Preseason Anxiety and Depressive Symptoms and Prospective Injury Risk in Collegiate Athletes

2017 ◽  
Vol 45 (9) ◽  
pp. 2148-2155 ◽  
Author(s):  
Hongmei Li ◽  
Jennifer J. Moreland ◽  
Corinne Peek-Asa ◽  
Jingzhen Yang
Keyword(s):  
Depressive Symptoms ◽  
Injury Prevention ◽  
Incidence Rate ◽  
Injury Risk ◽  
Female Athletes ◽  
Collegiate Athletes ◽  
Anxiety Symptoms ◽  
Injury Incidence ◽  
Male Athletes ◽  
Effective Prevention

Background: Psychological risk factors are increasingly recognized as important in sport-related injury prevention. Understanding how these psychological factors may affect the risk of injuries could help design effective prevention programs. Purpose: To determine the effect of reported preseason anxiety and depressive symptoms on the risk of injuries during a prospective season in a cohort of collegiate athletes. Study Design: Cohort study; Level of evidence, 2. Methods: Collegiate athletes participating in 4 men’s sports and 5 women’s sports from 2 National Collegiate Athletic Association (NCAA) Division I universities were enrolled and prospectively followed during the 2007-2011 seasons. Preseason anxiety and depressive symptoms were measured at enrollment. Injuries occurring during the season were reported by certified athletic trainers. The injury incidence rate was calculated as the total number of injuries divided by the total number of athlete-exposures (ie, games and practices). Results: Of 958 enrolled athletes (response rate of 90.3%), 389 (40.6%) athletes sustained a total of 597 injuries. At preseason, 276 (28.8%) athletes reported anxiety symptoms, and 208 (21.7%) reported depressive symptoms. Among athletes reporting any of these symptoms, 48.5% (n = 158) reported having both anxiety and depressive symptoms. Athletes with preseason anxiety symptoms had a significantly higher injury incidence rate compared with athletes without anxiety symptoms (rate ratio [RR], 2.3; 95% CI, 2.0-2.6), adjusting for age, race, body mass index, history of injuries 12 months before baseline, and university attended, and this was observed for both male and female athletes. Only male athletes who reported co-occurring preseason depressive and anxiety symptoms had a significantly increased injury risk (RR, 2.1; 95% CI, 1.6-2.6) compared with male athletes who reported no co-occurring symptoms. However, no such increase in the injury risk was observed among female athletes or male athletes who reported preseason depressive symptoms but no anxiety symptoms. Conclusion: Athletes with anxiety symptoms at preseason were at an increased risk of injuries during the prospective season. Targeted programs could focus on psychological health and injury prevention for athletes, especially for those exhibiting symptoms at preseason.

Incidence of Glenohumeral Instability in Collegiate Athletics

2009 ◽  
Vol 37 (9) ◽  
pp. 1750-1754 ◽  
Author(s):  
Brett D. Owens ◽  
Julie Agel ◽  
Sally B. Mountcastle ◽  
Kenneth L. Cameron ◽  
Bradley J. Nelson
Keyword(s):  
Incidence Rate ◽  
Female Athletes ◽  
Sport Activity ◽  
Epidemiologic Study ◽  
Injury Rate ◽  
Collegiate Athletes ◽  
Collegiate Athletics ◽  
Mechanism Of Injury ◽  
Glenohumeral Instability ◽  
Male Athletes

