The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Soccer (2005-2006 Through 2013-2014) and National Collegiate Athletic Association Women's Soccer (2004-2005 Through 2013-2014).

CONTEXT:: The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of girls' and women's soccer injury data. OBJECTIVE:: To describe the epidemiology of injuries sustained in high school girls' soccer in the 2005-2006 through 2013-2014 academic years and collegiate women's soccer in the 2004-2005 through 2013-2014 academic years using Web-based sports injury surveillance. DESIGN:: Descriptive epidemiology study. SETTING:: Online injury surveillance from soccer teams in high school girls (annual average = 100) and collegiate women (annual average = 52). PATIENTS OR OTHER PARTICIPANTS:: Female high school and collegiate soccer players who participated in practices or competitions during the 2004-2005 through 2013-2014 academic years. MAIN OUTCOME MEASURE(S):: Athletic trainers collected time-loss (≥24 hours) injury and exposure data. Injury rates per 1000 athlete-exposures (AEs), injury rate ratios (IRRs) with 95% confidence intervals (CIs), injury proportions by body site, and diagnoses were calculated. RESULTS:: The High School Reporting Information Online system documented 3242 time-loss injuries during 1 393 753 AEs; the National Collegiate Athletic Association Injury Surveillance Program documented 5092 time-loss injuries during 772 048 AEs. Injury rates were higher in college than in high school (6.60 versus 2.33/1000 AEs; IRR = 2.84; 95% CI = 2.71, 2.96), and during competitions than during practices in high school (IRR = 4.88; 95% CI = 4.54, 5.26) and college (IRR = 2.93; 95% CI = 2.77, 3.10). Most injuries at both levels affected the lower extremity and were ligament sprains or muscle/tendon strains. Concussions accounted for 24.5% of competition injuries in high school but 14.6% of competition injuries in college. More than one-third of competition injuries to high school goalkeepers were concussions. CONCLUSIONS:: Injury rates were higher in college versus high school and during competitions versus practices. These differences may be attributable to differences in reporting, activity intensity, and game-play skill level. The high incidence of lower extremity injuries and concussions in girls' and women's soccer, particularly concussions in high school goalkeepers, merits further exploration and identification of prevention strategies.

Landing Technique Improvements After an Aquatic-Based Neuromuscular Training Program in Physically Active Women.

CONTEXT: Neuromuscular training programs (NTPs) improve landing technique and decrease vertical ground-reaction forces (VGRFs), resulting in injury-risk reduction. NTPs in an aquatic environment may elicit the same improvements as land-based programs with reduced joint stress. OBJECTIVE: To examine the effects of an aquatic NTP on landing technique as measured by the Landing Error Scoring System (LESS) and VGRFs, immediately and 4 mo after the intervention. DESIGN AND SETTING: Repeated measures, pool and laboratory. PARTICIPANTS: Fifteen healthy, recreationally active women (age 21 ± 2 y, mass 62.02 ± 8.18 kg, height 164.74 ± 5.97 cm) who demonstrated poor landing technique (LESS-Real Time > 4). INTERVENTIONS: All participants completed an aquatic NTP 3 times/wk for 6 wk. MAIN OUTCOME MEASURES: Participants' landing technique was evaluated using a jump-landing task immediately before (PRE), immediately after (POST), and 4 mo after (RET) the intervention period. A single rater, blinded to time point, graded all videos using the LESS, which is a valid and reliable movement-screening tool. Peak VGRFs were measured during the stance phase of the jump-landing test. Repeated-measure analyses of variance with planned comparisons were performed to explore differences between time points. RESULTS: LESS scores were lower at POST (4.46 ± 1.69 errors) and at RET (4.2 ± 1.72 errors) than at PRE (6.30 ± 1.78 errors) (P < .01). No significant differences were observed between POST and RET (P > .05). Participants also landed with significantly lower peak VGRFs (P < .01) from PRE (2.69 ± .72 N) to POST (2.23 ± .66 N). CONCLUSIONS: The findings introduce evidence that an aquatic NTP improves landing technique and suggest that improvements are retained over time. These results show promise of using an aquatic NTP when there is a desire to reduce joint loading, such as early stages of rehabilitation, to improve biomechanics and reduce injury risk.

Hydration status, knowledge, and behavior in youths at summer sports camps.

PURPOSE: To assess the hydration status and level of hydration knowledge of youths at summer sports camps. METHODS: Sixty-seven active youths, 57 males (mean +/- SD, 12 +/- 2 y, 136 +/- 16 cm, 50.6 +/- 21.1 kg) and 10 females (13 +/- 2 y, 153 +/- 8 cm, 45.2 +/- 9.0 kg) participated in 4 d of sports camp. Hydration status was assessed before the first practice (AM) and after the second practice (PM). Participants completed surveys assessing hydration knowledge (HAQ) and hydration habits on day 3 and a self-assessment (EQ#1). RESULTS: Mean AM urine specific gravity (USG) and urine osmolality (Uosm) scores ranged from minimal to significant dehydration across 4 d, even when temperatures were mild. Correlations between hydration indices and EQ#1, ranging from 0.11 to -0.51, were statistically significant (P < .05), indicating that subjects recognized when they were doing a good or bad job hydrating. HAQ did not correlate strongly with hydration indices suggesting other impediments to hydration. Thirst correlated negatively with EQ#1 (from -0.29 to -0.60). CONCLUSION: Hydration at summer sports camp is a concern and special efforts need to be made to help youths develop hydration strategies.