Official Journal of the American College of Sports Medicine PL (3.7 ± 2.8 cm vs. 3.6 ± 2.8 cm; p = 0.75). CONCLusION: While females and males may perform similarly in FMS and YBT CS, differences appear in some FMS components and YBT ANT asymmetry. Females performed better on FMS components involving flexibility and balance, but worse on components associated with core strength. Researchers should consider sex stratified analysis. 1722 Board #5 May 30, 3:15 PM - 5:15 PM Physical Contributors to Glenohumeral Internal rotation deficit in high school Baseball Players Elizabeth E. Hibberd1 , Casey E. Shutt2 , Sakiko Oyama3 , J. Troy Blackburn1 , Joseph B. Myers1 . 1UNC-Chapel Hill, Chapel Hill, NC. 2U.S. Army-Baylor University, San Antonio, TX. 3University of Texas- San Antonio, San Antonio, TX. (Sponsor: Kevin Guskiewicz, FACSM) (No relationships reported) Glenohumeral Internal Rotation Deficit (GIRD) of the throwing shoulder relative to the non-throwing shoulder in baseball players is a risk factor for shoulder and elbow injury. Although this evidence forms a basis for recommending stretching exercises to prevent injuries, clinical measures of internal rotation range of motion (ROM) do not differentiate if GIRD is due to muscular, capsuloligamentous, or bony factors. Understanding the contributions of these components is important for the development of targeted interventions. PurPOsE: The purpose of this study was to determine the extent to which the muscular, capsuloligamentous, and bony components contribute to GIRD in high school baseball players. METhOds: 166 baseball players (age=15.9 ± 1.4yrs, height=178.4 ± 6.5cm, mass=74.1±12.2kg) were evaluated on internal rotation ROM (digital inclinometer), teres minor, infraspinatus, and posterior deltoid muscle stiffness (muscle compliance probe), posterior capsule thickness (diagnostic ultrasound), and humeral retrotorsion (diagnostic ultrasound). A side-to-side difference in each variable was calculated as dependent variables. Variables were entered into a stepwise linear regression to determine the predictors of GIRD, where only variables that significantly contributed to the model (p
<strong>Thursday</strong>, May 30, 2013 S332 Vol. 45 No. 5 Supplement rEsuLTs: 74 athletes were injured during their sport season. FMS total score was not different between those who sustained an injury (14.3±2.5) and those who did not (14.1±2.4; p = 0.57). No ROC curve maximized sensitivity and specificity, so previous published cut-point of 14 or less (n=92) vs. greater than 14 (n=78) was used for analysis with injury (sensitivity = 54%, specificity 46%). After adjustment for confounders, no statistically significant association between FMS total score (dichotomoized at 14) and injury (odds ratio [OR] = 1.02, 95% confidence interval [CI] 0.54 - 2.0) existed. Lunge was the only component that was statistically associated with injury; those scoring 3 were less likely to have an injury compared with those who scored 2 (OR = 0.21, 95% CI 0.08 - 0.58). CONCLusIONs: Using a clinically relevant definition of injury, FMS total score was a poor predictor of non-contact and overuse injury in this group of DI athletes. The lunge was able to predict injury. D-54 Thematic Poster - Injury Epidemiology May 30, 2013, 3:15 PM - 5:15 PM Room: 208 1726 Chair: Carlo Baldari, FACSM. University of Rome, Rome, Italy. (No relationships reported) 1727 Board #1 May 30, 3:15 PM - 5:15 PM The Eagle Tactical athlete Program reduces Musculoskeletal Injuries in the 101st airborne division (air assault) Timothy C. Sell1 , John P. Abt1 , Takashi Nagai1 , Jennifer B. Deluzio1 , Mita Lovalekar1 , Michael D. Wirt2 , Scott M. Lephart, FACSM1 . 