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NCAA Injury Surveillance System ReportHighlights and Recommendations : 

NCAA Injury Surveillance System ReportHighlights and Recommendations Jennifer M. Hootman PhD, ATC, FACSM Section Editor Journal of Athletic Training

Key Messages : 

Key Messages In general, collegiate US sports are safe Broad implementation of injury prevention initiatives may improve safety General – across sports Sport-specific Game and practice 50% of all injuries = lower extremity 14% are ankle ligament sprains Preseason practice injury rates are 2-3 times higher than in-season rates

The report captures… : 

The report captures… 16 years - 1988-89 to 2003-04 15 sports – 7 men, 8 women >180,000 injuries >1 million exposures

General Findings - safety : 

General Findings - safety For a team of 50 athletes: 1 injury every 2 competitions 1 injury every 5 practices Highest = Football both practices (Spring 9.6/1000 AE; Fall 4.0/1000 AE) and games (35.9/1000 AE) Lowest = Baseball (practice: 1.8/1000 AE) and Softball (game: 4.3/1000 AE). Over 75% of injuries were not severe (<10+ days time loss) Low proportion of re-injuries (~18%)

General Findings - disparities : 

General Findings - disparities Collision and contact sports have highest rates Player contact is primary mechanism even in sports with little or no contact allowed (WIH, M+W SOC, M+W BKB) Preseason rates higher than in-season Competition rates higher than practice Increased rates of concussion and ACLs – likely due to increased awareness, detection, and reporting

General Findings -improvements : 

General Findings -improvements Competition rates on the decline last 2 years 4 sports significant decline: Competition (WGYM, WFH, WBKB) Practice (WBKB, Spring MFB)

Select Sport Findings - Prevention : 

Select Sport Findings - Prevention Men’s Basketball – face and head injuries Rule/policy changes to decrease lane crowding and player contact Men’s Wrestling – skin infections 17% of all practice injuries – lots of time loss Need comprehensive infection control and management policies and procedures M+W Soccer/W. Volleyball – ankle injuries Multidimensional ankle injury prevention programs

Current Evidence-based Prevention Initiatives : 

Current Evidence-based Prevention Initiatives Ankle tape/brace and balance exercise Reduce incident and re-current ankle sprains ~50% Standard of Care for all sports with high risk Target those with a prior history of injury Neuromuscular conditioning programs May reduce the risk of ACLs in soccer ~50% May be effective for all lower extremity injuries and applicable to various sports

Current Evidence-based Prevention Initiatives : 

Current Evidence-based Prevention Initiatives Data driven rule/policy changes Football preseason rule changes Women’s lacrosse eye protection Breakaway bases in baseball and softball In community and scholastic settings shown to reduce injuries by as much as 90% Allowable in NCAA, but not required – unknown benefit

Future Research Areas : 

Future Research Areas Capture data from “non-traditional” seasons for other sports Sport-specific equipment, protective devices Shoulder pads in ice hockey Gloves/helmets in field hockey Helmets in men’s lacrosse Expand ACL research to sports other than soccer and basketball (football, gymnastics, softball and wrestling) General and sport-specific factors that contribute to high pre-season injury rates

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