Epidemiology of Injuries in National Collegiate Athletic Association Men's Football: 2014–2015 Through 2018–2019

Chandran, Avinash; Morris, Sarah N.; Powell, Jacob R.; Boltz, Adrian J.; Robison, Hannah J.; Collins, Christy L.

doi:10.4085/1062-6050-447-20

Cited by 19 publications

(17 citation statements)

References 15 publications

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“…A recent report found that basketball, soccer and football had the highest ankle sprain rates, with football showing the largest proportion of ankle sprains overall 4 . Regarding football, participation in National Collegiate Athletic Association (NCAA) football remains popular and continues to rise annually 5 . Between 2015 and 2018 ankle injuries were among the largest proportion (12.5%) of all injuries reported at all levels of collegiate football, including lateral ankle sprains (LAS) at 6.9% of injuries 5 .…”

Section: Introductionmentioning

confidence: 99%

“…Regarding football, participation in National Collegiate Athletic Association (NCAA) football remains popular and continues to rise annually 5 . Between 2015 and 2018 ankle injuries were among the largest proportion (12.5%) of all injuries reported at all levels of collegiate football, including lateral ankle sprains (LAS) at 6.9% of injuries 5 . As participation in football and other sports continues to rise the prevalence of ankle injuries would be expected to increase as well supporting the need to identify potential strategies for reducing such injuries.…”

Section: Introductionmentioning

confidence: 99%

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The Effects of a Novel Lateral Ankle Strengthening Program in NCAA Division III Football Players

Buxton

Otwell

Petit

et al. 2023

RDSP

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Introduction: Lateral ankle sprains (LAS) are among the most reported injuries in college athletics, typically resulting from excessive closed-kinetic chain (CKC) supination. The purpose of this study was to compare the effects of a novel CKC supination-style ankle strengthening program to a traditional ankle strengthening program on common LAS indices. Methods: Thirty NCAA Division III collegiate football players (19.9±1.0yrs., 182.2±6.9cm, 98.8±18.0kg) were randomly assigned to a novel exercise (SUP, n = 16) or traditional exercise group (TRA, n = 14). The SUP group performed dynamic bodyweight exercises with controlled ankle supination while the TRA group performed traditional ankle strengthening exercise using elastic bands and stability exercises 3 times per week for 6 weeks. Right and left ankle inversion (InvR, InvL) and eversion (EvR, EvL) strength (kg), ankle inversion range of motion (romR, romL) (deg.), and figure-8 hop test (fig8R, fig8L) (s) performance were assessed pre- and post-intervention. Results: Both groups showed significant improvements in all outcome measures pre- to post-test (ΔInvR: TRA 4.5±4.3kg, SUP 5.0±4.4kg; ΔIvL: TRA 4.0±3.8kg, SUP 4.8±3.6kg; ΔEvR: TRA 5.7±4.3kg, SUP 4.7±3.3kg; ΔEvL: TRA 4.7±2.9kg, SUP 4.5±2.2kg; ΔromR: TRA 4.5±2.6°, SUP 4.9±3.0°; ΔromL: TRA 4.7±4.5°, SUP 4.6±5.1°; Δfig8R: TRA -0.43±0.20s, SUP -0.37±0.31s; Δfig8L: TRA -0.40±0.22s, SUP -0.34±0.30s; p’s<0.001), with no difference between groups. Conclusions: A bodyweight, supination style ankle training program can improve physical qualities related to LAS to a similar extent as a traditional program, and therefore, could potentially be a viable alternative strategy for reducing LAS in Division III NCAA football players.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effects of a Novel Lateral Ankle Strengthening Program in NCAA Division III Football Players

Buxton

Otwell

Petit

et al. 2023

RDSP

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“…Lateral ligament complex tears (or lateral ankle sprains) have been reported to account for most sports-related ankle sprains. 13 Previous studies have shown ankle sprains to be a prevalent injury among athletes participating in National Collegiate Athletic Association (NCAA) competition, [5][6][7]24,27 and recent evidence suggests that lateral ankle sprains are common injuries across field-and court-based NCAA sports. 34 Although injury prevention efforts that include balance and proprioceptive training have been shown to be effective in mitigating the risk of ankle sprain in different settings, 2,10,35 advances in prevention efforts depend on routine and systematic epidemiological investigations aimed at capturing the burden of this injury in various athlete populations.…”

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confidence: 99%

“…34 However, the most recent investigation of lateral ankle sprains among NCAA athletes spanned the 2009-10 through 2014-15 academic years. 34 Given recent evidence indicating a high prevalence of this injury in various NCAA sports, [5][6][7]24,27 it remains critical to appraise the evolving burden of this injury among NCAA athletes. Accordingly, the purpose of this study was to characterize the epidemiology of lateral ligament complex tears in NCAA men's and women's sports during the 2014-15 through 2018-19 academic years.…”