Background Glenohumeral instability is a common injury sustained by young athletes. Surprisingly, little is known regarding the incidence of glenohumeral instability in collegiate athletes or the relevant risk factors for injury. A better understanding of the populations most at risk may be used to develop preventive strategies. Hypothesis The incidence of glenohumeral instability in collegiate athletics is high, and it is affected by sex, sport, type of event, and mechanism of injury. Study Design Descriptive epidemiologic study. Methods The National Collegiate Athletic Association injury database was queried for all glenohumeral instability events occurring between the years 1989 and 2004. An analysis of the injuries was performed by sport, activity (competition versus practice), sex, type of event (primary versus recurrent), mechanism of injury, and time loss from athletic performance. Incidence rates and incidence rate ratios were calculated. Results A total of 4080 glenohumeral instability events were documented for an incidence rate of 0.12 injuries per 1000 athlete exposures. The sport with the greatest injury rate was men's spring football, with 0.40 injuries per 1000 athlete exposures. Overall, athletes sustained more glenohumeral instability events during games than practices (incidence rate ratio [IRR], 3.50; 95% confidence interval [CI], 3.29-3.73). Male athletes sustained more injuries than did female athletes (IRR, 2.67; 95% CI, 2.43-2.93). Female athletes were more likely to sustain an instability event as the result of contact with an object (IRR, 2.43; 95% CI, 2.08-2.84), whereas male athletes were more likely to sustain an event from player contact (IRR, 2.74; 95% CI, 2.31-3.25). Time lost to sport (>10 days) occurred in 45% of glenohumeral instability events. Conclusion Glenohumeral instability is a relatively common injury sustained by collegiate athletes. More injuries occurred during competition and among male athletes.

scholarly journals Time-Loss Injuries in Karate: A Prospective Cohort Study of 4 Consecutive World Karate Championships

2019 ◽  
Vol 7 (8) ◽  
pp. 232596711986586 ◽  
Author(s):  
Dušana Augustovičová ◽  
Reidar P. Lystad ◽  
Rafael Arriaza
Keyword(s):  
Incidence Rate ◽  
Martial Arts ◽  
Injury Risk ◽  
Female Athletes ◽  
Injury Rate ◽  
Injury Incidence ◽  
Time Loss ◽  
Injury Surveillance System ◽  
Weight Category ◽  
Karate Athletes

Background: Prospective studies on injuries in martial arts competitions are scarce, especially those involving time-loss injuries. The upsurge of karate athletes competing in top-level karate competitions warrants elucidation of the time-loss injury risk. Purpose: To determine the time-loss injury proportion and incidence rate, describe the injury pattern among elite senior karate athletes, and compare the risk of time-loss injuries in male versus female athletes and in individual (ie, weight categories) versus team competitions (free-weight category). Study Design: Descriptive epidemiology study. Methods: Data were collected at 4 consecutive World Karate Championships (2010, 2012, 2014, and 2016). Injury incidence rates were calculated per 1000 athlete-exposures (IIRAE) and per 1000 minutes of exposure (IIRME), with 95% CIs. Subgroups were compared by calculating their rate ratios with 95% CIs. Results: A total of 506 injuries were recorded, of which 51 were time-loss injuries (10%). The overall time-loss injury rate was significantly lower for female versus male athletes and slightly lower for team versus individual competitions. Overall, 1.4% of all athletes sustained a time-loss injury, and the IIRAE and IIRME were 5.13 (95% CI, 3.82-6.74) and 1.98 (95% CI, 1.47-2.60), respectively. The most common type of time-loss injury was fracture (41%), followed by dislocation (20%) and concussion (12%). Conclusion: The time-loss injury incidence rate for top-level karate competitions found in this prospective study was relatively low. Comprehensive knowledge about the incidence of time-loss injuries during karate competitions represents an essential basis to develop effective strategies for injury prevention. Thus, the introduction of a uniform injury surveillance system in martial arts is of utmost importance.

Collegiate Athletes’ Gendered Perceptions of a Hypothetical Male and Female Coach

2010 ◽  
Vol 3 (1) ◽  
pp. 42-55
Author(s):  
Lori Rittenhouse-Wollmuth ◽  
Cindra S. Kamphoff ◽  
Jon Lim
Keyword(s):  
Female Athletes ◽  
Collegiate Athletes ◽  
Physical Contact ◽  
Head Coach ◽  
Male Athletes ◽  
Male And Female ◽  
Female Head ◽  
Study Results ◽  
Female Collegiate Athletes ◽  
Female Coaches

