scholarly journals Descriptive Epidemiology of Non–Time-Loss Injuries in Collegiate and High School Student-Athletes

2017 ◽  
Vol 52 (5) ◽  
pp. 446-456 ◽  
Author(s):  
Zachary Y. Kerr ◽  
Robert C. Lynall ◽  
Karen G. Roos ◽  
Sara L. Dalton ◽  
Aristarque Djoko ◽  
...  
Keyword(s):  
High School ◽  
High School Student ◽  
Student Athletes ◽  
Injury Rate ◽  
Ice Hockey ◽  
Surveillance Program ◽  
Body Parts ◽  
Descriptive Epidemiology ◽  
Time Loss ◽  
Convenience Sample

Context: Research on non–time-loss (NTL) injuries, which result in less than 24 hours of restriction from participation, is limited.Objective: To describe the epidemiology of NTL injuries among collegiate and high school student-athletes.Design: Descriptive epidemiology study.Setting: Aggregate injury and exposure data collected from a convenience sample of National College Athletic Association varsity teams and 147 high schools in 26 states.Patients or Other Participants: Collegiate and high school student-athletes participating in men's and boys' baseball, basketball, football, lacrosse, soccer, and wrestling and women's and girls' basketball, field hockey, lacrosse, soccer, softball, and volleyball during the 2009–2010 through 2013–2014 and the 2011–2012 through 2013–2014 academic years, respectively, participated. Collegiate student-athletes participating in men's and women's ice hockey were also included.Main Outcome Measure(s): Injury data from the National Collegiate Athletic Association Injury Surveillance Program and the National Athletic Treatment, Injury and Outcomes Network were analyzed. Injury counts, rates per 1000 athlete-exposures (AEs), and rate ratios were reported with 95% confidence intervals (CIs).Results: A total of 11 899 and 30 122 NTL injuries were reported in collegiate and high school student-athletes, respectively. The proportion of NTL injuries in high school student-athletes (80.3%) was 1.61 times greater than that of collegiate student-athletes (49.9%; 95% CI = 1.59, 1.63). The NTL injury rate in high school student-athletes (8.75/1000 athlete-exposures [AEs]) was 2.18 times greater than that of collegiate student-athletes (4.02/1000 AEs; 95% CI = 2.13, 2.22). Men's ice hockey (5.27/1000 AEs) and boys' football (11.94/1000 AEs) had the highest NTL injury rates among collegiate and high school athletes, respectively. Commonly injured body parts in collegiate and high school student-athletes were the hip/thigh/upper leg (17.5%) and hand/wrist (18.2%), respectively. At both levels, contusions, sprains, and strains were the most frequent diagnoses. Contact with another player was the most cited injury mechanism (college = 38.0%, high school = 46.3%).Conclusions: Non–time-loss injuries compose large proportions of collegiate and high school sports injuries. However, the NTL injury rate was higher in high school than in collegiate student-athletes. Tracking NTL injuries will help to better describe the breadth of injuries sustained by athletes and managed by athletic trainers.

scholarly journals The National Athletic Treatment, Injury and Outcomes Network (NATION): Methods of the Surveillance Program, 2011–2012 Through 2013–2014

2015 ◽  
Vol 50 (8) ◽  
pp. 862-869 ◽  
Author(s):  
Thomas P. Dompier ◽  
Stephen W. Marshall ◽  
Zachary Y. Kerr ◽  
Ross Hayden
Keyword(s):  
High School ◽  
High School Student ◽  
Large Scale ◽  
Student Athletes ◽  
Surveillance Program ◽  
Surveillance Systems ◽  
Research Database ◽  
Descriptive Epidemiology ◽  
Time Loss ◽  
Common Data Elements

