{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T14:00:25Z","timestamp":1780322425021,"version":"3.54.1"},"reference-count":26,"publisher":"National Athletic Trainers' Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,4]]},"abstract":" In orienteering, the number of injury-registration studies is limited. Most researchers have used a cross-sectional design during specific events and, therefore, have mainly identified acute injuries.Context:<\/jats:p>\n To determine the prevalence of injuries by registering acute and overuse injuries in adolescent elite orienteerers over 26 weeks and to study the variation of injury prevalence over the season and the potential risk factors.Objective:<\/jats:p>\n Cohort study.Design:<\/jats:p>\n Two high schools in Sweden with national orienteering teams.Setting:<\/jats:p>\n All athletes (33 adolescent girls, 31 adolescent boys; age = 17 \u00b1 1 years) from 2 high schools with orienteering teams.Patients or Other Participants:<\/jats:p>\n We used a weekly Web-based questionnaire to identify the incidence and prevalence of injuries and training variables. Risk factors for injury were calculated using multiple linear regression techniques.Main Outcome Measure(s):<\/jats:p>\n The average weekly prevalence of overuse and acute injuries was 35.7% (95% confidence interval = 34.8%, 36.6%) and 1.7% (95% confidence interval = 1.3%, 2.1%), respectively; overuse injuries (78.0%, n = 85) accounted for the majority. The incidence of acute and overuse injuries was highest for the foot\/lower leg (48.6%, n = 53), and 71.6% (n = 78) of all injuries affected the foot\/lower leg and knee area. Time to the first reported injury was associated with training volume (\u03b2 = 0.184, P<\/jats:italic> = .001), competition time (\u03b2 = \u22120.701, P<\/jats:italic> = .009), running on asphalt roads (\u03b2 = \u22120.348, P<\/jats:italic> = .008), and running on forest surfaces and trails (\u03b2 = \u22120.331, P<\/jats:italic> = .007), with a model fit of r<\/jats:italic>\u200a2<\/jats:sup> = 0.50 (intercept = 2.196, P<\/jats:italic> < .001). During the study, we observed a weekly increase (0.3%) in the prevalence of overuse injuries in the foot\/lower leg (r\u200a2<\/jats:sup><\/jats:italic> = 0.33, P<\/jats:italic> = .001); the highest prevalence (26.9%) was at the beginning of the competitive season.Results:<\/jats:p>\n Overuse injuries, predominately in the foot\/lower leg area, were more common than acute injuries in adolescent elite orienteerers. These injuries had the highest prevalence at the beginning of the competitive season; therefore, this period can be seen as a possible risk factor for sustaining overuse injuries in the foot\/lower leg.Conclusions:<\/jats:p>","DOI":"10.4085\/1062-6050-51.5.01","type":"journal-article","created":{"date-parts":[[2016,9,19]],"date-time":"2016-09-19T17:47:17Z","timestamp":1474307237000},"page":"321-328","source":"Crossref","is-referenced-by-count":25,"title":["Injuries and Associated Risk Factors Among Adolescent Elite Orienteerers: A 26-Week Prospective Registration Study"],"prefix":"10.4085","volume":"51","author":[{"given":"Philip","family":"von Rosen","sequence":"first","affiliation":[{"name":"Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annette I.-L. M.","family":"Heijne","sequence":"additional","affiliation":[{"name":"Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Frohm","sequence":"additional","affiliation":[{"name":"Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden;"},{"name":"Swedish Sports Confederation Centre, Bos\u00f6n SportsClinic, Liding\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"3","key":"i1062-6050-51-4-321-b01","series-title":"Br J Sports Med","first-page":"205","article-title":"Orienteering competition injuries: injuries incurred in the Finnish Jukola and Venla relay competitions","volume":"31","author":"Linko \n PE,","year":"1997","unstructured":"Linko \n PE, \n \n \n Blomberg \n HK, \n \n \n Frilander \n HM. \n \n \n Orienteering competition injuries: injuries incurred in the Finnish Jukola and Venla relay competitions. Br J Sports Med. 1997;31(3):205\u2013208."