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confidence: 99%

Epidemiology of Lateral Ligament Complex Tears of the Ankle in National Collegiate Athletic Association (NCAA) Sports: 2014-15 Through 2018-19

et al. 2023

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Background: Epidemiological studies of lateral ankle sprains in NCAA sports are important in appraising the burden of this injury and informing prevention efforts. Purpose: To describe the epidemiology of lateral ankle sprains in NCAA sports during the 2014-15 through 2018-19 seasons. Study Design: Descriptive epidemiology study. Methods: Injury and exposure information collected within the NCAA Injury Surveillance Program (ISP) were examined. Counts, rates, and proportions of lateral ankle sprains were used to describe injury incidence by sport, event type (practices, competitions), season segment (preseason, regular season, postseason), injury mechanism (player contact, noncontact, and surface contact, injury history (new, recurrent), and time loss (time loss [≥1 day], non–time loss). Injury rate ratios (IRRs) were used to examine differential injury rates, and injury proportion ratios (IPRs) were used to examine differential distributions. Results: A total of 3910 lateral ankle sprains were reported (4.61 per 10,000 athlete exposures) during the study period, and the overall rate was highest in men’s basketball (11.82 per 10,000 athlete exposures). The competition-related injury rate was higher than the practice-related rate (IRR, 3.24; 95% CI, 3.04-3.45), and across season segments, the overall rate was highest in preseason (4.99 per 10,000 athlete exposures). Lateral ankle sprains were most often attributed to player-contact mechanisms in men’s (43.2%) and women’s sports (35.1%), although injuries were more prevalently attributed to player contact in men’s than in women’s sports (IPR, 1.23; 95% CI, 1.13-1.34). Overall, 49.7% of all lateral ankle sprains were time loss injuries. Conclusions: The findings of this study are consistent with previous epidemiological investigations of lateral ankle sprains among NCAA athletes. Results offer additional context on differential injury mechanisms between men’s and women’s sports and on injury risk across the competitive season. Future research may examine the effectiveness of deploying injury prevention programs before the start of a season.

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“… 20 Concussion is the leading cause of injury in NCAA football players, accounting for 7.5% of football injuries. 5 These injuries most commonly occurred while blocking (20.4%) or tackling (19.9%). 20 Emphasis and formal rules have been placed on removing unnecessary contact to the head and neck area during these activities in order to reduce the incidence of concussion.…”

mentioning

confidence: 99%

Risk of Concussion After a Targeting Foul in Collegiate American Football

Aukerman

Bohr

Poddar

et al. 2022

Orthopaedic Journal of Sports Medicine

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Background: The targeting rule was adopted by the National Collegiate Athletic Association (NCAA) in 2008 to discourage dangerous contact during collegiate American football competition. Although targeting rules have been emphasized as a means to reduce concussion rates, there is currently no evidence that targeting plays are higher risk for concussion than other plays in American football. Purpose: To compare the rate of concussion occurring during targeting versus nontargeting plays in American collegiate football. Study Design: Cross-sectional study. Methods: Concussions occurring in games in the 2016-2019 Pac-12 Conference were classified as having occurred during either (1) a play where a targeting penalty was called or (2) all other plays. Targeting plays were further categorized to either those in which the call was upheld or those overturned by the on-field official after replay review. The number of targeting plays and the total number of plays during games were also recorded. Concussion incidence (per 1000 plays) and risk ratios were calculated. Results: Overall, 538 games with 68,670 plays were reviewed, during which 213 concussions occurred (15 during plays where targeting was called and 198 on other plays) and 141 targeting penalties were called. The incidence of concussion was 106.4/1000 plays for targeting plays (including 141.2/1000 upheld targeting fouls and 53.6/1000 overturned targeting fouls) and 2.9/1000 plays for nontargeting plays. The risk of concussion during targeting plays was 36.9 (95% CI, 22.4-60.7) times greater than that for all other plays. The risk of concussion during targeting plays upheld was 49.0 (95% CI, 28.5-84.2) times greater than that for all other plays. Conclusion: Concussion risk was significantly higher during plays in which targeting was called, especially those in which targeting fouls were upheld. Clinical Relevance: This study supports eliminating or reducing targeting from American football. The results of this study suggest that players should be screened for concussion after targeting plays are called.

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Epidemiology of Injuries in National Collegiate Athletic Association Men's Football: 2014–2015 Through 2018–2019

Cited by 19 publications

References 15 publications

The Effects of a Novel Lateral Ankle Strengthening Program in NCAA Division III Football Players

The Effects of a Novel Lateral Ankle Strengthening Program in NCAA Division III Football Players

Epidemiology of Lateral Ligament Complex Tears of the Ankle in National Collegiate Athletic Association (NCAA) Sports: 2014-15 Through 2018-19

Risk of Concussion After a Targeting Foul in Collegiate American Football

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