Acute Testicular Fracture in a National Collegiate Athletic Association (NCAA) Division I Baseball Catcher: A Case Study

2020 ◽  
pp. 1-4
Author(s):  
Brandon C. Platt ◽  
Sue Falsone ◽  
Kenneth C. Lam,
Keyword(s):  
Ncaa Division I ◽  
National Collegiate Athletic Association ◽  
Surgical Repair ◽  
Early Recognition ◽  
Division I ◽  
Return To Play ◽  
Inflammatory Drugs ◽  
Acute Condition ◽  
The Right

A 21-year-old male baseball catcher sustained an injury to the right testicle from a foul ball that ricocheted from the ground to his groin. The athlete was removed from competition when testicular pain began to increase. Ice was applied to the affected area and nonsteroidal anti-inflammatory drugs (NSAIDs) were utilized through the evening. Further diagnosis and treatment were warranted the following morning. Diagnostic ultrasound revealed a fracture to the right testicle, necessitating surgical repair. The athlete followed a return-to-play progression and returned to play 20 days postinjury. This case describes evaluation and treatment of a rare acute condition and the need for early recognition and diagnosis.

scholarly journals Effect of Achilles Tendon Repair on Performance Outcomes After Return to Play in National Collegiate Athletic Association Division I Basketball Athletes

2021 ◽  
Vol 9 (6) ◽  
pp. 232596712110152
Author(s):  
Rafael Sanchez ◽  
Blake H. Hodgens ◽  
Joseph S. Geller ◽  
Samuel Huntley ◽  
Jonathan Kaplan ◽  
...  
Keyword(s):  
Ncaa Division I ◽  
National Collegiate Athletic Association ◽  
Performance Metrics ◽  
Female Athletes ◽  
Surgical Repair ◽  
National Basketball Association ◽  
Division I ◽  
Return To Play ◽  
Basketball Players ◽  
Significant Drop

Background: Achilles tendon (AT) ruptures are devastating injuries that are highly prevalent among athletes. Despite our understanding of the effect of AT rupture and in particular its relationship to basketball, no study has examined the effects of AT rupture and repair on performance metrics in collegiate basketball players. Purpose: To evaluate the effect of AT rupture and subsequent surgical repair on performance metrics in National Collegiate Athletic Association (NCAA) Division I basketball players who return to play after injury. Study Design: Descriptive epidemiology study. Methods: NCAA Division I basketball players who sustained an AT rupture and underwent subsequent surgical repair between 2000 and 2019 were identified by systematically evaluating individual injury reports from databases comprising NCAA career statistics and individual school statistics; 65 male and 41 female players were identified. Athletes were included if they participated in at least one-half of the games of 1 collegiate season before tearing the AT and at least 1 season after operative repair. A total of 50 male and 30 female athletes were included. Each injured athlete was matched to a healthy control by conference, position, starter status at time of injury, class year, and number of games played. Matched controls were healthy players and experienced no significant injuries during their NCAA careers. Results: After AT repair, male athletes had significantly more minutes per game, points per game, and compared with before injury. Total blocks significantly decreased after injury. Female athletes scored significantly more points per game but demonstrated a significantly lower 3-point shooting percentage after return to play. Despite undergoing AT rupture and repair, 14% of male players played in the National Basketball Association, and 20% of injured female athletes played in the Women’s National Basketball Association. Conclusion: After returning to play, men demonstrated a significant drop-off in performance only in regard to total blocks. Female athletes after AT repair demonstrated a significant improvement in points per game but had a significant drop-off in 3-point shooting percentage.

scholarly journals Collegiate Athletic Trainers' Experiences With External Pressures Faced During Decision Making

2020 ◽  
Vol 55 (4) ◽  
pp. 409-415
Author(s):  
Alicia M. Pike Lacy ◽  
Stephanie Mazerolle Singe ◽  
Thomas G. Bowman
Keyword(s):  
Ncaa Division I ◽  
Sports Medicine ◽  
National Collegiate Athletic Association ◽  
Athletic Trainers ◽  
External Pressure ◽  
Division I ◽  
Return To Play ◽  
Major Theme ◽  
Patient Centered ◽  
Medical Decisions

