biking and hiking continue to grow in popularity. With new participants to these sports, it is likely the number of injuries will increase. To assist medical personnel in the management of these patients we attempted to quantify the types and locations of injuries sustained by mountain bikers and hikers. Objective The objective of this systematic review is to identify the type and anatomical location of injuries for both mountain bikers and hikers.<\/jats:p>\n<\/jats:sec>\n\nMethods<\/jats:title>\nA systematic search was undertaken using CINAHL, Cochrane, ProQuest, PubMed and Scopus databases. Reviewers assessed the eligibility of articles by a title\/abstract review and final full-text review. Studies were included if the types of injuries were reported by medical personnel and contained anatomical locations. Studies were excluded if it did not take place on a trail or if the injuries were self-reported. Risk of bias was assessed utilising the Joanna Briggs Institute (JBI) checklists for study quality. No meta-analysis or comparison between mountain bikers and hikers was possible due to the high heterogeneity of the definition of injury.<\/jats:p>\n<\/jats:sec>\n\nResults<\/jats:title>\nA total of 24 studies met the inclusion criteria, 17 covering mountain biking and 7 hiking. This represented 220,935 injured mountain bikers and 17,757 injured hikers. The most common type of injuries sustained by mountain bikers included contusions, abrasions and minor lacerations, which made up between 45\u201374% of reported injuries in studies on competitive racing and 8\u201367% in non-competitive studies. Fractures represented between 1.5\u201343% of all reported injuries. The most injured region was the upper limbs reported in 10 of 17 studies. For hikers the most common injuries included blisters and ankle sprains with blisters representing 8\u201333% of all reported injuries. The most common body location to be injured by hikers was a lower limb in all 7 studies.<\/jats:p>\n<\/jats:sec>\n\nConclusions<\/jats:title>\nThis is the first systematic review to report on the injury epidemiology of the two most common trail users; mountain bikers and hikers. For participants in both activities the majority of injuries were of minor severity. Despite this, the high proportions of upper limb fractures in mountain bikers and ankle sprains in hikers cannot be ignored.<\/jats:p>\n<\/jats:sec>\n\nTrial registration<\/jats:title>\nRegistration<\/jats:italic>: This systematic review was prospectively registered with the University of York PROSPERO database on the 12\/4\/2021 (CRD42021229623<\/jats:ext-link>) https:\/\/www.crd.york.ac.uk\/prospero\/display_record.php?ID=CRD42021229623<\/jats:ext-link>.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0285614","type":"journal-article","created":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T17:22:16Z","timestamp":1693416136000},"page":"e0285614","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":18,"title":["Types and anatomical locations of injuries among mountain bikers and hikers: A systematic review"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2478-1676","authenticated-orcid":true,"given":"Paul John","family":"Braybrook","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideo","family":"Tohira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Birnie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deon","family":"Brink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Finn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5926-1374","authenticated-orcid":true,"given":"Peter","family":"Buzzacott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,8,30]]},"reference":[{"issue":"9789","key":"pone.0285614.ref001","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/S0140-6736(11)60879-9","article-title":"UN High-Level Meeting on Non-Communicable Diseases: addressing four questions","volume":"378","author":"R Beaglehole","year":"2011","journal-title":"Lancet"},{"issue":"3","key":"pone.0285614.ref002","first-page":"129","article-title":"Coronary heart disease\u2014the benefits of exercise","volume":"39","author":"FM Wise","year":"2010","journal-title":"Aust Fam Physician"},{"issue":"21","key":"pone.0285614.ref003","doi-asserted-by":"crossref","first-page":"609","DOI":"10.21037\/atm.2019.07.91","article-title":"Concise update on colorectal cancer epidemiology","volume":"7","author":"C Mattiuzzi","year":"2019","journal-title":"Ann Transl Med"},{"key":"pone.0285614.ref004","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/978-3-030-20301-6_2","article-title":"Epidemiology of Breast Cancer in Women","volume":"1152","author":"SS Coughlin","year":"2019","journal-title":"Adv Exp Med Biol"},{"issue":"9","key":"pone.0285614.ref005","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1007\/s10654-018-0380-1","article-title":"Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis","volume":"33","author":"R