Publications by authors named "Karen G Roos"

Background: The COVID-19 pandemic created a challenge to athletic training students, with many classes converted to online education, and many clinical experiences interrupted. These changes may have negatively affected the confidence level of athletic training students in their athletic training skills.

Purpose: To determine if athletic training students' educational experiences during the COVID-19 pandemic have impacted their confidence levels in completing athletic training skills.

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Purpose: This study examined variability in identifying and reporting overuse injuries among Certified Athletic Trainers (ATs).

Methods: This cross-sectional study of ATs participating in the National Collegiate Athletic Association's Injury Surveillance Program, utilized a novel online-only survey, consisting of seven hypothetical clinical scenarios representing various clinical presentations including overuse and acute elements. Participants reported clinical opinions regarding the role overuse played in each scenario (major contributor, not a major contributor, not enough information) and probability (0-100%) of classifying each scenario as having an overuse injury mechanism, then completed open-ended questions addressing their decision-making process.

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Context: California is currently the only state that does not regulate who can and cannot call themselves athletic trainers (ATs). Therefore, previous national or state-specific investigations may not have provided an accurate representation of AT availability at the secondary school level in California. Similarly, it is unknown whether the factors that influence AT availability in California, such as socioeconomic status, are similar to or different from those identified in previous studies.

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Background: We compared injury incidence and mechanisms among youth, high school (HS), and National Collegiate Athletic Association (NCAA) boys' and men's lacrosse athletes for the 2014-2015 to 2016-2017 lacrosse seasons.

Methods: Multiple injury surveillance systems were used to capture 21 youth boys', 22 HS boys', and 20 NCAA men's lacrosse team-seasons of data during the 2014-2015 to 2016-2017 seasons. Athletic trainers reported game and practice injuries and athlete exposures (AEs).

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Context:   Health care workers have high rates of musculoskeletal injuries, but many of these injuries go unreported to workers' compensation and national surveillance systems. Little is known regarding the work-related injuries of certified athletic trainers (ATs).

Objective:   To determine the 12-month incidence and prevalence of work-related injuries and describe injury-reporting and -management strategies.

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Context:   Stress fractures are injuries caused by cumulative, repetitive stress that leads to abnormal bone remodeling. Specific populations, including female athletes and endurance athletes, are at higher risk than the general athletic population. Whereas more than 460 000 individuals participate in collegiate athletics in the United States, no large study has been conducted to determine the incidence of stress fractures in collegiate athletes.

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Purpose: Examinations of injury among younger populations of lacrosse players that are beginning their development is limited. This study describes the epidemiology of youth boys' and girls' lacrosse injuries during the 2015 to 2016 seasons.

Methods: Surveillance data originated from a convenience sample of 10 leagues in five states with 1090 boy lacrosse players and 408 girl lacrosse players from the U9-U15 divisions.

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Background: Shoulder dislocations occur frequently in athletes across a variety of sports. This study provides an updated descriptive epidemiological analysis of shoulder dislocations among high school and college athletes and compares injury rates and patterns across these age groups.

Hypothesis: There would be no difference in injury rates/patterns between high school and college athletes.

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Background: Ankle sprains are among the most common injuries experienced by collegiate athletes. The type of ankle sprain is rarely differentiated in epidemiological studies. This differentiation is necessary, as each ankle sprain type has a unique injury mechanism and recovery period.

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Context:   Research on non-time-loss (NTL) injuries, which result in less than 24 hours of restriction from participation, is limited.

Objective:   To describe the epidemiology of NTL injuries among collegiate and high school student-athletes.

Design:   Descriptive epidemiology study.

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Context:   Deltoid ligament sprains among collegiate student-athletes have not been extensively investigated. Research regarding the mechanisms, participation-restriction time, and recurrence of deltoid ligament sprains in collegiate student-athletes is lacking.

Objective:   To describe the epidemiology of deltoid ligament sprains in 25 National Collegiate Athletic Association championship sports.

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Objective: To examine how injury definition inclusiveness affects the rank order of injury rates in 27 high school (HS) sports.

