Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz, Aurora.
Sports Medicine Assessment, Research & Testing (SMART) Laboratory, George Mason University, Manassas, VA.
J Athl Train. 2019 Jan;54(1):42-54. doi: 10.4085/1062-6050-201-17.
The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online (HS RIO) system and the National Collegiate Athletic Association Injury Surveillance Program (NCAA-ISP) has aided the acquisition of girls' and women's lacrosse injury data.
To describe the epidemiology of injuries sustained in high school girls' lacrosse in the 2008-2009 through 2013-2014 academic years and collegiate women's lacrosse in the 2004-2005 through 2013-2014-academic years using Web-based sports injury surveillance.
Descriptive epidemiology study.
Online injury surveillance from high school girls' (annual average = 55) and collegiate women's (annual average = 19) lacrosse teams.
Female lacrosse players who participated in practices or competitions during the 2008-2009 through 2013-2014 academic years for high school or the 2004-2005 through 2013-2014 academic years for college.
MAIN OUTCOME MEASURE(S): Athletic trainers collected time-loss injury (≥24 hours) and exposure data. We calculated injury rates per 1000 athlete-exposures (AEs), injury rate ratios (IRRs) with 95% confidence intervals (CIs), and injury proportions by body site and diagnosis.
High school RIO documented 700 time-loss injuries during 481 687 AEs; the NCAA-ISP documented 1027 time-loss injuries during 287 856 AEs. The total injury rate during 2008-2009 through 2013-2014 was higher in college than in high school (2.55 versus 1.45/1000 AEs; IRR = 1.75; 95% CI = 1.54, 1.99). Most injuries occurred during competitions in high school (51.1%) and practices in college (63.8%). Rates were higher during competitions compared with practices in high school (IRR = 2.32; 95% CI = 2.00, 2.69) and college (IRR = 2.38; 95% CI = 2.09, 2.70). Concussion was the most common diagnosis among all high school and most collegiate player positions, and the main mechanism of contact was with a playing apparatus (eg, stick, ball). Ligament sprains were also common (HS RIO practices = 22.2%, competitions = 30.3%; NCAA-ISP practices = 25.5%, competitions = 30.9%).
Rates of injury were higher in college versus high school female lacrosse players and in competitions versus practices. Injury-prevention strategies are essential to decrease the incidence and severity of concussions and ligament sprains.
通过诸如 High School Reporting Information Online (HS RIO) 系统和 National Collegiate Athletic Association Injury Surveillance Program (NCAA-ISP) 等基于网络的运动损伤监测项目的出现，有助于获取女子曲棍球的损伤数据。
使用基于网络的运动损伤监测来描述 2008-2009 学年至 2013-2014 学年期间高中女生曲棍球和 2004-2005 学年至 2013-2014 学年期间大学女子曲棍球的损伤流行病学。
描述性流行病学研究。
来自高中女生（年平均=55）和大学女生（年平均=19）曲棍球队的在线损伤监测。
参加 2008-2009 学年至 2013-2014 学年高中或 2004-2005 学年至 2013-2014 学年大学的实践或比赛的女性曲棍球运动员。
运动训练员收集非工作日（≥24 小时）和暴露数据。我们计算了每 1000 名运动员暴露（AE）的损伤率、损伤率比（IRR）及其 95%置信区间（CI），以及按身体部位和诊断的损伤比例。
HS RIO 记录了 700 次非工作日的损伤，涉及 481687 次 AE；NCAA-ISP 记录了 1027 次非工作日的损伤，涉及 287856 次 AE。2008-2009 学年至 2013-2014 学年期间，大学的总损伤率高于高中（2.55 比 1.45/1000 AE；IRR=1.75；95%CI=1.54，1.99）。大多数损伤发生在高中的比赛中（51.1%）和大学的实践中（63.8%）。与高中（IRR=2.32；95%CI=2.00，2.69）和大学（IRR=2.38；95%CI=2.09，2.70）相比，比赛中的损伤率更高。在所有高中和大多数大学运动员位置中，脑震荡是最常见的诊断，主要接触机制是与运动装备（如球棒、球）有关。韧带扭伤也很常见（HS RIO 实践=22.2%，比赛=30.3%；NCAA-ISP 实践=25.5%，比赛=30.9%）。
与高中女子曲棍球运动员相比，大学女子曲棍球运动员的损伤发生率更高，比赛中的损伤发生率高于实践。预防损伤的策略对于减少脑震荡和韧带扭伤的发生率和严重程度至关重要。
