Descriptive epidemiology of collegiate women's lacrosse injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2003-2004.
OBJECTIVE
To review 16 years of National Collegiate Athletic Association injury surveillance data for women's lacrosse and identify potential areas for injury prevention initiatives.


BACKGROUND
Women's lacrosse is a fast-paced, primarily noncontact sport. Participation in collegiate women's lacrosse almost doubled between the 1988-1989 and 2003-2004 seasons. Lacrosse equipment consists of sticks made of wood or a synthetic material and a hard rubber ball. Until recently, mouth guards were the only required protective equipment.


RESULTS
Collegiate women's lacrosse game injury rates increased over the 16-year study period. More than 60% of all severe game injuries were lower extremity sprains and strains and knee internal derangements, most frequently the result of noncontact incidents. The most common injury scenarios by injury mechanism and player activity were no contact while ball handling (16.4%) and contact from a stick while ball handling (10.5%). Contact from a stick or a ball accounted for 5.6% and 5.2% of injuries sustained during shooting activities, respectively. Approximately 22% of all game and 12% of all practice injuries involved the head and neck. Contact from a stick accounted for the majority (56.0%) of above-the-neck injuries in games; contact from the ball accounted for 20.0% of these injuries. Participants had 5 times the risk of sustaining a concussion in a game as in a practice (0.70 versus 0.15 injuries per 1000 athletic-exposures, rate ratio = 4.7, 95% confidence interval = 3.8, 6.5).


CONCLUSIONS
To reduce the lower extremity injuries that comprise the greatest injury burden in women's lacrosse, future researchers should evaluate proprioceptive, plyometric, and balance training interventions designed specifically for female players. Other research areas of great interest involve determining whether protective eyewear (mandated in 2004) reduces injuries to the eye, orbit, and nasal area and identifying any unintended consequences of the mandate, such as increased risk of injuries to other areas of the face or more aggressive play.
Dick
Randall
R
National Collegiate Athletic Association, Indianapolis, IN, USA.
Lincoln
Andrew E
AE
Agel
Julie
J
Carter
Elizabeth A
EA
Marshall
Stephen W
SW
Hinton
Richard Y
RY
D001265:Athletic Injuries / Q000453:epidemiology*; D016001:Confidence Intervals; D005260:Female; D006801:Humans; D015994:Incidence; D011159:Population Surveillance / Q000379:methods*; D015865:Racquet Sports / Q000293:injuries*; D012189:Retrospective Studies; D012574:Schools / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology
Scand J Med Sci Sports. 1997 Jun;7(3):172-7
9200322
J Athl Train. 1995 Mar;30(1):37-41
16558306
Am J Sports Med. 1999 Nov-Dec;27(6):753-60
10569362
Knee Surg Sports Traumatol Arthrosc. 1996;4(1):19-21
8963746
J Bone Joint Surg Am. 2006 Aug;88(8):1769-74
16882900
Am J Sports Med. 2005 Sep;33(9):1305-14
16000657
JAMA. 1999 Dec 22-29;282(24):2328-32
10612320
J Sci Med Sport. 2006 Aug;9(4):299-303
16849042
J Orthop Sports Phys Ther. 1996 May;23(5):332-6
8728532
Clin J Sport Med. 2002 Jan;12(1):24-9
11854585
Am J Sports Med. 2004 Sep;32(6):1385-93
15310562
J Athl Train. 2007 Apr-Jun;42(2):255-61
17710174
Scand J Med Sci Sports. 1999 Feb;9(1):41-7
9974196
Br J Sports Med. 2003 Jun;37(3):226-32
12782547
Br J Sports Med. 2004 Dec;38(6):690-6
15562161
J Athl Train. 2007 Apr-Jun;42(2):173-82
21714302
Am J Sports Med. 2004 Apr-May;32(3):608-11
15090374
Br J Sports Med. 2004 Oct;38(5):626-31
15388553
Clin J Sport Med. 2003 Mar;13(2):71-8
12629423
Br J Sports Med. 2002 Dec;36(6):410-27
12453835
J Strength Cond Res. 2006 May;20(2):331-5
16686560
Am J Sports Med. 2007 Feb;35(2):207-15
17204586