Female National Collegiate Athletic Association Research Articles

Female National Collegiate Athletic Association Division-I Athlete Injury Prediction by Vertical Countermovement Jump Force-Time Metrics.

Merrigan, JJ, Stone, JD, Kraemer, WJ, Vatne, EA, Onate, J, and Hagen, JA. Female National Collegiate Athletic Association Division-I athlete injury prediction by vertical countermovement jump force-time metrics. J Strength Cond Res 38(4): 783-786, 2024-Vertical countermovement jump (CMJ) assessments on force plates have been purported to screen for musculoskeletal injury risk (MSKI) but with little scientific support. Thus, this study aimed to identify associations and noncontact lower-body injury predictability with CMJ force-time metrics in female athletes. The study entailed a retrospective analysis of routine injury and performance monitoring from 155 female National Collegiate Athletics Association Division I athletes. Noncontact lower-body injuries included in analysis were confirmed by medical staff, occurred during competition or training, resulted in time loss from training, and occurred within 3 months following CMJ testing (2 maximal effort, no arm swing, jumps on dual force plates). A total of 44 injuries occurred within 3 months following CMJ baseline testing and resulted in an average of 24.5 missed days from training. Those who sustained an injury were more likely to sustain another injury (15 of 44 injuries [33.1%]; odds ratio = 3.05 [95% CI = 1.31-6.99]). For every 1-unit increase from the mean in eccentric mean power and minimum eccentric force, there was a decrease in odds of sustaining a MSKI. Despite high overall model accuracy (85.6%), the receiving operating characteristic area under the curve (65.9%) was unacceptable and the true positive rate (recall) was 0.0%. Thus, no injuries in the testing data set were correctly classified by the logistic regression model with CMJ force-time metrics as predictors. Baseline CMJ assessment may not be useful for noncontact lower-body musculoskeletal injury screening or predictability in National Collegiate Athletics Association female athletes.

Gender-specific hip strength disparities correlate with injury patterns in NCAA men's and women's soccer players.

In National Collegiate Athletic Association (NCAA) soccer athletes, men have higher rates of hip and groin strains, whereas women have higher rates of knee ligament injuries. Strength imbalances of the hip and thigh, specifically in agonist-antagonist muscles, are known risk factors for these injuries. To perform hip and thigh strength assessments in NCAA soccer players to evaluate for differences between genders and correlations with gender-specific injury patterns. With a handheld dynamometer, weight-normalized isometric strength of six muscle groups (hip abductors, hip adductors, hip flexors, hip extensors, knee flexors, knee extensors) was calculated in NCAA soccer players. The strength ratio of each agonist-antagonist muscle was also calculated (hip abductors/adductors, hip flexors/extensors, knee extensors/flexors). Thirty-six NCAA soccer players (18 men, 18 women) from a single NCAA Division III institution. Not applicable. Weight-normalized strength of six muscle groups and their agonist-antagonist strength ratios were compared between genders using linear mixed-effects models. Compared with male players, female players had decreased weight-normalized strength for hip abduction (0.170 vs. 0.204, p = .012) and hip extension (0.172 vs. 0.211, p = .021). Otherwise, weight-normalized strength was similar between genders. When comparing agonist-antagonist strength ratios, there was a significant difference between female and male players for hip flexion:extension (1.70 vs. 1.35, p = .008), whereas the hip abduction: adduction ratio did not reach statistical significance (1.45 vs. 1.62, p = .080). NCAA male and female soccer players had different hip strength profiles that fit their injury patterns. Male NCAA soccer players have higher rates of hip and groin strains, and men in the cohort had strength ratios that were deficient in the hip flexors and adductors compared with women. Female NCAA soccer players have higher rates of knee sprains and anterior cruciate ligament tears, and women in the cohort had strength ratios that were deficient in the hip abductors and extensors, which function to stabilize the knee. These strength disparities could be the focus of future gender-specific soccer injury prevention programs.

