scholarly journals Hand and Wrist Injuries Among Collegiate Athletes Vary with Athlete Division

2021 ◽  
Author(s):  
Kathleen Holoyda ◽  
Daniel Donato ◽  
David Magno-Padron ◽  
Andrew Simpson ◽  
Jayant Agarwal
Keyword(s):  
National Collegiate Athletic Association ◽  
Female Athletes ◽  
Surgical Intervention ◽  
Collegiate Athletes ◽  
Division I ◽  
Surveillance Program ◽  
Wrist Injuries ◽  
Male And Female ◽  
And Gender ◽  
Division I Athletes

Abstract Background: The rates, severity and consequences of hand and wrist injuries sustained by NCAA 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 for various sports from 2004 to 2015. Data was stratified by hand and wrist injuries sustained, mean loss of activity time following the injury, male and female sport, need for surgery following injury and division. Descriptive statistics were performed to examine the association between sports, event type and gender. P < 0.05 was considered significantResults 103,098 hand and wrist injuries were reported in all NCAA sports from 2004-2015. Male athletes sustained 72,423 injuries (6.01/10,000 athlete events) and female athletes sustained 30,675 injuries (4.13/10,000 athlete events). 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 tended to miss fewer days due to injury, 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 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 Preliminary Scale of Reference Values for Evaluating Reactive Strength Index-Modified in Male and Female NCAA Division I Athletes

Sports ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 133 ◽  
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.

scholarly journals Epidemiology of Overuse and Acute Injuries Among Competitive Collegiate Athletes

2012 ◽  
Vol 47 (2) ◽  
pp. 198-204 ◽  
Author(s):  
Jingzhen Yang ◽  
Abigail S. Tibbetts ◽  
Tracey Covassin ◽  
Gang Cheng ◽  
Saloni Nayar ◽  
...  
Keyword(s):  
National Collegiate Athletic Association ◽  
Female Athletes ◽  
Injury Rate ◽  
Collegiate Athletes ◽  
Sports Injury ◽  
Epidemiologic Studies ◽  
Acute Injury ◽  
Overuse Injuries ◽  
Male And Female ◽  
Acute Injuries

Context: Although overuse injuries are gaining attention, epidemiologic studies on overuse injuries in male and female collegiate athletes are lacking. Objective: To report the epidemiology of overuse injuries sustained by collegiate athletes and to compare the rates of overuse and acute injuries. Design: Descriptive epidemiology study. Setting: A National Collegiate Athletic Association Division I university. Patients or Other Participants: A total of 1317 reported injuries sustained by 573 male and female athletes in 16 collegiate sports teams during the 2005–2008 seasons. Main Outcome Measure(s): The injury and athlete-exposure (AE) data were obtained from the Sports Injury Monitoring System. An injury was coded as either overuse or acute based on the nature of injury. Injury rate was calculated as the total number of overuse (or acute) injuries during the study period divided by the total number of AEs during the same period. Results: A total of 386 (29.3%) overuse injuries and 931 63.1 per 10000 AEs. The rate ratio (RR) of acute versus overuse injuries was 2.34 (95% confidence interval [CI] = 2.05, 2.67). Football had the highest RR (RR = 8.35, 95% CI = 5.38, 12.97), and women's rowing had the lowest (RR = 0.75, 95% CI = 0.51, 1.10). Men had a higher acute injury rate than women (49.8 versus 38.6 per 10000 AEs). Female athletes had a higher rate of overuse injury than male athletes (24.6 versus 13.2 per 10000 AEs). More than half of the overuse injuries (50.8%) resulted in no time loss from sport. Conclusions: Additional studies are needed to examine why female athletes are at greater risk for overuse injuries and identify the best practices for prevention and rehabilitation of overuse injuries.

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.

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

2021 ◽  
Vol 9 (2) ◽  
pp. 232596712098228 ◽  
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.

scholarly journals Between-Seasons Test-Retest Reliability of Clinically Measured Reaction Time in National Collegiate Athletic Association Division I Athletes

2011 ◽  
Vol 46 (4) ◽  
pp. 409-414 ◽  
Author(s):  
James T. Eckner ◽  
Jeffrey S. Kutcher ◽  
James K. Richardson
Keyword(s):  
Reaction Time ◽  
Repeated Measures ◽  
National Collegiate Athletic Association ◽  
Collegiate Athletes ◽  
Division I ◽  
Clinical Test ◽  
Retest Reliability ◽  
Physical Examinations ◽  
Division I Athletes ◽  
Test Retest Reliability

Context: Reaction time is typically impaired after concussion. A clinical test of reaction time (RTclin) that does not require a computer to administer may be a valuable tool to assist in concussion diagnosis and management. Objective: To determine the test-retest reliability of RTclin measured over successive seasons in competitive collegiate athletes and to compare these results with a computerized measure of reaction time (RTcomp). Design: Case series with repeated measures. Setting: Preparticipation physical examinations for the football, women's soccer, and wrestling teams at a single university. Patients or Other Participants: 102 National Collegiate Athletic Association Division I athletes. Intervention(s): The RTclin was measured using a measuring stick embedded in a weighted rubber disk that was released and caught as quickly as possible. The RTcomp was measured using the simple reaction time component of CogState Sport. Main Outcome Measure(s): Data were collected at 2 time points, 1 season apart, during preparticipation physical examinations. Outcomes were mean simple RTclin and RTcomp. Results: The intraclass correlation coefficient estimates from season 1 to season 2 were 0.645 for RTclin (n = 102, entire sample) and 0.512 for RTcomp (n = 62 athletes who had 2 consecutive valid baseline CogState Sport test sessions). Conclusions: The test-retest reliability of RTclin over consecutive seasons compared favorably with that of a concurrently tested computerized measure of reaction time and with literature-based estimates of computerized reaction time measures. This finding supports the potential use of RTclin as part of a multifaceted concussion assessment battery. Further prospective study is warranted.

