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079 Sport-related injury in high school students: checking in after a decade of injury prevention interventions
  1. Amanda M Black1,2,3,
  2. Derek Meeuwisse1,
  3. Paul H Eliason1,2,3,
  4. Kathryn Schneider1,2,3,4,5,
  5. Brent E Hagel1,3,6,7,8,
  6. Carolyn Emery1,2,3,4,6,7,8
  1. 1Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Canada
  2. 2Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, Canada
  3. 3Alberta Children’s Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, Canada
  4. 4Sport Medicine Centre, University of Calgary, Calgary, Canada
  5. 5Evidence Sport and Spinal Therapy, Calgary, Canada
  6. 6Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada
  7. 7Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Canada
  8. 8O’Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, Canada


Background In 2004, a survey conducted in Alberta, Canada (n=2850) reported that 93.8% of high school students (ages 14–19) participated in sport over the previous year with injury rates (IR) of 65.7 injuries/100 students/year, 40.2/100 students/year for injuries requiring medical attention and 49.9 injuries/100 students/year for time loss injuries. Over the past decade, the Sport Injury Prevention Research Centre has introduced injury prevention programs to decrease the risk of sport-related injury among adolescents in schools and the community.

Objective To examine sport participation and injury rates in high school students.

Design Cross-sectional survey.

Setting High schools (Alberta, Canada).

Participants High school students (n=2029; 958 male, 1048 female, 23 identified as ‘other’) from 24 of 63 (38%) schools targeted for recruitment.

Assessment of Risk Factors Students completed a web-based survey during class (October 2018 –March 2019). Students identified the top 3 sports for participation in the past year.

Main Outcome Measurements Self-reported IR for 1) any sport-related injury over the last year, 2) most serious injury resulting in medical attention, and 3) most serious injury resulting in being restricted from sport ≥ one day adjusting for cluster by school.

Results Of the 2029 respondents, 861/958 (89.9%) males, 886/1048 (84.5%) females and 16/23 (69.6%) of those who identified as ‘other’, participated in a sport/recreational activity in the last year. Of the 1971 students who completed the question on sport injury, 892 reported at least one injury over the last year (IR=45.3 injuries/100 students/year (95%CI, 40.1–50.8). The IR including only injuries resulting in medical attention was 27.8 injuries/100 students/year (95%CI, 23.4, 32.7) and resulting in time loss from sport was 35.9 injuries/100 students/year (95%CI, 40.4–41.8).

Conclusions The sport-related injury rate for adolescents in Alberta is lower than previously reported 10 years ago. While, the decrease may be associated with wide scale injury prevention initiatives, it may also be related to a decline in sport participation. Future studies evaluating injury prevention strategies broadly are necessary.

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