Objective While powerlifting is a popular sport, there may be some safety concerns due to the repeated high loads. This literature review focuses on injury rates, areas of injury and biomechanical movement analysis. Method "Powerlifting" and "injury" were used in the most relevant databases. Inclusion and exclusion criteria were applied and 11 studies were included separated in three different categories. Results Based on 11 studies with a total of 763 lifters, the injury incidence in powerlifting is low; between 1.0-4.4 per 1000 hours, with the low back, shoulders and knees being the most affected areas. Lifting biomechanics were different between novice and elite lifters. Conclusion Evaluation of lifting technique and athlete characteristics may be a viable strategy to prevent acute or overuse pain and injury. During the main lifts, compressive/supportive apparel could be protective for lifters on this risk areas.
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