Soccer Injuries in Female Youth Players: Comparison of Injury Surveillance by Certified Athletic Trainers and Internet

Abstract Context: Few authors have evaluated sports injury-surveillance systems that use parental, Internet-based surveys for data collection. Objective: To determine whether certified athletic trainers (ATs) and parental, Internet-based surveys provided comparable data for identifying soccer injuries. Design: Prospective feasibility cohort study. Setting: A soccer association in Seattle, Washington. Patients or Other Participants: Eighty female youth soccer players, ages 12 to 14 years. Main Outcome Measure(s): We compared the data provided by ATs attending 1 soccer practice per week with a weekly soccer-parent, Internet-based system. We measured athlete-exposure hours (AEHs) for each player. We compared injury rates reported by ATs only, Internet-based surveys only, and both systems combined. We evaluated the 2 surveillance systems for agreement on injured body region and laterality of injury using the κ statistic. Results: For ATs only, Internet-based surveys only, and both systems combined, we found acute injury rates of 3.0 per 1000 AEHs, 3.9 per 1000 AEHs, and 4.7 per 1000 AEHs and overuse injury rates of 1.0 per 1000 AEHs, 2.9 per 1000 AEHs, and 2.9 per 1000 AEHs, respectively. Players sustained 27 acute injuries (44% ankle, 11% knee, 11% hip) reported by at least 1 of the 2 systems, with 63% reported by ATs and 85% by Internet-based survey. Players sustained 17 overuse injuries (35% knee, 29% lower leg) reported by either system, with 35% reported by ATs and 100% by Internet-based survey. Among players for whom we had both ATs' and Internet-based survey injury data, body region injured and laterality had very good agreement (κ = 0.73 to 1.0). Conclusions: The injury rate based on the weekly parental, Internet-based survey was similar to the rate based on the ATs' reporting and had comparable classifications of injured body region and laterality of injury.

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The Epidemiology of Injuries in Middle School Football, 2015-2017: The Advancing Healthcare Initiatives for Underserved Students Project

The American Journal of Sports Medicine ◽

10.1177/0363546518825361 ◽

2019 ◽

Vol 47 (4) ◽

pp. 933-941 ◽

Cited By ~ 4

Author(s):

Zachary Y. Kerr ◽

Nelson Cortes ◽

Jatin P. Ambegaonkar ◽

Amanda M. Caswell ◽

Matt Prebble ◽

...

Keyword(s):

Middle School ◽

Injury Prevention ◽

Injury Rate ◽

Surveillance Systems ◽

Injury Incidence ◽

Prevention Strategies ◽

Certified Athletic Trainers ◽

Injury Rates ◽

Underserved Students ◽

Rate Ratios

Background: Although data exist on injuries in youth football leagues, there are limited recent data on injury incidence in middle school football. Updated injury incidence estimates can help drive the development of injury prevention strategies. Purpose: Describe the epidemiology of injuries in middle school football during school years 2015-2016 to 2017-2018. Study Design: Descriptive epidemiology study. Methods: Data originated from 9 public middle schools in Virginia during school years 2015-2016 to 2017-2018. Certified athletic trainers collected injury and athlete-exposure (AE) data from school-sanctioned games and practices in boys’, football. Injury counts and rates per 1000 AEs were calculated. Injury rate ratios with 95% CIs compared rates between games and practices. Results: Overall, 664 middle school boys’, football injuries were reported, leading to an overall injury rate of 20.54 per 1000 AEs (95% CI, 18.98-22.11). The time loss injury rate (inclusive of injuries with participation restriction time ≥24 hours) was 9.28 per 1000 AEs (95% CI, 8.23-10.33). The injury rate was higher in competition than practice (36.19 vs 17.97 per 1000 AEs; injury rate ratio, 2.01; 95% CI, 1.69-2.40). Most injuries were to the head/face (competition, 20.6%; practice, 15.8%) and hand/wrist (competition, 18.8%; practice, 16.4%) and were diagnosed as contusions (competition, 30.9%; practice, 25.9%) and sprains (competition, 19.4%; practice, 12.6%). Competitions also had a large proportion of concussions (10.3%). Overall, 80.0% and 66.9% of injuries were due to contact in competition and practice, respectively; of these contact-related injuries, 62.1% and 41.6% were specifically player contact. Conclusion: Injury distributions parallel those found in previous research from middle school and other sport settings. Injury rates in middle school football were higher than those reported in previous findings in high school and college. However, caution must be taken when interpreting findings in relation to other surveillance systems with varying methodologies. Still, the findings highlight the need for injury prevention strategies within middle school football, particularly as related to contact-related mechanisms.