Design: The National Athletic Treatment, Injury and Outcomes Network (NATION) used certified athletic trainers (ATs) to collect injury and athlete-exposure (AE) data in practices and competitions for 27 HS sports during the 2011/2012 to 2013/2014 academic years. Time loss (TL) injuries resulted in ≥24 hours of participation restriction.

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Background: Little is known about the work-related injury and illnesses experienced by certified athletic trainers (AT).

Methods: The incidence and characteristics of injury/illness claims filed in two workers' compensation systems were described from 2001 to 2011. Yearly populations at risk were estimated from National Athletic Trainers' Association membership statistics.

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Background: Research has found that injury rates in football are higher in competition than during practice. However, there is little research on the association between injury rates and type of football practices and how these specific rates compare with those in competitions.

Purpose: This study utilized data from the National Collegiate Athletic Association Injury Surveillance System (NCAA ISS) to describe men's collegiate football practice injuries (academic years 2004-2005 to 2008-2009) in 4 event types: competitions, scrimmages, regular practices, and walkthroughs.

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Background: Ankle sprains are a common injury in collegiate sports. Few studies have examined the epidemiology of individual ligament injuries, specifically the lateral ligament complex (LLC) of the ankle.

Purpose: To describe the epidemiology, including the estimated yearly national incidence, of LLC sprains among National Collegiate Athletic Association (NCAA) athletes.

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Background/aim: Recent rule changes regarding the safety of basketball athletes necessitate up-to-date reports of injury incidence. This study describes the epidemiology of injuries in men's and women's National Collegiate Athletic Association (NCAA) basketball during the 2009/2010-2014/2015 seasons.

Methods: Basketball injury data originate from the 2009/2010-2014/2015 academic years from the NCAA Injury Surveillance Program (NCAA-ISP) from 78 men's and 74 women's NCAA basketball programmes which provided 176 and 181 team-seasons, respectively.

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Context: Injury rates compare the relative frequency of sport-related concussions across groups. However, they may not be intuitive to policy makers, parents, or coaches in understanding the likelihood of concussion.

Objective: To describe 4 measures of incidence (athlete-based rate, athlete-based risk, team-based rate, and team-based risk) during the 2011-2012 through 2014-2015 academic years.

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Background: In Indiana, high school football coaches are required to complete a coaching education course with material related to concussion awareness, equipment fitting, heat emergency preparedness, and proper technique. Some high schools have also opted to implement a player safety coach (PSC). The PSC, an integral component of USA Football's Heads Up Football (HUF) program, is a coach whose primary responsibility is to ensure that other coaches are implementing proper tackling and blocking techniques alongside other components of the HUF program.

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Aim: To describe the epidemiology of National Collegiate Athletic Association (NCAA) men's and women's soccer injuries during the 2009/2010-2014/2015 academic years.

Methods: This descriptive epidemiology study used NCAA Injury Surveillance Program (NCAA-ISP) data during the 2009/2010-2014/2015 academic years, from 44 men's and 64 women's soccer programmes (104 and 167 team seasons of data, respectively). Non-time-loss injuries were defined as resulting in <24 h lost from sport.

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Background: No previous studies have described the incidence of acromioclavicular (AC) joint injuries in a large sample of National Collegiate Athletic Association (NCAA) student-athletes. Such data are needed to understand the injury prevalence, mechanisms of injury, and recovery patterns in NCAA student-athletes.

Purpose: To describe the epidemiology of AC joint sprain injuries in 25 NCAA championship sports.

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Background: Overuse injuries result from microtrauma due to repetitive loading combined with insufficient tissue recovery time and can result in both immediate and long-term time loss from sports.

Hypothesis: Overuse injury rates and patterns differ across college and high school populations, sport, and sex.

Study Design: Descriptive epidemiology study.

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Background: A number of epidemiologic and surveillance-based studies of sports injury provide statistics on, and sometimes discussion of, overuse injuries. However, there is no consensus on the definition of "overuse." Some studies consider "overuse" as a mechanism of injury while others use a diagnosis-based definition.

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