Descriptive Epidemiology of Collegiate Men's Soccer Injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 Through 2002–2003

National Collegiate Athletic Association, Indianapolis, IN, USA.
Journal of athletic training (Impact Factor: 2.02). 06/2007; 42(2):278-85.
Source: PubMed


To review 15 years of National Collegiate Athletic Association (NCAA) injury surveillance data for men's soccer and to identify potential areas for injury prevention initiatives.

The NCAA sanctioned its first men's soccer championship in 1959. Since then, the sport has grown to include more than 18 000 annual participants across 3 NCAA divisions. During the 15 years from 1988-1989 to 2002-2003, the NCAA Injury Surveillance System accumulated game and practice injury data for men's soccer across all 3 NCAA divisions.

Main results:
The injury rate was 4 times higher in games compared with practices (18.75 versus 4.34 injuries per 1000 athlete-exposures, rate ratio = 4.3, 95% confidence interval = 4.2, 4.5), and preseason practices had a higher injury rate than in-season practices (7.98 versus 2.43 injuries per 1000 athlete-exposures, rate ratio = 3.3, 95% confidence interval = 3.1, 3.5). In both games and practices, more than two thirds of men's soccer injuries occurred to the lower extremities, followed by the head and neck in games and the trunk and back in practices. Although player-to-player contact was the primary cause of injury during games, most practice injuries occurred without direct contact to the injured body part. Ankle ligament sprains represented the most common injury during practices and games, whereas knee internal derangements were the most common type of severe injury (defined as 10+ days of time loss).

Sprains, contusions, and strains of the lower extremities were the most common injuries in men's collegiate soccer, with player-to-player contact the primary injury mechanism during games. Preventive efforts should focus on the player-to-player contact that often leads to these injuries and greater enforcement of the rules that are in place to limit their frequency and severity. Emphasis also should be placed on addressing the high rate of first-time and recurrent ankle ligament sprains.

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Available from: Margot Putukian, Dec 19, 2013
    • "For tournaments the results were similar, except a higher proportion of head injuries which is most probably due to the injury definition (not restricted to time loss) used by FIFA. From the NCAA data678, it seems that head and knee injuries are more frequent in matches and thigh injuries in training (Table 3.4). Most injuries affected either joints/ligaments (19–57 %) or muscles (11–42 %). "

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    • "Studies reported that rates of LBP in athletes range from 1% to 30% and are affected by the type of sport, age, gender, technique, and intensity of training [12] [13]. Recently, professional football players and football players have experienced LBP more severely and frequently than non-athletic controls, particularly in the male population [14] [15]. "
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    ABSTRACT: Objectifs Le but de cette étude était de déterminer la prévalence et les causes possibles de lombalgies aspécifiques chez les footballeurs professionnels masculins. Méthodes Les caractéristiques démographiques et la fréquence de survenue des lombalgies ont été évaluées par questionnaires chez 121 footballeurs. Les données relatives à la position du joueur, les caractéristiques de son entraînement, le nombre d’années de pratique du football, les blessures encourues dans le passé ont été recueillies. La flexibilité des muscles de la région lombaire et des ischio-jambiers, ainsi que la longueur des muscles ischio-jambiers ont été évaluées. Résultats Trente-huit footballeurs ont mentionné avoir eu des lombalgies aspécifiques dans l’année qui précédait, avec une prévalence de 31,4 %. Deux facteurs de risque de survenue de lombalgie ont été retenus, l’augmentation du nombre de matchs joués pour les avants-centres et le fait d’avoir des muscles ischio-jambiers courts (p < 0,05). Conclusion La prévalence de lombalgies aspécifiques chez des footballeurs professionnels masculins est de 31,4 % ; cette valeur est similaire aux résultats rapportés dans la littérature. Le fait d’avoir des muscles ischio-jambiers courts et l’augmentation du nombre de matchs joués en position d’avant-centre sont des facteurs de risque de survenue de lombalgies. Ces résultats devraient être considérés pour la prévention d’accidents. Les causes des douleurs lombaires chez les footballeurs demandent des études supplémentaires, en incluant des échantillons plus importants de footballeurs.
    No preview · Article · Sep 2013 · Science & Sports
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    ABSTRACT: To review 16 years of National Collegiate Athletic Association (NCAA) injury surveillance data for men's football and identify potential areas for injury prevention initiatives. Football is a high-velocity collision sport in which injuries are expected. Football tends to have one of the highest injury rates in sports. Epidemiologic data helps certified athletic trainers and other clinicians identify injury trends and patterns to appropriately design and institute injury prevention protocols and then measure their effects. During the 16-year reporting period, about 19% of the Division I, II, and III NCAA institutions sponsoring football participated in the Injury Surveillance System. The results from the 16-year study period show little variation in the injury rates over time: games averaged 36 injuries per 1000 athlete-exposures (A-Es); fall practice, approximately 4 injuries per 1000 A-Es; and spring practice, about 10 injuries per 1000 A-Es. The game injury rate was more than 9 times higher than the in-season practice injury rate (35.90 versus 3.80 injuries per 1000 A-Es, rate ratio = 9.1, 95% confidence interval = 9.0, 9.2), and the spring practice injury rate was more than 2 times higher than the fall practice injury rate (9.62 versus 3.80 injuries per 1000 A-Es, rate ratio = 2.5, 95% confidence interval = 2.5, 2.6). The rate ratio for games versus fall practices was greatest for upper leg contusions (18.1 per 1000 A-Es), acromioclavicular joint sprains (14.0 per 1000 A-Es), knee internal derangements (13.4 per 1000 A-Es), ankle ligament sprains (12.0 per 1000 A-Es), and concussions (11.1 per 1000 A-Es). Football is a complex sport that requires a range of skills performed by athletes with a wide variety of body shapes and types. Injury risks are greatest during games. Thus, injury prevention measures should focus on position-specific activities to reduce the injury rate. As equipment technology improves for the helmet, shoulder pads, and other protective devices, appropriate injury surveillance procedures should be performed to determine the effect of the new equipment on injury rates. A consistent evaluation of injury trends and patterns will assist decision makers in designing injury prevention techniques in areas that warrant the greatest attention and suggesting rule changes and modifications based on the data.
    Full-text · Article · Jun 2007 · Journal of athletic training
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