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Earl R. Cooper Jr., Michael S. Ferrara, Martin Mrazik and Steven Casto

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Derek G. Shendell, Tracy A. Listwan, Lauren Gonzalez and Joseph Panchella

Despite increased awareness of concussions among student-athletes, local epidemiologic surveillance efforts are limited, especially among adolescents. We analyzed data reported through a state public-school-based online surveillance tool during the fall (summer preseason and regular season), winter, and spring seasons of the 2015–2017 school years at seven participating public high schools across New Jersey. Concussions were sustained during interscholastic and intramural sports and in physical education classes. There were 208 concussions: 142 in fall (123 regular season), 22 in winter (21 regular season), and 44 in spring. Reports stated 75% were first concussions, but 17% were second and 2% were third concussions.

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Siobhán O’Connor, Conor Bruce, Calvin Teahan, Elaine McDermott and Enda Whyte

Context: Although Ladies Gaelic football is one of the most popular female sports in Ireland, just 2 previous injury surveillance studies have been completed, and both were retrospective in nature. Objective: To prospectively examine the injury incidence and injury profile in collegiate Ladies Gaelic football over 2 seasons. Design: Prospective cohort study. Setting: College. Patients (or Other Participants): Adult Ladies Gaelic footballers from one collegiate institution (season 1: n = 50, season 2: n = 82). Intervention(s): All time-loss injuries that occurred were recorded by certified athletic therapists and student-athletic therapists and trainers over 2 seasons. Main Outcome Measures: A standardized injury report form was used to record the injury onset, mechanism, location, nature, and outcome. Injury incidence proportion, repeat incidence proportion and total, match and training injury rates, and their 95% confidence intervals were calculated. The frequencies and proportions were also calculated. Results: The match and training injury rates were 42.48 and 7.93 injuries per 1000 hours, respectively. A low repeat incidence proportion per season was noted (11.7% and 0.0%). The injuries were predominantly acute (74.68%) and noncontact (66.25%), with hamstring injuries (21.52%) and strains (36.71%) the most frequent location and nature of injuries noted. Strains (104.92 d absent per 1000 h) and knee injuries (106.46 d absent per 1000 h) led to the greatest injury burden. Further investigations were not frequently required, with an X-ray and magnetic resonance imaging ordered in 8.00% and 6.67% of the cases, respectively. Surgery was completed following one injury. Conclusions: This is the first study to provide prospective injury data on Ladies Gaelic football. Priority needs to be given to preventing hamstring and knee injuries due to their occurrence and negative impact on player availability to play. Collegiate Ladies Gaelic football teams should be encouraged to implement an injury-prevention warm-up, such as the GAA15+, at training and matches.

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Charlie Bowen, Kristian Weaver, Nicola Relph and Matt Greig

their specific relevance to the demands of the sport and injury epidemiology. 10 , 11 In considering the validity of screening, the clinical tests used are often characterized by slow, controlled, predictive, and low impact which lacks relevance to the demands imposed by training and competition

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Jessica R. Fairbairn and Kellie C. Huxel Bliven

Clinical Scenario: Until recently, injury epidemiology data on elite Paralympic athletes were limited. Current data suggest high rates of shoulder injury in wheelchair athletes. Differences in shoulder injury rates between sports have not been reported in this population. Clinical Question: Is the incidence of shoulder injury in elite wheelchair athletes different between sports? Summary of Key Findings: Shoulder injury rates are high in elite wheelchair athletes, particularly in sports such as field events and fencing that require a stable base (eg, trunk, core control) from which to perform. Wheelchair racing requires repetitive motions that contribute to shoulder injuries, but rates are lower than field sports and fencing. Wheelchair curling and sledge hockey have low shoulder injury risk. Clinical Bottom Line: Shoulder injury rates vary based on sport in elite wheelchair athletes. In addition to incorporating shoulder complex specific rehabilitation for overuse shoulder injuries, clinicians should focus on core and trunk stabilization in elite wheelchair athletes competing in sports, such as field events and fencing. Strength of Recommendation: Grade C evidence exists that reports shoulder injury rates among elite wheelchair athletes differ based on sport participation.

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Nicole J. Chimera, Monica R. Lininger and Meghan Warren

omparison: health care providers AND no comparison • O utcomes: Injury epidemiology The sources of evidence searched were: • Pubmed • PEDro • Google Scholar • CINAHL • SPORTDiscus • EBSCOhost Inclusion criteria were: • Studies that used SMS or text messaging for injury tracking in sport or exercise

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: YOU MUST TAKE THIS QUIZ ONLINE. 1. In the CAT by Chimera et al., it is noted that using text message to track injury epidemiology involves weekly text messages sent from the researcher to the participant. a. True b. False 2. What three countries were represented in the text message articles

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Patrick O. McKeon and Jennifer M. Medina McKeon

certain populations?”, “What are the key features that help us recognize the phenomenon?”, and “What typically happens to people who experience it?”. The trends identified in this stage establish the probability for encountering a given injury (epidemiology research) and the framework for recognizing that

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Catherine Mason and Matt Greig

relevance to a focus on low back pain in riders, differences in planar loading at the lumbar and cervicothoracic spine in cricket bowling have been associated with injury epidemiology, 9 and subsequently used to consider alternate workload management strategies in young bowlers. 11 The magnitude of force

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Rachel Arnold, Nicole Bolter, Lori Dithurbide, Karl Erickson, Blair Evans, Larkin Lamarche, Sean Locke, Eric Martin and Kathleen Wilson

Edited by Kim Gammage

., … Marshall, S.W. (2018). Using opinion leaders to address intervention gaps in concussion prevention in youth sports: Key concepts and foundational theory. Injury Epidemiology, 5 , 28. doi: 10.1186/s40621-018-0158-7 Journal website: https://link.springer.com/journal/40621 Author website: https