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Related Experiment Video

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Risk Factors for Lower Extremity Overuse Injuries in Female Youth Soccer Players.

John W O'Kane1, Moni Neradilek2, Nayak Polissar2

  • 1Department of Family Medicine and Orthopedics and Sports Medicine, University of Washington, School of Medicine, Seattle, Washington, USA.

Orthopaedic Journal of Sports Medicine
|November 9, 2017
PubMed
Summary

Overuse injuries in young female soccer players primarily affect the knee. Factors like increased valgus, decreased lower extremity strength, and playing multiple soccer teams increase injury risk.

Keywords:
female athleteknee injuryoveruse injurysocceryouth sports

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Area of Science:

  • Sports Medicine
  • Pediatric Orthopedics
  • Biomechanics

Background:

  • Youth soccer is associated with a high incidence of injuries.
  • Sport specialization at younger ages raises concerns about overuse injuries.
  • Limited research exists on overuse injuries and risk factors in young female athletes.

Purpose of the Study:

  • Identify the incidence and rate of lower extremity overuse injuries in female soccer players aged 12-15.
  • Describe the anatomical location and types of overuse injuries sustained.
  • Evaluate preseason risk factors contributing to overuse injuries.

Main Methods:

  • Case-control study involving 351 female youth soccer players (ages 12-15).
  • Data collected via weekly emails and telephone interviews regarding injury type, location, and preseason risk factors.
  • Statistical analysis using Poisson regression to determine relative risk (RR) and 95% confidence intervals (CIs).

Main Results:

  • The incidence rate for first-time lower extremity overuse injuries was 1.7 per 1000 athlete-exposure hours (AEH).
  • Knee injuries constituted 47% of all overuse injuries.
  • Increased valgus, decreased hamstring/quadriceps/hip flexor strength, and playing on multiple teams were associated with increased knee injury risk.

Conclusions:

  • The knee is the primary site for lower extremity overuse injuries in female youth soccer players.
  • Factors such as lower knee separation distance, reduced lower extremity strength, and participation in multiple soccer teams elevate injury risk.
  • Targeted interventions focusing on strength and biomechanics may help mitigate overuse injuries in this population.