Historically, the world of sport is considered a masculine domain characterized by power, aggression, and physical contact (Hall, 1996). The exclusionary elements of the male culture of sport have created gender inequities in participation (Birrell & Theberge, 1994), and a gendered perception of male and female coaches (Frankl & Babitt, 1998; Weinberg, Reveles, & Jackson, 1984). The purpose of this study was to examine the perceptions of male and female collegiate athletes of a hypothetical male and female coach, and to determine if female coaches are more accepted compared to Weinberg et al.’s study investigating male and female athletes’ perceptions of a hypothetical coach. The Attitudinal Questionnaire (Weinberg, Reveles, & Jackson, 1984) was utilized to determine athletes’ attitudes about a hypothetical coach. A 2 × 2 MANOVA indicated a significant interaction between the gender of a hypothetical head coach and the gender of an athlete, and a significant main effect for gender. Univariate ANOVA results indicate that males and females differed in their attitudes and perceptions of both a hypothetical male and female head coach. The female athletes, compared to male athletes, were more likely to be accepting of coaches regardless of the coaches’ gender. Furthermore, male athletes were less accepting of female coaches. In addition, when comparing the means of the current study to Weinberg et al.’s (1984) study, results indicate that female coaches were not more accepted than in 1984.

scholarly journals A Narrative Review of Injury Incidence, Location, and Injury Factor of Elite Athletes in Snowsport Events

2021 ◽  
Vol 11 ◽  
Author(s):  
Yongxin Xu ◽  
Chenhao Yang ◽  
Yang Yang ◽  
Xini Zhang ◽  
Shen Zhang ◽  
...  
Keyword(s):  
Injury Risk ◽  
Elite Athletes ◽  
Tendon Injury ◽  
Narrative Review ◽  
Ligament Injury ◽  
Injury Incidence ◽  
Body Parts ◽  
Severe Injuries ◽  
Effective Prevention ◽  
Injury Data

Snowsport athletes face a high injury risk both during training and in competitions. Reducing injury incidence is crucial for athletes to achieve breakthroughs. This narrative review aimed to summarize and analyze injury data of elite athletes in snowsports and provide references for injury prevention and health security for these athletes and their coaches. A total of 39 studies that investigated snowsport injury were analyzed in the present study. On the basis of injury data of elite athletes in snowsports events, this narrative review focused on four aspects, namely, injury incidence, severity, location and causes. The findings of this review were as follows. (1) The highest injury incidence was recorded in freestyle skiing, followed by alpine skiing and snowboarding, the majority of which were moderate and severe injuries. (2) The proportion of injury in competitions and during training was similar. However, more injuries occurred in official training during the Winter Olympic Games; by contrast, injury proportion was higher in competitions during World Cup/World Championships. (3) The most commonly and severely injured body parts were the knees (29.9%), head and face (12.1%), shoulders and clavicula (10.5%), and lower back (8.9%). The most common injury types were joint and ligament injury (41.5%), fracture and bone stress (24.4%), concussion (11.1%), and muscle/tendon injury (10.7%). (4) The main causes of snowsport injury were collisions, falls, and non-contact injuries. Snowsport injury was also influenced by the skill level of the athletes, gender, course setup and equipment. Future studies should further explore the influence of event characteristics and intrinsic and extrinsic risk factors on snowsport injury. An injury or trauma reconstruction may be developed to predict athletic injuries and provide effective prevention strategies.

Psychosocial Correlates of Disordered Eating Among Male Collegiate Athletes

2007 ◽  
Vol 1 (4) ◽  
pp. 340-357 ◽  
Author(s):  
Trent A. Petrie ◽  
Christy Greenleaf ◽  
Jennifer E. Carter ◽  
Justine J. Reel
Keyword(s):  
Risk Factors ◽  
Eating Disorders ◽  
Eating Disorder ◽  
Disordered Eating ◽  
Eating Behaviors ◽  
Female Athletes ◽  
Collegiate Athletes ◽  
Male Athletes ◽  
Relationship Of ◽  
The Relationship