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The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Lacrosse (2008–2009 Through 2013–2014) and National Collegiate Athletic Association Men's Lacrosse (2004–2005 Through 2013–2014)

Journal of Athletic Training ◽

10.4085/1062-6050-200-17 ◽

2019 ◽

Vol 54 (1) ◽

pp. 30-41 ◽

Cited By ~ 5

Author(s):

Lauren A. Pierpoint ◽

Andrew E. Lincoln ◽

Nina Walker ◽

Shane V. Caswell ◽

Dustin W. Currie ◽

...

Keyword(s):

High School ◽

National Collegiate Athletic Association ◽

Injury Rate ◽

Sports Injury ◽

Injury Surveillance ◽

Surveillance Program ◽

Time Loss ◽

Annual Average ◽

Injury Rates ◽

Web Based

ContextThe advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of boys' and men's lacrosse injury data.ObjectiveTo describe the epidemiology of injuries sustained in high school boys' lacrosse in the 2008–2009 through 2013–2014 academic years and collegiate men's lacrosse in the 2004–2005 through 2013–2014 academic years using Web-based sports injury surveillance.DesignDescriptive epidemiology study.SettingOnline injury surveillance from lacrosse teams of high school boys (annual average = 55) and collegiate men (annual average = 14).Patients or Other ParticipantsBoys' and men's lacrosse players who participated in practices and competitions during the 2008–2009 through 2013–2014 academic years in high school or the 2004–2005 through 2013–2014 academic years in college.Main Outcome Measure(s)Athletic trainers collected time-loss (≥24 hours) injury and exposure data. Injury rates per 1000 athlete-exposures (AEs), injury rate ratios (IRRs) with 95% confidence intervals (CIs), and injury proportions by body site and diagnosis were calculated.ResultsHigh School Reporting Information Online documented 1407 time-loss injuries during 662 960 AEs. The National Collegiate Athletic Association Injury Surveillance Program documented 1882 time-loss injuries during 390 029 AEs. The total injury rate from 2008–2009 through 2013–2014 was higher in college than in high school (3.77 versus 2.12/1000 AEs; IRR = 1.78; 95% CI = 1.63, 1.94). Most injuries occurred during competitions in high school (61.4%) and practices in college (61.4%). Injury rates were higher in competitions compared with practices in high school (IRR = 3.59; 95% CI = 3.23, 4.00) and college (IRR = 3.38; 95% CI = 3.08, 3.71). Lower limb injuries, muscle strains, and ligament sprains were common at both levels. Concussion was the most frequent competition diagnosis for all high school player positions.ConclusionsRates of time-loss injury were higher in college versus high school and in competitions versus practices. Attention to preventing common lower leg injuries and concussions, especially at the high school level, is essential to decrease their incidence and severity.

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The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Softball (2005–2006 Through 2013–2014) and National Collegiate Athletic Association Women's Softball (2004–2005 Through 2013–2014)

Journal of Athletic Training ◽

10.4085/1062-6050-206-17 ◽

2019 ◽

Vol 54 (2) ◽

pp. 212-225 ◽

Cited By ~ 2

Author(s):

Erin B. Wasserman ◽

Johna K. Register-Mihalik ◽

Eric L. Sauers ◽

Dustin W. Currie ◽

Lauren A. Pierpoint ◽

...

Keyword(s):

