scholarly journals THE IMPACT OF RULE CHANGES AND LEGISLATION ON THE INCIDENCE OF CONCUSSION IN HIGH SCHOOL SOCCER

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0023
Author(s):  
Eric D. Nussbaum ◽  
Jaynie Bjornaraa ◽  
Charles J. Gatt
Keyword(s):  
High School ◽  
New Jersey ◽  
Online Survey ◽  
School Setting ◽  
The State ◽  
High School Sports ◽  
School Sports ◽  
Rule Changes ◽  
Similar Survey ◽  
The Impact

Background: There is much concern over the incidence of concussion in high school sports, with a growing focus on soccer, necessitating the need for legislation and formal rule changes for safety reasons. Objective: To note differences in concussive injury between boys and girls soccer and determine the change in reported concussion rates from 2011 vs. 2017 in order to study the impact of legislation and rule changes on the rates of concussion in high school soccer in the state of New Jersey. Design: Comparative Study Methods: Licensed athletic trainers working in the secondary school setting in the state of New Jersey voluntarily participated in an online survey on the incidence of concussion in boys and girls soccer. This de-identified data was compared with data collected from a similar survey conducted in 2011. Results: In 2017 there were 168 concussions occurred among 3255 male soccer athletes. Eight-five percent of concussions (145/168) occurred during games, with the remainder occurring in practice. Forty-five percent (76/168) occurred to varsity players with the majority occurring during games (84%). Fewer concussions were reported to junior varsity and freshman players.. In 2017, Incidence Rate (IR) for all male soccer athletes was calculated at 0.36 concussions per 1000 athletic exposures (AE). Injury Proportion (IP) was 5%. Clinical Incidence was 0.05 concussions per athlete. This represented a 38% increase in IR/1000 AE from 2011 to 2017, and a 39% increase in IP 2011 vs 2017 In 2017, a total of 2604 female soccer athletes, reported 195 concussions with the majority occurring during games (83%). Varsity athlete reported the higher number of concussions relative to junior varsity and freshman soccer athletes IR/1000 AE was 0.48 vs 0.43 in 2011 (12% increase), while IP was 7% vs 6% in 2011 (17% increase Females had a greater IR/1000 AE than males (.48 vs. .36). Clinical incidence was also greater for female soccer athletes than male soccer athletes (0.075 vs. 0.05). Conclusion: Despite legislation and rule changes, the incidence of concussion in both boys and girls high school soccer is increasing and particularly during games. Playing at the varsity level and game play has the highest association with injury and should be subject to greater scrutiny. Additionally, more concussions are occurring to female soccer athletes than male players. This information provides a snapshot of a significant problem that deserves greater attention. [Table: see text][Table: see text]

scholarly journals Concussion Epidemiology in Youth Sports: Sports Study of a Statewide High School Sports Program

2020 ◽  
Vol 13 (1) ◽  
pp. 18-24
Author(s):  
Benjamin J. Chun ◽  
Troy Furutani ◽  
Ross Oshiro ◽  
Casey Young ◽  
Gale Prentiss ◽  
...  
Keyword(s):  
High School ◽  
Student Athletes ◽  
Sports Participation ◽  
Management Program ◽  
Level Of Evidence ◽  
High School Sports ◽  
School Sports ◽  
Relative Risks ◽  
Injury Reporting ◽  
The Impact