1University of Pittsburgh, Pittsburgh, PA. 2U.S Army’s 101st Airborne Division (Air Assault), Fort Campbell, KY. (No relationships reported) The Eagle Tactical Athlete Program (ETAP) was scientifically developed specifically for the U.S Army’s 101st Airborne Division (Air Assault) to counter the significant number of sustained unintentional musculoskeletal injuries. ETAP was previously demonstrated to improve human performance characteristics, but the capability of ETAP to reduce injuries had not been studied. PurPOsE: To determine if ETAP would reduce unintentional musculoskeletal injuries in garrison in a group of 101st Airborne Division (Air Assault) Soldiers. METhOds: Non-commissioned officers led their respective units during physical training following certification in the training components of ETAP as taught during an ETAP Instructor Certification School. A total of 1641 Soldiers were enrolled (N = 1106 experimental group, N = 540 control group) to evaluate changes in injury data. Injuries were tracked for 5 months prior to and after ETAP participation during a pre-deployment workup phase. ICD-9CM codes were used to categorize preventable musculoskeletal injuries (total, regional distribution, acute or overuse). A McNemar analysis was conducted to evaluate the effect of ETAP on the overall injury rate within each group. rEsuLTs: There was a significant reduction in overall injury rates (pre-ETAP: 209/1106 (18.9%), post-ETAP: 177/1106 (16.0%), p = 0.045) in the experimental group while no differences in the control group were found. A reduction in injury rates were also observed in overuse injuries and specific injuries to the lower extremity, knee, and lumbopelvic region in the experimental group. CONCLusIONs: The Eagle Tactical Athlete Program was scientifically designed to optimize performance and reduce injuries. The current analysis demonstrated that ETAP reduces preventable musculoskeletal injuries in garrison. The capability of ETAP to reduce injuries confirms the vital role of a scientifically designed training program on force readiness and health. Supported by USAMRMC #W81XWH-11-2-0097 1728 Board #2 May 30, 3:15 PM - 5:15 PM association of Physical Fitness assessments and Injury risk among u.s. army soldiers Timothy T. Bushman, Tyson Grier, Michelle Chervak, Morgan Anderson, Bruce Jones, FACSM. United States Army Institute of Public Health, Aberdeen Proving Ground, MD. (No relationships reported) PurPOsE: Physical fitness assessments are commonly used to determine an athlete’s performance abilities. It has been suggested that such assessments can also be used to predict injury risk. To investigate the association of multiple physical fitness assessments with injury risk among U.S. Army Soldiers. METhOds: Male Soldiers aged 17-58 years completed the Functional Movement Screening Test (FMS) (n = 1078), Army Physical Fitness Test (APFT) (n = 1265), 2-mile run (part of the APFT) (n = 1537), Y-Balance (n = 1135), weighted 300-yard shuttle run (n = 367), un-weighted 300-yard shuttle run (n = 1125), crossover hops (n MEDICINE & SCIENCE IN SPORTS & EXERCISE ® = 1132), pull-ups (n = 1033), and vertical jump (n = 1140). Medical record data for injuries nine months before and after fitness testing were obtained from the Defense Medical Surveillance System; demographic and health behavior data were collected by survey. A majority of the fitness assessment variables were categorized into quartiles where Q1 = highest performance and Q4 = lowest performance. Multivariate odds ratios (OR) and 95% confidence intervals (95% CI) were calculated. rEsuLTs: After controlling for age, body mass index (BMI), smoking, and previous injury; higher injury risk was associated with: FMS total score (OR(≤14/19-21)=1.62, 95%CI 1.04-2.54), Y-Balance posteromedial difference (OR(≥7.01 centimeters/≤2.00 centimeters)=1.53, 95%CI 1.02-2.28), and un-weighted 300-yard shuttle run (OR(≥73.81 seconds/≤66.00 seconds)=1.86, 95%CI 1.19-2.91). Controlling for the same variables, higher overuse injury risk was associated with: FMS total score (OR(≤14/19-21)=1.86, 95%CI 1.13-3.05), (OR(15-16/19-21)=1.67, 95%CI 1.02-2.72), Y-Balance posteromedial difference (OR(≥7.01 centimeters/≤2.00 centimeters)=1.91, 95%CI 1.21-3.00), and un-weighted 300-yard shuttle run (OR(≥73.81 seconds/≤66.00 seconds)=2.00, 95%CI 1.22-3.28). CONCLusIONs: The FMS, Y-Balance, and un-weighted 300-yard shuttle run had the highest risk for those who performed poorly or had asymmetries. These tests may help identify Soldiers at risk of musculoskeletal injuries, such that interventions can be put into place to reduce injury risk. 1729 Board #3 May 30, 3:15 PM - 5:15 PM The utility of accessing Emergency department data for sport and recreational Injury surveillance