Context  Previous epidemiologic researchers have examined time-loss (TL) injuries in high school student-athletes, but little is known about the frequency of non–time-loss (NTL) injuries in these athletes. Objective  To describe the methods of the National Athletic Treatment, Injury and Outcomes Network (NATION) Surveillance Program and provide descriptive epidemiology of TL and NTL injuries across athletes in 27 high school sports. Design  Descriptive epidemiology study. Setting  Aggregate injury and exposure data collected from 147 high schools in 26 states. Patients or Other Participants  High school student-athletes participating in 13 boys' sports and 14 girls' sports during the 2011–2012 through 2013–2014 academic years. Main Outcome Measure(s)  Athletic trainers documented injuries and exposures using commercially available injury-tracking software packages. Standard injury-tracking software was modified by the software vendors to conform to the surveillance needs of this project. The modified software exported a set of common data elements, stripped of personally identifiable information, to a centralized automated verification and validation system before they were included in the centralized research database. Dependent measures were injury and exposure frequencies and injury rates with 95% confidence intervals stratified by sport, sex, and injury type (TL or NTL). Results  Over the 3-year period, a total of 2337 team seasons across 27 sports resulted in 47 014 injuries and 5 146 355 athlete-exposures. The NTL injuries accounted for 38 765 (82.45%) and TL injuries for 8249 (17.55%) of the total. Conclusions  The NTL injuries accounted for a substantial amount of the total number of injuries sustained by high school student-athletes. This project demonstrates the feasibility of creating large-scale injury surveillance systems using commercially available injury-tracking software.

scholarly journals Methods and Descriptive Epidemiology of Services Provided by Athletic Trainers in High Schools: The National Athletic Treatment, Injury and Outcomes Network Study

2015 ◽  
Vol 50 (12) ◽  
pp. 1310-1318 ◽  
Author(s):  
Zachary Y. Kerr ◽  
Thomas P. Dompier ◽  
Sara L. Dalton ◽  
Sayers John Miller ◽  
Ross Hayden ◽  
...  
Keyword(s):  
High School ◽  
High Schools ◽  
Athletic Training ◽  
High School Student ◽  
Student Athletes ◽  
Athletic Trainers ◽  
School Setting ◽  
Descriptive Epidemiology ◽  
Time Loss ◽  
School Sports

Context Research is limited on the extent and nature of the care provided by athletic trainers (ATs) to student-athletes in the high school setting. Objective To describe the methods of the National Athletic Treatment, Injury and Outcomes Network (NATION) project and provide the descriptive epidemiology of AT services for injury care in 27 high school sports. Design Descriptive epidemiology study. Setting Athletic training room (ATR) visits and AT services data collected in 147 high schools from 26 states. Patients or Other Participants High school student-athletes participating in 13 boys' sports and 14 girls' sports during the 2011−2012 through 2013−2014 academic years. Main Outcome Measure(s) The number of ATR visits and individual AT services, as well as the mean number of ATR visits (per injury) and AT services (per injury and ATR visit) were calculated by sport and for time-loss (TL) and non–time-loss (NTL) injuries. Results Over the 3-year period, 210 773 ATR visits and 557 381 AT services were reported for 50 604 injuries. Most ATR visits (70%) were for NTL injuries. Common AT services were therapeutic activities or exercise (45.4%), modalities (18.6%), and AT evaluation and reevaluation (15.9%), with an average of 4.17 ± 6.52 ATR visits and 11.01 ± 22.86 AT services per injury. Compared with NTL injuries, patients with TL injuries accrued more ATR visits (7.76 versus 3.47; P < .001) and AT services (18.60 versus 9.56; P < .001) per injury. An average of 2.24 ± 1.33 AT services were reported per ATR visit. Compared with TL injuries, NTL injuries had a larger average number of AT services per ATR visit (2.28 versus 2.05; P < .001). Conclusions These findings highlight the broad spectrum of care provided by ATs to high school student-athletes and demonstrate that patients with NTL injuries require substantial amounts of AT services.

scholarly journals 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)

2018 ◽  
Vol 53 (12) ◽  
pp. 1143-1155 ◽  
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.

scholarly journals 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)

2019 ◽  
Vol 54 (1) ◽  
pp. 30-41 ◽  
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.