The Relationship of Coach-Created Motivational Climate to Teamwork Behaviors in Female Collegiate Athletes

Although teamwork behaviors would be expected to emerge from coach-created task-involving climates, no study has focused on this connection. Thus, we surveyed female National Collegiate Athletic Association (NCAA) Division I athletes (N = 536) on their perceptions of motivational climates created by their head coaches (i.e., 33-item Perceived Motivational Climate in Sport Questionnaire) and their beliefs about their team’s teamwork behaviors (i.e., 19-item Multidimensional Assessment of Teamwork in Sport—Short Form). Cluster analyses revealed three groupings of coach-created climates: low task/high ego (n = 125), moderate task/moderate ego (n = 286), and high task/low ego (n = 125). Through a series of multivariate analyses of variance, with post hoc discriminant descriptive analysis, we found a significant main effect for the motivational climate clusters on teamwork behaviors. Athletes in the high-task/low-ego motivational climate cluster endorsed more teamwork behaviors (e.g., preparation, execution) than those in the moderate-task/moderate-ego and low-task/high-ego climate clusters. These findings suggest the importance of coach-created motivational climates in teamwork behaviors.

Multicenter Analysis of the Epidemiology of Injury Patterns and Return to Sport in Collegiate Gymnasts.

Gymnastics requires intense year-round upper and lower extremity strength training typically starting from an early age. As such, the injury patterns observed in these athletes may be unique. To characterize the types of injuries and provide return-to-sport data in male and female collegiate gymnasts. Descriptive epidemiology study. A conference-specific injury database was utilized to perform a retrospective review of injuries for male and female National Collegiate Athletic Association (NCAA) Division I gymnasts within the Pacific Coast Conference between 2017 and 2020 (N = 673 gymnasts). Injuries were stratified by anatomic location, sex, time missed, and injury diagnoses. Relative risk (RR) was used to compare results between sexes. Of the 673 gymnasts, 183 (27.2%) experienced 1093 injuries during the study period. Injuries were sustained in 35 of 145 male athletes (24.1%) as compared with 148 of 528 female athletes (28.0%; RR, 0.86 [95% CI, 0.63-1.19]; P = .390). Approximately 66.1% (723/1093) of injuries occurred in a practice setting, compared with 84 of 1093 injuries (7.7%) occurring during competition. Overall, 417 of 1093 injuries (38.2%) resulted in no missed time. Shoulder injuries and elbow/arm injuries were significantly more common in male versus female athletes (RR, 1.99 [95% CI, 1.32-3.01], P = .001; and RR, 2.08 [95% CI, 1.05-4.13], P = .036, respectively). In total, 23 concussions affected 21 of 673 athletes (3.1%); 6 concussions (26.1%) resulted in the inability to return to sport during the same season. For the majority of musculoskeletal injuries, the gymnasts were able to return to sport during the same season. Male athletes were more likely to experience shoulder and elbow/arm injuries, likely because of sex-specific events. Concussions occurred in 3.1% of the gymnasts, highlighting the need for vigilant monitoring. This analysis of the incidence and outcomes of injuries observed in NCAA Division I gymnasts may guide injury prevention protocols as well as provide important prognostic information.

The relationship between handgrip strength and performance scores in North American Collegiate Division I women’s artistic gymnasts

Maximal isometric handgrip strength (HGS) is used as an indicator of overall muscular strength and has also been found to be predictive of certain athletic events sporting prowess. Women’s artistic gymnastics requires athletes have high levels of relative muscular strength and power to be successful. This study examined the relationship between HGS and gymnastics performance scores for the 4 events of vault, uneven bars, beam, and floor in female collegiate artistic gymnasts. Twenty-five (n=25) female National Collegiate Athletic Association (NCAA) Division I North American collegiate women’s artistic gymnasts (age: 20.1±1.3 yrs; height: 158.9±5.6 cm; mass: 58.2±5.3 kg) were assessed for a one-time measurement of absolute HGS in kg and relative HGS (HGS/height in m2), as well as their average vault, uneven bars, beam, and floor performance scores across a competitive season. Pearson correlation coefficients (r) were determined between HGS and all performance scores. No significant (p > 0.05) correlations were found between absolute HGS (30.8±4.4 kg) or relative HGS (12.0±1.6 kg/m2) and any 4 gymnastics event’s performance scores (r range: -0.07 – 0.50 or r range: -0.06 – 0.31, respectively). In this female collegiate gymnastics’ population, 56% had an absolute HGS and 80% had a relative HGS, respectively, above the 50th percentile of all similarly aged adult females in the United States. In the current population of female collegiate gymnasts, absolute and relative HGS were not related to any gymnastics events performance scores and adds to the existing literature, supporting no relationships between HGS and sports performances where sports movements require a high degree of technical precision and accuracy. Findings from this investigation can be used by athletes, coaches, and practitioners in the collegiate women’s gymnastics realm to assess if athletes have attained sufficient absolute HGS, and especially relative HGS values, to be successful.

