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Evaluating Risk of Injury to the Lower Extremity in Collegiate Football Athletes using Clinical Screening Tools and BMI

Yungtum, William
http://rave.ohiolink.edu/etdc/view?acc_num=toledo1430323867

Abstract Details

2015, Master of Science, University of Toledo, Exercise Science.
Context: Pre-participation exams are conducted at the beginning of the respected sports seasons to help identify any biomechanical deficiencies of athletes before the upcoming season. There have been multiple ways to suggest if an athlete has any biomechanical deficiency but not one gold standard test to determine who is at a higher risk of injury due to these deficiencies. For this study, biomechanical deficiencies were assessed using four methods: the modified functional movement screen (MFMS), the weight bearing lunge test (WBLT), the anterior reach of the star excursion balance test (SEBT-A) and body mass index (BMI). Objective: To determine if the MFMS, WBLT, SEBT-A, and BMI can identify individuals at higher risk of a non-contact lower-extremity injury within the population of a division I collegiate football. Secondary objective is to determine if differences in scores were seen between injury groups (contact or non-contact) and player position (skilled or linemen) groups. Design: Prospective cohort study. Settings: University of Toledo football athletic complex. Participants: A total of 82 division I collegiate football players (82 males) participated in this study. Methods: Participants underwent a pre-season screening which included the MFMS, SEBT-A and WBLT. A total of 3 acceptable MFMS trials were performed scored on a 0-3 scale, and then an averaged. The MFMS consists of the deep squat, hurdle step, inline lung, and active straight leg raise. For the WBLT, participants performed the test until maximum dorsiflexion range of motion distance of the ankle was met; they were progressed at 1cm increments until max reach distance was met. For the SEBT-A, 4 practice trials were performed followed by 3 successful recorded trials, test was done bilaterally. Normalized scores from each extremity were averaged together to determine maximum reach distance. Participants injured extremity reach distance side from the injured group were normalized and used for analysis. Following pre-season screening, injuries were tracked for the remainder of the season and defined as an injury to the ankle or knee resulting from participation in an organized, intercollegiate practice or competition, the injury requiring medical attention by a team-certified athletic trainer or physician, and the resulting in restriction of the student athlete’s participation or performance for one or more calendar days beyond the day of injury. Independent t-test was used to analyze all data with alpha set at 0.05. Results: 17 athletes who sustained a lower-extremity injury during practice or competition (ages 18.2+0.5, height = 185.24+4.62cm, weight=94.64+10.81kg) and 65 players who did not experience a lower-extremity injury (age 20.01+1.3 years, height=186.5+7.55cm, weight=106.35+ 19.24kg.). There were no significant differences found using the MFMS, SEBT-A, and WBLT to indicate risk of injury or differences in scores. BMI of linemen (33.79 kg/m2+3.16 kg/m2) vs. skilled player (27.69kg/m2+2.45 kg/m2) was shown to be significantly greater (p-value > 0.00). Conclusion: The data suggest it is still undetermined if the MFMS, SEBT-A, and the WBLT are valid pre-participation screening tools to determine non-contact, lower-extremity injuries in collegiate football athletes. Further research is needed to determine the usefulness of these pre-participation screens.
Michele Pye, PhD (Committee Chair)
Luke Donovan, PhD (Committee Member)
Phillip Gribble, PhD (Committee Member)
77 p.
Anatomy and Physiology; Biomechanics; Epidemiology; Health; Sports Medicine; Therapy

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Citations

  • Yungtum, W. (2015). Evaluating Risk of Injury to the Lower Extremity in Collegiate Football Athletes using Clinical Screening Tools and BMI [Master's thesis, University of Toledo]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1430323867

    APA Style (7th edition)

  • Yungtum, William. Evaluating Risk of Injury to the Lower Extremity in Collegiate Football Athletes using Clinical Screening Tools and BMI. 2015. University of Toledo, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=toledo1430323867.

    MLA Style (8th edition)

  • Yungtum, William. "Evaluating Risk of Injury to the Lower Extremity in Collegiate Football Athletes using Clinical Screening Tools and BMI." Master's thesis, University of Toledo, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1430323867

    Chicago Manual of Style (17th edition)

toledo1430323867
474
© 2015, all rights reserved.
This open access ETD is published by University of Toledo and OhioLINK.