Return to Sport After Hip Arthroscopy for Femoroacetabular Impingement Syndrome in NCAA Division I Athletes: Experience at a Single Institution

Background: The rate of return to sport after surgical treatment of femoroacetabular impingement (FAI) syndrome (FAIS) has been studied in high-level athletes. However, few studies examining this rate have focused exclusively on National Collegiate Athletic Association (NCAA) Division I athletes. Purpose: To evaluate the return-to-sport rate after hip arthroscopy for FAIS and to examine the influence of sport type on the clinical presentation of FAIS in collegiate athletes. Study Design: Case series; Level of evidence, 4. Methods: Included in this study were NCAA Division I student-athletes who underwent hip arthroscopy for FAIS at our institution between 2010 and 2017. Exclusion criteria were history of previous hip pathology, pediatric hip disease, radiographic evidence of osteoarthritis (Tönnis grade >0), prior lower extremity procedure, history of chronic pain, osteoporosis, or history of systemic inflammatory disease. Athletes were categorized into 6 subgroups based on the type of sport (cutting, contact, endurance, impingement, asymmetric/overhead, and flexibility) by using a previously reported classification system. Patient characteristics and preoperative, intraoperative, and return-to-sport variables were compared among sport types. Results: A total of 49 hip arthroscopies for FAIS were performed in 39 collegiate athletes (10 females, 29 males; mean age, 19.5 ± 1.3 years). A total of 1 (2.6%) cutting athlete, 15 (38.5%) contact athletes, 8 (20.5%) impingement athletes, 6 (15.4%) asymmetric/overhead athletes, and 9 (23.1%) endurance athletes were included in the study. There were no differences among sports groups with respect to the FAI type. Endurance athletes had lower rates of femoral osteochondroplasty (45.5%) and labral debridement (0.0%) ( P < .0001). Contact sport athletes had higher rates of labral debridement (50.0%; P < .0001). Patients were evaluated for return to sport at an average of 1.96 ± 0.94 years. Overall, the return-to-sport rate was 89.7%. There were no differences in return-to-sport rates based on the sport type except for endurance athletes, who returned at a lower rate (66.6%; P < .001). No differences in return-to-sport rate ( P = .411), duration after return ( P = .265), or highest attempted level of sport resumed ( P = .625) were found between patients who underwent labral repair versus debridement. Conclusion: Collegiate-level athletes who underwent hip arthroscopy for FAIS returned to sport at high and predictable rates, with endurance athletes possibly returning to sport at lower rates than all other sport types. Surgical procedures may be influenced by sport type, but the rate of return to sport between athletes who underwent labral debridement versus labral repair was similar.

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Residual Deficits in Vestibular Function Exist Following Return to Sports Participation from Concussion

Neurology ◽

10.1212/01.wnl.0000581040.97420.bf ◽

2019 ◽

Vol 93 (14 Supplement 1) ◽

pp. S21.3-S22

Author(s):

Carolina Quintana ◽

Nicholas Heebner ◽

John ABt ◽

Matthew Hoch

Keyword(s):