Alex F. Howard, Julia F. Costich, Carl G. Mattacola, Svetla S. Slavova, Heather M. Bush, F. Douglas Scutchfield. University of Kentucky, Lexington, KY. (No relationships reported) Participation in sport and recreational physical activity carries with it an inherent risk of injury, thereby necessitating the need for injury prevention efforts and identification of risk factors. Surveillance systems are an effective means to identify injury risk factors and develop appropriate injury prevention services. In 2009, Kentucky’s Governor, Steve Beshear, signed into law House Bill 383 which called for a safety assessment of all interscholastic athletics in Kentucky’s high schools and middle schools. This action reiterated the importance of a dedicated sport injury surveillance system (SISS); however, this legislative action was never implemented, prompting an examination of injury risk factors, using emergency department data. PurPOsE: To investigate the epidemiology of sport and recreational injury (SRI) among middle and high school-aged Kentucky youth, using a population-based surveillance technique. METhOds: We analyzed unintentional injuries from the 2008-2010 Kentucky emergency department (ED) administrative records for patients age 10-18 using descriptive statistics. SRIs were identified based on external codes of injuries (E-codes), according to International Classification of Diseases, Clinical Modification, ninth revision (ICD-9-CM). rEsuLTs: A total of 135,287 ED visits occurred between 2008-2010, of which 28,225 (20.9%) were related to participation in physical activity. Males accounted for 73.1% of SRIs, with overall injury events peaking at age 14 for this age group. The primary mechanisms for SRIs were being struck by or against something (55%), falls (21.2%), cycling (12.2%), and overexertion ( 8.1%). Superficial contusions and abrasions (32.9%), sprains and strains (30.2%), and fractures (14.6%) were the primary ED diagnoses, and the total charges billed for SRIs were more than $31.7 million, or 21.2% of the total charges billed for all unintentional injuries. CONCLusIONs: The present study illustrates the use of ED data, specifically E-codes, as surveillance tools to provide information on the distribution of injuries, risk factors for injury, and an estimate of their economic impact. In the absence of a dedicated SISS, ED data could be used to inform decision making about youth sports and physical activity related injuries and their prevention. 1730 Board #4 May 30, 3:15 PM - 5:15 PM What are The risk Factors For running-related Musculoskeletal Injuries? a systematic review Bruno T. Saragiotto, Tiê P. Yamato, Luiz Carlos Hespanhol Junior, Alexandre Dias Lopes. Universidade Cidade de São Paulo, São Paulo, Brazil. (No relationships reported) The number of runners has grown significantly over the past decade and the health benefits of running are already well known. However, the number of running injuries is high. Despite several studies have been conducted on running injuries, the risk factors for running-related injuries is still not clear in the literature. PurPOsE:The aim of this study is to systematically review the risk factors for overall running-related musculoskeletal injuries. METhOds:: We conducted an electronic search on EMBASE (1981 to May 2012), MEDLINE (1973 to May 2012), SPORTDiscus (1977 to May 2012), Latin American and Caribbean Centre on Health Sciences Information (LILACS) (1986 to May 2012) and Scientific Electronic Library Online (SCIELO) (1998 to May 2012) databases, without a limit on date of publication. Only prospective studies aimed to ACSM May 28 - June 1, 2013 Indianapolis, Indiana
- Page 1 and 2:
Thursday, May 30, 2013 S176 Vol. 45
- Page 3 and 4:
Thursday, May 30, 2013 S178 Vol. 45
- Page 5 and 6:
Thursday, May 30, 2013 S180 Vol. 45
- Page 7 and 8:
Thursday, May 30, 2013 S182 Vol. 45
- Page 9 and 10:
Thursday, May 30, 2013 S184 Vol. 45
- Page 11 and 12:
Thursday, May 30, 2013 S186 Vol. 45
- Page 13 and 14:
Thursday, May 30, 2013 S188 Vol. 45
- Page 15 and 16:
Thursday, May 30, 2013 S190 Vol. 45
- Page 17 and 18:
Thursday, May 30, 2013 S192 Vol. 45
- Page 19 and 20:
Thursday, May 30, 2013 S194 Vol. 45
- Page 21 and 22:
