TY  - JOUR
PY  - 2022//
TI  - The epidemiology of ankle sprains in United States high school sports, 2011/12-2018/19 academic years
JO  - Journal of athletic training
A1  - Kerr, Zachary Y.
A1  - Nedimyer, Aliza K.
A1  - Simon, Janet E.
A1  - Kossman, Melissa K.
A1  - Corbett, R. O.
A1  - Chandran, Avinash
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - CONTEXT: Continued monitoring of ankle sprain rates and distributions is needed to assess temporal patterns and gauge how changes in incidence may be associated with prevention efforts. <br><br>OBJECTIVE: Describe the epidemiology of ankle sprains in 15 high school sports during the 2011/12-2018/19 school years. STUDY DESIGN: Descriptive epidemiology study. SETTING: Online injury surveillance from high school sports. PATIENTS: High school athletes who participated in practices and competitions during the 2011/12-2018/19 school years. <br><br>METHODS: A convenience sample of high school athletic trainers (ATs) provided injury and athlete-exposure (AE) data to the National High School Sports-Related Injury Surveillance Study (HS RIOTM). Ankle sprain rates per 10,000AE with 95% confidence intervals (CI) and distributions were calculated. Yearly rates were examined overall, by event type, injury mechanism, and recurrence. <br><br>RESULTS: Overall, 9,320 ankle sprains were reported (overall rate=2.95/10,000AE; 95%CI: 2.89-3.01). The highest sport-specific rates were reported in girls' basketball (5.32/10,000AE), boys' basketball (5.13/10,000AE), girls' soccer (4.96/10,000AE), and boys' football (4.55/10,000AE). Most ankle sprains occurred during competition (54.3%) and were due to contact with another person (39.5%) and non-contact (35.0%). Also, 14.5% of injuries were noted as recurrent. Across the included academic years, ankle sprain rates generally increased. Compared to the 2011/12 academic year, rates in the 2018/19 academic year overall were 22% higher; non-contact-related and recurrent ankle sprain rates also generally increased, with 91% and 29% increases, respectively. <br><br>CONCLUSIONS: Time trends suggest ankle sprain rates have increased across the past decade, particularly among those with non-contact-related mechanisms; this contrasts previous research suggesting decreases in incidence. <br><br>FINDINGS may pinpoint specific etiological factors that should direct prevention efforts. This includes considering both person-contact and non-contact mechanisms through mitigating illegal contact through rule changes and enforcement, alongside bracing and proprioceptive and balance training programs.<p />  <p>Language: en</p>
LA  - en
SN  - 1062-6050
UR  - http://dx.doi.org/10.4085/1062-6050-0664.21
ID  - ref1
ER  -