scholarly journals Epidemiology of NCAA Bone Stress Injuries: A Comparison of Athletes in Divisions I, II, and III

2021 ◽  
Vol 9 (7) ◽  
pp. 232596712110144
Author(s):  
Andrew Bratsman ◽  
Audrey Wassef ◽  
Christina R. Wassef ◽  
Prathap Jayaram ◽  
J. Bruce Mosely ◽  
...  
Keyword(s):  
National Collegiate Athletic Association ◽  
Collegiate Athletes ◽  
Surveillance Program ◽  
Bone Stress ◽  
Class Composition ◽  
Stress Injuries ◽  
Significant Difference ◽  
Ncaa Athletics ◽  
The Difference ◽  
Different Characteristics

Background: Bone stress injuries (BSIs) are a major source of functional impairment in athletes of all sports, with many risk factors, including athlete characteristics and type of sport. In National Collegiate Athletic Association (NCAA) athletics, the stratification of programs into divisions with different characteristics and makeup has been identified as increasing the risk for certain kinds of injuries, but there have been no studies on the difference of BSI rates and characteristics between athletes in Division I (DI) and those in Divisions II and III (DII and DIII). Purpose/Hypothesis: To characterize the BSI rates in each division and compare the incidence and characteristics of BSIs within divisions. Our hypothesis was that BSI rates would be higher in DII and DIII athletes as compared with DI athletes. Study Design: Descriptive epidemiology study. Methods: Five years of recorded BSI data in collegiate athletes via the NCAA Injury Surveillance Program were examined for the academic years 2009-2010 to 2013-2014. BSI rates per 100,000 athlete-exposures (AEs) were compared for DI versus DII and DIII athletes using risk ratios and 95% CIs. Time lost to injury, time of season of injury, and class composition of injured athletes were also compared between divisions. Results: Over the 5 years studied, DII and DIII programs reported 252 BSIs more than 1,793,777 AEs (14.05 per 100,000 AEs), and DI programs reported 235 BSIs over 2,022,592 AEs (11.62 per 100,000 AEs). The risk ratio was significant for D1 versus DII and DIII (1.21; 95% CI, 1.01-1.44). There was a significant difference in time lost to injury in DI versus DII and DIII, χ2(5, n = 449) = 16.54; P = .006. When data were stratified by individual sport, there were no significant divisional differences in high-risk sports. Conclusion: In the current study, NCAA DII and DIII athletes had higher rates of BSI than their DI counterparts. As compared with DII and DIII athletes, the DI athletes had a significantly greater proportion of BSIs that did not result in absence from participation in sport.

scholarly journals Characteristics of Operative Shoulder Injuries in the National Collegiate Athletic Association, 2009-2010 Through 2013-2014

2018 ◽  
Vol 6 (8) ◽  
pp. 232596711879076
Author(s):  
Joseph A. Gil ◽  
Avi D. Goodman ◽  
Steven F. DeFroda ◽  
Brett D. Owens
Keyword(s):  
National Collegiate Athletic Association ◽  
Collegiate Athletes ◽  
Injury Surveillance ◽  
Ice Hockey ◽  
Surveillance Program ◽  
Shoulder Injuries ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Glenoid Labrum ◽  
Significant Difference