Background: Current research on concussion incidence in youth athletes (age <18 years) is small and limited by variability in injury reporting and diagnostic methodology. Hypothesis: Concussion injuries commonly occur in high school sports programs. The likelihood of concussion among student-athletes (aged 13-18 years) depends on the sport they are participating in as well as the sex of the athlete. Study Design: Descriptive epidemiology study. Level of Evidence: Level 4. Methods: A retrospective analysis of all Hawaii high school athletes aged 13 to 18 years participating in 14 sports from 2011 through 2017 was performed as part of a statewide standardized concussion assessment and management program. Results: A total of 5993 concussions were identified among 92,966 athletes. The overall concussion rate was 0.96 (95% CI, 0.94-0.99). Girls’ judo had the highest concussion rate (1.92; 95% CI, 1.68-2.17) followed by football (1.60; 95% CI, 1.53-1.66). The concussion rate for boys (1.0; 95% CI, 0.97-1.03) was higher than that for girls (0.91; 95% CI, 0.87-0.95); however, in 4 of the 5 sports in which both girls and boys participated, girls had a higher rate of concussion injury. Conclusion: The likelihood of concussion among student-athletes aged 13 to 18 years may be higher than previously thought and varies depending on sport and sex. Clinical Relevance: Epidemiologic data on concussion injury in children and adolescents are useful in accurately determining the relative risks of high school sports participation and may be valuable in determining the appropriate allocation of health care and scholastic resources for student-athletes, as well as the impact of rule and training modifications designed to improve participant safety.

Understanding the Level of Concussion Knowledge in High School Sports in New Jersey

PM&R ◽  
2019 ◽  
Vol 11 (10) ◽  
pp. 1107-1114 ◽  
Author(s):  
Emerald Lin ◽  
Irene Ward ◽  
Anthony Lequerica ◽  
Neil Jasey ◽  
Nancy Chiaravalloti
Keyword(s):  
High School ◽  
New Jersey ◽  
High School Sports ◽  
School Sports ◽  
Concussion Knowledge

The Effects of Playing Multiple High School Sports on National Basketball Association Players’ Propensity for Injury and Athletic Performance

2017 ◽  
Vol 46 (2) ◽  
pp. 402-408 ◽  
Author(s):  
Caitlin Rugg ◽  
Adarsh Kadoor ◽  
Brian T. Feeley ◽  
Nirav K. Pandya
Keyword(s):  
High School ◽  
Athletic Performance ◽  
National Basketball Association ◽  
Participation Rates ◽  
High School Sports ◽  
Professional Basketball ◽  
School Sports ◽  
Career Length ◽  
Major Injury ◽  
Elite Status

Background: Athletes who specialize in their sport at an early age may be at risk for burnout, overuse injury, and reduced attainment of elite status. Timing of sport specialization has not been studied in elite basketball athletes. Hypothesis: National Basketball Association (NBA) players who played multiple sports during adolescence would be less likely to experience injury and would have higher participation rates in terms of games played and career length compared with single-sport athletes. Study Design: Descriptive epidemiology study. Methods: First-round draft picks from 2008 to 2015 in the NBA were included in the study. From publically available records from the internet, the following data were collected for each athlete: participation in high school sports, major injuries sustained in the NBA, percentage of games played in the NBA, and whether the athlete was still active in the NBA. Athletes who participated in sports in addition to basketball during high school were defined as multisport athletes and were compared with athletes who participated only in basketball in high school. Results: Two hundred thirty-seven athletes were included in the study, of which 36 (15%) were multisport athletes and 201 (85%) were single-sport athletes in high school. The multisport cohort played in a statistically significantly greater percentage of total games (78.4% vs 72.8%; P < .001). Participants in the multisport cohort were less likely to sustain a major injury during their career (25% vs 43%, P = .03). Finally, a greater percentage of the multisport athletes were active in the league at time of data acquisition, indicating increased longevity in the NBA (94% vs 81.1%; P = .03). Conclusion: While a minority of professional basketball athletes participated in multiple sports in high school, those who were multisport athletes participated in more games, experienced fewer major injuries, and had longer careers than those who participated in a single sport. Further research is needed to determine the reasons behind these differences.