Female Athlete Triad Risk Factors Are More Strongly Associated With Trabecular-Rich Versus Cortical-Rich Bone Stress Injuries in Collegiate Athletes.

Background:Bone stress injuries (BSIs) are common in athletes. Risk factors for BSI may differ by skeletal anatomy and relative contribution of trabecular-rich and cortical-rich bone.Hypothesis:We hypothesized that Female Athlete Triad (Triad) risk factors would be more strongly associated with BSIs sustained at trabecular-rich versus cortical-rich skeletal sites.Study Design:Cohort study; Level of evidence, 2.Methods:The study population comprised 321 female National Collegiate Athletic Association Division I athletes participating in 16 sports from 2008 to 2014. Triad risk factors and a Triad cumulative risk score were assessed using responses to preparticipation examination and dual energy x-ray absorptiometry to measure lumbar spine and whole-body bone mineral density (BMD). Sports-related BSIs were diagnosed by a physician and confirmed radiologically. Athletes were grouped into those sustaining a subsequent trabecular-rich BSI, a subsequent cortical-rich BSI, and those without a BSI. Data were analyzed with multinomial logistic regression adjusted for participation in cross-country running versus other sports.Results:A total of 19 participants sustained a cortical-rich BSI (6%) and 10 sustained a trabecular-rich BSI (3%) over the course of collegiate sports participation. The Triad cumulative risk score was significantly related to both trabecular-rich and cortical-rich BSI. However, lower BMD and weight were associated with significantly greater risk for trabecular-rich than cortical-rich BSIs. For every value lower than 1 SD, the odds ratios (95% CIs) for trabecular-rich versus cortical-rich BSI were 3.08 (1.25-7.56) for spine BMD; 2.38 (1.22-4.64) for whole-body BMD; and 5.26 (1.48-18.70) for weight. Taller height was a significantly better predictor of cortical-rich than trabecular-rich BSI.Conclusion:The Triad cumulative risk score was significantly associated with both trabecular-rich and cortical-rich BSI, but Triad-related risk factors appeared more strongly related to trabecular-rich BSI. In particular, low BMD and low weight were associated with significantly higher increases in the risk of trabecular-rich BSI than cortical-rich BSI. These findings suggest Triad risk factors are more common in athletes sustaining BSI in trabecular-rich than cortical-rich locations.

Pelvis and Trunk Energy Flow in Collegiate Softball Pitchers With and Without Upper Extremity Pain

Background: The softball pitch is a full-body motion, where efficient proximal to distal energy flow through the kinetic chain is said to reduce stress at the upper extremity. Although altered trunk kinematic parameters are associated with upper extremity pain in softball pitchers, further research is needed to determine whether differences exist in proximal energy flow between softball pitchers with and without pain. Hypothesis/Purpose: To examine pelvis and trunk energy flow during the acceleration phase of the pitch in collegiate softball pitchers with and without upper extremity pain. It was hypothesized that those with upper extremity pain would have less energy flowing into the proximal ends of the pelvis and trunk as well as less energy flowing out of the distal ends of the pelvis and trunk during the acceleration phase when compared with pitchers who did not have upper extremity pain. Study Design: Descriptive laboratory study. Methods: A total of 54 female National Collegiate Athletic Association Division I softball pitchers (age, 20.2 ± 2.0 years; height, 173.5 ± 6.9 cm; weight, 78.5 ± 11.5 kg) were assigned to pain (n = 17) and pain-free (n = 38) groups. Participants pitched 3 maximal effort rise-balls for a strike, and the average of the 3 trials was used for analysis. Kinematic data were collected at 100 Hz using an electromagnetic tracking system. A segment power analysis was performed to quantify energy flow for the pelvis and trunk. The Mann-Whitney U test was used to compare pelvis and trunk energy flow during the acceleration phase of the pitch as well as pitch velocity between collegiate softball pitchers with and without upper extremity pain. Results: No significant differences were found between pelvis and trunk energy flow during the acceleration phase or pitch velocity between collegiate softball pitchers with and without upper extremity pain (all P values >.057). Conclusion: Previous research determined that kinematic parameters differ between collegiate pitchers with and without upper extremity pain. However, the current study found no difference in pelvis and trunk energy flow or pitch velocity. Although altered kinematics in collegiate pitchers with upper extremity pain may serve as compensation patterns to maintain pitch velocity and proximal energy flow, future research is needed to confirm this postulation. Clinical Relevance: The lack of energy flow differences between upper extremity pain groups suggests that pitchers may adapt their biomechanics to maintain trunk and pelvis energy flow patterns. Coaches, athletes, and clinicians should know that movement adaptations can allow for maintained performance levels but may result in the presence of pain that may manifest in other deleterious and injury-susceptible biomechanics.

