Epidemiology of Varsity Sports
Varsity sports is in many schools as important as academics, especially in the United
States. These schools rely a great deal on the success of their teams for financial
stability and enrollment interest. The athletes as well take their sport very seriously,
if only for the sake of their pride.
It therefore follows that each team strives to be the very best, and only 100% effort is
enough. Unfortunately, when competition climaxes, more often than not injuries result.
This study is a synopsis of the data collected in a number of past articles concerned
with injuries incurred by collegiate athletes in many different varsity sports. For the
purpose of this study, an injury has been defined as any abnormal condition that has
caused an athlete to be removed from practice or competition for one or more days,
because performance has been impaired (Hanes and Murray, 1982). The following statistics
will deal with injuries of collegiate sports incurred by athletes involved in Men's and
Women's Basketball, Baseball, Gymnastics and Track and Field, Men's Soccer, and
Wrestling, and Women's Field Hockey.
BASKETBALL
The study of the nature and extent of athletic injuries Occuring in Women's Basketball
by Hanes and Murray in 1982 found an injury rate of 41.7 per 100 players. Of these
injuries 56.9% were ankle sprains, 24.1% were muscle strains. 76.2% of the sprains and
strains occurred to the lower extremities. Injured fingers ( which were the only upper
extremity injuries) accounted for 14.3% of the injuries and 4.8% of the injuries were
reported as facial.
All information for this study was collected through the use of injury forms completed
by the coaches, and information forms by each player, injured or not.
In a separate study for the American Journal of Sports Medicine by Clarke and Buckley in
1980 on injuries incurred in collegiate Women's Basketball, there was an injury rate of
20.3 per 100 players. There was a reported incidence of 53% sprains, and 4% strains.
40% of all injuries sustained were to the lower extremities.
In the same study Clarke and Buckley found similar results in Men's Varsity Basketball
to that of the Women's. The men reported 20.7 per 100 players suffering injuries, 54%
of those being sprains, 6% being strains with 37% of the injuries Occuring to the lower
extremity.
All the data collected by Clarke and Buckley was received from the National Athletic
Injury/ Illness Recording System (NAIRS).
BASEBALL
Clark and Buckley have also examined Men's and Women's Baseball in their study The
reported injury rate for this particular sport was 9.2% (men's) and 8.7% (women's).
Sprains occurred 37% and 40% respectively, strains accounted for 28% and 12%. Men's
baseball saw 69% of the injuries in the lower extremity, women's baseball reported 82% of
the injuries in the lower extremities.
FIELD HOCKEY
Women's Field hockey had a similarly low injury rate according to Clarke and Buckley, at
only 5.5%. Sprains once again were the most common injury, comprising 37% of the
incidence rate, and strains made up 21%. As might be expected by the nature of the
sport, the lower extremities received 72% of the injuries.
TRACK AND FIELD
The incidence rate of the Men's and Women's Track and Field teams were 10% and 12%
respectively. Although as Clarke and Buckley found, this sport alone saw different
injuries come to the forefront. It was muscle strains that seemed most prevalent,
Occuring 48% (men's) and 26% (women's) of the time. Sprains accounted for only 18% and
16% of the injuries. But as would seem fitting the men were inflicted with 72% of the
injuries to the lower extremities, and the women 92%.
WRESTLING
After a five-year study of two University wrestling teams, Snook (1982) found wrestling
to have the highest incidence of injury of all those examined in this article, with an
injury rate of 35.7 per 100 participants. The type of injury was fairly evenly divided
between sprains (31.03%) and strains (27.58%) as it was between injuries to the upper
(43%) and lower extremities (55%).
SOCCER
As should be expected, Men's soccer saw a very high incidence of injury to the lower
extremities. According to Davis (1977) 85.02% of all injuries occurred to the legs and
ankles, with sprains comprising 31.03% and strains comprising 27.58%. There was an
overall injury rate of 33.21 per 100 players for his study. Clarke and Buckley similarly
found that 76% of the injuries (an overall rate of 13.2%) occurred to the lower limbs,
with 49% of those being sprains, and 12% strains.
GYMNASTICS
According to Clarke and Buckley, Women's Gymnastics followed only Wrestling in amount of
injuries. With an incidence rate of 28.4%, Gymnastics is one of the most dangerous
sports in varsity athletics (within the scope of this study). 66% of the injuries were
sprains and 17% were strains. Of the overall injury rate 67% occurred to the lower
extremity. In contrast, Garrick and Requa found that sprains accounted for only 24% of
the overall injury rate of 39%, while strains comprised 47%. Both however, were
consistent in their findings of injury to the lower extremity (67% and 60%
respectively).
COMMENT
It becomes evident as the statistics are revealed throughout this article that it is
very difficult to compare such a wide variety of sports from an epidemiological point of
view.
The differences between each in the potential injuries, mechanisms of injury and type of
athlete typically suited for any given sport make it inappropriate to attempt to draw
lines of comparison between them. If one were to look at the athlete playing for the
Men's Baseball team and an athlete with the Men's Wrestling team, the differences in
physical characteristics alone would make it hard to draw any feasible conclusions
pertaining to causation, trends, or even with respect to methods of rehabilitation simply
because of the drastic differences in conditioning programs, training methods, and
intensity of competition.
This argument becomes even more pertinent when one begins to look at incidence rates of
those injuries incurred in each sport which have thus far not been mentioned in this
article, such as head, neck and spine injury, or something less drastic such as knee
injuries. As Snook cites in his article, head, neck and spine injuries account for 12%
of the overall incidence rate in wrestling. The nature of the sport predisposes the
athlete to a greater risk of such an injury. When this is compared to baseball, whose
incidence of head , neck and spine injury accounts for only 2% of the overall injuries it
becomes apparent wherein the problems occur. Similarly this may be further illustrated
by comparing the incidence of knee injuries between the two( 7% in baseball and 25.7% in
wrestling).
Problems can even arise when comparing Men's and Women's teams of the same sport, simply
because differences in physical characteristics of men and women. If we are to look to
baseball once again, the incidence of knee injuries to men is reported in Clarke and
Buckley's article as 7%, while knee injuries to women account for 19%. Large differences
can also be observed in the incidence of fractures in male (7%) and female (25%) baseball
players.
On the other hand, while a study such as this may be inappropriate for comparison, it
does allow one to observe the potential hazards of many different sports and perhaps
encourage those participating in such athletics to develop or improve on a conditioning
program for a given sport, in order to minimize the risk that any such misfortune may
occur.
BIBLIOGRAPHY
Clarke, E. & Buckley, J. "Women's Injuries in Collegiate Sports". American Journal of
Sports Medicine. Vol. 8, No. 3 (1980). pp188-93.
Davis, Michael Stewart. "The Nature and Incidence of Injuries to the Lower Extremity of
College Soccer Players".Mar, 1977.
Hanes, A. & Murray, C. "Athletic Injuries Occuring in Women's Highschool Basketball".
Sept, 1982.
Garrick, James G. "Women's Gymnastics Injuries".American Journal of Sports Medicine. Vol.
7, No. 4 (1979).pp. 261-64.
Snook, George A. "Injuries in Intercollegiate Wrestling".American Journal of Sports
Medicine. Vol.10, No. 3 (1982).pp. 141-43.
Snook, George A. "Injuries in Women's Gymnastics".American Journal of Sports
Injuries.Vol. 7, No. 4 (1979) pp.242-45.
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