Background: Injuries to the upper extremity among collegiate athletes are reported to account for approximately 20% of all injuries; however, little is known about the proportion of these injuries that require surgery. Purpose/Hypothesis: The purpose of this study was to examine all shoulder injuries that required a surgical intervention and were recorded in the National Collegiate Athletic Association (NCAA) Injury Surveillance Program (ISP). We hypothesized that contact would be the mechanism causing injuries most at risk for needing surgery and that dislocations would be the injuries most likely to require an operative intervention. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Injury surveillance data between 2009-2010 and 2013-2014 for operative collegiate shoulder injuries and their associated sport exposures were analyzed. Results: A total of 185 operative shoulder injuries occurred over 3,739,004 athlete-exposures (AEs), for an overall incidence of 0.49 per 10,000 AEs. The sports with the highest incidence of operative injuries were men’s football (1.31/10,000 AEs), men’s wrestling (1.14/10,000 AEs), men’s ice hockey (0.60/10,000 AEs), women’s gymnastics (0.44/10,000 AEs), and men’s swimming (0.41/10,000 AEs). Men were significantly more likely than women to sustain operative injuries for all sports combined. Of the injuries that required surgical treatment, superior labrum from anterior to posterior (SLAP) tears (46.4%), other non-SLAP glenoid labrum tears (46.2%), anterior shoulder dislocations (33.3%), and posterior shoulder dislocations (30.0%) were seen most often. There was no significant difference in injury proportion ratios (IPRs) for injuries requiring surgery when comparing contact versus noncontact mechanisms of injury (IPR, 1.0 [95% CI, 0.6-1.6]). The incidence of operative injuries sustained during competition was significantly higher compared with during practice. Conclusion: The sports with the highest incidence of operative shoulder injuries were men’s football, men’s wrestling, men’s ice hockey, and women’s gymnastics. Operative shoulder injuries were more likely to occur during competition. SLAP tears, other non-SLAP glenoid labrum tears, and anterior shoulder dislocations had the highest incidence of requiring surgery. Athletes sustaining these injuries, along with their coaches and medical providers, may benefit from identifying collegiate sport participants who are at highest risk for sustaining an operative injury. This may assist in planning medical care and setting expectations, which may be critical to a young athlete’s career.

scholarly journals Epidemiology of Quadriceps Strains in National Collegiate Athletic Association Athletes, 2009–2010 Through 2014–2015

2017 ◽  
Vol 52 (5) ◽  
pp. 474-481 ◽  
Author(s):  
Timothy G. Eckard ◽  
Zachary Y. Kerr ◽  
Darin A. Padua ◽  
Aristarque Djoko ◽  
Thomas P. Dompier
Keyword(s):  
Student Athletes ◽  
National Collegiate Athletic Association ◽  
Injury Rate ◽  
Surveillance Program ◽  
Strain Rates ◽  
Convenience Sample ◽  
Injury Rates ◽  
Injury Mechanisms ◽  
Ncaa Athletics ◽  
Rate Ratios

Context: Few researchers have examined the rates and patterns of quadriceps strains in student-athletes in the National Collegiate Athletic Association (NCAA).Objective: To describe the epidemiology of quadriceps strains in 25 NCAA sports during the 2009–2010 through 2014–2015 academic years.Design: Descriptive epidemiology study.Setting: Convenience sample of NCAA programs from 25 sports during the 2009–2010 through 2014–2015 academic years.Patients or Other Particpants: Collegiate student-athletes participating in men's and women's NCAA athletics during the 2009–2010 through 2014–2015 academic years.Main Outcome Measure(s): Aggregate quadriceps strain injury and exposure data from the NCAA Injury Surveillance Program during the 2009–2010 through 2014–2015 academic years were analyzed. Quadriceps strain injury rates and injury rate ratios (IRRs) were reported with 95% confidence intervals (CIs).Results: Overall, 517 quadriceps strains were reported, resulting in an injury rate of 1.07/10 000 athlete-exposures (AEs). The sports with the highest overall quadriceps strain rates were women's soccer (5.61/10 000 AEs), men's soccer (2.52/10 000 AEs), women's indoor track (2.24/10 000 AEs), and women's softball (2.15/10 000 AEs). Across sex-comparable sports, women had a higher rate of quadriceps strains than men overall (1.97 versus 0.65/10 000 AEs; IRR = 3.03; 95% CI = 2.45, 3.76). The majority of quadriceps strains were sustained during practice (77.8%). However, the quadriceps strain rate was higher during competition than during practice (1.29 versus 1.02/10 000 AEs; IRR = 1.27; 95% CI = 1.03, 1.56). Most quadriceps strains occurred in the preseason (57.8%), and rates were higher during the preseason compared with the regular season (2.29 versus 0.63/10 000 AEs; IRR = 3.60; 95% CI = 3.02, 4.30). Common injury mechanisms were noncontact (63.2%) and overuse (21.9%). Most quadriceps strains restricted participation by less than 1 week (79.3%).Conclusions: Across 25 sports, higher quadriceps strain rates were found in women versus men, in competitions versus practices, and in the preseason versus the regular season. Most quadriceps strains were minor in severity, although further surveillance is needed to better examine the risk factors associated with incidence and severity.

