ArticleSports medicine - open2025
Understanding Injury Patterns and Predictors in Pickleball Players: A Nationwide Study of 1,758 Participants.
Article in Sports medicine - open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Associations of harmonious and obsessive passion with attitudes toward playing through pain and injury among Chinese collegiate pickleball athletes: the mediating role of pain catastrophizing.Frontiers in psychology · 2026Article
- Prevalence and associated factors of pickleball-related injuries among Korean recreational players: a multi-tournament cross-sectional study.Frontiers in public health · 2026Article
- Emerging sports as public health infrastructure: policy transfer lessons from US pickleball to China.Frontiers in public health · 2026Article
- The more you play, the better you feel: a dose-response analysis of pickleball and mental wellbeing in U.S. adults.Frontiers in psychology · 2025Article
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8 authors.
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Abstract
backgroundDespite pickleball's rapid growth in the United States, research regarding the patterns and predictors of injuries remain sparse.
objectivesTo describe the prevalence and characteristics of injuries, including time-loss (stopping play for at least a day) and non-time-loss injuries, and evaluate the predictors of injuries in pickleball players.
methodsA cross-sectional study was conducted. Pickleball players ≥ 18 years of age across the United States, who participated in pickleball at least once a month, were invited to take a pre-validated survey. The primary outcome was self-reported all-complaint injuries, including any physical complaints in the past 12 months.
resultsA total of 1,758 participants (mean age: 62.7 ± 13.0 years) were included in the final analysis. The 12-month prevalence of all-complaint injuries was 68.5% (95% CI: 66.3-70.7%), with time-loss injuries at 40.8% (95% CI: 38.5-43.1%) and non-time-loss injuries at 51.2% (95% CI: 49.4-54.1%). The point prevalence of pain/ongoing injuries was 35.9% (95% CI: 33.1-38.7%). The knee reported the highest injury prevalence (29.1%) followed by combined lower extremity regions of thigh, leg and foot (26.9%), shoulder (22.2%), back (19.9%) and elbow (18.4%). The top "most serious" injury types were overuse/chronic conditions (35.3%), joint/ligament sprains (23.8%), and muscle strains/pulls (20.7%). Based on a multivariable logistic regression, significant predictors of injury included male sex (OR: 1.33, 95%CI: 1.07-1.65, p = 0.011), higher frequency of weekly play (OR: 1.45, 95%CI: 1.15-1.84, p = 0.002), fewer years (< 5 years) of play experience (OR: 1.50, 95%CI: 1.19-1.90, p = 0.001), low/moderate perception of injury prevention importance (OR: 2.02; 95%CI: 1.52-2.67, p < 0.001), and age categories ranging from 33 to 77 years (ORs ranging from 1.83 to 3.11, p ≤ 0.009). Neither increased duration of play nor higher body mass index significantly increased the odds of injury.
conclusionsInjuries are common among pickleball players, with 69% experiencing at least one all-complaint injury annually, including two in five sustaining injuries that halt play and one in three continuing to play despite pain. These findings underscore the need for tailored injury prevention strategies to optimize the health benefits of pickleball. Identified predictors will inform future injury prevention initiatives in pickleball.
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