Neck Strength: A Protective Factor Reducing Risk for Concussion in High School Sports

2014 ◽  
Vol 35 (5) ◽  
pp. 309-319 ◽  
Author(s):  
Christy L. Collins ◽  
Erica N. Fletcher ◽  
Sarah K. Fields ◽  
Lisa Kluchurosky ◽  
Mary Kay Rohrkemper ◽  
...  
Keyword(s):  
High School ◽  
Protective Factor ◽  
High School Sports ◽  
School Sports ◽  
Neck Strength

scholarly journals Epidemiology of United States High School Sports-Related Fractures, 2008-09 to 2010-11

2012 ◽  
Vol 40 (9) ◽  
pp. 2078-2084 ◽  
Author(s):  
David M. Swenson ◽  
Natalie M. Henke ◽  
Christy L. Collins ◽  
Sarah K. Fields ◽  
R. Dawn Comstock
Keyword(s):  
United States ◽  
High School ◽  
High School Sports ◽  
School Sports

Relationship Between Pitch Volume and Subjective Report of Injury in High School Female Fast-Pitch Softball Pitchers

2021 ◽  
pp. 194173812110513
Author(s):  
Brittany Gooch ◽  
Bradley S. Lambert ◽  
Haley Goble ◽  
Patrick C. McCulloch ◽  
Corbin Hedt
Keyword(s):  
High School ◽  
Back Pain ◽  
Shoulder Pain ◽  
Online Survey ◽  
Medical Attention ◽  
Type I ◽  
Subjective Report ◽  
Body Regions ◽  
Chi Square Analysis ◽  
The Impact

Background: The relationship between pitch volume and injury is well-represented within baseball literature. However, the impact of softball pitch volume on injury epidemiology is limited. Hypothesis: The purpose was to determine if increased pitch volumes in high school–aged softball pitchers are related to increased rates of subjectively reported pain/injury. We hypothesized that pitchers with increased volumes would have higher pain/injury rates. Study Design: Cross-sectional study. Level of Evidence: Level 4. Methods: A total of 28 female softball pitchers (aged 14-18 years) completed an online survey of questions pertaining to pitching history, pitch volume, and subjective report of pain or injury in the back, shoulder, and elbow. An independent-samples t test was used to (1) compare pitch volumes in those who reported pain in individual body regions (shoulder, elbow, back) compared with those who did not; (2) compare pitch volumes in those who reported pain in 0 or 1 of the regions of interest compared with 2 or 3 regions; and (3) compare the reported percentage of the past year that players reported playing through pain in players who averaged >85 compared with <85 pitches per game. Chi-square analysis was used to compare those who pitched either >85 or <85 pitches per game with regard to frequency of shoulder pain, elbow pain, back pain, seeking of medical attention, and actual injury diagnosis. Type I error was set at α = 0.05. Results: Weekly and yearly pitch counts were higher in those reporting pain or injury (YES) than those who did not (NO) in the shoulder (pitches per week: NO = 219 ± 35; YES = 429 ± 101; P = 0.027) (pitches per year: NO = 8876 ± 946; YES = 19,195 ± 4944; P = 0.022) and back (pitches per week: NO = 188 ± 16; YES = 426 ± 90; P = 0.014) (pitches per year: NO = 8334 ± 793; YES = 18,252 ± 4340; P = 0.027). Similar results were observed for those with pain or injury reported in 2 or 3 regions compared with 0 or 1 regions (pitches per week: NO = 220 ± 38; YES = 414 ± 95; P = 0.039) (pitches per year: NO = 8765 ± 1010; YES = 18,661 ± 4623; P = 0.028). Those reporting shoulder pain or injury also reported higher pitch counts per game (NO = 71.4 ± 5.2; YES = 83 ± 4; P = 0.049), and those reporting back pain also reported playing more games per week (NO = 2.7 ± 0.2; YES = 5.2 ± 1.1; P = 0.034). Those with pitch counts of >85/game were more than twice as likely to see a physician regarding pain/injury ( P = 0.027) and reported playing through pain a higher percentage of the year (>85, 49.3% ± 10%; <85, 25.2% ± 6%; P < 0.05). Conclusion: High pitching volumes commonly prevalent in high school–aged softball pitchers may be associated with increased pain/injury and appear related to cumulative volume. Clinical Relevance: This study provides recommendations for cumulative pitch volume guidelines in softball pitchers.

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