High School ◽

National Collegiate Athletic Association ◽

Injury Rate ◽

Sports Injury ◽

Injury Surveillance ◽

Time Loss ◽

Injury Rates ◽

Web Based ◽

High School Girls ◽

School Girls

Context The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of girls' and women's softball injury data. Objective To describe the epidemiology of injuries sustained in high school girls' softball in the 2005–2006 through 2013–2014 academic years and collegiate women's softball in the 2004–2005 through 2013–2014 academic years using Web-based sports injury surveillance. Design Descriptive epidemiology study. Setting Online injury surveillance from softball teams in high school girls (annual average = 100) and collegiate women (annual average = 41). Patients or Other Participants Girls' or women's softball players who participated in practices and competitions during the 2005–2006 through 2013–2014 academic years in high school and the 2004–2005 through 2013–2014 academic years in college. Main Outcome Measure(s) Athletic trainers collected time-loss injury and exposure data. Injury rates per 1000 athlete-exposures (AEs) were calculated. Injury rate ratios (IRRs) with 95% confidence intervals (CIs) compared injury rates by competition level, school size or division, event type, and time in season. Results The High School Reporting Information Online system documented 1357 time-loss injuries during 1 173 722 AEs; the National Collegiate Athletic Association Injury Surveillance Program documented 1848 time-loss injuries during 579 553 AEs. The injury rate was higher in college than in high school (3.19 versus 1.16/1000 AEs; IRR = 2.76; 95% CI = 2.57, 2.96). The competition injury rate was higher than the practice injury rate in high school (IRR = 2.02; 95% CI = 1.82, 2.25) and in college (IRR = 1.39; 95% CI = 1.27, 1.52). Softball players at both levels sustained a variety of injuries, with the most common being ankle sprains and concussions. Many injuries also occurred while fielding or running bases. Conclusions Injury rates were greater in collegiate versus high school softball and in competitions versus practices. These findings highlight the need for injury-prevention interventions, including strength-training and prevention programs to reduce ankle sprains and provide protection for batters from pitches and fielders from batted balls.

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The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in United States High School Football (2005–2006 Through 2013–2014) and National Collegiate Athletic Association Football (2004–2005 Through 2013–2014)

Journal of Athletic Training ◽

10.4085/1062-6050-144-17 ◽

2018 ◽

Vol 53 (8) ◽

pp. 738-751 ◽

Cited By ~ 10

Author(s):

Zachary Y. Kerr ◽

Gary B. Wilkerson ◽

Shane V. Caswell ◽

Dustin W. Currie ◽

Lauren A. Pierpoint ◽

...

Keyword(s):

High School ◽

National Collegiate Athletic Association ◽

Injury Rate ◽

Sports Injury ◽

Injury Surveillance ◽

Surveillance Program ◽

Time Loss ◽

High School Football ◽

Injury Rates ◽

Web Based

Context: The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of football injury data.Objective: To describe the epidemiology of injuries sustained in high school football in the 2005–2006 through 2013–2014 academic years and collegiate football in the 2004–2005 through 2013–2014 academic years using Web-based sports injury surveillance.Design: Descriptive epidemiology study.Setting: Online injury surveillance from football teams of high school boys (annual average = 100) and collegiate men (annual average = 43).Patients or Other Participants: Football players who participated in practices and competitions during the 2005–2006 through 2013–2014 academic years in high school or the 2004–2005 through 2013–2014 academic years in college.Main Outcome Measure(s): Athletic trainers collected time-loss injury (≥24 hours) and exposure data. Injury rates per 1000 athlete-exposures (AEs), injury rate ratios (IRRs) with 95% confidence intervals (CIs), and injury proportions by body site and diagnosis were calculated.Results: The High School Reporting Information Online system documented 18 189 time-loss injuries during 4 539 636 AEs; the National Collegiate Athletic Association Injury Surveillance Program documented 22 766 time-loss injuries during 3 121 476 AEs. The injury rate was higher among collegiate than high school (7.29 versus 4.01/1000 AEs; IRR = 1.82; 95% CI = 1.79, 1.86) athletes. Most injuries occurred during competitions in high school (53.2%) and practices in college (60.9%). The competition injury rate was higher than the practice injury rate among both high school (IRR = 5.62; 95% CI = 5.46, 5.78) and collegiate (IRR = 6.59; 95% CI = 6.41, 6.76) players. Most injuries at both levels affected the lower extremity and the shoulder/clavicle and were diagnosed as ligament sprains and muscle/tendon strains. However, concussion was a common injury during competitions among most positions.Conclusions: Injury rates were higher in college than in high school and higher for competitions than for practices. Concussion was a frequent injury sustained during competitions, which confirms the need to develop interventions to mitigate its incidence and severity.

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The Effectiveness of Mandated Headgear Use in High School Women’s Lacrosse at Reducing the Rate of Head and Face Injuries

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967119s00342 ◽

2019 ◽

Vol 7 (7_suppl5) ◽

pp. 2325967119S0034

Author(s):

Samuel L. Baron ◽

Shayla J. Veasley ◽

Matthew T. Kingery ◽

Michael J. Alaia ◽

Dennis A. Cardone

Keyword(s):