Visual Acuity ◽

Ncaa Division I ◽

A Priori ◽

Vestibular Function ◽

Collegiate Athletes ◽

Balance Test ◽

Gaze Stability ◽

History Of ◽

Visual Acuity Test ◽

Division I Athletes

ObjectiveDetermine if collegiate athletes exhibit residual deficits in vestibular function at the time of unrestricted return to participation (RTP) following a sports-related concussion (SRC).BackgroundIt has been well documented that afferent vestibular pathways are disrupted after SRC. This includes both the vestibular-ocular and vestibulospinal reflexes which mediate dynamic vision and postural stability. However, few studies have determined if vestibular function is recovered in athletes at the time of RTP from SRC.Design/MethodsTwenty-six NCAA Division-I athletes (1.77 ± 0.14 m, 92.81 ± 31.30 kg, 10 females, 16 males) performed the Concussion Balance Test (COBALT), the Dynamic Visual Acuity Test (DVAT), and Gaze Stability Test (GST). Thirteen athletes were tested within 14 days of RTP following SRC. Thirteen athletes with no history of SRC were matched to the RTP group based on age, sex, and sport to serve as healthy controls (HC). Paired t-tests with corresponding effect sizes compared COBALT, DVAT, and GST scores between groups (SRC, HC). For all tests, the alpha level was set a priori at 0.10.ResultsTwenty-six NCAA Division-I athletes (1.77 ± 0.14 m, 92.81 ± 31.30 kg, 10 females, 16 males) performed the Concussion Balance Test (COBALT), the Dynamic Visual Acuity Test (DVAT), and Gaze Stability Test (GST). Thirteen athletes were tested within 14 days of RTP following SRC. Thirteen athletes with no history of SRC were matched to the RTP group based on age, sex, and sport to serve as healthy controls (HC). Paired t-tests with corresponding effect sizes compared COBALT, DVAT, and GST scores between groups (SRC, HC). For all tests, the alpha level was set a priori at 0.10.ConclusionsOur preliminary findings suggest that collegiate athletes who return to participation from SRC may experience residual deficits in postural control and visual acuity with dynamic head movements that challenge the vestibular system. Therefore, objective measures of vestibular function may be beneficial to ensure postural control and visual acuity are restored at RTP following SRC.

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Return to Sport After Anterior Cruciate Ligament Reconstruction in a Cohort of Division I NCAA Athletes From a Single Institution

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967120982281 ◽

2021 ◽

Vol 9 (2) ◽

pp. 232596712098228 ◽

Cited By ~ 1

Author(s):

Biagio Zampogna ◽

Sebastiano Vasta ◽

Guglielmo Torre ◽

Akhil Gupta ◽

Carolyn M. Hettrich ◽

...

Keyword(s):

Acl Reconstruction ◽

National Collegiate Athletic Association ◽

Cruciate Ligament ◽

Return To Sport ◽

Collegiate Athletes ◽

Division I ◽

Sport Activities ◽

Anterior Cruciate ◽

Division I Athletes

Background: Anterior cruciate ligament (ACL) tears are common in collegiate athletes. The rate of return to the preinjury level of sport activities after ACL reconstruction continues to evolve. Purpose/Hypothesis: The purpose was to determine the return-to-sport rate after ACL reconstruction in a cohort of National Collegiate Athletic Association Division I athletes in different sports. It was hypothesized that, with intensive supervision of rehabilitation, the return-to-sport rate would be optimal. Study Design: Case series; Level of evidence, 4. Methods: We retrospectively reviewed the records of 75 collegiate athletes from a single institution who had undergone unilateral or bilateral ACL reconstruction between 2001 and 2013 and participated in an extensive supervised rehabilitation program. Prospectively collected athlete data as well as data about preinjury exposure, associated lesions, surgical technique, time lost to injury, number of games missed, time to return to full sport activity or retire, and subsequent surgical procedures were extracted from the medical and athletic trainer records. Results: The 75 patients (40 male, 35 female; mean age, 20.1 years) underwent 81 reconstruction procedures (73 primary, 8 revision). The mean follow-up was 19.3 months. The overall return-to-sport rate was 92%. After reconstruction, 9 athletes (12%) retired from collegiate sports, but 3 of them returned to sport activities after graduation. Overall, 8 athletes (11%) experienced an ACL graft retear. Conclusion: The return-to-sport rate in our National Collegiate Athletic Association Division I athletes compared favorably with that reported in other studies in the literature. The strict follow-up by the surgeon, together with the high-profile, almost daily technical and psychological support given mainly by the athletic trainers during the recovery period, may have contributed to preparing the athletes for a competitive rate of return to sport at their preinjury level.

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Preliminary Scale of Reference Values for Evaluating Reactive Strength Index-Modified in Male and Female NCAA Division I Athletes

Sports ◽

10.3390/sports6040133 ◽

2018 ◽

Vol 6 (4) ◽

pp. 133 ◽

Cited By ~ 3

Author(s):

Christopher Sole ◽

Timothy Suchomel ◽

Michael Stone

Keyword(s):