Thursday, May 30, 2013 S196 Vol. 45
- Page 23 and 24:
Thursday, May 30, 2013 S198 Vol. 45
- Page 25 and 26:
Thursday, May 30, 2013 S200 Vol. 45
- Page 27 and 28:
Thursday, May 30, 2013 S202 Vol. 45
- Page 29 and 30:
Thursday, May 30, 2013 S204 Vol. 45
- Page 31 and 32:
Thursday, May 30, 2013 S206 Vol. 45
- Page 33 and 34:
Thursday, May 30, 2013 S208 Vol. 45
- Page 35 and 36:
Thursday, May 30, 2013 S210 Vol. 45
- Page 37 and 38:
Thursday, May 30, 2013 S212 Vol. 45
- Page 39 and 40:
Thursday, May 30, 2013 S214 Vol. 45
- Page 41 and 42:
Thursday, May 30, 2013 S216 Vol. 45
- Page 43 and 44:
Thursday, May 30, 2013 S218 Vol. 45
- Page 45 and 46:
Thursday, May 30, 2013 S220 Vol. 45
- Page 47 and 48:
Thursday, May 30, 2013 S222 Vol. 45
- Page 49 and 50:
Thursday, May 30, 2013 S224 Vol. 45
- Page 51 and 52:
Thursday, May 30, 2013 S226 Vol. 45
- Page 53 and 54:
Thursday, May 30, 2013 S228 Vol. 45
- Page 55 and 56:
Thursday, May 30, 2013 S230 Vol. 45
- Page 57 and 58:
Thursday, May 30, 2013 S232 Vol. 45
- Page 59 and 60:
Thursday, May 30, 2013 S234 Vol. 45
- Page 61 and 62:
Thursday, May 30, 2013 S236 Vol. 45
- Page 63 and 64:
Thursday, May 30, 2013 S238 Vol. 45
- Page 65 and 66:
Thursday, May 30, 2013 S240 Vol. 45
- Page 67 and 68:
Thursday, May 30, 2013 S242 Vol. 45
- Page 69 and 70:
Thursday, May 30, 2013 S244 Vol. 45
- Page 71 and 72:
Thursday, May 30, 2013 S246 Vol. 45
- Page 73 and 74:
Thursday, May 30, 2013 S248 Vol. 45
- Page 75 and 76:
Thursday, May 30, 2013 S250 Vol. 45
- Page 77 and 78:
Thursday, May 30, 2013 S252 Vol. 45
- Page 79 and 80:
Thursday, May 30, 2013 S254 Vol. 45
- Page 81 and 82:
Thursday, May 30, 2013 S256 Vol. 45
- Page 83 and 84:
Thursday, May 30, 2013 S258 Vol. 45
- Page 85 and 86:
Thursday, May 30, 2013 S260 Vol. 45
- Page 87 and 88:
Thursday, May 30, 2013 S262 Vol. 45
- Page 89 and 90:
Thursday, May 30, 2013 S264 Vol. 45
- Page 91 and 92:
Thursday, May 30, 2013 S266 Vol. 45
- Page 93 and 94:
Thursday, May 30, 2013 S268 Vol. 45
- Page 95 and 96:
Thursday, May 30, 2013 S270 Vol. 45
- Page 97 and 98:
Thursday, May 30, 2013 S272 Vol. 45
- Page 99 and 100:
Thursday, May 30, 2013 S274 Vol. 45
- Page 101 and 102:
Thursday, May 30, 2013 S276 Vol. 45
- Page 103 and 104:
Thursday, May 30, 2013 S278 Vol. 45
- Page 105 and 106: Thursday, May 30, 2013 S280 Vol. 45
- Page 107 and 108: Thursday, May 30, 2013 S282 Vol. 45
- Page 109 and 110: Thursday, May 30, 2013 S284 Vol. 45
- Page 111 and 112: Thursday, May 30, 2013 S286 Vol. 45
- Page 113 and 114: Thursday, May 30, 2013 S288 Vol. 45
- Page 115 and 116: Thursday, May 30, 2013 S290 Vol. 45
- Page 117 and 118: Thursday, May 30, 2013 S292 Vol. 45
- Page 119 and 120: Thursday, May 30, 2013 S294 Vol. 45
- Page 121 and 122: Thursday, May 30, 2013 S296 Vol. 45
- Page 123 and 124: Thursday, May 30, 2013 S298 Vol. 45
- Page 125 and 126: Thursday, May 30, 2013 S300 Vol. 45
- Page 127 and 128: Thursday, May 30, 2013 S302 Vol. 45
- Page 129 and 130: Thursday, May 30, 2013 S304 Vol. 45
- Page 131 and 132: Thursday, May 30, 2013 S306 Vol. 45
- Page 133 and 134: Thursday, May 30, 2013 S308 Vol. 45
- Page 135 and 136: Thursday, May 30, 2013 S310 Vol. 45
- Page 137 and 138: Thursday, May 30, 2013 S312 Vol. 45
- Page 139 and 140: Thursday, May 30, 2013 S314 Vol. 45
- Page 141 and 142: Thursday, May 30, 2013 S316 Vol. 45
- Page 143 and 144: Thursday, May 30, 2013 S318 Vol. 45
- Page 145 and 146: Thursday, May 30, 2013 S320 Vol. 45
- Page 147 and 148: Thursday, May 30, 2013 S322 Vol. 45
- Page 149 and 150: Thursday, May 30, 2013 S324 Vol. 45
- Page 151 and 152: Thursday, May 30, 2013 S326 Vol. 45
- Page 153 and 154: Thursday, May 30, 2013 S328 Vol. 45
- Page 155: Thursday, May 30, 2013 S330 Vol. 45
- Page 159 and 160: Thursday, May 30, 2013 S334 Vol. 45
- Page 161 and 162: Thursday, May 30, 2013 S336 Vol. 45
- Page 163 and 164: Thursday, May 30, 2013 S338 Vol. 45
- Page 165 and 166: Thursday, May 30, 2013 S340 Vol. 45
- Page 167 and 168: Thursday, May 30, 2013 S342 Vol. 45
- Page 169 and 170: Thursday, May 30, 2013 S344 Vol. 45
- Page 171 and 172: Thursday, May 30, 2013 S346 Vol. 45
- Page 173 and 174: Thursday, May 30, 2013 S348 Vol. 45
- Page 175 and 176: Thursday, May 30, 2013 S350 Vol. 45
- Page 177 and 178: Thursday, May 30, 2013 S352 Vol. 45