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The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Soccer (2005-2006 Through 2013-2014) and National Collegiate Athletic Association Women's Soccer (2004-2005 Through 2013-2014).
J Athl Train. 2018 Sep; 53(9):880-892.JA

Abstract

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 soccer injury data.

OBJECTIVE: 

To describe the epidemiology of injuries sustained in high school girls' soccer in the 2005-2006 through 2013-2014 academic years and collegiate women's soccer in the 2004-2005 through 2013-2014 academic years using Web-based sports injury surveillance.

DESIGN: 

Descriptive epidemiology study.

SETTING: 

Online injury surveillance from soccer teams in high school girls (annual average = 100) and collegiate women (annual average = 52).

PATIENTS OR OTHER PARTICIPANTS: 

Female high school and collegiate soccer players who participated in practices or competitions during the 2004-2005 through 2013-2014 academic years.

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), injury proportions by body site, and diagnoses were calculated.

RESULTS: 

The High School Reporting Information Online system documented 3242 time-loss injuries during 1 393 753 AEs; the National Collegiate Athletic Association Injury Surveillance Program documented 5092 time-loss injuries during 772 048 AEs. Injury rates were higher in college than in high school (6.60 versus 2.33/1000 AEs; IRR = 2.84; 95% CI = 2.71, 2.96), and during competitions than during practices in high school (IRR = 4.88; 95% CI = 4.54, 5.26) and college (IRR = 2.93; 95% CI = 2.77, 3.10). Most injuries at both levels affected the lower extremity and were ligament sprains or muscle/tendon strains. Concussions accounted for 24.5% of competition injuries in high school but 14.6% of competition injuries in college. More than one-third of competition injuries to high school goalkeepers were concussions.

CONCLUSIONS: 

Injury rates were higher in college versus high school and during competitions versus practices. These differences may be attributable to differences in reporting, activity intensity, and game-play skill level. The high incidence of lower extremity injuries and concussions in girls' and women's soccer, particularly concussions in high school goalkeepers, merits further exploration and identification of prevention strategies.

Authors+Show Affiliations

Department of Kinesiology, University of Connecticut, Storrs.Athletics Department, University of Connecticut, Storrs.Departments of Orthopaedic Surgery and Family & Community Medicine, University of California, San Francisco.University Health Services, Princeton University, NJ.Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz, Aurora.Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz, Aurora.Palo Alto Medical Foundation Research Institute, CA.Datalys Center for Sports Injury Research and Prevention, Indianapolis, IN.Department of Athletic Training, Lebanon Valley College, Annville, PA.Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz, Aurora. Department of Pediatrics, University of Colorado School of Medicine, Aurora.Department of Epidemiology, University of North Carolina at Chapel Hill. Injury Prevention Research Center, University of North Carolina at Chapel Hill.Department of Exercise and Sport Science, University of North Carolina at Chapel Hill. Injury Prevention Research Center, University of North Carolina at Chapel Hill.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30372637

Citation

DiStefano, Lindsay J., et al. "The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Soccer (2005-2006 Through 2013-2014) and National Collegiate Athletic Association Women's Soccer (2004-2005 Through 2013-2014)." Journal of Athletic Training, vol. 53, no. 9, 2018, pp. 880-892.
DiStefano LJ, Dann CL, Chang CJ, et al. The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Soccer (2005-2006 Through 2013-2014) and National Collegiate Athletic Association Women's Soccer (2004-2005 Through 2013-2014). J Athl Train. 2018;53(9):880-892.
DiStefano, L. J., Dann, C. L., Chang, C. J., Putukian, M., Pierpoint, L. A., Currie, D. W., Knowles, S. B., Wasserman, E. B., Dompier, T. P., Comstock, R. D., Marshall, S. W., & Kerr, Z. Y. (2018). The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Soccer (2005-2006 Through 2013-2014) and National Collegiate Athletic Association Women's Soccer (2004-2005 Through 2013-2014). Journal of Athletic Training, 53(9), 880-892. https://doi.org/10.4085/1062-6050-156-17
DiStefano LJ, et al. The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Soccer (2005-2006 Through 2013-2014) and National Collegiate Athletic Association Women's Soccer (2004-2005 Through 2013-2014). J Athl Train. 2018;53(9):880-892. PubMed PMID: 30372637.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Soccer (2005-2006 Through 2013-2014) and National Collegiate Athletic Association Women's Soccer (2004-2005 Through 2013-2014). AU - DiStefano,Lindsay J, AU - Dann,Catie L, AU - Chang,Cindy J, AU - Putukian,Margot, AU - Pierpoint,Lauren A, AU - Currie,Dustin W, AU - Knowles,Sarah B, AU - Wasserman,Erin B, AU - Dompier,Thomas P, AU - Comstock,R Dawn, AU - Marshall,Stephen W, AU - Kerr,Zachary Y, PY - 2018/10/30/entrez PY - 2018/10/30/pubmed PY - 2019/1/3/medline KW - concussions KW - female athletes KW - lower extremity injuries SP - 880 EP - 892 JF - Journal of athletic training JO - J Athl Train VL - 53 IS - 9 N2 - 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 soccer injury data. OBJECTIVE: : To describe the epidemiology of injuries sustained in high school girls' soccer in the 2005-2006 through 2013-2014 academic years and collegiate women's soccer in the 2004-2005 through 2013-2014 academic years using Web-based sports injury surveillance. DESIGN: : Descriptive epidemiology study. SETTING: : Online injury surveillance from soccer teams in high school girls (annual average = 100) and collegiate women (annual average = 52). PATIENTS OR OTHER PARTICIPANTS: : Female high school and collegiate soccer players who participated in practices or competitions during the 2004-2005 through 2013-2014 academic years. 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), injury proportions by body site, and diagnoses were calculated. RESULTS: : The High School Reporting Information Online system documented 3242 time-loss injuries during 1 393 753 AEs; the National Collegiate Athletic Association Injury Surveillance Program documented 5092 time-loss injuries during 772 048 AEs. Injury rates were higher in college than in high school (6.60 versus 2.33/1000 AEs; IRR = 2.84; 95% CI = 2.71, 2.96), and during competitions than during practices in high school (IRR = 4.88; 95% CI = 4.54, 5.26) and college (IRR = 2.93; 95% CI = 2.77, 3.10). Most injuries at both levels affected the lower extremity and were ligament sprains or muscle/tendon strains. Concussions accounted for 24.5% of competition injuries in high school but 14.6% of competition injuries in college. More than one-third of competition injuries to high school goalkeepers were concussions. CONCLUSIONS: : Injury rates were higher in college versus high school and during competitions versus practices. These differences may be attributable to differences in reporting, activity intensity, and game-play skill level. The high incidence of lower extremity injuries and concussions in girls' and women's soccer, particularly concussions in high school goalkeepers, merits further exploration and identification of prevention strategies. SN - 1938-162X UR - https://www.unboundmedicine.com/medline/citation/30372637/The_First_Decade_of_Web_Based_Sports_Injury_Surveillance:_Descriptive_Epidemiology_of_Injuries_in_US_High_School_Girls'_Soccer__2005_2006_Through_2013_2014__and_National_Collegiate_Athletic_Association_Women's_Soccer__2004_2005_Through_2013_2014__ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/30372637/ DB - PRIME DP - Unbound Medicine ER -