},{"key":"i1062-6050-51-4-321-b02","series-title":"International Orienteering Federation Web site","article-title":"About orienteering","year":"2015","unstructured":"About orienteering. International Orienteering Federation Web site. http:\/\/orienteering.org\/about-the-iof\/the-iof. Accessed June 24,2015."},{"issue":"6","key":"i1062-6050-51-4-321-b03","series-title":"Sports Med","first-page":"409","article-title":"and biomechanical aspects of orienteering","volume":"24","author":"Creagh \n U,","year":"1997","unstructured":"Creagh \n U, \n \n \n Reilly T. \n Physiological \n \n \n and biomechanical aspects of orienteering. Sports Med. 1997;24(6):409\u2013418."},{"issue":"1","key":"i1062-6050-51-4-321-b04","series-title":"Sci J Orienteer","first-page":"3","article-title":"The incidence of ankle sprain in orienteering","volume":"6","author":"Ekstrand \n J,","year":"1990","unstructured":"Ekstrand \n J, \n \n \n Roos \n H, \n \n \n Tropp \n H. \n \n \n The incidence of ankle sprain in orienteering. Sci J Orienteer. 1990;6(1):3\u20139."},{"issue":"4","key":"i1062-6050-51-4-321-b05","series-title":"Br J Sports Med","first-page":"236","article-title":"Orienteering injuries","volume":"16","author":"Folan \n JM.","year":"1982","unstructured":"Folan \n JM. \n \n \n Orienteering injuries. Br J Sports Med. 1982;16(4):236\u2013240."},{"issue":"2","key":"i1062-6050-51-4-321-b06","series-title":"Sci J Orienteer","first-page":"72","article-title":"Injuries in orienteering: a study of the 1991 Swiss 6-days orienteering event","volume":"8","author":"Hintermann \n B,","year":"1992","unstructured":"Hintermann \n B, \n \n \n Hintermann \n M. \n \n \n Injuries in orienteering: a study of the 1991 Swiss 6-days orienteering event. Sci J Orienteer. 1992;8(2):72\u201378."},{"issue":"2","key":"i1062-6050-51-4-321-b07","series-title":"Sci J Orienteer","first-page":"55","article-title":"First aid for orienteering in Scotland","volume":"6","author":"McLean \n I.","year":"1990","unstructured":"McLean \n I. \n \n \n First aid for orienteering in Scotland. Sci J Orienteer. 1990;6(2):55\u201363."},{"issue":"3","key":"i1062-6050-51-4-321-b08","series-title":"Br J Sports Med","first-page":"125","article-title":"Injuries in orienteering","volume":"20","author":"Linde \n F.","year":"1986","unstructured":"Linde \n F. \n \n \n Injuries in orienteering. Br J Sports Med. 1986;20(3):125\u2013127."},{"issue":"13","key":"i1062-6050-51-4-321-b09","series-title":"Br J Sports Med","first-page":"966","article-title":"No injuries, but plenty of pain? On the methodology for recording overuse symptoms in sports","volume":"43","author":"Bahr \n R.","year":"2009","unstructured":"Bahr \n R. \n \n \n No injuries, but plenty of pain? On the methodology for recording overuse symptoms in sports. Br J Sports Med. 2009;43(13):966\u2013972."},{"issue":"8","key":"i1062-6050-51-4-321-b10","series-title":"Br J Sports Med","first-page":"495","article-title":"Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: the Oslo Sports Trauma Research Centre (OSTRC) overuse injury questionnaire","volume":"47","author":"Clarsen \n B,","year":"2013","unstructured":"Clarsen \n B, \n \n \n Myklebust \n G, \n \n \n Bahr \n R. \n \n \n Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: the Oslo Sports Trauma Research Centre (OSTRC) overuse injury questionnaire. Br J Sports Med. 2013;47(8):495\u2013502."},{"issue":"1","key":"i1062-6050-51-4-321-b11","series-title":"Scand J Med Sci Sports","first-page":"104","article-title":"Swedish translation and validation of a web-based questionnaire for registration of overuse problems","volume":"25","author":"Ekman \n E,","year":"2015","unstructured":"Ekman \n E, \n \n \n Frohm \n A, \n \n \n Ek \n P, \n \n \n Hagberg \n J, \n \n \n Wir\u00e9n \n C, \n \n \n Heijne \n A. \n \n \n Swedish translation and validation of a web-based questionnaire for registration of overuse problems. Scand J Med Sci Sports. 