Reference Values ◽

Ncaa Division I ◽

National Collegiate Athletic Association ◽

Collegiate Athletes ◽

Division I ◽

Strength Index ◽

Male And Female ◽

Significant Difference ◽

Males And Females ◽

Division I Athletes

The purpose of this analysis was to construct a preliminary scale of reference values for reactive strength index-modified (RSImod). Countermovement jump data from 151 National Collegiate Athletic Association (NCAA) Division I collegiate athletes (male n = 76; female n = 75) were analyzed. Using percentiles, scales for both male and female samples were constructed. For further analysis, athletes were separated into four performance groups based on RSImod and comparisons of jump height (JH), and time to takeoff (TTT) were performed. RSImod values ranged from 0.208 to 0.704 and 0.135 to 0.553 in males and females, respectively. Males had greater RSImod (p < 0.001, d = 1.15) and JH (p < 0.001, d = 1.41) as compared to females. No statistically significant difference was observed for TTT between males and females (p = 0.909, d = 0.02). Only JH was found to be statistically different between all performance groups. For TTT no statistical differences were observed when comparing the top two and middle two groups for males and top two, bottom two, and middle two groups for females. Similarities in TTT between sexes and across performance groups suggests JH is a primary factor contributing to differences in RSImod. The results of this analysis provide practitioners with additional insight as well as a scale of reference values for evaluating RSImod scores in collegiate athletes.

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Slower visuomotor reaction time in division-I collegiate athletes with a history of ankle sprain

Research in Sports Medicine ◽

10.1080/15438627.2021.1996361 ◽

2021 ◽

pp. 1-9

Author(s):

Kyeongtak Song ◽

Johanna M. Hoch ◽

Carolina Quintana ◽

Nicholas R. Heebner ◽

Matthew C. Hoch

Keyword(s):

Reaction Time ◽

Ankle Sprain ◽

Collegiate Athletes ◽

Division I ◽

History Of

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Knee mechanics during a change of direction movement in division I athletes following full return to sport from anterior cruciate ligament reconstruction

Physical Therapy in Sport ◽

10.1016/j.ptsp.2018.11.008 ◽

2019 ◽

Vol 35 ◽

pp. 75-78 ◽

Cited By ~ 1

Author(s):

Nicole Clark ◽

Trent Forshey ◽

Ivan Mulligan ◽

Curtis Kindel

Keyword(s):

Anterior Cruciate Ligament ◽

Ligament Reconstruction ◽

Cruciate Ligament ◽

Return To Sport ◽

Division I ◽

Cruciate Ligament Reconstruction ◽

Change Of Direction ◽

Knee Mechanics ◽

Anterior Cruciate ◽

Division I Athletes

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F185. A History of Concussion Predicts Brain Chemistry Changes in NCAA Division I College Athletes

Biological Psychiatry ◽

10.1016/j.biopsych.2018.02.799 ◽

2018 ◽

Vol 83 (9) ◽

pp. S311

Author(s):

Xianfeng Shi ◽

Charles E. Bueler ◽

Erin McGlade ◽

Perry F. Renshaw ◽

Deborah Yurgelun-Todd

Keyword(s):

Ncaa Division I ◽

College Athletes ◽

Division I ◽

Brain Chemistry ◽

History Of

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Female Athletes in Retirement: A Test of a Psychosocial Model of Bulimic Symptomatology

Journal of Sport and Exercise Psychology ◽

10.1123/jsep.2020-0023 ◽

2020 ◽

Vol 42 (6) ◽

pp. 490-499

Author(s):

Stephanie L. Barrett ◽

Trent A. Petrie

Keyword(s):

Eating Disorders ◽

Ncaa Division I ◽

Latent Variables ◽

Structural Equation ◽

Female Athletes ◽

Collegiate Athletes ◽

Division I ◽

Equation Modeling ◽

Female Collegiate Athletes ◽

Psychosocial Model

Although researchers have examined eating disorders in female athletes, few such studies have been done with athletes who are retired, and even fewer have been quantitative. Thus, the authors empirically tested an established eating disorder theoretical model with 218 former NCAA Division-I female collegiate athletes who had been retired for 2–6 years. In retirement, participants completed measures of general sociocultural pressures related to body and appearance, thin-ideal internalization, body dissatisfaction, dietary restraint, negative affect, and bulimic symptomatology. Through structural equation modeling, the authors examined the direct and indirect relationships among the latent variables while controlling for body mass index and years since retirement. The model fit the data well, supporting the hypothesized direct and indirect relationships among the variables and explaining 54% of the variance in bulimic symptomatology. Despite no longer being exposed to sport pressures that contribute to eating disorders, female athletes experience such symptoms long into retirement.

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