Hormonal Responses and Jump Performance Across a Season in Collegiate Women Basketball Players

The testosterone-to-cortisol ratio (T/C) has been shown to be positively correlated with strength and power. However, few studies have examined the relationship between a standardized power performance measurement and T/C throughout a season of intercollegiate competition. The purpose of this study was to examine the relationships between salivary T/C and vertical jump (VJ) performance of female National Collegiate Athletic Association Division II basketball players across a season. Saliva samples were taken before practice, weekly, for a total of 29 weeks. Samples were assayed for testosterone (T) and cortisol (C). After saliva collection, players completed two countermovement VJs, with the best jump used for data analysis. A positive correlation between T/C and VJ was seen only during the preseason phase. Statistically significant differences were observed across the season for T/C and VJ. T/C in the nonconference phase was significantly lower than the preseason phase and the late-conference phase, p = .013 and p = .047, respectively. VJ was significantly lower in the late-conference phase when compared to the preseason and nonconference phases, p < .001 and p = .026, respectively. VJ in the early-conference phase was also significantly lower than the preseason phase, p < .001. These data support the literature that has indicated a positive relationship between the T/C and lower-body power but only in the preseason phase. This relationship reverses and trends toward a negative relationship, before disappearing in the second half of the season. Monitoring T/C may provide value in assessing female athletes’ performance potential in the preseason phase. T/C should be interpreted with more caution once the competitive season begins.

Rib Stress Injuries Among Female National Collegiate Athletic Association Rowers: A Prospective Epidemiological Study

Rib stress injuries (RSIs) are debilitating injuries that competitive rowers often sustain during their careers, losing up to 10 weeks of training per year. Minimal research exists on RSIs and associated risk factors among National Collegiate Athletic Association women’s open-weight rowers. The purpose of this study was to determine the prevalence of RSIs and assess injury risk factors in intercollegiate female rowers. A prospective 14-week in-season injury surveillance was conducted via online surveys to collect demographic information, identify intrinsic and extrinsic risk factors, and document RSIs and other rowing-related injuries. During one National Collegiate Athletic Association season, 26% of our participants reported a rib cage injury, with six of these injuries identified as potential RSIs. Estimated prevalence for rib cage injuries is 6–33% in National Collegiate Athletic Association women’s rowing teams. RSI reporting and recognition was followed by aggressive clinical management in the population sampled, suggesting the need for larger scale epidemiological studies to determine the true prevalence, severity, and typical clinical course of these injuries.

The Effects of an Exploratory Mindfulness Intervention on Collegiate Performance

Although mindfulness has been suggested as a means to improve athletes’ performance, few studies have connected changes in mindfulness with improved performance. The purpose of this study was to explore the effect of an exploratory mindfulness intervention (MI) on performance using a mixed methods design. Thirty-four female National Collegiate Athletic Association (NCAA) soccer athletes participated in a 12-week MI. Using the Mindfulness Inventory for Sport, athletic performance and self-perceived ability during the first three games of the season compared to the final three games of the season (August–November 2019) were analyzed using paired t tests. Postintervention focus groups explored athletes’ perceptions of the MI on performance. Mindfulness, shots per game, and self-perceived athletic ability increased after the MI. Six themes emerged from the focus groups: awareness, increased focus, letting-go mentality, skill acquisition, self-compassion, and team cohesion. Coaches and sport psychology practitioners may consider implementing similar MI to improve performance and overall athletic experiences.