High School ◽

New York ◽

Public Schools ◽

Athletic Trainers ◽

Head Injuries ◽

Injury Rate ◽

School Organization ◽

Certified Athletic Trainers ◽

Injury Rates ◽

The Public

Objectives: There has been continued controversy regarding whether or not headgear use in women’s lacrosse will increase or decrease the rate of head injuries. In 2017, the Public Schools Athletic of New York City became the first high school organization in the country to mandate ASTM standard F3137 headgear for all women’s lacrosse players. The purpose of this study is to investigate the effect of mandated headgear use on the rate of head and face injuries in high school women’s lacrosse. Methods: This was a prospective cohort study. The study group included eight varsity and junior varsity women’s lacrosse teams, as well as their game opponents, who were mandated to wear F3137 headgear for all practice and game events over the course of the 2017 and 2018 seasons. Certified athletic trainers assessed and documented all injuries that occurred as a result of participation on the lacrosse teams and athlete exposures were estimated based on the number of team practice and game events. Injury rates were compared with those from the High School RIO (Reporting Information Online) injury data reports from the 2009 to 2016 seasons. Results: Over the study period, 17 total injuries were reported during 22,397 exposures for an injury rate of 0.76 injuries per 1,000 athlete-exposures. Two head/face injuries, both of which were classified as concussions, were reported during the study for a head/face injury rate and concussion rate of 0.09 per 1,000 athlete-exposures. The headgear cohort demonstrated significant decreases in rates of in-game head/face injury (RR 0.141, 95% CI [0.004, 0.798]), in-game concussion (RR 0.152, 95% CI [0.004, 0.860) and practice non-head/face injury (RR 0.239, 95% CI [0.049, 0.703]) when compared to the control cohort. Conclusion: Mandated use of F3137 headgear was shown to be effective at lowering the rate of head or face injury and concussions in women’s lacrosse. Additionally, mandated headgear use was also shown to lower the rate of injury to body locations other than the head or face during practice. [Table: see text]

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The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Basketball (2005–2006 Through 2013–2014) and National Collegiate Athletic Association Women's Basketball (2004–2005 Through 2013–2014)

Journal of Athletic Training ◽

10.4085/1062-6050-150-17 ◽

2018 ◽

Vol 53 (11) ◽

pp. 1037-1048 ◽

Cited By ~ 14

Author(s):

Daniel R. Clifton ◽

Jay Hertel ◽

James A. Onate ◽

Dustin W. Currie ◽

Lauren A. Pierpoint ◽

...

Keyword(s):

High School ◽

National Collegiate Athletic Association ◽

Injury Rate ◽

Sports Injury ◽

Injury Surveillance ◽

Injury Rates ◽

Web Based ◽

High School Girls ◽

Women's Basketball ◽

School Girls

Context The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of girls' and women's basketball injury data. Objective To describe the epidemiology of injuries sustained in high school girls' basketball in the 2005–2006 through 2013–2014 academic years and collegiate women's basketball in the 2004–2005 through 2013–2014 academic years using Web-based sports injury surveillance. Design Descriptive epidemiology study. Setting Online injury surveillance from basketball teams in high school girls (annual average = 100) and collegiate women (annual average = 57). Patients or Other Participants Girls' and women's basketball players who participated in practices and competitions during the 2005–2006 through 2013–2014 academic years in high school or the 2004–2005 through 2013–2014 academic years in college. Main Outcome Measure(s) Certified athletic trainers collected time-loss (≥24 hours) injury and exposure data. Injury rates per 1000 athlete-exposures (AEs) were calculated. Injury rate ratios (IRRs) with 95% confidence intervals (CIs) were used to compare injury rates by school size or division, time in season, event type, and competition level. Results The High School Reporting Information Online system documented 2930 time-loss injuries during 1 609 733 AEs; the National Collegiate Athletic Association Injury Surveillance Program documented 3887 time-loss injuries during 783 600 AEs. The injury rate was higher in college than in high school (4.96 versus 1.82/1000 AEs; IRR = 2.73; 95% CI = 2.60, 2.86). The injury rate was higher in competitions than in practices for both high school (IRR = 3.03; 95% CI = 2.82, 3.26) and collegiate (IRR = 1.99; 95% CI = 1.86, 2.12) players. The most common injuries at both levels were ligament sprains, concussions, and muscle/tendon strains; the majority of injuries affected the ankle, knee, and head/face. These injuries were often caused by contact with another player or a noncontact mechanism. Conclusions Injury rates were higher in collegiate than in high school athletes and in competitions than in practices. Similarities in distributions of injuries by body parts, specific diagnoses, and mechanisms of injury suggest that both levels may benefit from similar injury-prevention strategies.