Patterson","year":"2018","journal-title":"European journal of epidemiology"},{"issue":"5","key":"pone.0285614.ref006","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1038\/s41574-019-0176-8","article-title":"Obesity: global epidemiology and pathogenesis","volume":"15","author":"M. Bl\u00fcher","year":"2019","journal-title":"Nature Reviews Endocrinology"},{"key":"pone.0285614.ref007","volume-title":"Global action plan for the prevention and control of noncommunicable diseases 2013\u20132020","author":"WHO","year":"2013"},{"issue":"4","key":"pone.0285614.ref008","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1111\/j.1748-0361.2012.00413.x","article-title":"Natural environments, obesity, and physical activity in nonmetropolitan areas of the United States","volume":"28","author":"A Michimi","year":"2012","journal-title":"J Rural Health"},{"issue":"14","key":"pone.0285614.ref009","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1136\/bjsports-2018-099778","article-title":"Cycling and cardiovascular disease risk factors including body composition, blood lipids and cardiorespiratory fitness analysed as continuous variables: Part 2\u2014systematic review with meta-analysis","volume":"53","author":"S Nordengen","year":"2019","journal-title":"BJSM online"},{"issue":"8","key":"pone.0285614.ref010","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1289\/ehp.0901747","article-title":"Do the Health Benefits of Cycling Outweigh the Risks?","volume":"118","author":"JJ de Hartog","year":"2010","journal-title":"Environmental Health Perspectives"},{"issue":"6","key":"pone.0285614.ref011","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1111\/1753-6405.12726","article-title":"Obesity\u2010related health impacts of active transport policies in Australia\u2013a policy review and health impact modelling study","volume":"41","author":"V Brown","year":"2017","journal-title":"Australian and New Zealand Journal of Public Health"},{"issue":"4","key":"pone.0285614.ref012","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1111\/j.1600-0838.2011.01299.x","article-title":"Health benefits of cycling: a systematic review","volume":"21","author":"P Oja","year":"2011","journal-title":"Scandinavian Journal of Medicine and Science"},{"issue":"1\u20132","key":"pone.0285614.ref013","doi-asserted-by":"crossref","first-page":"9","DOI":"10.3727\/154427214X13990420684400","article-title":"Mountain bike tourism and community development in British Columbia: Critical success factors for the future","volume":"18","author":"R Freeman","year":"2014","journal-title":"Tourism Review International"},{"issue":"3","key":"pone.0285614.ref014","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1080\/00222216.1997.11949800","article-title":"The economic benefits of mountain biking at one of its meccas: an application of the travel cost method to mountain biking in Moab","volume":"29","author":"P Fix","year":"1997","journal-title":"Utah. Journal of Leisure Research"},{"issue":"2","key":"pone.0285614.ref015","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1080\/10548408.2017.1350252","article-title":"Economic and social yield of investing in hiking tourism: the case of Bergued\u00e0, Spain. Journal of Travel &","volume":"35","author":"J Maria Raya","year":"2018","journal-title":"Tourism Marketing"},{"issue":"2","key":"pone.0285614.ref016","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.wem.2016.01.007","article-title":"Cycling Injuries in Southwest Colorado: A Comparison of Road vs Trail Riding Injury Patterns","volume":"27","author":"S. 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A randomized crossover trial","volume":"126","author":"J Sturm","year":"2012","journal-title":"Acta Psychiatr Scand"},{"issue":"1","key":"pone.0285614.ref024","doi-asserted-by":"crossref","first-page":"e000304","DOI":"10.1136\/bmjsem-2017-000304","article-title":"Fall-related accidents among hikers in the Austrian Alps: a 9-year retrospective study","volume":"3","author":"M Faulhaber","year":"2017","journal-title":"BMJ Open Sport Exerc Med"},{"issue":"1","key":"pone.0285614.ref025","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1111\/j.1708-8305.2008.00269.x","article-title":"Search and rescue trends associated with recreational travel in US national parks","volume":"16","author":"TW Heggie","year":"2009","journal-title":"J Travel Med"},{"issue":"2","key":"pone.0285614.ref026","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1580\/06-WEME-OR-022R1.1","article-title":"Search and rescue in Yosemite National Park: a 10-year review","volume":"18","author":"EK Hung","year":"2007","journal-title":"Wilderness & Environmental Medicine"},{"issue":"3","key":"pone.0285614.ref027","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1580\/06-WEME-OR-046R1.1","article-title":"Injuries sustained at Yellowstone National Park requiring emergency medical system activation","volume":"18","author":"RM Johnson","year":"2007","journal-title":"Wilderness & Environmental Medicine"},{"key":"pone.0285614.ref028","unstructured":"Australian Sports Commission. By sport data tables\u2014July 2020 to June 2021. In: Australian Sports Commission, editor. Canberra (Australia): data.nsw.gov.au; 2021."