Decreased Sleep and Subjective Well-Being as Independent Predictors of Injury in Female Collegiate Volleyball Players.

Background:The relationship among sleep duration, subjective well-being, and injury risk in athletes is poorly defined.Purpose:To evaluate the independent effects of sleep duration, sleep quality, and subjective well-being on in-season injuries in collegiate female volleyball athletes.Study Design:Cohort study; Level of evidence, 2.Methods:During a 9-month competitive season, 17 female National Collegiate Athletic Association (NCAA) Division I volleyball players reported mood, fatigue, stress, soreness, sleep duration (hours), and sleep quality every morning. Well-being measures were recorded from 0 (worst) to 5 (best), and all time-loss injuries were recorded by the team athletic trainer. Separate mixed-effects logistic regression models were used to evaluate the effects of sleep and subjective well-being on in-season injury. Each well-being variable was also included in a separate mixed-effects logistic regression model with sleep duration as a covariate.Results:A total of 54 injuries were recorded during the study period. Compared with days without an injury, mood, fatigue, stress, soreness, sleep quality, and sleep duration were significantly worse the day before an injury occurred. In the separate prediction models, in-season injury was significantly predicted by fatigue (odds ratio [OR], 0.56 [95% CI, 0.36-0.86]; P = .008), mood (OR, 0.52 [95% CI, 0.35-0.78]; P = .002), stress (OR, 0.63 [95% CI, 0.42-0.94]; P = .023), soreness (OR, 0.54 [95% CI, 0.38-0.79]; P = .001), sleep quality (OR, 0.49 [95% CI, 0.34-0.7]; P < .001), and sleep duration (OR, 0.69 [95% CI, 0.55-0.87]; P = .001). In the multivariable models, sleep duration remained a significant independent predictor in each of the subsequent multivariable models (OR, 0.72-0.74; P < .05 for all), as did mood (OR, 0.55 [95% CI, 0.36-0.83); P = .005) and soreness (OR, 0.57 [95% CI, 0.39-0.83]; P = .003), while fatigue (OR, 0.65 [95% CI, 0.42-1]; P = .054) and stress (OR, 0.68 [95% CI, 0.45-1]; P = .061) no longer reached statistical significance.Conclusion:Increased sleep duration, mood, and decreased soreness were independently associated with a reduced risk of in-season injury in this cohort of female NCAA volleyball players.

Decreased Shoulder and Elbow Joint Loads During the Changeup Compared With the Fastball and Curveball in NCAA Division I Collegiate Softball Pitchers.

Background:Baseball leagues have implemented pitch count and pitch type restrictions based on biomechanical concepts associated with pitch type. Softball has not yet adopted these practices, although softball pitchers continue to pitch at a high volume and learn multiple pitches at a young age.Purpose:To examine shoulder and elbow kinetics between the fastball, curveball, and changeup, as well as to provide descriptive upper extremity pain data in National Collegiate Athletic Association (NCAA) softball pitchers.Study Design:Descriptive laboratory study.Methods:Study participants consisted of 27 female NCAA Division I softball pitchers (age, 20.2 ± 1.9 years; height, 175.7 ± 5.7 cm; weight, 83.6 ± 12.7 kg). The participants pitched 3 balls of each pitch type, and kinetic data were recorded. A one-way within-participants repeated-measures multivariate analysis of variance was used to determine significant differences in kinetics and pitch speed between pitch types.Results:Results revealed a statistically significant main effect for pitch type (Wilks λ = .087; F = 36.523; P < .001). Post hoc testing showed that the changeup produced less anterior elbow force compared with the fastball (P < .001) and the curveball (P = .012). In addition, the changeup produced less shoulder distraction force compared with the fastball (P < .001) and the curveball (P = .001). Additionally, there was a significant difference in pitch speed between all 3 pitch types (P = .006). The curveball revealed no statistically significant kinetic differences compared with the fastball.Conclusion:The fastball and curveball placed similar stress on the upper extremity in collegiate softball pitchers. However, in comparison with the changeup, the fastball and curveball placed increased stress on the upper extremity. More research is needed to fully explain the differences seen between pitch type and injury risk.Clinical Relevance:Sports medicine professionals, coaches, and athletes should use the current study results to note these differences in shoulder distraction and elbow anterior forces between softball pitch types. The study results can be used as a reference and basis for future research investigating kinetic differences across varying pitch types.