scholarly journals Effect of Achilles Tendon Repair on Performance Outcomes After Return to Play in National Collegiate Athletic Association Division I Basketball Athletes

2021 ◽  
Vol 9 (6) ◽  
pp. 232596712110152
Author(s):  
Rafael Sanchez ◽  
Blake H. Hodgens ◽  
Joseph S. Geller ◽  
Samuel Huntley ◽  
Jonathan Kaplan ◽  
...  
Keyword(s):  
Ncaa Division I ◽  
National Collegiate Athletic Association ◽  
Performance Metrics ◽  
Female Athletes ◽  
Surgical Repair ◽  
National Basketball Association ◽  
Division I ◽  
Return To Play ◽  
Basketball Players ◽  
Significant Drop

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.

scholarly journals Influence of Warm-Up Music Preference on Anaerobic Exercise Performance in Division I NCAA Female Athletes

2021 ◽  
Vol 6 (3) ◽  
pp. 64
Author(s):  
Corinne E. Meglic ◽  
Caroline M. Orman ◽  
Rebecca R. Rogers ◽  
Tyler D. Williams ◽  
Christopher G. Ballmann
Keyword(s):  
Perceived Exertion ◽  
Female Athletes ◽  
Recovery Period ◽  
Collegiate Athletes ◽  
Anaerobic Exercise ◽  
Division I ◽  
Total Work ◽  
Active Recovery ◽  
Mean Power ◽  
Warm Up

The purpose of this study was to investigate the effects of listening to preferred versus non-preferred warm-up music on anaerobic sprint performance in Division I NCAA female athletes. Female collegiate athletes (n = 14) were recruited for this study. In a counterbalanced, crossover study design, participants completed two separate visits, each with a different warm-up music condition: preferred (Pref) or non-preferred (Non-pref). During each visit, participants completed a 3 min standardized cycling warm-up at 50 Watts while listening to Pref or Non-pref music. Following this, participants completed 3 × 15 s Wingate Anaerobic Tests (WAnTs) with a 2 min active recovery period in between tests. Motivation to exercise was measured immediately following the warm-up (WU), WAnT1, WAnT2, and WAnT3. The rate of perceived exertion (RPE) was also measured after each WAnT. Each visit was separated by a minimal recovery period of 48 h. Mean power, total work, RPE, and motivation were analyzed. Mean power (p = 0.044; d = 0.91) and total work (p = 0.045; d = 0.78) were significantly higher during the Pref music condition versus Non-pref. RPE remained unchanged regardless of condition (p = 0.536; d = 0.01). Motivation was significantly higher with Pref warm-up music compared to Non-pref (p < 0.001; d = 1.55). These results show that listening to Pref warm-up music has an ergogenic benefit during repeated sprints in comparison to Non-pref music and improves motivation to exercise. Listening to warm-up music prior to high-intensity repeated exercise may aid in optimizing performance and training in collegiate athletes.

Health-Related Quality of Life in Former National Collegiate Athletic Association Division I Collegiate Athletes Compared With Noncollegiate Athletes: A 5-Year Follow-Up

2021 ◽  
Author(s):  
Janet E. Simon ◽  
Mallory Lorence ◽  
Carrie L. Docherty
Keyword(s):  
Physical Activity ◽  
Physical Function ◽  
National Collegiate Athletic Association ◽  
Division I ◽  
Related Quality ◽  
Health Related ◽  
Division I Athletes

Context The effect of athletic participation on lifelong health among elite athletes has received increasing attention, as sport-related injuries can have a substantial influence on long-term health. Objective To determine the current health-related quality of life (HRQoL) of former National Collegiate Athletic Association Division I athletes compared with noncollegiate athletes 5 years after an initial assessment. Design Cohort study. Setting Online survey. Patients or Other Participants From the former Division I athletes, 193 responses were received (response rate = 83.2%; 128 men, 65 women; age = 58.47 ± 6.17 years), and from the noncollegiate athletes, 169 surveys were returned (response rate = 75.1%; 80 men, 89 women; age = 58.44 ± 7.28 years). Main Outcome Measure(s) The independent variables were time (baseline, 5 years later) and group (former Division I athlete, noncollegiate athlete). Participants completed 7 Patient-Reported Outcomes Measurement Information System scales: sleep disturbance, anxiety, depression, fatigue, pain interference, physical function, and satisfaction with participation in social roles. Results Sleep disturbance, depression, fatigue, pain, and physical function were significant for a time × group interaction (P &lt; .05), with the largest differences seen in pain and physical function between groups at time point 2 (22.19 and 13.99 points, respectively). Former Division I athletes had worse scores for depression, fatigue, pain, and physical function at follow-up (P &lt; .05), with the largest differences seen on the depression, fatigue, and physical function scales (8.33, 6.23, and 6.61 points, respectively). Conclusions Because of the competitive nature of sport, the long-term risks of diminished HRQoL need to become a priority for health care providers and athletes during their athletic careers. Additionally, physical activity transition programs need to be explored to help senior student-athletes transition from highly structured and competitive collegiate athletics to lifestyle physical activity, as it appears that individuals in the noncollegiate athlete cohort engaged in more physical activity, weighed less, and had increased HRQoL.

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