Associations between lower limb injuries and the menstrual cycle phases in football players

Siippainen, E. 2025. Associations between lower limb injuries and the menstrual cycle phases in football players. Faculty of Sport and Health Sciences, University of Jyväskylä. Master`s thesis in Exercise Physiology. 63 p. Elite female football has grown rapidly over the past decade, bringing healt...

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Main Author: Siippainen, Emma
Other Authors: Liikuntatieteellinen tiedekunta, Faculty of Sport and Health Sciences, Jyväskylän yliopisto, University of Jyväskylä
Format: Master's thesis
Language:eng
Published: 2025
Subjects:
Online Access: https://jyx.jyu.fi/handle/123456789/103914
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author Siippainen, Emma
author2 Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Jyväskylän yliopisto University of Jyväskylä
author_facet Siippainen, Emma Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Jyväskylän yliopisto University of Jyväskylä Siippainen, Emma Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Jyväskylän yliopisto University of Jyväskylä
author_sort Siippainen, Emma
datasource_str_mv jyx
description Siippainen, E. 2025. Associations between lower limb injuries and the menstrual cycle phases in football players. Faculty of Sport and Health Sciences, University of Jyväskylä. Master`s thesis in Exercise Physiology. 63 p. Elite female football has grown rapidly over the past decade, bringing health benefits, but also significant risk for lower limb injuries. Hormonal fluctuations during the menstrual cycle may influence injury risk by affecting neuromuscular control and connective tissue properties, though current evidence remains inconclusive. This study aims to examine associations between lower limb injuries and menstrual cycle phases in football players. During the three-season follow-up a total of 190 players reported injuries through a mobile application. Exposure was calculated for each player in days, but player years (days/365) were used in the analyses to obtain the injury incidence rate (IR) per player-year. A regression equation was used to separate the menstrual cycle into three different phases. Injury IR and ratios (IRR) were calculated for all injuries, by body parts and by injury types. A total of 54 eligible injuries were recorded during the study period. Most injuries occurred during the early follicular (n = 23) and luteal phases (n = 22) phases compared to the late follicular phase (n = 9). When standardized per 1000 person-years, the incidence rate (IR) of all injuries was highest in the late follicular phase (609; 95 % CI: 317–1170), followed by the early follicular phase (415; 95 % CI: 276–624) and luteal phase (313; 95 % CI: 206–475). No statistically significant differences in injury IRR were observed for total injuries or body parts when comparing different menstrual cycle phases. Muscle/tendon injuries showed a significantly higher IR in the late follicular phase (406; 95 % CI: 182–904), with a significantly lower IRR during the luteal phase (IRR = 0.25; 95 % CI: 0.08–0.73; p = 0.012). In contrast, ligament/joint capsule injuries showed no significant results when comparing phases. These findings suggest an increased risk of muscle/tendon injuries during the late follicular phase and a decreased risk in the luteal phase. They also suggest a possible association between menstrual cycle phases and injury risk, highlighting the need for further investigation with larger sample sizes with adequately identified menstrual cycle phases. Key words: female football, lower limb injuries, menstrual cycle, hormone fluctuations, injury risk Siippainen, E. 2025. Alaraajavammojen ja kuukautiskierron vaiheiden välinen yhteys jalkapalloilijoilla. Liikuntatieteellinen tiedekunta, Jyväskylän yliopisto. Liikuntafysiologian pro gradu -tutkielma. 63 s. Naisten huippujalkapallon suosio on kasvanut nopeasti viime vuosikymmenen aikana, tuoden mukanaan terveyshyötyjä, mutta myös lisääntyneen alaraajavammojen riskin. Kuukautiskierron hormonaaliset vaihtelut saattavat vaikuttaa loukkaantumisriskiin hermo-lihasjärjestelmän ja sidekudosten ominaisuuksien kautta, mutta nykyinen tutkimusnäyttö on ristiriitaista. Tämän tutkimuksen tavoitteena oli selvittää alaraajavammojen ja kuukautiskierron vaiheiden välistä yhteyttä jalkapalloilijoilla. Kolmen kauden seurannan aikana 190 pelaajaa raportoi vammoja mobiilisovelluksen kautta. Altistuminen laskettiin päivinä, mutta analyysissä käytettiin pelaajavuosia (päivät/365) vammojen ilmaantuvuuden (IR) laskemiseksi. Kuukautiskierto jaettiin kolmeen vaiheeseen regressioyhtälön avulla. Vammojen ilmaantuvuus ja suhteelliset ilmaantuvuudet (IRR) laskettiin kaikille vammoille, kehonosittain ja vammatyypeittäin jaoteltuna. Seurannan aikana raportoitiin 54 kriteereihin sopivaa vammaa. Suurin osa vammoista tapahtui varhaisessa follikkelivaiheessa (n = 23) ja luteaalivaiheessa (n = 22), verrattuna myöhäiseen follikkelivaiheeseen (n = 9). Kun vammat suhteutettiin 1000 pelaajavuoteen (IR) se oli korkein myöhäisessä follikkelivaiheessa (609; 95 % CI: 317–1170), sitten varhaisessa follikkelivaiheessa (415; 95 % CI: 276–624) ja alhaisin luteaalivaiheessa (313; 95 % CI: 206–475). Kaikkien vammojen tai kehonosittain luokittelun välillä ei havaittu tilastollisesti merkitseviä eroja eri kierron vaiheiden välillä. Lihas/jännevammojen ilmaantuvuus oli kuitenkin merkittävästi korkeampi myöhäisessä follikkelivaiheessa ja matalampi luteaalivaiheessa (IRR = 0.25; p = 0.012). Nivelside/nivelvammoissa ei havaittu merkitseviä eroja. Tulokset viittaavat lihas/jännevammojen suurempaan riskiin myöhäisessä follikkelivaiheessa ja pienempään riskiin luteaalivaiheessa. Havainnot tukevat mahdollista yhteyttä kuukautiskierron vaiheiden ja loukkaantumisriskin välillä, korostaen lisätutkimuksen tarvetta suuremmilla otoksilla ja tarkemmalla kierron vaiheiden määrittelyllä. Avainsanat: naisten jalkapallo, alaraajavammat, kuukautiskierto, hormonaaliset vaihtelut, loukkaantumisriski