Context Conflict is prevalent between sports medicine professionals and coaching staffs regarding return-to-play decisions for athletes after injury in the National Collegiate Athletic Association (NCAA) Division I setting. The firsthand experiences of athletic trainers (ATs) regarding such conflict have not been fully investigated. Objective To better understand the outside pressures ATs face when making medical decisions regarding patient care and return to play after injury in the NCAA Division I Football Bowl Subdivision (FBS) setting. Design Qualitative study. Setting Semistructured one-on-one telephone interviews. Patients or Other Participants Nine ATs (4 men, 5 women; age = 31 ± 8 years [range = 24–48 years]; years certified = 9 ± 8). Data Collection and Analysis Interviews were audio recorded and later transcribed. Thematic analysis was completed phenomenologically. Researcher triangulation, peer review, and member checks were used to establish trustworthiness. Results Two major themes emerged from the qualitative analysis: (1) pressure is an expected component of the Division I FBS AT role, and (2) strategies can be implemented to mitigate the negative effects of pressure. Three subthemes supported the second major theme: (1) ensuring ongoing and frequent communication with stakeholders about an injured athlete's status and anticipated timeline for return to play, (2) providing a rationale to coaches or administrations to foster an understanding of why specific medical decisions are being made, and (3) establishing positive relationships with coaches, athletes, and administrations. Conclusions External pressure regarding medical decisions was an anticipated occurrence for our sample. Such pressure was described as a natural part of the position, not negative but rather a product of the culture and environment of the Division I FBS setting. Athletic trainers who frequently face pressure from coaches and administration should use the aforementioned strategies to improve the workplace dynamic and foster an environment that focuses on patient-centered care.

A Case-Study Analysis of NCAA Division I Women’s Basketball Tournament Broadcasts: Educational or Commercial Activity?

2008 ◽  
Vol 1 (4) ◽  
pp. 516-533 ◽  
Author(s):  
Richard M. Southall ◽  
Mark S. Nagel
Keyword(s):  
Ncaa Division I ◽  
National Collegiate Athletic Association ◽  
Division I ◽  
Critical Examination ◽  
Commercial Activity ◽  
Educational Mission ◽  
Organizational Conditions ◽  
Women's Basketball ◽  
The Impact

Over the past few years the National Collegiate Athletic Association (NCAA) Division I women’s basketball tournament has drawn larger crowds, generated increased television ratings, and attracted higher levels of advertising spending. Division I women’s basketball is now viewed as the women’s “revenue” sport. In light of the limited analysis of the organizational conditions that frame college-sport broadcast production, this case study examines the impact of influential actors on the representation process of big-time college-basketball telecasts. Using a mixed-method approach, this article investigates production conditions and processes involved in producing women’s basketball tournament broadcasts, examines the extent to which these broadcasts are consistent with the NCAA’s educational mission, and considers the dominant institutional logic that underpins their reproduction. In so doing, this case study provides a critical examination of women’s basketball tournament broadcasts and how such broadcasts constitute, and are constituted by, choices in television production structures and practices.

scholarly journals Findings from Cardiovascular Evaluation of NCAA Division I Collegiate Student-Athletes after Asymptomatic or Mildly Symptomatic SARS-CoV-2 Infection

2021 ◽  
Author(s):  
Calvin E Hwang ◽  
Andrea Kussman ◽  
Jeffrey W Christle ◽  
Victor Froelicher ◽  
Matthew T Wheeler ◽  
...  
Keyword(s):  
Ncaa Division I ◽  
Student Athletes ◽  
National Collegiate Athletic Association ◽  
Case Series ◽  
Division I ◽  
Return To Play ◽  
Antibody Testing ◽  
Cardiovascular Screening ◽  
Cardiovascular Evaluation ◽  
Work Up

