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Int J Sports Med 2022; 43(07): 608-615
DOI: 10.1055/a-1697-2195
DOI: 10.1055/a-1697-2195
Training & Testing
High Injury and Concussion Rates in Female Youth Team Sport: An Opportunity for Prevention
Funding This work was supported by a Canadian Institute for Health Research Foundation Research Grant [C Emery PI – grant # 375089 2018]. Alexis Cairo was funded through Alberta Innovates Summer Studentship. Carolyn Emery holds a Canada Research Chair (Tier 1) in Concussion.
Abstract
The aim of this study was to investigate sport-related injury rates, types, locations, and mechanisms in female youth team sports. This was a secondary analysis of a cross-sectional study. An anonymous online survey was administered to high school students (ages 14-19) in Alberta, Canada. The survey included questions regarding demographic information, sport participation and self-reported injuries sustained in the past year. Results were analyzed for girls who reported playing a top ten team sports for female participation. For girls participating in team sports, the overall injury rate was 55.5 injuries/100 participants/year. The rate of at least one concussion was 9.4 concussions/100 participants/year. Injury and concussion rates were highest in ringette (Injury rate=42.9 injuries/100 participants/year, Concussion rate=19.0 concussions/100 participants/year) and rugby (Injury rate=40.0, Concussion rate=15.3). The top three most serious injury locations were the knee (24.7%), ankle (21.6%) and head (16.1%). The most common injury types were joint/ligament sprain (26.71%), fracture (13.0%) and concussion (11.8%). Contact mechanisms accounted for 73.4% of all serious injuries reported in girls team sports. Team sport injury rates are high in female youth team sports. Specific consideration of sport-specific injury rates, types and mechanisms in girls’ team sports will inform development and evaluation of targeted sport-specific prevention strategies.
Publication History
Received: 16 August 2021
Accepted: 15 November 2021
Accepted Manuscript online:
15 November 2021
Article published online:
27 January 2022
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References
- 1 Emery CA, Meeuwisse WH, McAllister JR. Survey of sport participation and sport injury in Calgary and area high schools. Clin J Sport Med 2006; 16: 20-26 DOI: 10.1097/01.jsm.0000184638.72075.b7.
- 2 Emery CA, Tyreman H. Sport participation, sport injury, risk factors and sport safety practices in Calgary and area junior high schools. Paediatr Child Heal 2009; 14: 439-444
- 3 Emery CA, Roy TO, Whittaker JL. et al. Neuromuscular training injury prevention strategies in youth sport: A systematic review and meta-analysis. Br J Sports Med 2015; 49: 865-870
- 4 Kerr ZY, Comstock DR, Dompier TP. et al. The first decade of web-based sports injury surveillance (2004-2005 through 2013-2014): Methods of the National Collegiate Athletic Association injury surveillance program and high school reporting information online. J Athl Train 2018; 53: 729-737
- 5 Hewett TE, Lindenfeld TN, Riccobene JV. The effect of neuromuscular training on the incidence of knee injury in female athletes: a prospective study. Am J Sports Med 2000; 28: 919-920
- 6 Parachute. The Cost of Injury in Canada. On the internet: https://parachute.ca/wp-content/uploads/2019/06/Cost_of_Injury-2015.pdf February 19, 2021
- 7 Sabo DF, Miller KE, Farrell MP. et al. High school athletic participation, sexual behavior and adolescent pregnancy: A regional study. J Adolesc Heal 1999; 25: 207-216 DOI: 10.1016/S1054-139X(99)00070-1.
- 8 Dishman RK, Hales DP, Pfeiffer KA. et al. Physical self-concept and self-esteem mediate cross-sectional relations of physical activity and sport participation with depression symptoms among adolescent girls. Health Psychol 2006; 25: 396-407 DOI: 10.1037/0278-6133.25.3.396.
- 9 Yin Z, Moore J. Re-examining the role of interscholastic sport participation in education. Psychol Rep 2004; 94: 1447-1454
- 10 Bernstein L, Henderson BE, Hanisch R. et al. Physical exercise and reduced risk of breast cancer in young women. J Natl Cancer Inst 1994; 86: 1403-1408 DOI: 10.1093/jnci/86.18.1403.