Few studies have been conducted examining male athletes and eating disorders, even though the sport environment may increase their risk. Thus, little information exists regarding the relationship of putative risk factors to eating disorders in this group. To address this issue, we examined the relationship of eating disorder classification to the risk factors of body image concerns (including drive for muscularity), negative affect, weight pressures, and disordered eating behaviors. Male college athletes (N= 199) from three different NCAA Division I universities participated. Only two athletes were classified with an eating disorder, though 33 (16.6%) and 164 (82.4%), respectively, were categorized as symptomatic and asymptomatic. Multivariate analyses revealed that eating disorder classification was unrelated to the majority of the risk factors, although the eating disorder group (i.e., clinical and symptomatic) did report greater fear of becoming fat, more weight pressures from TV and from magazines, and higher levels of stress than the asymptomatic athletes. In addition, the eating disorder group had higher scores on the Bulimia Test-Revised (Thelen, Mintz, & Vander Wal, 1996), which validated the Questionnaire for Eating Disorder Diagnosis (Mintz, O’Halloran, Mulholland, & Schneider, 1997) as a measure of eating disorders with male athletes. These findings suggest that variables that have been supported as risk factors among women in general, and female athletes in particular, may not apply as strongly, or at all, to male athletes.

Intrinsic Motivation: Relationships with Collegiate Athletes’ Gender, Scholarship Status, and Perceptions of Their Coaches’ Behavior

2000 ◽  
Vol 22 (1) ◽  
pp. 63-84 ◽  
Author(s):  
Anthony J. Amorose ◽  
Thelma S. Horn
Keyword(s):  
Intrinsic Motivation ◽  
Leadership Style ◽  
Female Athletes ◽  
Collegiate Athletes ◽  
Division I ◽  
Evaluation Theory ◽  
Male Athletes ◽  
Low Frequencies ◽  
High Frequencies ◽  
Cognitive Evaluation Theory

The purpose of this study was to examine the relationships among athletes’ intrinsic motivation (IM), gender, scholarship status, perceptions of the number of their teammates receiving scholarships, and perceptions of their coaches’ behavior. Male and female college athletes (N = 386) from a variety of Division I sports completed a series of paper-and-pencil questionnaires. Multivariate analyses revealed that (a) scholarship athletes reported higher levels of IM than did nonscholarship athletes, (b) male athletes reported higher IM than did female athletes, and (c) perceived coaching behaviors were related to athletes’ IM. Specifically, athletes with higher IM perceived their coaches to exhibit a leadership style that emphasized training and instruction and was high in democratic behavior and low in autocratic behavior. In addition, athletes with higher levels of IM perceived that their coaches provided high frequencies of positive and informationally based feedback and low frequencies of punishment-oriented and ignoring behaviors. Results are discussed in terms of cognitive evaluation theory.

scholarly journals Effect of Age at Menarche on Anterior Cruciate Ligament Injury Incidence and Anterior Knee Laxity in Collegiate Athletes

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Andrew Froehle ◽  
Joseph Cox ◽  
Jedediah May ◽  
Kimberly Grannis ◽  
Dana Duren
Keyword(s):  
Injury Risk ◽  
Cruciate Ligament ◽  
Collegiate Athletes ◽  
Knee Laxity ◽  
Age At Menarche ◽  
Injury Incidence ◽  
Acl Injuries ◽  
Anterior Knee Laxity ◽  
Anterior Cruciate ◽  
Anterior Knee