Objectives: The risk of myocardial damage after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has been controversial. There is an urgent need for data to support the appropriate level of cardiovascular screening for safe return-to-play. The purpose of this study is to report the incidence of abnormal cardiovascular findings in National Collegiate Athletic Association (NCAA) Division I student-athletes with a history of SARS-CoV-2 infection. Methods: This is a case series of student-athletes at a single NCAA Division I institution who tested positive for SARS-CoV-2 by polymerase chain reaction (PCR) or antibody testing (IgG) from 4/15/2020 to 10/31/2020. From 452 athletes who were screened, 5,124 PCR and 452 antibody tests were completed. Student-athletes were followed through 12/31/2020 (median 104 days, range 64-182 days). Cardiac work-up included clinical evaluation, troponin level, electrocardiogram (ECG), and echocardiogram. Additional work-up was ordered as clinically indicated. Results: 55 student-athletes tested positive for SARS-CoV-2. Of these, 38 (69%) had symptoms of Coronavirus Disease (COVID-19), 14 (26%) had a positive IgG test, and 41 (74%) had a positive PCR test. Eight abnormal cardiovascular screening evaluations necessitated further testing including cardiac magnetic resonance imaging (cMRI). Two athletes received new cardiac diagnoses, one probable early cardiomyopathy and one pericarditis, while the remaining six had normal cardiac MRIs. Conclusion: These data support recent publications which recommend the de-escalation of cardiovascular testing for athletes who have recovered from asymptomatic or mildly symptomatic SARS-CoV-2 infection. Continued follow-up of these athletes for sequelae of SARS-CoV-2 is critical.

scholarly journals Changes in Maximal Strength and Home Run Performance in NCAA Division I Baseball Players Across 3 Competitive Seasons: A Descriptive Study

2021 ◽  
Vol 6 (1) ◽  
pp. 4
Author(s):  
W. Guy Hornsby ◽  
Abigail L. Tice ◽  
Jason D. Stone ◽  
Justin J. Merrigan ◽  
Joshua Hagen ◽  
...  
Keyword(s):  
Ncaa Division I ◽  
Repeated Measures ◽  
National Collegiate Athletic Association ◽  
Descriptive Study ◽  
Peak Force ◽  
Division I ◽  
Maximal Strength ◽  
Baseball Players ◽  
Repeated Measures Analysis ◽  
Division 1

The purpose of this longitudinal, descriptive study was to observe changes in maximal strength measured via isometric clean grip mid-thigh pull and home runs (total and home runs per game) across three years of training and three competitive seasons for four National Collegiate Athletic Association (NCAA) Division 1 baseball players. A one-way repeated measures analysis of variance (ANOVA) was performed, revealing significant univariate effects of time for peak force (PF) (p = 0.003) and peak force allometrically scaled (PFa) (p = 0.002). Increases in PF were noted from season 1 to season 2 (p = 0.031) and season 3 (p = 0.004), but season 2 was not significantly different than season 3 (p = 0.232). Additionally, increases in PFa were noted from season 1 to season 2 (p = 0.010) and season 3 (p < 0.001), but season 2 was not significantly different than season 3 (p = 0.052). Home runs per game rose from the 2009 (0.32) to 2010 season (1.35) and dropped during the 2011 season (1.07). A unique aspect of the study involves 2010 being the season in which ball-bat coefficient of restitution (BBCOR) bats were introduced to the NCAA competition.

scholarly journals Gaining Access to Providing Medical Care to Male Sport Teams: The Female Athletic Trainer Perspective

2017 ◽  
Vol 52 (10) ◽  
pp. 946-954
Author(s):  
Alicia Pike ◽  
Stephanie M. Mazerolle ◽  
Jessica L. Barrett
Keyword(s):  
Medical Care ◽  
Athletic Training ◽  
Ncaa Division I ◽  
National Collegiate Athletic Association ◽  
Division I ◽  
Professional Relationships ◽  
Sport Team ◽  
Sport Teams ◽  
Job Access ◽  
The University

Context:  Female athletic trainers (ATs) can face barriers to employment within the profession. Although there is evidence for an increasing percentage of women in athletic training, the portion providing medical care to male sport teams within the professional sport and collegiate settings continues to be small. Objective:  To investigate the experiences of female ATs when seeking employment with male sport teams within the Division I setting. Design:  Qualitative study. Setting:  National Collegiate Athletic Association (NCAA) Division I. Patients or Other Participants:  A total of 15 NCAA Division I female ATs providing medical care to a male sport team participated in our study. Their mean age was 33 ± 9 years, and they had a mean of 11 ± 9 years of overall clinical experience. Data Collection and Analysis:  All participants completed one-on-one phone interviews, which were recorded and transcribed. Analysis of the data followed thematic analysis using a phenomenologic approach. Credibility was established through credibility checks, peer review, and researcher triangulation. Results:  Factors that played a role in women gaining employment with male sport teams were (1) preexisting professional relationships, (2) prior experience with a male sport, and (3) perseverance. Participants in our study were most attracted to their current positions because of (1) the environment of the collegiate setting and (2) the location of the university. Conclusions:  Job access for female ATs in this study was not viewed as a challenge. Familiarity through previous connections with the university and staff and commitment to career goals helped these women obtain the positions they held. The desire to work in male sports was not a primary contributing factor to the decision-making process. Progress continues for women in athletic training, as evidenced by the reported ease of job access with male sport teams.

