scholarly journals Epidemiologic Assessment of Concussions in an NCAA Division I Women’s Soccer Team

2020 ◽  
Vol 8 (5) ◽  
pp. 232596712092174
Author(s):  
Alexander E. Weber ◽  
Nicholas A. Trasolini ◽  
Ioanna K. Bolia ◽  
Santano Rosario ◽  
John P. Prodromo ◽  
...  

Background: Among collegiate sports, ice hockey and wrestling have been reported to have the highest rates of concussion injury. Recent literature has shown that among all sports, female soccer players had the highest rate of concussion injury at the high school level. Sport-specific analysis will increase our knowledge of epidemiologic characteristics of this serious injury in young soccer players, where “heading” is commonly involved during participation. Hypothesis: Heading during soccer will be associated with increased frequency of concussion injury in collegiate female players compared with other mechanisms of injury, and concussion injury mechanism and rates will differ by setting of injury (practice or match) and player position. Study Design: Descriptive epidemiologic study. Methods: This was a retrospective review and epidemiologic analysis of all concussions documented from a single National Collegiate Athletic Association (NCAA) Division I female collegiate soccer team between 2004 and 2017. A total of 381 participants were reviewed, and concussion injury mechanism, setting (practice or match), player position, and number of games and practices missed due to injury were analyzed. Results: Overall, 25 concussions in 22 players from the 2004 to 2017 seasons were identified, for an annual rate of 1.79 concussions per year. Collisions (36%) followed by headers (20%) were the most common mechanisms. Forwards sustained the most concussions (32%). Injuries were more common in games (56%) than practice (40%). Of note, the most common cause of concussion during practice was headers (40%). Of the concussions documented, 20 (91%) were the player’s first concussion. On average, each concussion resulted in a player missing 3.96 games and 12.46 practices. Conclusion: Our results demonstrate that concussion rates in female NCAA soccer players vary by position and occur with different frequencies and mechanisms in practice and games. Interventions for concussion avoidance should aim to limit exposure to high-risk activity, including player-to-player contact in games and headers in practice. Although gameplay and collisions can be unpredictable and difficult to control, practice settings can be modified in an attempt to decrease risk.

2017 ◽  
Vol 45 (11) ◽  
pp. 2622-2629 ◽  
Author(s):  
John M. Rosene ◽  
Bryan Raksnis ◽  
Brie Silva ◽  
Tyler Woefel ◽  
Paul S. Visich ◽  
...  

Background: Examinations related to divisional differences in the incidence of sports-related concussions (SRC) in collegiate ice hockey are limited. Purpose: To compare the epidemiologic patterns of concussion in National Collegiate Athletic Association (NCAA) ice hockey by sex and division. Study Design: Descriptive epidemiology study. Methods: A convenience sample of men’s and women’s ice hockey teams in Divisions I and III provided SRC data via the NCAA Injury Surveillance Program during the 2009-2010 to 2014-2015 academic years. Concussion counts, rates, and distributions were examined by factors including injury activity and position. Injury rate ratios (IRRs) and injury proportion ratios (IPRs) with 95% confidence intervals (CIs) were used to compare concussion rates and distributions, respectively. Results: Overall, 415 concussions were reported for men’s and women’s ice hockey combined. The highest concussion rate was found in Division I men (0.83 per 1000 athlete-exposures [AEs]), followed by Division III women (0.78/1000 AEs), Division I women (0.65/1000 AEs), and Division III men (0.64/1000 AEs). However, the only significant IRR was that the concussion rate was higher in Division I men than Division III men (IRR = 1.29; 95% CI, 1.02-1.65). The proportion of concussions from checking was higher in men than women (28.5% vs 9.4%; IPR = 3.02; 95% CI, 1.63-5.59); however, this proportion was higher in Division I women than Division III women (18.4% vs 1.8%; IPR = 10.47; 95% CI, 1.37-79.75). The proportion of concussions sustained by goalkeepers was higher in women than men (14.2% vs 2.9%; IPR = 4.86; 95% CI, 2.19-10.77), with findings consistent within each division. Conclusion: Concussion rates did not vary by sex but differed by division among men. Checking-related concussions were less common in women than men overall but more common in Division I women than Division III women. Findings highlight the need to better understand the reasons underlying divisional differences within men’s and women’s ice hockey and the need to develop concussion prevention strategies specific to each athlete population.