Female athletes suffer painful, costly, and career-limiting non-contact anterior cruciate ligament (ACL) injuries more often than males. Previous research suggests that pubertal neuromusculoskeletal development contributes to this sex-bias, but the manner in which variation in pubertal development affects injury risk within females is poorly understood. Age at menarche is a variable, significant pubertal developmental event, signaling the onset of estrogen cycling and affecting musculoskeletal development. Earlier menarche may increase injury risk, possibly by increasing anterior knee laxity through prolonged estrogen exposure. The purpose of this case-control study was to test the primary hypothesis that collegiate athletes with previous ACL injuries have earlier age at menarche than their uninjured peers, and to test the secondary hypothesis that earlier menarche is related to greater anterior knee laxity in injured and uninjured athletes. The study sample consisted of female NCAA Division-I varsity athletes (N=14 injured, N=120 uninjured). Outcome measures included: menstrual history and ACL injury details (injury age, activity at time of injury, contact vs. non-contact), assessed by questionnaire; and anterior knee laxity assessed by KT-1000 arthrometer. Correlation, t-tests, and regression analysis were used to test for associations between age at menarche, injury incidence, and knee laxity. Fourteen athletes reported ≥1 non-contact ACL injury, and had significantly earlier menarche than uninjured athletes (12.6±1.3 y vs. 13.4±1.4 y; P=0.05). Earlier menarche also significantly predicted injury status (Wald c2=7.43; Pb=-1.02±0.37; OR=0.36; 95% CI:0.17-0.75), but was not correlated with anterior knee laxity. Within injured athletes, however, laxity in the unaffected knee was significantly related to time since menarche (r2=0.79, Pr2=0.72, P

Factors Associated With Noncontact Injury in Collegiate Soccer: A 12-Team Prospective Study of NCAA Division I Men’s and Women’s Soccer

2021 ◽  
pp. 036354652110364
Author(s):  
Ryan M. Curtis ◽  
Robert A. Huggins ◽  
Courteney L. Benjamin ◽  
Yasuki Sekiguchi ◽  
Lindsey K. Lepley ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Injury Prevention ◽  
Injury Risk ◽  
Contextual Factors ◽  
Division I ◽  
Injury Incidence ◽  
Prevention Strategies ◽  
Sleep Behavior ◽  
Injury Rates ◽  
Women's Soccer

Background: Multiteam, multi-institution prospective studies of both women’s and men’s sports are essential for collectively investigating injury and primary to the generalization and individualization of injury prevention strategies. Hypothesis: Characteristics of workload, sleep, and contextual factors will be associated with injury risk in collegiate soccer athletes. Study Design: Cohort study; Level of evidence, 2. Methods: Injuries, workload, and sleep characteristics were recorded daily throughout a complete season for 256 athletes from 12 separate National Collegiate Athletic Association Division I men’s and women’s soccer teams. Workload and contextual factors were assessed via multilevel Poisson regression to capture differences in injury incidence rate ratio (IRR). Paired t test and multilevel logistic regressions were used to assess the relationship between sleep behavior and injury. Results: Collegiate soccer athletes had lower rates of noncontact injury in the in-season (IRR, 0.42) and postseason (IRR, 0.48) compared with preseason, lower rates of injury in training (IRR, 0.64) compared with matches, and higher injury rates with only 1 day of rest in the previous week (IRR, 1.58) compared with >1 day. Injury rates peaked when training occurred 4 days before a match (IRR, 2.24) compared with a match. Injury rate increased exponentially with increases in the number of noncontact injuries incurred throughout the season (IRR, 2.23). Lower chronic loading, higher training monotony, and acute spikes and lulls in workload were associated with higher noncontact injury rates. Alterations in previous week sleep quality were associated with injury, while chronic sleep behavior and acute alterations (<7 days) in sleep behavior were not ( P > .05). Conclusion: Athlete and schedule-specific contextual factors, combined with characteristics of workload and weekly sleep behavior, are significantly associated with injury in collegiate soccer. Multiteam prospective cohort studies involving objective and subjective monitoring allow for the identification of multiple injury risk factors in sports, which can be used to guide injury prevention strategies. Maintaining higher chronic workloads, lowering training monotony, minimizing acute spikes or lulls in workloads, managing workloads during preseason and for athletes with previous injury, integrating more rest and recovery during congested periods, and optimizing sleep quality are all practical considerations for reducing injury risk in collegiate soccer.

