Why Repetitive Wrist Use In Esports Could Lead To Long-term Injuries

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New investigation reveals that moreover highly trained esports athletes can’t flight wrist fatigue during marathon sessions, pinch short breaks offering nary alleviation and crippled genre shaping nan strain.

A female is seen holding a video crippled controller successful beforehand of a vibrant purple light, engaged successful a gaming session.Study: Wrist extensor fatigue and game-genre-specific kinematic changes successful esports athletes: a quasi-experimental study. Image credit: Prostock-studio/Shutterstock.com

Introduction

Electronic sports (esports) aliases competitory gaming for agelong periods tin origin semipermanent musculoskeletal disorders (MSD). Muscular fatigue reduces performance, endangers safety, and is simply a wellness hazard successful sports and regular activities. A caller insubstantial published successful BMC Sports Science, Medicine and Rehabilitation explores this facet comparative to wrist activity crossed various video games.

Esports are watched by millions and played by thousands worldwide, particularly young people. Esports athletes train 4-10 hours/day to execute astatine nan highest levels to compete successful regulated tournaments. The long of believe varies pinch nan accomplishment level and nan crippled genre.

Esports harvester musculoskeletal loading of definite musculus groups, precocious cognitive-process demands, and agelong sitting times, which are linked to mediocre wellness outcomes. Thus, these demands are comparable to those successful machine work, soft playing, and aerial postulation control, wherever MSD risks are elevated. High-performing esports players usage repetitive movements (mouse clicks and keystrokes) pinch precocious frequencies of actions per minute, complete 500 successful immoderate crippled genres. Without due breaks, this tin origin muscular fatigue, perchance starring to overuse injuries aliases MSD.

Muscular fatigue is “a simplification successful maximal unit aliases powerfulness accumulation successful consequence to contractile activity”. It tin beryllium peripheral aliases central, depending connected whether it affects nan neuromuscular junction aliases nan brain, respectively.

Not overmuch investigation has been conducted connected these aspects of esports, though mobile telephone gaming whitethorn origin much muscular fatigue successful non-professional gamers. Compared to amateurs, professionals person smoother, much accurate, and faster movements related to their games.

The crippled genre besides modifies nan player's kinematics. First-person shooters (FPS) and multiplayer online conflict arena (MOBA) players person faster manus acceleration, much repetitive movements, and a longer cumulative manus activity region than those who play escapade video games.

The existent study aimed to screen investigation gaps successful this field, specified arsenic really esports impact muscular fatigue and wrist kinematics.

About nan study

The study included 32 patient antheral esports athletes, pinch a mean property of 24. They had an mean assemblage wide scale (BMI) of 24.8 kg/m2. Physical activity was, connected average, ~308 minutes a week. The mean crippled acquisition was 12 years, pinch gaming occupying a mean of 3.6 hours a day.

Nearly 70% were MOBA players, likelier to play astatine highly competitory levels than FPS players. They participated successful 2 competitory video gaming sessions lasting 90-120 minutes. The sessions were separated by a 10-minute passive sitting break during which nan participants sat and rested.

Study findings

Muscle activity and wrist kinematics were recorded by aboveground electromyography (EMG) of nan precocious trapezius and wrist extensors. These showed expanding musculus fatigue complete time, signaled by a simplification successful nan wave spectrum of nan EMG.

This was demonstrated by nan importantly little median wave (MDF) of some near and correct wrist extensors (by astir 3%-4%) pinch time. Only nan correct broadside showed a alteration for nan precocious trapezius, but this was not confirmed successful post-hoc analysis. No important alteration occurred successful nan trapezius, possibly because nan hands are much progressive successful specified sports, aliases because of greater inter-individual variability successful trapezius measures.

Unexpectedly, nan guidelines mean quadrate (RMS) besides decreased complete time. This uncovering whitethorn beryllium explained by nan behaviour of centrifugal units during low-intensity intermittent centrifugal tasks for illustration competitory gaming. It could besides beryllium owed to nan unpredictable long of individual gaming sessions, which allows partial musculus betterment and reduces nan continuity of neuromuscular loading. This mightiness relationship for nan atypical EMG fatigue patterns compared to accepted constant-load tasks. This offers a section for further study.

Over 95% of nan time, nan wrist associated position was successful nan neutral zone, though this was little for FPS players than for MOBA players. The video crippled genre was associated pinch differences successful nan wrist kinematics, but these parameters did not importantly alteration complete time. While FPS players’ cumulative distances decreased crossed sessions and MOBA players showed a alteration followed by an increase, nan study emphasized that these were not statistically important effects.

The area of displacement increased, while zero-crossings decreased complete clip for some FPS and MOBA players. However, zero-crossings accrued astatine nan 4th measurement for both, reaching aliases crossing nan baseline.

These group differences could beryllium owed to nan greater precision required for FPS games, which impact much precocious extremity usage and strategically lowered rodent sensitivity settings. The crippled genre and rodent settings lend to greater manus activity to summation capacity levels.

Finally, location was nary simplification successful nan beingness load aft nan 10-minute passive break. Preventive interventions should see much physically progressive breaks betwixt games to trim musculus fatigue and amended cognitive function. Moreover, regular workout should beryllium incorporated into nan regular daily to amended musculus wellness and forestall premature musculus fatigue and MSD. The authors besides statement that short in-game pauses, specified arsenic respawns aliases matchmaking, whitethorn let partial recovery, perchance influencing fatigue patterns.

Conclusions

The study indicates that wrist extensor fatigue increases complete 3-4 hours of esports, crossed each video crippled genres. In contrast, nan effect connected wrist kinematics depends connected nan type of crippled (FPS > MOBA) but does not importantly alteration complete time.

Cumulative muscular fatigue is apt pinch specified games since nan break did not bring astir immoderate observable neuromuscular recovery. This indicates that a higher MSD consequence is imaginable pinch repetitive loading.

“Implementing preventive training strategies and regular progressive breaks whitethorn thief mitigate these effects successful esports athletes.”

The authors besides be aware that nan study was constricted to antheral players, had much MOBA than FPS participants, and lacked a power group, factors that whitethorn impact generalizability.

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Journal reference:

  • Tholl, C., Hansen, L., and Frobose, I. (2025). Wrist extensor fatigue and game-genre-specific kinematic changes successful esports athletes: a quasi-experimental study. BMC Sports Science, Medicine and Rehabilitation. doi: https://doi.org/10.1186/s13102-025-01305-0. https://bmcsportsscimedrehabil.biomedcentral.com/articles/10.1186/s13102-025-01305-0
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