scholarly journals PATTERNS OF APOLOGETIC UTTERANCES EXPRESSED BY ENGLISH STUDENTS AND NON-ENGLISH STUDENTS

2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Faiza Hawa ◽  
Rahmawati Sukmaningrum
Keyword(s):  
Speech Act ◽  
English Department ◽  
Biology Students ◽  
Biology Department ◽  
Completion Task ◽  
Significant Difference ◽  
The Difference ◽  
Different Characteristics ◽  
English Students ◽  
The Way

This study aimed at finding out the patterns of apologetic utterance expressed by English department students and non-English department students. The participants of this study were 20 students of English department and 20 students of Biology department students. The data were taken from Discourse Completion Task serving 5 different situations. The responses of the situations were categorized into different patterns of apology offered by Olshtains (1983). The result showed that English students and Biology students have different characteristics in uttering apology. The English students tend to be straight to the point in uttering apology followed by a bit of explanation, while Biology students like to have long apology with more detail explanation. There is no significant difference in the realization of apology speech act uttered by the students. No factor influences the difference in the way they convey apology. Both applies similar various strategies to apologize. Direct apology and Direct Apology followed by Explanation are mostly chosen by the students as the strategies in conveying apology.

scholarly journals Hand and wrist injuries among collegiate athletes vary with athlete division

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Kathleen A. Holoyda ◽  
Daniel P. Donato ◽  
David A. Magno-Padron ◽  
Andrew M. Simpson ◽  
Jayant P. Agarwal
Keyword(s):  
National Collegiate Athletic Association ◽  
Female Athletes ◽  
Surgical Intervention ◽  
Collegiate Athletes ◽  
Ice Hockey ◽  
Division I ◽  
Surveillance Program ◽  
Wrist Injuries ◽  
Division I Athletes ◽  
Mean Time

Abstract Background The rates, severity and consequences of hand and wrist injuries sustained by National Collegiate Athletic Association athletes are not well characterized. This study describes the epidemiology of hand and wrist injuries among collegiate athletes competing in different divisions. Methods The National Collegiate Athletic Association Injury Surveillance Program (NCAA-ISP) was accessed from 2004 to 2015 for the following sports: baseball, basketball, football, ice hockey, lacrosse, soccer, wrestling, field hockey, gymnastics, softball and volleyball. The data were used to identify all hand and wrist injuries, the specific injury diagnosis, mean time loss of activity following injury, and need for surgery following injury. These were then stratified by gender. Descriptive statistics were performed to examine the association between sports, event type and division. Student's t test was used to calculate p-values for independent variables. Chi-Square test was used to calculate odds ratio. P < 0.05 was considered significant. Results 103,098 hand and wrist injuries were reported in in the studied NCAA sports from 2004 to 2015. Male athletes sustained 72,423 injuries (6.01/10,000 athlete exposure) and female athletes sustained 30,675 injuries (4.13/10,000 athlete exposure). Division I athletes sustained significantly more injuries compared to divisions II and III. Overall, 3.78% of hand and wrist injuries required surgical intervention. A significantly higher percentage of division I athletes (both male and female) underwent surgical intervention compared to divisions II and III. The mean time lost due to hand and wrist injury was 7.14 days for all athletes. Division I athletes missed the fewest days due to injury at 6.29 days though this was not significant. Conclusions Hand and wrist injuries are common among collegiate athletes. Division I athletes sustain higher rates of injuries and higher surgical intervention rates, while tending to miss fewer days due to injury. Improved characterization of divisional differences in hand and wrist injuries can assist injury management and prevention.

scholarly journals Hand and Wrist Injuries Among Collegiate Athletes: The Role of Sex and Competition on Injury Rates and Severity

