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    Association of Functional Screening Tests and Noncontact Injuries in Division I Women Student-Athletes

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    Author
    Warren, Meghan
    Lininger, Monica R.
    Smith, Craig A.
    Copp, Adam J.
    Chimera, Nicole J.
    Keyword
    Adolescents
    Athletes
    Athletic injuries- epidemiology
    Female
    Humans
    Logistic models
    Mass screening- models
    Mass screening- statistics and numerical data
    Medical screening
    Movement
    Odds ratio
    Prospective studies
    ROC curve
    Sensitivity and specificity
    Sports injuries
    Students
    Young adult
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    URI
    http://hdl.handle.net/10464/15178
    Abstract
    To determine the association between functional screening tests and lower-body, noncontact injuries in Division I women basketball, soccer, and volleyball student-athletes (SA). Sixty-eight injury-free women SA (age19.1 ± 1.1 years, height171.3 ± 8.7 cm, and mass68.4 ± 9.5 kg) were tested preseason with single hop (SH), triple hop (TH), and crossover hop (XH) for distance, and isometric hip strength (abduction, extension, and external rotation) in randomized order. The first lower-body (spine and lower extremity), noncontact injury requiring intervention by the athletic trainer was abstracted from the electronic medical record. Receiver operating characteristic and area under the curve (AUC) were calculated to determine cut-points for each hopping test from the absolute value of between-limb difference. Body mass–adjusted strength was categorized into tertiles. Logistic regression determined the odds of injury with each functional screening test using the hopping tests cut-points and strength categories, adjusting for previous injury. Fifty-two SA were injured during the sport season. The cut-point for SH was 4 cm (sensitivity = 0.77, specificity = 0.43, and AUC = 0.53), and for TH and XH was 12 cm (sensitivity = 0.75 and 0.67, specificity = 0.71 and 0.57, AUC = 0.59 and 0.41, respectively). A statistically significant association with TH and injuries (adjusted odds ratio = 6.50 [95% confidence interval1.69–25.04]) was found. No significant overall association was found with SH or XH, nor with the strength tests. Using a clinically relevant injury definition, the TH showed the strongest predictive ability for noncontact injuries. This hopping test may be a clinically useful tool to help identify increased risk of injury in women SA participating in high-risk sports.
    ae974a485f413a2113503eed53cd6c53
    10.1519/JSC.0000000000003004
    Scopus Count
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    Kinesiology

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