Descriptive Epidemiology of Collegiate Men's Football Injuries: National Collegiate Athletic Association Injury Surveillance System 1988-1989 Through 2003-2004

ECU Author/Contributor (non-ECU co-authors, if there are any, appear on document)

Julie Agel (Creator)

Ron Courson (Creator)

Randall Dick (Creator)

Michael S. Ferrara (Creator)

Michael J. Hanley (Creator)

Stephen W. Marshall (Creator)

Fred Reifsteck (Creator)

Institution

East Carolina University (ECU )

Web Site: http://www.ecu.edu/lib/

Abstract: Objective: 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. Background: 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. Main Results: 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 he 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). ecommendations: 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 echniques in areas that warrant the greatest attention and suggesting ule changes and modifications based on the data. Originaly published Journal of Athletic Training Vol. 42 No. 2 Apr 2007

Additional Information

Publication

Other

Journal of Athletic Training. 42:2(Apr-June 2007) p. 221-233.

Language: English

Date: 2011

Keywords

athletic injuries, injury prevention, concussions, knee injuries, ankle injuries, heat illness

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