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 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)

2018 ◽  
Vol 53 (8) ◽  
pp. 738-751 ◽  
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.

scholarly journals Epidemiology of Injuries in National Collegiate Athletic Association Women's Tennis: 2014–2015 Through 2018–2019

2021 ◽  
Vol 56 (7) ◽  
pp. 766-772
Author(s):  
Hannah J. Robison ◽  
Adrian J. Boltz ◽  
Sarah N. Morris ◽  
Christy L. Collins ◽  
Avinash Chandran
Keyword(s):  
Injury Prevention ◽  
National Collegiate Athletic Association ◽  
Injury Rate ◽  
Surveillance Program ◽  
Body Parts ◽  
Prevention Strategies ◽  
Time Loss ◽  
Injury Rates ◽  
Inflammatory Conditions ◽  
Rate Ratios

Context The National Collegiate Athletic Association (NCAA) has sponsored women's tennis programs since 1966. Women's tennis has risen in global prominence and popularity within the NCAA. Background Continued surveillance of athletic injuries in the NCAA is critical for identifying emerging injury trends and assessing injury prevention strategies. Methods Exposure and injury data collected in the NCAA 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 were used to examine differential injury rates. Results The overall injury rate was 4.16 per 1000 athlete exposures. Injury to the shoulder, foot, and trunk were the most prevalent throughout the study period. Approximately 30% of all injury diagnoses were related to inflammatory conditions. Also, 32.1% of all injuries were time-loss injuries, and 45.0% of all injuries were non–time-loss injuries. Conclusions The findings of this study differed slightly from those of previous investigations, most notably with regard to injury rate by season segment and commonly injured body parts. Future surveillance efforts should attempt to capture the nuances of tennis competitions.

scholarly journals The Epidemiology of Severe Injuries Sustained by National Collegiate Athletic Association Student-Athletes, 2009–2010 Through 2014–2015

2017 ◽  
Vol 52 (2) ◽  
pp. 117-128 ◽  
Author(s):  
Melissa C. Kay ◽  
Johna K. Register-Mihalik ◽  
Aaron D. Gray ◽  
Aristarque Djoko ◽  
Thomas P. Dompier ◽  
...  
Keyword(s):  
Student Athletes ◽  
National Collegiate Athletic Association ◽  
Sport Activity ◽  
Injury Rate ◽  
Severe Injury ◽  
Medical Attention ◽  
Surveillance Program ◽  
Body Parts ◽  
Severe Injuries ◽  
Rate Ratios

Context: Few researchers have described the incidence of the most severe injuries sustained by student-athletes at the collegiate level. Objective: To describe the epidemiology of severe injuries within 25 National Collegiate Athletic Association (NCAA) sports in the 2009–2010 through 2014–2015 academic years. Design: Descriptive epidemiology study. Setting: Aggregate injury and exposure data from 25 NCAA sports. Patients or Other Participants: Collegiate student-athletes in the 2009–2010 through 2014–2015 academic years. Main Outcome Measure(s): Injury data from the NCAA Injury Surveillance Program were analyzed. A severe injury (1) occurred during a sanctioned competition or practice, (2) required medical attention by an athletic trainer or physician, and (3) resulted in at least 21 days lost from sport activity or a premature end to the sport season. Injury counts, proportions, rates per 1000 athlete-exposures (AEs), rate ratios (RRs), and injury proportion ratios were reported with 95% confidence intervals (CIs). Results: A total of 3183 severe injuries were reported, for an injury rate of 0.66/1000 AEs. Wrestling had the highest severe injury rate (1.73/1000 AEs), followed by women's gymnastics (1.40/1000 AEs) and football (0.97/1000 AEs). Overall, the severe injury rate was higher in competition than in practice (RR = 4.25, 95% CI = 3.97, 4.56). Most severe injuries were reported during the regular season (69.3%, n = 2206); however, severe injury rates did not differ between the preseason and regular season (RR = 0.98, 95% CI = 0.91, 1.06). Common severely injured body parts were the knee (32.9%, n = 1047), lower leg/ankle/foot (22.5%, n = 715), and head/face/neck (11.2%, n = 358). Common severe injury diagnoses were sprains (32.9%, n = 1048), strains (16.9%, n = 538), and fractures (14.4%, n = 458). Common severe injury mechanisms were player contact (39.3%, n = 1251), noncontact (25.1%, n = 800), and surface contact (12.0%, n = 383). Conclusions: Severe injuries occurred across many sports and by numerous mechanisms. By identifying these sport-specific patterns, clinicians' efforts can be tailored toward improving injury-prevention strategies and health outcomes.