Sex-Specific Differences in Perceived Injury Management and Prevention in High School Student-Athletes

2021 ◽  
Vol 1 (1) ◽  
pp. 30-37
Author(s):  
Eve Kantaros ◽  
Haylee Borgstrom
Keyword(s):  
High School ◽  
Injury Prevention ◽  
High School Student ◽  
Student Athletes ◽  
Female Athletes ◽  
Return To Sport ◽  
Male Athletes ◽  
Injury Management ◽  
Sex Disparities ◽  
Prevention Training

BACKGROUND: Sport-related injuries are common among high school student-athletes with specific sex disparities in injury risk. Many of these injuries may be avoidable with the use of injury prevention programs (IPPs). Sex differences in injury management and return to sport are not well understood. PURPOSE: To determine sex-specific differences in self-reported injury management and prevention strategies in high school student-athletes. DESIGN: Cross-sectional, survey-based study. METHODS: An anonymous 13-item electronic survey was distributed to all students in a private high school in December 2019 with responses recorded over a one-month study period. Primary outcomes were sex-specific differences in self-reported outcome measures assessing student-athlete experience during injury recovery and familiarity with IPPs. Groups were evaluated via descriptive statistics and differences between groups were compared. RESULTS: From a total of 190 responses, 106 were included in the analysis (63F, 43M, mean age 16.7 years). Female athletes reported decreased exposure to injury prevention training (44.4% vs 69.8%, p=0.01) and practice-based utilization of IPPs (23.8% vs 55.8%, p=0.001) compared to male athletes. Overall, reported utilization of IPPs was low regardless of sex at less than 40% for all athletes. Nearly 85% of female athletes compared to 51% of male athletes felt they could benefit from IPPs (p=0.001), yet fewer than half of female athletes reported ever having training in injury prevention. There were no statistically significant differences in measures of injury management or return to sport between sexes. Females reported similar major impact of injury on life and future plans compared to male athletes. CONCLUSIONS: Male athletes were 1.6x more likely to report injury prevention training and 2.4x more likely to report practice-based utilization of IPPs compared to female athletes. Sex-specific differences in injury management and return to sport were not identified. Better incorporation of IPPs, specifically at the high-school level, may help to address sex disparities in preventable sport-related injuries and allow student-athletes to maximize the myriad benefits of sport participation.

scholarly journals Injury Risk Factors Integrated Into Self-Guided Real-Time Biofeedback Improves High-Risk Biomechanics

2019 ◽  
Vol 28 (8) ◽  
pp. 831-839 ◽  
Author(s):  
Scott Bonnette ◽  
Christopher A. DiCesare ◽  
Adam W. Kiefer ◽  
Michael A. Riley ◽  
Kim D. Barber Foss ◽  
...  
Keyword(s):  
Risk Factors ◽  
Injury Prevention ◽  
Real Time ◽  
Injury Risk ◽  
Female Athletes ◽  
Acl Injury ◽  
Feedback System ◽  
Prevention Programs ◽  
Acl Injuries ◽  
The Real

Context:Existing anterior cruciate ligament (ACL) injury prevention programs have failed to reverse the high rate of ACL injuries in adolescent female athletes.Objective:This investigation attempts to overcome factors that limit efficacy with existing injury prevention programs through the use of a novel, objective, and real-time interactive visual feedback system designed to reduce the biomechanical risk factors associated with ACL injuries.Design:Cross-over study.Setting:Medical center laboratory.Participants:A total of 20 females (age = 19.7 [1.34] y; height = 1.74 [0.09] m; weight = 72.16 [12.45] kg) participated in this study.Methods:Participants performed sets of 10 bodyweight squats in each of 8 training blocks (ie, 4 real-time and 4 control blocks) and 3 testing blocks for a total of 110 squats. Feedback conditions were blocked and counterbalanced with half of participants randomly assigned to receive the real-time feedback block first and half receiving the control (sham) feedback first.Results:Heat map analysis revealed that during interaction with the real-time feedback, squat performance measured in terms of key biomechanical parameters was improved compared with performance when participants squatted with the sham stimulus.Conclusions:This study demonstrates that the interactive feedback system guided participants to significantly improve movement biomechanics during performance of a body weight squat, which is a fundamental exercise for a longer term ACL injury risk reduction intervention. A longer training and testing period is necessary to investigate the efficacy of this feedback approach to effect long-term adaptations in the biomechanical risk profile of athletes.

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