Epidemiology of knee sprains in youth, high school, and collegiate American Football players
Gespeichert in:
| Deutscher übersetzter Titel: | Epidemiologie von Kniegelenksverletzungen bei Jugendlichen, in der High School und auf dem College bei American Football-Spielern |
|---|---|
| Autor: | Clifton, Daniel R.; Onate, James A.; Schussler, Eric; Djoko, Aristarque; Dompier, Thomas P.; Kerr, Zachary Y. |
| Erschienen in: | Journal of athletic training |
| Veröffentlicht: | 52 (2017), 5, S. 464-473, Lit. |
| Format: | Literatur (SPOLIT) |
| Publikationstyp: | Zeitschriftenartikel |
| Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
| Sprache: | Englisch |
| ISSN: | 1062-6050, 0160-8320, 1938-162X |
| DOI: | 10.4085/1062-6050-52.3.09 |
| Schlagworte: | |
| Online Zugang: | |
| Erfassungsnummer: | PU201705003723 |
| Quelle: | BISp |
Abstract des Autors
Context: Variations in knee-sprain incidence among competition levels are unclear but may help inform prevention strategies in American football players.
Objective: To describe the epidemiology of knee sprains in youth, high school, and collegiate football players.
Design: Descriptive epidemiology study.
Setting: Injury and athlete-exposure (AE) data were collected from 3 injury-surveillance programs at the youth, high school, and collegiate competition levels.
Patients or Other Participants: Data from 310 youth, 184 high school, and 71 collegiate football team-seasons were collected during the 2012 through 2014 seasons.
Main Outcome Measure(s): Knee-sprain rates and risks were calculated for each competition level. Injury rate ratios (IRRs) and risk ratios (RRs) compared knee-sprain rates by competition level. Injury proportion ratios (IPRs) compared differences in surgery needs, recurrence, injury mechanism, and injury activity by competition level.
Results: Knee-sprain rates in youth, high school, and collegiate football were 0.16/1000 AEs, 0.25/1000 AEs, and 0.69/1000 AEs, respectively. Knee-sprain rates increased as the competition level increased (high school versus youth: IRR = 1.60; 95% confidence interval [CI] = 1.12, 2.30; collegiate versus high school: IRR = 2.73; 95% CI = 2.38, 3.96). Knee-sprain risk was highest in collegiate (4.3%), followed by high school (2.0%) and youth (0.5%) athletes. Knee-sprain risk increased as the competition level increased (high school versus youth: RR = 3.73; 95% CI = 2.60, 5.34; collegiate versus high school: RR = 2.14; 95% CI = 1.83, 2.51). Collegiate football had the lowest proportion of knee sprains that were noncontact injuries (collegiate versus youth: IPR = 0.54; 95% CI = 0.31, 0.95; collegiate versus high school: IPR = 0.59; 95% CI = 0.44, 0.79) and the lowest proportion that occurred while being tackled (collegiate versus youth: IPR = 0.44; 95% CI = 0.26, 0.76; collegiate versus high school: IPR = 0.71; 95% CI = 0.51, 0.98).
Conclusions: Knee-sprain incidence was highest in collegiate football. However, level-specific variations in the distributions of knee sprains by injury activity may highlight the need to develop level-specific policies and prevention strategies that ensure safe sports play.