- 11 Bernstein L, Patel AV, Ursin G. et al. Lifetime recreational exercise activity and breast cancer risk among black women and white women. J Natl Cancer Inst 2005; 97: 1671-1679 DOI: 10.1093/jnci/dji374.
- 12 Friedenreich CM, Rohan TE. A review of physical activity and breast cancer. Epidemiology 1995; 6: 311-317 DOI: 10.1097/00001648-199505000-00021.
- 13 Chesnut CH. Is osteoporosis a pediatric disease? Peak bone mass attainment in the adolescent female. Public Health Rep 1989; 104: 50-54
- 14 Caine D, Maffulli N, Caine C. Epidemiology of injury in child and adolescent sports: Injury rates, risk factors, and prevention. Clin Sports Med 2008; 19-50 DOI: 10.1016/j.csm.2007.10.008.
- 15 Kerr ZY, Chandran A, Nedimyer AK. et al. Concussion incidence and trends in 20 high school sports. Pediatrics 2019; 144 DOI: 10.1542/peds.2019-2180.
- 16 Marar M, McIlvain NM, Fields SK. et al. Epidemiology of concussions among United States high school athletes in 20 sports. Am J Sports Med 2012; 40: 747-755 DOI: 10.1177/0363546511435626.
- 17 Black AM, Meeuwisse DW, Eliason PH. et al. Sport participation and injury rates in high school students: A Canadian survey of 2029 adolescents. J Safety Res 2021; 78: 314-321 DOI: 10.1016/j.jsr.2021.06.008.
- 18 Tsushima WT, Siu AM, Ahn HJ. et al. Incidence and risk of concussions in youth athletes: Comparisons of age, sex, concussion history, sport, and football position. Arch Clin Neuropsychol 2019; 34: 60-69 DOI: 10.1093/arclin/acy019.
- 19 Sabo D, Veliz P, Foundation WS. Go Out and Play: Youth Sports in America: Published Online 2008. On the internet: https://www.researchgate.net/publication/263651496_Go_Out_and_Play_Youth_Sports_in_America: May 12, 2021.
- 20 Emmonds S, Heyward O, Jones B. The challenge of applying and undertaking research in female sport. Sports Med Open 2019; 5: 51 DOI: 10.1186/s40798-019-0224-x.
- 21 Harriss DJ, Macsween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817 DOI: 10.1055/a-1015-3123.
- 22 Jayanthi NA, LaBella CR, Fischer D. et al. Sports-specialized intensive training and the risk of injury in young athletes: A clinical case-control study. Am J Sports Med 2015; 43: 794-801 DOI: 10.1177/0363546514567298.
- 23 StataCorp. Stata Statistical Software: Release 14. College Station, TX: StataCorp LP; Published online 2015
- 24 Clausen MB, Zebis MK, Møller M. et al. High injury incidence in adolescent female soccer. Am J Sports Med 2014; 42: 2487-2494 DOI: 10.1177/0363546514541224.
- 25 Clifton DR, Hertel J, Onate JA. et al. 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). J Athl Train 2018; 53: 1037-1048 DOI: 10.4085/1062-6050-150-17.
- 26 Pierpoint LA, Caswell SV, Walker N. et al. The first decade of web-based sports injury surveillance: Descriptive epidemiology of injuries in US high school girls’ lacrosse (2008-2009 through 2013-2014) and National Collegiate Athletic Association women’s lacrosse (2004-2005 through 2013-2014). J Athl Train 2019; 54: 42-54 DOI: 10.4085/1062-6050-201-17.
- 27 Rössler R, Donath L, Verhagen E. et al. Exercise-based injury prevention in child and adolescent sport: A systematic review and meta-analysis. Sports Med 2014; 44: 1733-1748 DOI: 10.1007/s40279-014-0234-2.
- 28 O’Connor KL, Baker MM, Dalton SL. et al. Epidemiology of sport-related concussions in high school athletes: National athletic treatment, injury and outcomes network (NATION), 2011-2012 through 2013-2014. J Athl Train 2017; 52: 175-185 DOI: 10.4085/1062-6050-52.1.15.
- 29 Keays G, Gagnon I, Friedman D. Ringette-related injuries in young female players. Clin J Sport Med 2014; 24: 326-330 DOI: 10.1097/JSM.0000000000000049.