2020 ◽  
Vol 8 (12) ◽  
pp. 232596712096462
Author(s):  
Andrew M. Simpson ◽  
Daniel P. Donato ◽  
Jacob Veith ◽  
David Magno-Padron ◽  
Jayant P. Agarwal
Keyword(s):  
National Collegiate Athletic Association ◽  
Collegiate Athletes ◽  
Wrist Fracture ◽  
Ice Hockey ◽  
National Database ◽  
Surveillance Program ◽  
Wrist Injuries ◽  
Collegiate Sports ◽  
Cross Sectional ◽  
Using Data

Background: There is a high incidence of hand and wrist injuries in athletes participating in collegiate sports, but there is little information published characterizing them. Purpose: To characterize hand and wrist injuries in collegiate athletes using a large national database. Study Design: Descriptive epidemiology study. Methods: This retrospective cross-sectional analysis was designed using data from the National Collegiate Athletic Association (NCAA) Injury Surveillance Program database to identify hand and wrist injuries (exclusive of any radial or ulnar fractures) in male and female collegiate athletes participating in NCAA Division I, II, and III sports from 2004 to 2015. Descriptive analyses were performed on stratified data to examine the associations between these injuries and sport, event type, and sex. Results: Men’s ice hockey (8.25 per 10,000 athlete-exposures [AEs]) and women's ice hockey (8.21 per 10,000 AEs) had the highest rate of hand and wrist injuries in all exposures. In every sport except women’s gymnastics ( P = .107), injuries were more commonly sustained during competition rather than during practice. Ligamentous injury to the phalynx was the most commonly sustained injury overall (1.416 per 10,000 AEs), and a metacarpal fracture was the most commonly sustained hand or wrist fracture (0.507 per 10,000 AEs). Injuries sustained during men’s wrestling (14.08 days) and women’s gymnastics (10.39 days) incurred the most time lost from sport. Surgery for hand and wrist injuries was most commonly required for men’s football (0.413 per 10,000 AEs) and women’s field hockey (0.404 per 10,000 AEs). Conclusion: Hand and wrist injuries were common among collegiate athletes. Male athletes experienced injuries with more frequency and severity. Injuries occurred more commonly during competition. While the majority of injuries were minor and did not require surgery, certain sports conferred a much higher risk of significant injuries requiring a surgical intervention.

Prevalence of Impaired Orthostasis after Concussion Injury

Neurology ◽  
2020 ◽  
Vol 95 (20 Supplement 1) ◽  
pp. S1.3-S2
Author(s):  
Michael F. La Fountaine ◽  
Asante Hohn ◽  
Caroline Leahy ◽  
Anthony Testa
Keyword(s):  
Collegiate Athletes ◽  
Transient State ◽  
Incidence Rates ◽  
Control Group ◽  
Clinical Approach ◽  
Male Age ◽  
Significant Difference ◽  
The Difference ◽  
Clinically Significant ◽  
A Prospective Study

ObjectiveTo determine the prevalence of orthostatic hypotension (OHypo) and hypertension (OHTN), respectively after a concussion in collegiate athletes.BackgroundOrthostasis causes a gravity-dependent redistribution of blood volume to the lower extremities. The baroreflex coordinates the cardiovascular autonomic nervous system to mitigate aberrant changes in systolic blood pressure (SBP). In autonomic dysfunction (AD), impaired accommodation may lead to a clinically significant? SBP decreases (OHypo: SBP fall = 20 mm Hg) or paradoxical increases (OHTN: SBP rise = 20 mm Hg) within 3 minutes of assuming the standing (STND) posture. Concussion injuries may induce a transient state of AD. A clinical approach to surveil this state has yet to be defined.Design/MethodsA prospective study was performed in 36 concussed (gender: 23 female, 13 male; age: 20 ± 1 years; height: 1.75 ± 0.12 meters; weight: 73 ± 14 kilograms) and 20 non-concussed athletes (gender: 12 female, 8 male; age: 21 ± 2 years; height: 1.74 ± 0.15 meters; weight: 72 ± 18 kilograms). Continuous beat-to-beat SBP was collected for 10-minutes in a resting supine position (SUP) and then for 3-minutes in the STND position within 48 hours (48H) of concussion. The average SBP was computed from the difference between SUP and the final 15 seconds of STND. SBP were then categorized: Normal (NR: SBP -15 to +15 mm Hg); Borderline OHypo (BordOHypo: SBP −16 to −19 mm Hg) and OHTN (BordOHTN: SBP +16 to +19 mm Hg); OHypo; and, OHTN.ResultsIn concussed athletes, the SBP prevalence rates were 42% NR, 31% OHypo, 11% OHTN, 11% BordOHTN, and 6% BordOHypo compared to 90% NR, 5% OHypo and 5% OHTN in the non-concussed athletes. ?2 test revealed a significant difference in this distribution (p = 0.012).ConclusionsWithin 48H of concussion injury, a combined 42% of injured athletes had an abnormal SBP response to orthostasis and a further 6% had borderline responses that warrant re-evaluation. The incidence rates for each circumstance exceeded the control group.