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Epidemiology of Injuries in National Collegiate Athletic Association Women's Swimming and Diving: 2014–2015 Through 2018–2019

Journal of Athletic Training ◽

10.4085/1062-6050-724-20 ◽

2021 ◽

Vol 56 (7) ◽

pp. 711-718

Author(s):

Avinash Chandran ◽

Sarah N. Morris ◽

Bernadette A. D'Alonzo ◽

Adrian J. Boltz ◽

Hannah J. Robison ◽

...

Keyword(s):

National Collegiate Athletic Association ◽

Injury Rate ◽

Temporal Patterns ◽

Sports Injury ◽

Injury Surveillance ◽

Surveillance Program ◽

Injury Rates ◽

Injury Characteristics ◽

Injury Data ◽

Rate Ratios

Context The number of women's swimming and diving teams sponsored by the National Collegiate Athletic Association has increased over the last 5 years. Background Routine examinations of women's swimming and diving injuries are important for identifying emerging temporal patterns. Methods Exposure and injury data collected in the National Collegiate Athletic Association Injury Surveillance Program during the 2014–2015 through 2018–2019 athletic seasons were analyzed. Injury counts, rates, and proportions were used to describe injury characteristics, and injury rate ratios were used to examine differences in injury rates. Results The overall injury rate was 1.78 per 1000 athlete-exposures in swimmers and 2.49 per 1000 AEs in divers. Shoulder (33.0%) injuries accounted for the largest proportion of all swimming injuries; most injuries were classified as overuse (51.3%). Head or face (29.4%) and trunk (20.2%) injuries accounted for the largest proportions of all diving injuries. Summary Findings indicated that shoulder and trunk injuries, as well as injuries resulting from overuse mechanisms, warrant further attention in swimming. Given the low in the National Collegiate Athletic Association Injury Surveillance Program observed across the study period, the need for greater participation in sports injury surveillance is also apparent.

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Epidemiology of Injuries in National Collegiate Athletic Association Men's Ice Hockey: 2014–2015 Through 2018–2019

Journal of Athletic Training ◽

10.4085/1062-6050-611-20 ◽

2021 ◽

Vol 56 (7) ◽

pp. 703-710

Author(s):

Adrian J. Boltz ◽

Aliza K. Nedimyer ◽

Avinash Chandran ◽

Hannah J. Robison ◽

Christy L. Collins ◽

...

Keyword(s):

National Collegiate Athletic Association ◽

Injury Rate ◽

Injury Surveillance ◽

Ice Hockey ◽

Surveillance Program ◽

Surveillance Systems ◽

Collateral Ligament ◽

Injury Rates ◽

Rate Ratios ◽

Temporal Qualities

Context The National Collegiate Athletic Association has supported men's ice hockey, a distinct sport that mandates high-velocity gamesmanship, since 1974. Background Injury surveillance systems are designed to identify evolving injury trends and their temporal qualities. Continual monitoring of collegiate men's ice hockey athletes remains essential. Methods Exposure and injury data collected in the National Collegiate Athletic Association Injury Surveillance Program from 2014–2015 through 2018–2019 were analyzed. Injury counts, rates, and proportions were used to describe injury characteristics, and injury rate ratios (IRR) were used to examine differential injury rates. Results The overall injury rate was 7.65 per 1000 athlete-exposures. Injuries from competition occurred at a rate nearly 7 times that from practice injuries (IRR = 6.54, 95% CI = 6.08, 7.04). The most common specific injury diagnoses were concussions (9.6%), acromioclavicular sprains (7.3%), and medial collateral ligament tears (3.7%). Summary Injury rates by event type and season segment were higher than previously reported. Contusions accounted for nearly a quarter of all injuries, and acromioclavicular sprain rates increased notably across the study period.

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The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Baseball (2005–2006 Through 2013–2014) and National Collegiate Athletic Association Men's Baseball (2004–2005 Through 2013–2014)

Journal of Athletic Training ◽

10.4085/1062-6050-239-17 ◽

2019 ◽

Vol 54 (2) ◽

pp. 198-211 ◽

Cited By ~ 4

Author(s):

Erin B. Wasserman ◽

Eric L. Sauers ◽

Johna K. Register-Mihalik ◽

Lauren A. Pierpoint ◽

Dustin W. Currie ◽

...

