Coping Skills, Competitive Trait Anxiety, and Playing States: Moderating Effects an the Life Stress-Injury Relationship

1993 ◽  
Vol 15 (3) ◽  
pp. 261-274 ◽  
Author(s):  
Trent A. Petrie

This study prospectively investigated the effects of life stress, psychological coping skills, competitive trait anxiety, and playing status (starter vs. non-starter) on injury in 158 NCAA Division I-A collegiate football players. Playing status moderated the influence of the psychosocial variables as predictors of athletic injury. For starters positive life stress, coping skills, and competitive trait anxiety accounted for 60% of the injury variance. In addition, competitive trait anxiety moderated the effects of positive life stress such that increases in these variables were associated with increases in the number of days missed due to injury. No relationship between any of the psychosocial variables and injury emerged for nonstarters. Implications for future research are discussed with respect to the Andersen and Williams (1988) theoretical model.

2015 ◽  
Vol 32 (5) ◽  
pp. 314-326 ◽  
Author(s):  
Christine M. Baugh ◽  
Patrick T. Kiernan ◽  
Emily Kroshus ◽  
Daniel H. Daneshvar ◽  
Philip H. Montenigro ◽  
...  

2013 ◽  
Vol 27 (7) ◽  
pp. 1749-1757 ◽  
Author(s):  
Gary D. Steffes ◽  
Alex E. Megura ◽  
James Adams ◽  
Randal P. Claytor ◽  
Rose M. Ward ◽  
...  

2011 ◽  
Vol 43 (Suppl 1) ◽  
pp. 886
Author(s):  
Julie K. DeMartini ◽  
Jessica L. Martschinske ◽  
Douglas J. Casa ◽  
Ollie Jay ◽  
Rebecca M. Lopez ◽  
...  

2021 ◽  
Vol 9 (9) ◽  
pp. 232596712110266
Author(s):  
Gretchen D. Oliver ◽  
Jessica L. Downs Talmage ◽  
Kenzie B. Friesen ◽  
Michael G. Saper ◽  
Jeffrey R. Dugas

Background: Baseball leagues have implemented pitch count and pitch type restrictions based on biomechanical concepts associated with pitch type. Softball has not yet adopted these practices, although softball pitchers continue to pitch at a high volume and learn multiple pitches at a young age. Purpose: To examine shoulder and elbow kinetics between the fastball, curveball, and changeup, as well as to provide descriptive upper extremity pain data in National Collegiate Athletic Association (NCAA) softball pitchers. Study Design: Descriptive laboratory study. Methods: Study participants consisted of 27 female NCAA Division I softball pitchers (age, 20.2 ± 1.9 years; height, 175.7 ± 5.7 cm; weight, 83.6 ± 12.7 kg). The participants pitched 3 balls of each pitch type, and kinetic data were recorded. A one-way within-participants repeated-measures multivariate analysis of variance was used to determine significant differences in kinetics and pitch speed between pitch types. Results: Results revealed a statistically significant main effect for pitch type (Wilks λ = .087; F = 36.523; P < .001). Post hoc testing showed that the changeup produced less anterior elbow force compared with the fastball ( P < .001) and the curveball ( P = .012). In addition, the changeup produced less shoulder distraction force compared with the fastball ( P < .001) and the curveball ( P = .001). Additionally, there was a significant difference in pitch speed between all 3 pitch types ( P = .006). The curveball revealed no statistically significant kinetic differences compared with the fastball. Conclusion: The fastball and curveball placed similar stress on the upper extremity in collegiate softball pitchers. However, in comparison with the changeup, the fastball and curveball placed increased stress on the upper extremity. More research is needed to fully explain the differences seen between pitch type and injury risk. Clinical Relevance: Sports medicine professionals, coaches, and athletes should use the current study results to note these differences in shoulder distraction and elbow anterior forces between softball pitch types. The study results can be used as a reference and basis for future research investigating kinetic differences across varying pitch types.


2003 ◽  
Vol 35 (Supplement 1) ◽  
pp. S48 ◽  
Author(s):  
J R. Stofan ◽  
J J. Zachwieja ◽  
C A. Horswill ◽  
M Lacambra ◽  
R Murray ◽  
...  