scholarly journals Epidemiological Patterns of Patellofemoral Injuries in Collegiate Athletes in the United States From 2009 to 2014

2019 ◽  
Vol 7 (4) ◽  
pp. 232596711984071 ◽  
Author(s):  
Jeffrey D. Trojan ◽  
Joshua A. Treloar ◽  
Christopher M. Smith ◽  
Matthew J. Kraeutler ◽  
Mary K. Mulcahey
Keyword(s):  
Sports Medicine ◽  
National Collegiate Athletic Association ◽  
Female Athletes ◽  
Collegiate Athletes ◽  
The United States ◽  
Surveillance Program ◽  
Injury Incidence ◽  
Patellar Subluxation ◽  
Rate Ratios ◽  
Women's Volleyball

Background: As many as 30% of patients with knee pain seen in sports medicine clinics have complaints related to the patellofemoral joint. There is a paucity of research available regarding patellofemoral injuries, mechanism of injury, and playing time lost in collegiate athletes. Purpose: To describe the rates, mechanisms, severity, and potential sex-based differences of patellofemoral injuries in collegiate athletes across 25 National Collegiate Athletic Association (NCAA) sports. Study Design: Descriptive epidemiology study. Methods: Data from the 2009-2010 through the 2013-2014 academic years were obtained from the NCAA Injury Surveillance Program and were analyzed to calculate patellofemoral injury rates, mechanisms of injury, time lost, and need for surgery. Rate ratios and injury proportion ratios were used to quantify discernible differences between sex-comparable sports and timing of injury (ie, practice vs competition), respectively. Results: The overall patellofemoral injury incidence rate was 16.10 per 100,000 athlete-exposures (AEs). Women’s volleyball had the highest incidence of all sports (39.57 per 100,000 AEs). Injuries were 66% more likely to occur in competition than during practice. Female athletes experienced significantly more patellofemoral injuries than males in similar sports. Patellar tendinitis accounted for 49.2% of all patellofemoral injuries and was the most common injury in 20 of 25 studied sports. Patellar subluxation accounted for the most total days missed, and patellar dislocation had the highest mean days missed per injury (11.42 days). Patella fracture was the most likely injury to require surgery (80%). Conclusion: Patellofemoral injuries were most common in sports that require jumping and quick changes of direction, specifically women’s volleyball, men’s and women’s basketball, and women’s soccer. The majority of patellofemoral injuries in this cohort were classified as patellar tendinitis caused by overuse. Most injuries resulted in no competition or practice time lost. This information may contribute to the development of prevention programs aimed at addressing the most prevalent types and mechanisms of injury in each sport to reduce the incidence of patellofemoral injury in these athletes.

scholarly journals A Clinical Method for Identifying Scapular Dyskinesis, Part 2: Validity

2009 ◽  
Vol 44 (2) ◽  
pp. 165-173 ◽  
Author(s):  
Angela R. Tate ◽  
Philip McClure ◽  
Stephen Kareha ◽  
Dominic Irwin ◽  
Mary F. Barbe
Keyword(s):  
Athletic Training ◽  
National Collegiate Athletic Association ◽  
Collegiate Athletes ◽  
Scapular Dyskinesis ◽  
Clinical Method ◽  
3 Dimensional ◽  
Significant Difference ◽  
The Right ◽  
The Relationship ◽  
Scapular Motion