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Associations between lower limb injuries and the menstrual cycle phases in football players. Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4. Master`s thesis in Exercise Physiology. 63 p.\n\nElite female football has grown rapidly over the past decade, bringing health benefits, but also significant risk for lower limb injuries. Hormonal fluctuations during the menstrual cycle may influence injury risk by affecting neuromuscular control and connective tissue properties, though current evidence remains inconclusive. This study aims to examine associations between lower limb injuries and menstrual cycle phases in football players. \n\nDuring the three-season follow-up a total of 190 players reported injuries through a mobile application. Exposure was calculated for each player in days, but player years (days/365) were used in the analyses to obtain the injury incidence rate (IR) per player-year. A regression equation was used to separate the menstrual cycle into three different phases. Injury IR and ratios (IRR) were calculated for all injuries, by body parts and by injury types. \n\nA total of 54 eligible injuries were recorded during the study period. Most injuries occurred during the early follicular (n = 23) and luteal phases (n = 22) phases compared to the late follicular phase (n = 9). When standardized per 1000 person-years, the incidence rate (IR) of all injuries was highest in the late follicular phase (609; 95 % CI: 317\u20131170), followed by the early follicular phase (415; 95 % CI: 276\u2013624) and luteal phase (313; 95 % CI: 206\u2013475). No statistically significant differences in injury IRR were observed for total injuries or body parts when comparing different menstrual cycle phases. Muscle/tendon injuries showed a significantly higher IR in the late follicular phase (406; 95 % CI: 182\u2013904), with a significantly lower IRR during the luteal phase (IRR = 0.25; 95 % CI: 0.08\u20130.73; p = 0.012). In contrast, ligament/joint capsule injuries showed no significant results when comparing phases. \n\nThese findings suggest an increased risk of muscle/tendon injuries during the late follicular phase and a decreased risk in the luteal phase. They also suggest a possible association between menstrual cycle phases and injury risk, highlighting the need for further investigation with larger sample sizes with adequately identified menstrual cycle phases.\n\nKey words: female football, lower limb injuries, menstrual cycle, hormone fluctuations, injury risk", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Siippainen, E. 2025. Alaraajavammojen ja kuukautiskierron vaiheiden v\u00e4linen yhteys jalkapalloilijoilla. Liikuntatieteellinen tiedekunta, Jyv\u00e4skyl\u00e4n yliopisto. Liikuntafysiologian pro gradu -tutkielma. 63 s.\n\nNaisten huippujalkapallon suosio on kasvanut nopeasti viime vuosikymmenen aikana, tuoden mukanaan terveyshy\u00f6tyj\u00e4, mutta my\u00f6s lis\u00e4\u00e4ntyneen alaraajavammojen riskin. Kuukautiskierron hormonaaliset vaihtelut saattavat vaikuttaa loukkaantumisriskiin hermo-lihasj\u00e4rjestelm\u00e4n ja sidekudosten ominaisuuksien kautta, mutta nykyinen tutkimusn\u00e4ytt\u00f6 on ristiriitaista. T\u00e4m\u00e4n tutkimuksen tavoitteena oli selvitt\u00e4\u00e4 alaraajavammojen ja kuukautiskierron vaiheiden v\u00e4list\u00e4 yhteytt\u00e4 jalkapalloilijoilla. \n\nKolmen kauden seurannan aikana 190 pelaajaa raportoi vammoja mobiilisovelluksen kautta. 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spellingShingle Siippainen, Emma Associations between lower limb injuries and the menstrual cycle phases in football players Liikuntafysiologian maisteriohjelma Master's Degree Programme in Exercise Physiology
title Associations between lower limb injuries and the menstrual cycle phases in football players
title_full Associations between lower limb injuries and the menstrual cycle phases in football players
title_fullStr Associations between lower limb injuries and the menstrual cycle phases in football players Associations between lower limb injuries and the menstrual cycle phases in football players
title_full_unstemmed Associations between lower limb injuries and the menstrual cycle phases in football players Associations between lower limb injuries and the menstrual cycle phases in football players
title_short Associations between lower limb injuries and the menstrual cycle phases in football players
title_sort associations between lower limb injuries and the menstrual cycle phases in football players
title_txtP Associations between lower limb injuries and the menstrual cycle phases in football players
topic Liikuntafysiologian maisteriohjelma Master's Degree Programme in Exercise Physiology
topic_facet Liikuntafysiologian maisteriohjelma Master's Degree Programme in Exercise Physiology
url https://jyx.jyu.fi/handle/123456789/103914 http://www.urn.fi/URN:NBN:fi:jyu-202506245674
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