2020 ◽  
Vol 8 (8) ◽  
pp. 232596712094249 ◽  
Author(s):  
Barry P. Boden ◽  
Ken M. Fine ◽  
Ilan Breit ◽  
Wendee Lentz ◽  
Scott A. Anderson

Background: Football has the highest number of nontraumatic fatalities of any sport in the United States. Purpose: To compare the incidence of nontraumatic fatalities with that of traumatic fatalities, describe the epidemiology of nontraumatic fatalities in high school (HS) and college football players, and determine the effectiveness of National Collegiate Athletic Association (NCAA) policies to reduce exertional heat stroke (EHS) and exertional sickling (ES) with sickle cell trait (SCT) fatalities in athletes. Study Design: Descriptive epidemiology study. Methods: We retrospectively reviewed 20 academic years (1998-2018) of HS and college nontraumatic fatalities in football players using the National Registry of Catastrophic Sports Injuries (NRCSI). EHS and ES with SCT fatality rates were compared before and after the implementation of the NCAA football out-of-season model (bylaw 17.10.2.4 [2003]) and NCAA Division I SCT screening (bylaw 17.1.5.1 [2010]), respectively. Additionally, we compiled incidence trends for HS and college traumatic and nontraumatic fatalities in football players for the years 1960 through 2018 based on NRCSI data and previously published reports. Results: The risk (odds ratio) of traumatic fatalities in football players in the 2010s was 0.19 (95% CI, 0.13-0.26; P < .0001) lower in HS and 0.29 (95% CI, 0.29-0.72; P = .0078) lower in college compared with that in the 1960s. In contrast, the risk of nontraumatic fatalities in football players in the 2010s was 0.7 (95% CI, 0.50-0.98; P = .0353) in HS and 0.9 (95% CI, 0.46-1.72; P = .7413) in college compared with that in the 1960s. Since 2000, the risk of nontraumatic fatalities has been 1.89 (95% CI, 1.42-2.51; P < .001) and 4.22 (95% CI, 2.04-8.73; P < .001) higher than the risk of traumatic fatalities at the HS and college levels, respectively. During the 20 years studied, there were 187 nontraumatic fatalities (average, 9.4 per year). The causes of death were sudden cardiac arrest (57.7%), EHS (23.6%), ES with SCT (12.1%), asthma (4.9%), and hyponatremia (1.6%). The risk of a nontraumatic fatality was 4.1 (95% CI, 2.8-5.9; P < .0001) higher in NCAA compared with HS athletes. There was no difference in the risk of an EHS fatality in NCAA athletes (0.86 [95% CI, 0.17-4.25]; P = .85) after implementation in 2003 of the NCAA football out-of-season model. The risk of an ES with SCT fatality in Division I athletes was significantly lower after the 2010 NCAA SCT screening bylaw was implemented (0.12 [95% CI, 0.02-0.95]; P = .04). Conclusion: Since the 1960s, the risk of nontraumatic fatalities has declined minimally compared with the reduction in the risk of traumatic fatalities. Current HS and college nontraumatic fatality rates are significantly higher than rates of traumatic fatalities. The 2003 NCAA out-of-season model has failed to significantly reduce EHS fatalities. The 2010 NCAA SCT screening bylaw has effectively prevented ES with SCT fatalities in NCAA Division I football.


2018 ◽  
Vol 10 (3) ◽  
pp. 234-243 ◽  
Author(s):  
Trevor J. Carver ◽  
John B. Schrock ◽  
Matthew J. Kraeutler ◽  
Eric C. McCarty

Background: Previous studies have analyzed the treatment patterns used to manage injuries in National Collegiate Athletic Association (NCAA) Division I football players. Hypothesis: Treatment patterns used to manage injuries in NCAA Division I football players will have changed over the study period. Study Design: Descriptive epidemiology study. Level of Evidence: Level 5. Methods: The head orthopaedic team physicians for all 128 NCAA Division I football teams were asked to complete a survey containing questions regarding experience as team physician, medical coverage of the team, reimbursement issues, and treatment preferences for some of the most common injuries occurring in football players. Responses from the current survey were compared with responses from the same survey sent to NCAA Division I team physicians in 2008. Results: Responses were received from 111 (111/119, 93%) NCAA Division I orthopaedic team physicians in 2008 and 115 (115/128, 90%) orthopaedic team physicians between April 2016 and April 2017. The proportion of team physicians who prefer a patellar tendon autograft for primary anterior cruciate ligament reconstruction (ACLR) increased from 67% in 2008 to 83% in 2016 ( P < 0.001). The proportion of team physicians who perform anterior shoulder stabilization arthroscopically increased from 69% in 2008 to 93% in 2016 ( P < 0.0001). Of team physicians who perform surgery for grade III posterior cruciate ligament (PCL) injuries, the proportion who use the arthroscopic single-bundle technique increased from 49% in 2008 to 83% in 2016 ( P < 0.0001). The proportion of team physicians who use Toradol injections prior to a game to help with nagging injuries decreased from 62% in 2008 to 26% in 2016 ( P < 0.0001). Conclusion: Orthopaedic physicians changed their injury treatment preferences for NCAA Division I football players over the study period. In particular, physicians have changed their preferred techniques for ACLR, anterior shoulder stabilization, and PCL reconstruction. Physicians have also become more conservative with pregame Toradol injections. Clinical Relevance: These opinions may help guide treatment decisions and lead to better care of all athletes.


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