Comparison of Concussion Rates Between NCAA Division I and Division III Men’s and Women’s Ice Hockey Players

2017 ◽  
Vol 45 (11) ◽  
pp. 2622-2629 ◽  
Author(s):  
John M. Rosene ◽  
Bryan Raksnis ◽  
Brie Silva ◽  
Tyler Woefel ◽  
Paul S. Visich ◽  
...  
Keyword(s):  
Ncaa Division I ◽  
National Collegiate Athletic Association ◽  
Injury Rate ◽  
Ice Hockey ◽  
Division I ◽  
Surveillance Program ◽  
Division Iii ◽  
Convenience Sample ◽  
Hockey Players ◽  
Rate Ratios

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

Epidemiology of Upper Extremity Injuries in NCAA Men’s and Women’s Ice Hockey

2018 ◽  
Vol 46 (10) ◽  
pp. 2521-2529 ◽  
Author(s):  
Patricia R. Melvin ◽  
Spenser Souza ◽  
R. Nelson Mead ◽  
Christopher Smith ◽  
Mary K. Mulcahey
Keyword(s):  
Upper Extremity ◽  
Acromioclavicular Joint ◽  
Injury Rate ◽  
Injury Surveillance ◽  
Ice Hockey ◽  
Surveillance Program ◽  
Time Loss ◽  
Injury Rates ◽  
Men And Women ◽  
Hockey Players

Background: Ice hockey is a physically demanding sport where athletes are susceptible to a variety of injuries. Several studies reported the overall injury rates in ice hockey; however, there is a paucity of information on upper extremity (UE) injuries among collegiate ice hockey players. Purpose: To describe the epidemiology of UE injuries among collegiate male and female ice hockey players with NCAA (National Collegiate Athletic Association) injury surveillance data from 2004-2005 to 2013-2014. Study Design: Descriptive epidemiology study. Methods: Data were obtained from the NCAA Injury Surveillance Program for all UE injuries sustained during the academic years 2004-2005 to 2013-2014. Injury rates, rate ratios (RRs), and injury proportion ratios were reported with 95% CIs. Results: During the 10 years studied, the overall rate of UE injuries for men was higher than that for women (236 vs 125 injuries per 100,000 athlete-exposures [AEs]; RR, 1.89; 95% CI, 1.67-2.15). UE injuries sustained during either pre- or postseason were approximately 3 times higher for men than for women (preseason: 149 vs 53 per 100,000 AEs; RR, 2.83; 95% CI, 1.69-4.74; postseason: 143 vs 49 per 100,000 AEs; RR, 2.91; 95% CI, 1.33-6.38). The overall injury rate was highest during the regular season (men: 257 per 100,000 AEs; 95% CI, 242-272; women: 143 per 100,000 AEs; 95% CI, 126-160). Additionally, the injury rate for men and women was higher during competition than practice (men: 733 vs 83 per 100,000 AEs; 95% CI, 687-780 and 75-92; women: 303 vs 64 per 100,000 AEs; 95% CI, 259-348 and 52-76). The most common injury observed was acromioclavicular joint sprain (men, 29.1%; women, 13.8%). For both groups, acromioclavicular joint injuries accounted for most non–time loss, moderate time loss (2-13 days), and severe time loss (≥14 days) injuries. Conclusion: Men and women sustained a significant number of UE injuries playing collegiate ice hockey during the period studied, with acromioclavicular joint sprain being the most common UE injury and the one that most frequently led to significant time loss. These data may provide insight for future injury prevention and guide improvements in training.

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