2015;25(1):104\u2013109."},{"issue":"2","key":"i1062-6050-51-4-321-b12","series-title":"Scand J Rehabil Med","first-page":"92","article-title":"Perceived exertion as an indicator of somatic stress","volume":"2","author":"Borg \n G.","year":"1970","unstructured":"Borg \n G. \n \n \n Perceived exertion as an indicator of somatic stress. Scand J Rehabil Med. 1970;2(2):92\u201398."},{"issue":"2","key":"i1062-6050-51-4-321-b13","series-title":"Int J Sports Med","first-page":"122","article-title":"Acute injuries in orienteerers","volume":"16","author":"Kujala \n UM,","year":"1995","unstructured":"Kujala \n UM, \n \n \n Nylund \n T, \n \n \n Taimela \n S. \n \n \n Acute injuries in orienteerers. Int J Sports Med. 1995;16(2):122\u2013125."},{"issue":"2","key":"i1062-6050-51-4-321-b14","series-title":"Scand J Sports Sci","first-page":"53","article-title":"Frequency, location, and types of orienteering injuries","volume":"9","author":"Korpi \n J,","year":"1987","unstructured":"Korpi \n J, \n \n \n Haapanen \n A, \n \n \n Svahn \n T. \n \n \n Frequency, location, and types of orienteering injuries. Scand J Sports Sci. 1987;9(2):53\u201356."},{"issue":"4","key":"i1062-6050-51-4-321-b15","series-title":"Br J Sports Med","first-page":"398","article-title":"Do team gymnasts compete in spite of symptoms from an injury?","volume":"38","author":"Harringe \n ML,","year":"2004","unstructured":"Harringe \n ML, \n \n \n Lindblad \n S, \n \n \n Werner \n S. \n \n \n Do team gymnasts compete in spite of symptoms from an injury?\n Br J Sports Med. 2004;38(4):398\u2013401."},{"issue":"13","key":"i1062-6050-51-4-321-b16","series-title":"Br J Sports Med","first-page":"857","article-title":"High prevalence of overuse injury among iron-distance triathletes","volume":"47","author":"Andersen \n C,","year":"2013","unstructured":"Andersen \n C, \n \n \n Clarsen \n B, \n \n \n Johansen \n TV, \n \n \n Engebretsen \n L. \n \n \n High prevalence of overuse injury among iron-distance triathletes. Br J Sports Med. 2013;47(13):857\u2013861."},{"issue":"9","key":"i1062-6050-51-4-321-b17","series-title":"Br J Sports Med","first-page":"754","article-title":"The Oslo Sports Trauma Research Center questionnaire on health problems: a new approach to prospective monitoring of illness and injury in elite athletes","volume":"48","author":"Clarsen \n B,","year":"2014","unstructured":"Clarsen \n B, \n \n \n R\u00f8nsen \n O, \n \n \n Myklebust \n G, \n \n \n Fl\u00f8renes \n TW, \n \n \n Bahr \n R. \n \n \n The Oslo Sports Trauma Research Center questionnaire on health problems: a new approach to prospective monitoring of illness and injury in elite athletes. Br J Sports Med. 2014;48(9):754\u2013760."},{"issue":"15","key":"i1062-6050-51-4-321-b18","series-title":"Br J Sports Med","first-page":"941","article-title":"Injury patterns in Swedish elite athletics: annual incidence, injury types and risk factors","volume":"47","author":"Jacobsson \n J,","year":"2013","unstructured":"Jacobsson \n J, \n \n \n Timpka \n T, \n \n \n Kowalski \n J, \n \n et al. \n Injury patterns in Swedish elite athletics: annual incidence, injury types and risk factors. Br J Sports Med. 2013;47(15):941\u2013952."},{"issue":"3","key":"i1062-6050-51-4-321-b19","series-title":"Scand J Med Sci Sports","first-page":"384","article-title":"Type of sport is related to injury profile: a study on cross country skiers, swimmers, long-distance runners and soccer players. A retrospective 12-month study","volume":"20","author":"Ristolainen \n L,","year":"2010","unstructured":"Ristolainen \n L, \n \n \n Heinonen \n A, \n \n \n Turunen \n H, \n \n et al. \n Type of sport is related to injury profile: a study on cross country skiers, swimmers, long-distance runners and soccer players. A retrospective 12-month study. Scand J Med Sci Sports. 2010;20(3):384\u2013393."