2021 ◽  
Vol 6 (1) ◽  
pp. 4
Author(s):  
W. Guy Hornsby ◽  
Abigail L. Tice ◽  
Jason D. Stone ◽  
Justin J. Merrigan ◽  
Joshua Hagen ◽  
...  

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.


2021 ◽  
Vol 9 (6) ◽  
pp. 232596712110152
Author(s):  
Rafael Sanchez ◽  
Blake H. Hodgens ◽  
Joseph S. Geller ◽  
Samuel Huntley ◽  
Jonathan Kaplan ◽  
...  

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.


2017 ◽  
Vol 52 (10) ◽  
pp. 946-954
Author(s):  
Alicia Pike ◽  
Stephanie M. Mazerolle ◽  
Jessica L. Barrett

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.


2016 ◽  
Vol 2 (1) ◽  
pp. 188 ◽  
Author(s):  
Matthew Horner ◽  
Neal Ternes ◽  
Christopher McLeod

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.


2019 ◽  
Vol 51 (Supplement) ◽  
pp. 442-443
Author(s):  
Courteney L. Benjamin ◽  
Ryan M. Curtis ◽  
Robert A. Huggins ◽  
Yasuki Sekiguchi ◽  
William M. Adams ◽  
...  

2015 ◽  
Vol 10 (4) ◽  
pp. 436-439 ◽  
Author(s):  
William P. McCormack ◽  
Jay R. Hoffman ◽  
Gabriel J. Pruna ◽  
Tyler C. Scanlon ◽  
Jonathan D. Bohner ◽  
...  

Purpose:During the competitive soccer season, women’s intercollegiate matches are typically played on Friday evenings and Sunday afternoons. The efficacy of a 42-h recovery period is not well understood. This investigation was conducted to determine performance differences between Friday and Sunday matches during a competitive season.Methods:Ten NCAA Division I female soccer players (20.5 ± 1.0 y, 166.6 ± 5.1 cm, 61.1 ± 5.8 kg) were monitored with 10-Hz GPS devices across 8 weekends with matches played on Friday evenings and Sunday afternoons. The players were outside backs, midfielders, and forwards. All players had to participate in a minimum of 45 min/match to be included in the study. Average minutes played, total distance covered, total distance of high-intensity running (HIR) (defined as running at a velocity equal to or exceeding 3.61 m/s for longer than 1 s), the number of HIR efforts, and the number of sprints were calculated for each match. Data for Friday vs Sunday matches were averaged and then compared using dependent t tests.Results:No differences were seen in minutes played, distance rate, or number of sprints between Friday and Sunday matches. A significant (P = .017) decrease in rate of HIR between Friday (25.37 ± 7.22 m/min) and Sunday matches (22.90 ± 5.70 m/min) was seen. In addition, there was a trend toward a difference (P = .073) in the number of efforts of HIR between Friday (138.41 ± 36.43) and Sunday (126.92 ± 31.31).Conclusions:NCAA Division I female soccer players cover less distance of HIR in games played less than 48 h after another game. This could be due to various factors such as dehydration, glycogen depletion, or muscle damage.


2014 ◽  
Vol 49 (5) ◽  
pp. 665-673 ◽  
Author(s):  
Kassandra C. Kelly ◽  
Erin M. Jordan ◽  
A. Barry Joyner ◽  
G. Trey Burdette ◽  
Thomas A. Buckley

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.


2020 ◽  
Vol 7 (3) ◽  
pp. 317-325
Author(s):  
Leslie K. Larsen ◽  
Leslee A. Fisher ◽  
Terilyn C. Shigeno ◽  
Matthew P. Bejar ◽  
Melissa N. Madeson

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.


2019 ◽  
Vol 7 (8) ◽  
pp. 232596711986517 ◽  
Author(s):  
Gretchen D. Oliver ◽  
Kenzie Friesen ◽  
Jeff W. Barfield ◽  
Kevin Giordano ◽  
Adam Anz ◽  
...  

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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