scholarly journals Not Going Pro: On Seeking Lasting Returns from College Sports

2016 ◽  
Vol 2 (1) ◽  
pp. 188 ◽  
Author(s):  
Matthew Horner ◽  
Neal Ternes ◽  
Christopher McLeod
Keyword(s):  
Decision Making ◽  
Ncaa Division I ◽  
Capital Investment ◽  
Student Athletes ◽  
Sport Participation ◽  
National Collegiate Athletic Association ◽  
Collegiate Athletics ◽  
Division I ◽  
Personal Investment

The National Collegiate Athletic Association (NCAA) clearly states there are many favorable qualities derived from participation that benefit those “who go pro in something other than sports.” However, the ability of collegiate athletics to deliver on the promise of attributable long-term vocational value is rarely questioned. Instead, student-athletes are encouraged to think of their participation as a personal investment with enduring rewards for the investor. In this study involving former NCAA Division I student-athletes, the authors examined whether participation can be regarded as an investment and how student-athletes perceive the returns thus derived. Extending Becker’s (1962) theory of human capital investment to sport participation, the authors probed participants’ experiences for evidence of investment thinking and lasting benefits in corporeal, economic, social, and cultural varieties. The findings support the notion that participation in collegiate athletics can be broadly defined as an investment, but not in accordance with the long-term utility maximizing rationale described by neoclassical economists. Furthermore, the high cost of participation, inherent uncertainty, and unreliable information confound the athlete’s decision-making and blur the distinction between consumption in the present and investing for the future.

scholarly journals National Collegiate Athletic Association Division I Athletic Trainers' Concussion-Management Practice Patterns

2014 ◽  
Vol 49 (5) ◽  
pp. 665-673 ◽  
Author(s):  
Kassandra C. Kelly ◽  
Erin M. Jordan ◽  
A. Barry Joyner ◽  
G. Trey Burdette ◽  
Thomas A. Buckley
Keyword(s):  
Clinical Examination ◽  
Ncaa Division I ◽  
Sports Medicine ◽  
National Collegiate Athletic Association ◽  
Practice Patterns ◽  
Management Practice ◽  
Athletic Trainers ◽  
Division I ◽  
Concussion Management ◽  
Consensus Statements

Context: A cornerstone of the recent consensus statements on concussion is a multifaceted concussion-assessment program at baseline and postinjury and when tracking recovery. Earlier studies of athletic trainers' (ATs') practice patterns found limited use of multifaceted protocols; however, these authors typically grouped diverse athletic training settings together. Objective: To (1) describe the concussion-management practice patterns of National Collegiate Athletic Association (NCAA) Division I ATs, (2) compare these practice patterns to earlier studies, and (3) objectively characterize the clinical examination. Design: Cross-sectional study. Setting: Online survey. Patients or Other Participants: A total of 610 ATs from NCAA Division I institutions, for a response rate of 34.4%. Main Outcome Measure(s): The survey had 3 subsections: demographic questions related to the participant's experiences, concussion-assessment practice patterns, and concussion-recovery and return-to-participation practice patterns. Specific practice-pattern questions addressed balance, cognitive and mental status, neuropsychological testing, and self-reported symptoms. Finally, specific components of the clinical examination were examined. Results: We identified high rates of multifaceted assessments (ie, assessments using at least 3 techniques) during testing at baseline (71.2%), acute concussion assessment (79.2%), and return to participation (66.9%). The specific techniques used are provided along with their adherence with evidence-based practice findings. Respondents endorsed a diverse array of clinical examination techniques that often overlapped objective concussion-assessment protocols or were likely used to rule out associated potential conditions. Respondents were cognizant of the Third International Consensus Statement, the National Athletic Trainers' Association position statement, and the revised NCAA Sports Medicine Handbook recommendations. Conclusions: Athletic trainers in NCAA Division I demonstrated widespread use of multifaceted concussion-assessment techniques and appeared compliant with recent consensus statements and the NCAA Sports Medicine Handbook.