Keyword(s):

High School ◽

National Collegiate Athletic Association ◽

Injury Rate ◽

Sports Injury ◽

Injury Surveillance ◽

Surveillance Program ◽

Time Loss ◽

Baseball Players ◽

Injury Rates ◽

Web Based

Context The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of boys' and men's baseball injury data. Objective To describe the epidemiology of injuries sustained in high school boys' baseball in the 2005–2006 through 2013–2014 academic years and collegiate men's baseball in the 2004–2005 through 2013–2014 academic years using Web-based sports injury surveillance. Design Descriptive epidemiology study. Setting Online injury surveillance from baseball teams in high school boys (annual average = 100) and collegiate men (annual average = 34). Patients or Other Participants Boys' or men's baseball players who participated in practices and competitions during the 2005–2006 through 2013–2014 academic years in high school or the 2004–2005 through 2013–2014 academic years in college, respectively. Main Outcome Measure(s) Athletic trainers collected time-loss injury and exposure data. Injury rates per 1000 athlete-exposures (AEs) were calculated. Injury rate ratios (IRRs) with 95% confidence intervals (CIs) compared injury rates by school size or division, time in season, event type, and competition level. Results The High School Reporting Information Online system documented 1537 time-loss injuries during 1 573 257 AEs; the National Collegiate Athletic Association Injury Surveillance Program documented 2574 time-loss injuries during 804 737 AEs. The injury rate was higher in college than in high school (3.20 versus 0.98/1000 AEs; IRR = 3.27; 95% CI = 3.07, 3.49). The competition injury rate was higher than the practice injury rate in high school (IRR = 2.27; 95% CI = 2.05, 2.51) and college (IRR = 2.32; 95% CI = 2.15, 2.51). Baseball players at the high school and collegiate levels sustained a variety of injuries across the body, with the most common injuries reported to the upper extremity. Many injuries also occurred while fielding or pitching. Conclusions Injury rates were greater in collegiate versus high school baseball and in competition versus practice. These findings highlight the need for injury-prevention interventions focused on reducing the incidence of upper extremity injuries and protecting batters from pitches and fielders from batted balls.

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The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Wrestling (2005–2006 Through 2013–2014) and National Collegiate Athletic Association Men's Wrestling (2004–2005 Through 2013–2014)

Journal of Athletic Training ◽

10.4085/1062-6050-154-17 ◽

2018 ◽

Vol 53 (12) ◽

pp. 1143-1155 ◽

Cited By ~ 4

Author(s):

Emily Kroshus ◽

Alan C. Utter ◽

Lauren A. Pierpoint ◽

Dustin W. Currie ◽

Sarah B. Knowles ◽

...

Keyword(s):

High School ◽

National Collegiate Athletic Association ◽

Injury Rate ◽

Sports Injury ◽

Injury Surveillance ◽

Surveillance Program ◽

Body Parts ◽

Time Loss ◽

Injury Rates ◽

Web Based

Context The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of wrestling injury data. Objective To describe the epidemiology of injuries sustained in high school boys' wrestling in the 2005–2006 through 2013–2014 academic years and collegiate men's wrestling in the 2004–2005 through 2013–2014 academic years using Web-based sports injury surveillance. Design Descriptive epidemiology study. Setting Online injury surveillance from wrestling teams of high school boys (annual average = 100) and collegiate men (annual average = 11). Patients or Other Participants Male wrestlers who participated in practices and competitions during the 2005–2006 through 2013–2014 academic years in high school or the 2004–2005 through 2013–2014 academic years in college. Main Outcome Measure(s) Athletic trainers collected time-loss (≥24 hours) injuries and exposure data during this time period. Injury rates per 1000 athlete-exposures (AEs), injury rate ratios with 95% confidence intervals, and injury proportions by body site and diagnosis were calculated. Results The High School Reporting Information Online documented 3376 time-loss injuries during 1 416 314 AEs; the National Collegiate Athletic Association Injury Surveillance Program documented 2387 time-loss injuries during 257 297 AEs. The total injury rate was higher in college than in high school (9.28 versus 2.38/1000 AEs; injury rate ratio = 3.89; 95% confidence interval = 3.69, 4.10). In high school, the most commonly injured body parts for both practices and competitions were the head/face (practices = 19.9%, competitions = 21.4%) and shoulder/clavicle (practices = 14.1%, competitions = 21.0%). In college, the most frequently injured body parts for both practices and competitions were the knee (practices = 16.7%, competitions = 30.4%) and head/face (practices = 12.1%, competitions = 14.6%). Conclusions Injury rates were higher in collegiate than in high school players, and the types of injuries sustained most often differed. Based on these results, continued study of primary and secondary prevention of injury in wrestlers across levels of competition is warranted.

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