},{"key":"pone.0285614.ref029","unstructured":"National Parks Service. National Parks Service visitor use statistics. 2021. https:\/\/www.nps.gov\/aboutus\/visitation-numbers.htm. Accessed 12th February 2022"},{"key":"pone.0285614.ref030","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan\u2014a web and mobile app for systematic reviews","volume":"5","author":"HH Ouzzani M","year":"2016","journal-title":"Systematic Reviews"},{"key":"pone.0285614.ref031","unstructured":"Institute JB. Checklist for Case Series 2017 [Available from: http:\/\/joannabriggs.org\/research\/critical-appraisal-tools.html."},{"issue":"3","key":"pone.0285614.ref032","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1503\/cjs.027411","article-title":"Severe street and mountain bicycling injuries in adults: a comparison of the incidence, risk factors and injury patterns over 14 years","volume":"56","author":"DJ Roberts","year":"2013","journal-title":"Can J Surg"},{"issue":"1","key":"pone.0285614.ref033","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1580\/1080-6032(2002)013[0027:MOIICO]2.0.CO;2","article-title":"Mechanisms of injury in competitive off-road bicycling","volume":"13","author":"TK Chow","year":"2002","journal-title":"Wilderness & Environmental Medicine"},{"issue":"1","key":"pone.0285614.ref034","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1177\/036354659602400116","article-title":"Acute injuries in off-road bicycle racing","volume":"24","author":"RL Kronisch","year":"1996","journal-title":"The American Journal of Sports Medicine"},{"issue":"11","key":"pone.0285614.ref035","first-page":"1351","article-title":"Acute injuries in cross-country and downhill off-road bicycle racing. Medicine & Science in Sports &","volume":"28","author":"RL Kronisch","year":"1996","journal-title":"Exercise"},{"issue":"1","key":"pone.0285614.ref036","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1080\/17457300.2012.749918","article-title":"Mountain bike terrain park-related injuries: an emerging cause of morbidity","volume":"21","author":"NT Romanow","year":"2014","journal-title":"International Journal of Injury Control & Safety Promotion"},{"issue":"3","key":"pone.0285614.ref037","first-page":"139","article-title":"Downhill mountain biking traumatology: Prospective epidemiological study of 138 cases totalling 178 lesions","volume":"37","author":"D Saragaglia","year":"2020","journal-title":"Journal de Traumatologie du Sport"},{"issue":"5","key":"pone.0285614.ref038","first-page":"481","article-title":"Injuries involving off-road cycling","volume":"44","author":"FP Rivara","year":"1997","journal-title":"J Fam Pract"},{"issue":"2","key":"pone.0285614.ref039","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.wem.2016.01.007","article-title":"Cycling injuries in southwest Colorado: a comparison of road vs trail riding injury patterns","volume":"27","author":"S. 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McLean","year":"1990","journal-title":"Scientific Journal of Orienteering"},{"issue":"5","key":"pone.0285614.ref052","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1097\/JSM.0b013e318225b0df","article-title":"Al Andalus Ultra Trail: an observation of medical interventions during a 219-km, 5-day ultramarathon stage race","volume":"21","author":"BV Scheer","year":"2011","journal-title":"Clin J Sport Med"},{"key":"pone.0285614.ref053","first-page":"1","article-title":"Hiking-related orthopaedic injuries: Another epidemic during the COVID-19 pandemic","volume":"28","author":"WYC Chu","year":"2021","journal-title":"Journal of Orthopaedics, Trauma & Rehabilitation"},{"issue":"4","key":"pone.0285614.ref054","first-page":"481","article-title":"Winter and summer mountain sports and facial trauma","volume":"62","author":"F Perottino","year":"2009","journal-title":"Medicina dello Sport"},{"issue":"1","key":"pone.0285614.ref055","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1186\/s40798-021-00357-z","article-title":"Incidence of injuries, illness and related risk factors in cross-country marathon mountain biking events: a systematic search and review","volume":"7","author":"K Buchholtz","year":"2021","journal-title":"Sports Med\u2014Open"},{"issue":"1","key":"pone.0285614.ref056","article-title":"Complex shoulder girdle injuries following mountain bike accidents and a review of the literature. 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