Injury Epidemiology and Time Lost From Participation in Women's NCAA Division I Indoor Versus Beach Volleyball Players.

Background:Beach volleyball officially became a National Collegiate Athletic Association (NCAA) Division I sport in 2015-2016. Few studies have examined the epidemiology of injuries in indoor versus beach volleyball in NCAA Division I athletes.Purpose:To compare the epidemiology of injuries and time lost from participation between female NCAA Division I athletes who participate in indoor versus beach volleyball.Study Design:Cohort study; Level of evidence, 3.Methods:Injury surveillance data (2003-2020) were obtained using an institutional database for all NCAA Division I women’s beach or indoor volleyball athletes. The total injury rate was expressed per 1000 hours played. The injury rate per body site was calculated by dividing the number of injuries in each body region by the total number of injuries. The frequency of injury per body site was also expressed as number of injuries per 1000 hours of practice or number of injuries per 1000 hours of game. The injury rate (total and per body site) and time lost from participation were compared between indoor and beach volleyball athletes.Results:Participants were 161 female NCAA Division I volleyball athletes (53 beach volleyball and 108 indoor volleyball athletes). In total, 974 injuries were recorded: 170 in beach volleyball and 804 in indoor volleyball. The injury rates for beach versus indoor volleyball were 1.8 versus 5.3 injuries per 1000 hours played (P < .0001). Indoor volleyball athletes had significantly higher injury rates compared with beach volleyball players for concussion (7.5% vs 6.5%; P < .0001) and knee injury (16.7% vs 7.6%; P = .0004); however, the rate of abdominal muscle injury was significantly higher in beach versus indoor volleyball (11.8% vs 4.7%; P = .0008). Time lost from sport participation was significantly longer in beach versus indoor volleyball for knee (24 vs 11 days; P = .047), low back (25 vs 17 days; P = .0009), and shoulder (52 vs 28 days; P = .001) injuries.Conclusion:Based on this study, injury was more likely to occur in indoor compared with beach volleyball. Sport-related concussion and knee injuries were more common in indoor volleyball, but the rate of abdominal muscle injury was higher in beach volleyball. Beach volleyball players needed longer time to recover after injuries to the knee, low back, and shoulder.

Markers of Low-Iron Status Are Associated with Female Athlete Triad Risk Factors.

The Female Athlete Triad (Triad) is common in female athletes. The Triad is caused by low-energy availability (EA), which is often difficult to measure and has been postulated to be associated with low-iron status. Here, we explore whether markers of low-iron status may be associated with indicators of low EA including Triad risk factors. A total of 239 female National Collegiate Athletic Association Division I athletes completed preparticipation examinations that included Triad risk factors, medication/supplement use, diagnosis of anemia, and elected to complete dual-energy x-ray absorptiometry scan to measure bone mineral density. The association of markers of low iron (defined as self-report of iron supplementation and/or history of anemia) with each component of the Triad risk assessment score was assessed by stratifying low-iron status across different levels of Triad risk category. Differences across iron status groups were assessed using Fisher exact testing. Every component of the Triad risk assessment score excluding delayed menarche was associated with low-iron status. The proportion of women who reported low iron was 11.5% in the low-risk EA group compared with 50% in the moderate-risk and 66.7% in the high-risk EA groups (P = 0.02); respectively. These numbers were 11.6%, 25.0%, and 66.7% (P = 0.02) for body mass index; 9.7%, 16.7%, and 25.0% (P < 0.05) for oligomenorrhea; 10.3%, 45.5%, and 50.0% (P < 0.01) for bone mineral density; and 10.4%, 20.8%, and 30.8% (P = 0.03) for history of stress reaction or fracture. Lean/endurance athletes were more likely to have low-iron status than other athletes (15.5% vs 3.4%, P = 0.02). Markers for low-iron status were associated with Triad risk factors. Our study suggests that female athletes with a history of anemia or iron supplementation may require further screening for low EA.

Preseason Upper Extremity Range of Motion and Strength in Relation to In-Season Injuries in NCAA Division I Gymnasts.