},{"issue":"8","key":"i1062-6050-51-4-321-b20","series-title":"Br J Sports Med","first-page":"469","article-title":"Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review","volume":"41","author":"van Gent \n RN,","year":"2007","unstructured":"van Gent \n RN, \n \n \n Siem \n D, \n \n \n van Middelkoop \n M, \n \n \n van Os \n AG, \n \n \n Bierma-Zeinstra \n SM, \n \n \n Koes \n BW. \n \n \n Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. Br J Sports Med. 2007;41(8):469\u2013480."},{"issue":"2","key":"i1062-6050-51-4-321-b21","series-title":"Clin J Sport Med","first-page":"110","article-title":"High school cross country running injuries: a longitudinal study","volume":"10","author":"Rauh \n MJ,","year":"2000","unstructured":"Rauh \n MJ, \n \n \n Margherita \n AJ, \n \n \n Rice \n SG, \n \n \n Koepsell \n TD, \n \n \n Rivara \n FP. \n \n \n High school cross country running injuries: a longitudinal study. Clin J Sport Med. 2000;10(2):110\u2013116."},{"issue":"2","key":"i1062-6050-51-4-321-b22","series-title":"Am J Epidemiol","first-page":"151","article-title":"Epidemiology of musculoskeletal injuries among high school cross-country runners","volume":"163","author":"Rauh \n MJ,","year":"2006","unstructured":"Rauh \n MJ, \n \n \n Koepsell \n TD, \n \n \n Rivara \n FP, \n \n \n Margherita \n AJ, \n \n \n Rice \n SG. \n \n \n Epidemiology of musculoskeletal injuries among high school cross-country runners. Am J Epidemiol. 2006;163(2):151\u2013159."},{"issue":"5","key":"i1062-6050-51-4-321-b23","series-title":"Scand J Med Sci Sports","first-page":"607","article-title":"Training volume and body composition as risk factors for developing jumper's knee among young elite volleyball players","volume":"23","author":"Visnes \n H,","year":"2013","unstructured":"Visnes \n H, \n \n \n Bahr \n R. \n \n \n Training volume and body composition as risk factors for developing jumper's knee among young elite volleyball players. Scand J Med Sci Sports. 2013;23(5):607\u2013613."},{"issue":"2","key":"i1062-6050-51-4-321-b24","series-title":"Int J Sports Phys Ther","first-page":"111","article-title":"Weekly running volume and risk of running-related injuries among marathon runners","volume":"8","author":"Rasmussen \n CH,","year":"2013","unstructured":"Rasmussen \n CH, \n \n \n Nielsen \n RO, \n \n \n Juul \n MS,\n \n \n Rasmussen \n S. \n \n \n Weekly running volume and risk of running-related injuries among marathon runners. Int J Sports Phys Ther. 2013;8(2):111\u2013120."},{"issue":"5","key":"i1062-6050-51-4-321-b25","series-title":"Curr Sports Med Rep","first-page":"307","article-title":"Risk factors for overuse injuries in runners","volume":"6","author":"Wen \n DY.","year":"2007","unstructured":"Wen \n DY. \n \n \n Risk factors for overuse injuries in runners. Curr Sports Med Rep. 2007;6(5):307\u2013313."},{"issue":"8","key":"i1062-6050-51-4-321-b26","series-title":"Sports Med","first-page":"1153","article-title":"What are the main risk factors for running-related injuries?","volume":"44","author":"Saragiotto \n BT,","year":"2014","unstructured":"Saragiotto \n BT, \n \n \n Yamato \n TP, \n \n \n Hespanhol \n LC, \n \n \n Rainbow \n MJ, \n \n \n Davis \n IS, \n \n \n Lopes \n AD. \n \n \n What are the main risk factors for running-related injuries?\n Sports Med. 2014;44(8):1153\u20131163."}],"container-title":["Journal of Athletic Training"],"original-title":[],"link":[{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/51\/4\/article-p321.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/51\/4\/321\/1457048\/1062-6050-51_5_01.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/51\/4\/article-p321.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/51\/4\/article-p321.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:44:39Z","timestamp":1749689079000},"score":1,"resource":{"primary":{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/51\/4\/article-p321.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4]]},"references-count":26,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.4085\/1062-6050-51.5.01","relation":{},"ISSN":["1062-6050"],"issn-type":[{"value":"1062-6050","type":"print"}],"subject":[],"published":{"date-parts":[[2016,4]]}}}