“Do Not Question Authority”: Examining Team Rules in National Collegiate Athletic Association Division I Women’s Basketball

2020 ◽  
Vol 7 (3) ◽  
pp. 317-325
Author(s):  
Leslie K. Larsen ◽  
Leslee A. Fisher ◽  
Terilyn C. Shigeno ◽  
Matthew P. Bejar ◽  
Melissa N. Madeson
Keyword(s):  
Best Practices ◽  
Ncaa Division I ◽  
Student Athletes ◽  
National Collegiate Athletic Association ◽  
Division I ◽  
Consensual Qualitative Research ◽  
Athletic Departments ◽  
Organizational Loyalty ◽  
Supportive Environment ◽  
Women's Basketball

While the policies National Collegiate Athletic Association (NCAA) athletic departments have in place regarding social media and drug abuse have been empirically investigated, research on the full battery of rules implemented by NCAA teams is scant. Therefore, the purpose of this study was to analyze the written team rules of 41 NCAA Division I women’s basketball teams to better understand the types of rules that are in place and to hypothesize the effects these rules might have on the development of an autonomy-supportive environment. Using Consensual Qualitative Research, the research team constructed seven domains with multiple categories to represent the data. The domains included the following: (a) program expectations, (b) controlled communication, (c) controlled relationships, (d) controlled appearance/attire, (e) controlled social behavior, (f) recommendations for optimal physical performance, and (g) academic expectation. Based on the results of this study, we conclude that NCAA Division I women’s basketball coaches use team rules as a tool for domination rather than a strategy for developing the autonomy of student-athletes. We offer practical suggestions for coach educators, coach developers, and coaches on best practices when creating team rules to develop an autonomy-supportive environment that strengthens organizational loyalty and improves the experiences of student-athletes.

scholarly journals Association of Upper Extremity Pain With Softball Pitching Kinematics and Kinetics

2019 ◽  
Vol 7 (8) ◽  
pp. 232596711986517 ◽  
Author(s):  
Gretchen D. Oliver ◽  
Kenzie Friesen ◽  
Jeff W. Barfield ◽  
Kevin Giordano ◽  
Adam Anz ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Ncaa Division I ◽  
Stride Length ◽  
National Collegiate Athletic Association ◽  
Tracking System ◽  
Center Of Mass ◽  
The United States ◽  
Division I ◽  
Trunk Rotation ◽  
Kinetic Chain

Background: There is a paucity of research regarding the relationship between fastpitch softball pitching mechanics and reported pain. Thus, understanding the pitching mechanics of athletes pitching with upper extremity pain and those pain free is paramount. Purpose: To examine lower extremity pitching mechanics, upper extremity kinetics, and upper extremity pain in National Collegiate Athletic Association (NCAA) Division I female softball pitchers. Study Design: Descriptive laboratory study. Methods: A total of 37 NCAA Division I female softball pitchers (mean age, 19.84 ± 1.28 years; mean height, 173.67 ± 7.77 cm; mean weight, 78.98 ± 12.40 kg) from across the United States were recruited to participate. Participants were divided into 2 groups: upper extremity pain (n = 13; mean age, 19.69 ± 1.18 years; mean height, 172.60 ± 11.49 cm; mean weight, 86.75 ± 13.02 kg) and pain free (n = 24; mean age, 19.91 ± 1.35 years; mean height, 174.26 ± 4.96 cm; mean weight, 74.78 ± 9.97 kg). An electromagnetic tracking system was used to obtain kinematic and kinetic data during the riseball softball pitch. Results: At foot contact ( F 3,33 = 7.01, P = .001), backward elimination regression revealed that stride length, trunk rotation, and center of mass (COM) significantly explained about 33% of variance with softball pitchers experiencing upper extremity pain (adjusted R 2 = 0.33). Conclusion: At foot contact, the kinematic variables of increased trunk rotation toward the pitching arm side, increased stride length, and a posteriorly shifted COM were associated with upper extremity pain in collegiate softball pitchers. Variables early in the pitching motion that do not set a working and constructive proximal kinetic chain foundation for the rest of the pitch to follow could be associated with breakdowns more distal in the kinetic chain, possibly increasing the susceptibility to upper extremity pain. Clinical Relevance: The identification of pitching mechanics associated with pain allows clinicians to develop exercises to avoid such mechanics. Avoiding mechanics associated with pain may help reduce the prevalence of pain in windmill softball pitchers as well as help coaches incorporate quantitative biomechanics into their instruction.

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