Background:Gymnastics is a demanding sport that places unique forces on the upper extremity. The repetitive nature of the sport and the high-impact forces involved may predispose the gymnast to overuse injuries. Risk factors for injuries in gymnastics are not well understood.Purpose/Hypothesis:The purpose of this study was to ascertain whether preseason upper extremity range of motion (ROM) and strength differ between National Collegiate Athletic Association (NCAA) Division I collegiate gymnasts who sustain an in-season upper extremity injury and those who do not. We hypothesized that gymnasts who sustain an upper extremity injury would demonstrate reduced ROM and strength compared with noninjured gymnasts.Study Design:Cohort study; Level of evidence, 3.Methods:Over 4 seasons, from 2014 to 2018, a total of 15 female NCAA Division I collegiate gymnasts underwent preseason upper extremity ROM (shoulder: flexion, internal and external rotation; elbow: extension; wrist: extension) and strength (shoulder: internal and external rotation, and middle and lower trapezius) testing. Overuse upper extremity injuries were tracked in each subsequent season. Gymnasts were dichotomized into injured and noninjured groups, and a 2 × 2 analysis of variance was used to measure differences in preseason measures between the groups as well as within arms (injured vs noninjured arm for the injured group; dominant vs nondominant arm for the noninjured group).Results:A total of 12 overuse upper extremity injuries (10 shoulders; 2 wrist/forearm) occurred during 31 gymnast-seasons. There were no significant interactions for preseason ROM and strength measurements between groups (injured vs noninjured) or within arms (injured and noninjured arm for the injured group; dominant and nondominant arm for the noninjured group; P = .07).Conclusion:Preseason upper extremity ROM and strength were not different between gymnasts who sustained an in-season upper extremity overuse injury and those who did not. It is possible that ROM and strength measures used to screen other overhead athletes may not capture the unique features and requirements of gymnastics. Further, it may be challenging to discern differences in clinical measures of ROM and strength in gymnastics populations owing to the bilateral nature of the sport.

Cultural and environmental associations with body image, diet and well-being in NCAA DI female distance runners: a qualitative analysis

ObjectiveWe aimed to describe current and former National Collegiate Athletic Association (NCAA) Division One (DI) female distance runners’ experiences of perceived norms of body image and disordered eating in their...

Hand and Wrist Injuries in Men’s and Women’s National Collegiate Athletic Association Basketball

Background:Hand and wrist injuries (HWIs) are common in National Collegiate Athletic Association (NCAA) basketball players and can negatively affect performance. There is limited literature available on this topic.Purpose:To open a discussion on prevention strategies and encourage future research on HWIs in basketball athletes.Study Design:Descriptive epidemiology study.Methods:HWIs sustained by male and female NCAA basketball players during the 2009-2010 through 2013-2014 academic years and reported to the NCAA Injury Surveillance Program (NCAA-ISP) database were utilized to characterize the epidemiology thereof. Rates and distributions of HWIs were identified within the context of mechanism of injury, injury recurrence, and time lost from sport.Results:Over the 5-year period, 81 HWIs in women and 171 HWIs in men were identified through the NCAA-ISP database. These were used to estimate 3515 HWIs nationally in women’s basketball athletes and 7574 HWIs nationally in men’s basketball athletes. The rate of HWIs in women was 4.20 per 10,000 athlete-exposures (AEs) and in men was 7.76 per 10,000 AEs, making men 1.85 times more likely to sustain HWIs compared with women. In men, HWIs were 3.31 times more likely to occur in competition compared with practice, while in women, HWIs were 2.40 times more likely to occur in competition than in practice. Based on position, guards, both men and women, were the most likely to suffer HWIs.Conclusion:HWIs were common in collegiate basketball players. Most injuries were new, and the majority of players were restricted from participation for less than 24 hours. Men were more likely to be injured compared with women, and injuries were most common in the setting of competition for both sexes. The majority of injuries was considered minor and did not extensively limit participation; however, prevention and detection remain important for optimal performance.

