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Journal Article

Citation

King H, Campbell S, Herzog M, Popoli D, Reisner A, Polikandriotis J. J. Phys. Act. Health 2014; 12(8): 1162-1167.

Affiliation

Department of Sport Medicine, Children's Healthcare of Atlanta, Atlanta, GA.

Copyright

(Copyright © 2014, Human Kinetics Publishers)

DOI

10.1123/jpah.2014-0356

PMID

25329725

Abstract

BACKGROUND: More than 1 million US high school students play football. Our objective was to compare the high school football injury profiles by school enrollment size during the 2013-2014 season.

METHODS: Injury data were prospectively gathered on 1,806 student athletes while participating in football practice or games by certified athletic trainers as standard of care for 20 high schools in the Atlanta Metropolitan area divided into small (less than 1,600 students enrolled) or large (greater than 1,600 students enrolled) over the 2013-2014 football season.

RESULTS: Smaller schools had a higher overall injury rate (79.9 injuries per 10,000 AEs vs. 46.4 injuries per 10,000 AEs; p < 0.001). Additionally, smaller schools have a higher frequency of shoulder and elbow injuries (14.3% vs. 10.3%; p=0.009 and 3.5% vs. 1.5%; p=0.006, respectively) while larger schools have more hip/upper leg injuries (13.3% vs. 9.9%; p=0.021). Lastly, smaller schools had a higher concussion distribution for offensive lineman (30.6% vs. 13.4%; p=0.006) and a lower rate for defensive backs/safetys (9.2% vs. 25.4%; p=0.008).

CONCLUSIONS: This study is the first to compare and show unique injury profiles for different high school sizes. An understanding of school specific injury patterns can help drive targeted preventative measures.

American football


Language: en

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