Abstract Context: Although clinical methods for detecting scapular dyskinesis have been described, evidence supporting the validity of these methods is lacking. Objective: To determine the validity of the scapular dyskinesis test, a visually based method of identifying abnormal scapular motion. A secondary purpose was to explore the relationship between scapular dyskinesis and shoulder symptoms. Design: Validation study comparing 3-dimensional measures of scapular motion among participants clinically judged as having either normal motion or scapular dyskinesis. Setting: University athletic training facilities. Patients or Other Participants: A sample of 142 collegiate athletes (National Collegiate Athletic Association Division I and Division III) participating in sports requiring overhead use of the arm was rated, and 66 of these underwent 3-dimensional testing. Intervention(s): Volunteers were viewed by 2 raters while performing weighted shoulder flexion and abduction. The right and left sides were rated independently as normal, subtle dyskinesis, or obvious dyskinesis using the scapular dyskinesis test. Symptoms were assessed using the Penn Shoulder Score. Main Outcome Measure(s): Athletes judged as having either normal motion or obvious dyskinesis underwent 3-dimensional electromagnetic kinematic testing while performing the same movements. The kinematic data from both groups were compared via multifactor analysis of variance with post hoc testing using the least significant difference procedure. The relationship between symptoms and scapular dyskinesis was evaluated by odds ratios. Results: Differences were found between the normal and obvious dyskinesis groups. Participants with obvious dyskinesis showed less scapular upward rotation (P &lt; .001), less clavicular elevation (P &lt; .001), and greater clavicular protraction (P  =  .044). The presence of shoulder symptoms was not different between the normal and obvious dyskinesis volunteers (odds ratio  =  0.79, 95% confidence interval  =  0.33, 1.89). Conclusions: Shoulders visually judged as having dyskinesis showed distinct alterations in 3-dimensional scapular motion. However, the presence of scapular dyskinesis was not related to shoulder symptoms in athletes engaged in overhead sports.

scholarly journals Seroepidemiology of Measles, Mumps, Rubella and Varicella in Italian Female School Workers: A Cross-Sectional Study

Vaccines ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1191
Author(s):  
Nicola Frau ◽  
Federico Meloni ◽  
Jacopo Fostinelli ◽  
Laura Portas ◽  
Igor Portoghese ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Health Surveillance ◽  
Surveillance Program ◽  
Workplace Health ◽  
Serum Samples ◽  
Cross Sectional ◽  
Vaccine Preventable Diseases ◽  
Significant Difference ◽  
Protective Antibodies ◽  
The Difference

Background: Determining the proportion of susceptible workers can represent a first step to the biological risk assessment related to measles, mumps, rubella and varicella exposure. This study aimed to assess the immunity against measles, mumps, rubella and varicella viruses in a cohort of female school workers. Methods: A cross-sectional seroepidemiological study in a sample of 263 school workers undergoing routine annual workplace health surveillance program was conducted. As part of the health surveillance program, serum samples were collected and tested for measles, mumps, rubella and varicella IgG antibodies. Results: Overall seropositivity was 90.5%, 85.2%, 94.7% and 97.3% for measles, mumps, rubella and varicella, respectively. In relation to mumps occupation-specific seropositivity, a statistically significant difference was observed, showing the lowest prevalence of protected individuals in other occupation groups. Moreover, in relation to rubella, school workers born in Centre Italy had the lowest seropositivity of protective antibodies and the difference between groups was statistically significant. Measles and rubella seropositivity showed a significant decrease after 2015. Conclusions: This study showed a relevant proportion of school workers susceptible to the aforementioned diseases. These results highlighted the need for proper health surveillance and immunological controls in school workers, especially for females, and provided useful insights to policymakers to select effective strategies aimed at containing the risk of vaccine-preventable diseases at schools.

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