Perception of Comfort, Fit, and Jumping Performance of Elite NCAA Division 1 Student-athletes: The Effect of Basketball Shoe Design – Part II

Background: Assessing basketball shoe comfort and fit as personal protection equipment (PPE) at the collegiate level is unique. Objective: The purpose of Part II in this pilot study was to examine the effect of shoe design on the perception of comfort and fit after performing an acute series of jumps in elite male and female National Collegiate Athletic Association (NCAA) Division 1 basketball student-athletes. Method: A total of sixteen basketball student-athletes (six males, ten females) performed two rounds of acute series of four styled basketball jumps on two ForceDecksTM Force Platforms while trying to maximize jump height by tapping VertecTM Jump Vanes. The male student-athletes selected the AdidasTM Harden Vol. 3 and the AdidasTM SM Pro basketball shoes. The female student-athletes selected the Adidas Harden Vol. 3 and the Adidas Captain Marvel basketball shoes. Upon completion of each round of jumps, the student-athlete recorded their perception of comfort on a 110mm Visual Analog Scale (VAS) and fit on a seven-point Likert rating scale based against their most comfortable basketball shoes ever worn. Results: Results of this pilot study reported, on average, the male student-athletes preferred comfort and fit of the Adidas SM Pro basketball shoes and the female student-athletes preferred the Adidas Harden Vol. 3 basketball shoe, though differences were non-significant at p &gt; 0.05. Conclusion: The use of a human factors assessment tool to evaluate basketball shoe comfort and fit and the influence of rated comfort and fit parameters on basketball jumping performance proved viable.

Tweeting for Nutrition: Feasibility and Efficacy Outcomes of a 6-Week Social Media-Based Nutrition Education Intervention for Student-Athletes.

Coccia, C, Fernandes, SM, and Altiti, J. Tweeting for nutrition: feasibility and efficacy outcomes of a 6-week social media-based nutrition education intervention for student-athletes. J Strength Cond Res 34(7): 2084-2092, 2020-The main objective of this study was to determine the feasibility and efficacy of a social media-based nutrition intervention using Twitter on nutrition knowledge, dietary practices, body mass index (BMI), self-efficacy, and social support among student-athletes. Participants included 50 male and female National Collegiate Athletic Association Division I student-athletes between the ages of 18 and 24 years. Data were collected in October 2014. The study design employed a 6-week social media intervention using Twitter, to increase nutrition knowledge, self-efficacy, social support, and dietary adherence to the recommendations from the Dietary Guidelines for Americans. Descriptive statistics were calculated for all study variables and pre-post differences were assessed using paired t-tests. The results indicate a 6-week nutrition intervention delivered solely through social media resulted in increased nutrition knowledge (t = -2.23; p = 0.035), reduced fat intake (t = -1.57; p = 0.13), and decreased BMI (t = 2.32; p = 0.027) in student-athletes. In conclusion, social media-based nutrition education may provide university-based strength and conditioning coaches and other sports practitioners with a tool for widespread and timely access to students to facilitate healthy dietary behaviors.

Jumping Performance of Elite NCAA Division 1 Student-athletes: The Effect of Basketball Shoe Design – Part I

Background: Assessment of basketball shoes as personal protection equipment (PPE) at the collegiate level is unique. Objective: The purpose of Part I in this pilot study was to examine the effect of shoe design on jump height in elite male and female National Collegiate Athletic Association (NCAA) Division 1 basketball student-athletes. Method: Each team selected two pairs of AdidasTM branded shoes. The male student-athletes selected the AdidasTM Harden Vol. 3 and the AdidasTM SM Pro basketball shoes. The female student-athletes selected the AdidasTM Harden Vol. 3 and the AdidasTM Captain Marvel basketball shoes. A total of sixteen basketball student-athletes (six males, ten females) performed an acute series of four styled basketball jumps on two ForceDecksTM Force Platforms while trying to maximize jump height by tapping VertecTM Jump Vanes. Two trials were performed in each shoe and for each type of jump which included a countermovement jump, drop jump from 30cm, step and jump, and a series of plyometric jumps. Results: The results of this pilot study indicated a non-significant effect of basketball shoe design on jump height while performing an acute series of basketball style jumps for either the male or female basketball student-athletes. However, there were significant differences in jump height and peak power between the male and female basketball student-athletes (p = 0.001). Conclusion: In addition to the results, the use of quantitative performance testing on the effectiveness of basketball shoe designs as PPE may assist in the mitigation of non-contact ankle and lower limb injuries.