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  • Title: Association between ball-handling versus defending actions and acute noncontact lower extremity injuries in high school basketball and soccer.
    Author: Monfort SM, Comstock RD, Collins CL, Onate JA, Best TM, Chaudhari AM.
    Journal: Am J Sports Med; 2015 Apr; 43(4):802-7. PubMed ID: 25596616.
    Abstract:
    BACKGROUND: High school-sponsored athletic programs currently provide more than 7.7 million students in the United States with health and societal benefits, but they also inherently increase the risk of students sustaining a sports injury. Understanding risk factors that predict injuries in sports is an essential first step to addressing the problem in this population. PURPOSE: To determine the role of offensive versus defensive actions in noncontact lower extremity injury rates in high school basketball and soccer in both boys' and girls' sports. STUDY DESIGN: Descriptive epidemiological study. METHODS: Noncontact lower extremity injury data were collected from academic years 2005-2006 through 2011-2012 for boys' and girls' basketball and soccer through the surveillance tool High School RIO (reporting information online). The injuries in this subset of the database occurred over a total of 6.4 million athlete-exposures. RESULTS: Significant differences in overall lower extremity injury rates were found when comparing ball-handling and defending actions in basketball (rate ratio [RR], 1.36; 95% CI, 1.08-1.73; P = .009), but no appreciable difference was observed in soccer (RR, 0.89; 95% CI, 0.70-1.12; P = .31). Female participants had higher injury rates than did males for both ball-handling and defending actions for both sports (P < .05). Only girls' soccer showed significant differences in the odds ratio (OR) of defending to ball-handling injury rates between competition and practice (OR, 1.88; 95% CI, 1.01-3.48; P = .047). CONCLUSION: The injury rate differences observed in this study between offensive and defensive actions suggest that investigating potential differences between sport-specific tasks may provide a more complete understanding of injury mechanisms.
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