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Impact of Prolonged Sport Stoppage on Knee Injuries in High School Athletes: An Ecological Study.
Knapic, Hannah; Shanley, Ellen; Thigpen, Charles A; Prats-Uribe, Albert; Fair, Cynthia D; Bullock, Garrett S.
  • Knapic H; Department of Public Health Studies, Elon University, Elon, NC, USA.
  • Shanley E; ATI Physical Therapy, Greenville, SC, USA.
  • Thigpen CA; Center for Rehabilitation and Reconstruction Sciences, University of South Carolina, Columbia, SC, USA.
  • Prats-Uribe A; ATI Physical Therapy, Greenville, SC, USA.
  • Fair CD; Center for Rehabilitation and Reconstruction Sciences, University of South Carolina, Columbia, SC, USA.
  • Bullock GS; Pharmaco- and Device Epidemiology, Center for Statistics in Medicine, Nuffield Department of Orthopedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
J Sport Rehabil ; 33(4): 225-230, 2024 May 01.
Article en En | MEDLINE | ID: mdl-38412853
ABSTRACT
CONTEXT In March 2020, public health concerns resulted in school closure throughout the United States. The prolonged sport cessation may affect knee injury risk in high school athletes. The purpose of this study was to describe and compare risk of knee injuries in high school athletes during 2019-2020 and 2020-2021 academic years, and stratify by gender, severity, mechanism of injury, injury type, and knee anatomic region.

DESIGN:

Historical-prospective cohort study.

METHODS:

This historical-prospective cohort study included 176 schools in 6 states matched by sport participation in control and COVID years from July 1, 2019 to June 30, 2021. Injury rates per 1000 athletes per year were calculated with 95% confidence intervals. A negative binomial regression was performed to assess potential differences in knee injuries between academic years.

RESULTS:

94,847 and 72,521 high school athletes participated in the 2019-2020 (19-20) and 2020-2021 (20-21) seasons. Knee injury risk was higher in the 20-21 season (19-20 28.89% [27.82-29.96]; 20-21 33.82% [32.50-35.14]). Risk increased for male athletes from 2019-2020 to 2020-2021 (19-20 29.42% [28.01-30.83]; 20-21 40.32% [38.89-41.75]). Female knee injury risk was similar between years (19-20 25.78% [24.29-27.27]; 20-21 26.03% [24.31-27.75]). Knee injuries increased by a ratio of 1.2 ([95% CI, 1.1-1.3], P < .001) during 2020-2021.

CONCLUSIONS:

Knee injury risk and relative risk increased among males in 2020-2021. Results indicate changes in knee injury risk following return from COVID shelter in place among high school athletes and implicate potential negative downstream effects of interrupted sports training and participation on high school injury risk.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Traumatismos en Atletas / Traumatismos de la Rodilla Límite: Adolescent / Female / Humans / Male País como asunto: America do norte Idioma: En Año: 2024 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Traumatismos en Atletas / Traumatismos de la Rodilla Límite: Adolescent / Female / Humans / Male País como asunto: America do norte Idioma: En Año: 2024 Tipo del documento: Article