- 30 Hockey Canada. Teaching Checking: Body Checking. Checking Resource Guide https://cdn.hockeycanada.ca/hockey-canada/Hockey-Programs/Coaching/Checking/Downloads/teaching_checking_progression_body_checking.pdf (Accessed 15 September 2021)
- 31 Barden C, Quarrie KL, McKay C. et al. Employing standardised methods to compare injury risk across seven youth team sports. Int J Sports Med 2021; 42: 1019–1026 DOI: 10.1055/a-1327-3009.
- 32 Collins CL, Micheli LJ, Yard EE. et al. Injuries sustained by high school rugby players in the United States, 2005-2006. Arch Pediatr Adolesc Med 2008; 162: 49-54 DOI: 10.1001/archpediatrics.2007.1.
- 33 Barden C, Stokes K. Epidemiology of injury in elite English schoolboy rugby union: A 3-year study comparing different competitions. J Athl Train 2018; 53: 514-520 DOI: 10.4085/1062-6050-311-16.
- 34 Leung FT, Franettovich Smith MM, Brown M. et al. Epidemiology of injuries in Australian school level rugby union. J Sci Med Sport 2017; 20: 740-744 DOI: 10.1016/j.jsams.2017.03.006.
- 35 Khodaee M, Currie DW, Asif IM. et al. Nine-year study of US high school soccer injuries: Data from a national sports injury surveillance programme. Br J Sports Med 2017; 51: 185-193 DOI: 10.1136/bjsports-2015-095946.
- 36 Knowles SB, Marshall SW, Bowling JM. et al. A prospective study of injury incidence among North Carolina high school athletes. Am J Epidemiol 2006; 164: 1209-1221 DOI: 10.1093/aje/kwj337.
- 37 Yard EE, Schroeder MJ, Fields SK. et al. The epidemiology of United States high school soccer injuries, 2005-2007. Am J Sports Med 2008; 36: 1930-1937 DOI: 10.1177/0363546508318047.
- 38 Barboza SD, Joseph C, Nauta J. et al. Injuries in field hockey players: A systematic review. Sports Med 2018; 48: 849-866 DOI: 10.1007/s40279-017-0839-3.
- 39 Bergeron MF, Mountjoy M, Armstrong N. et al. International Olympic Committee consensus statement on youth athletic development. Br J Sports Med 2015; 49: 843-851 DOI: 10.1136/bjsports-2015-094962.
- 40 DiFiori JP, Benjamin HJ, Brenner JS. et al. Overuse injuries and burnout in youth sports: A position statement from the American Medical Society for Sports Medicine. Br J Sports Med 2014; 48: 287-288 DOI: 10.1136/bjsports-2013-093299.
- 41 LaPrade RF, Agel J, Baker J. et al. AOSSM early sport specialization consensus statement. Orthop J Sports Med 2016; 4 2325967116644241 DOI: 10.1177/2325967116644241.
- 42 Lloyd RS, Cronin J, Faigenbaum A. et al. National Strength and Conditioning Association position statement on long-term athletic development. J Strength Cond Res 2016; 30: 1491-1506
- 43 Jayanthi NA, Post EG, Laury TC. et al. Health consequences of youth sport specialization. J Athl Train 2019; 54: 1040-1049 DOI: 10.4085/1062-6050-380-18.
- 44 Giusti NE, Carder SL, Vopat L. et al. Comparing burnout in sport-specializing versus sport-sampling adolescent athletes: A systematic review and meta-analysis. Orthop J Sports Med 2020; 8 2325967120907579 DOI: 10.1177/2325967120907579.
- 45 Post EG, Trigsted SM, Riekena JW. et al. The association of sport specialization and training volume with injury history in youth athletes. Am J Sports Med 2017; 45: 1405-1412 DOI: 10.1177/0363546517690848.
- 46 McGuine TA, Post EG, Hetzel SJ. et al. A prospective study on the effect of sport specialization on lower extremity injury rates in high school athletes. Am J Sports Med 2017; 45: 2706-2712 DOI: 10.1177/0363546517710213.
- 47 Junge A, Dvorak J. Influence of definition and data collection on the incidence of injuries in football. Am J Sports Med 2000; 28: 40-46 DOI: 10.1177/28.suppl_5.s-40.