{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T09:20:04Z","timestamp":1768555204138,"version":"3.49.0"},"reference-count":9,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"content-version":"vor","delay-in-days":48,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Our primary objective was to identify and describe trends in head and neck injuries incurred while participating in barbell weightlifting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>National database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used data from the National Electronic Injury Surveillance System (NEISS) from 2014 to 2023. Population characteristics of barbell\u2010related injuries (NEISS Code 3265), including age and sex distributions, were recorded. We further analyzed the distribution of injury anatomic locations, injury types, fracture locations, and patient dispositions. To identify statistical significance, nonparametric tests were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between 2014 and 2023, 3105 cases of barbell\u2010related head and neck injuries were identified, predominantly in males (n\u2009=\u20092227, 71.7%) with a mean age of 27.7 years (SD: 11.9 years). The majority of patients (n\u2009=\u20092193, 74.5%) were treated and released, while 71 patients (2.3%) required hospital admission. The most affected body part was the head (n\u2009=\u20091,368, 44.1%), followed by the neck (n\u2009=\u2009993, 32%), the face (n\u2009=\u2009614, 19.8%), the mouth (n\u2009=\u2009108, 3.5%), and the ear (n\u2009=\u200922, 0.7%). The most common location of injury was a recreational or sports facility (n\u2009=\u20091143; 36.8%), with other significant locations being the home (n\u2009=\u2009542; 17.5%), and unspecified locations (n\u2009=\u20091065; 34.3%). Lacerations were the most common injury type (n\u2009=\u2009682; 32.4%). Moreover, lacerations were more significantly associated with barbell weightlifting at home (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) than in a recreational or sports facility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study demonstrates that a substantial number of barbell\u2010related injuries occur above the shoulder. This knowledge can inform the development of safety measures, including potential reforms in rules, regulations, and protective equipment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oto2.70049","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T00:40:16Z","timestamp":1731976816000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Epidemiology of Barbell Weightlifting\u2010Related Head and Neck Injuries in the United States: A 10\u2010Year Analysis of National Injury Data"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8607-7966","authenticated-orcid":false,"given":"Shiven","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Icahn School of Medicine at Mount Sinai New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luke","family":"Reardon","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences Lincoln Memorial University\u2010DeBusk College of Osteopathic Medicine Harrogate Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4981-2096","authenticated-orcid":false,"given":"Li\u2010Xing","family":"Man","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Rochester School of Medicine and Dentistry Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marita S.","family":"Teng","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Icahn School of Medicine at Mount Sinai New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele M.","family":"Carr","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Jacobs School Medicine and Biomedical Sciences University at Buffalo Buffalo New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"issue":"11","key":"e_1_2_8_2_1","article-title":"Prevalence and pattern of injuries across the weight\u2010training sports","volume":"15","author":"Bukhary HA","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_8_3_1","unstructured":"MeyersohnN. Americans have changed the way they exercise. Here's how gyms are adapting | CNN Business. CNN. March 1 2023. Accessed June 15 2024.https:\/\/www.cnn.com\/2023\/02\/28\/business\/gym-exercise-free-weights-cardio\/index.html#:~:text='Everybody%20is%20using%20dumbbells\u2019&text=And%20weight%20lifting%20has%20grown involve%20all%20major%20muscle%20group"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-88634-5"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509351560"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000001196"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2017.11.005"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-0927-6818"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1519\/JSC.0b013e3181b86cb9"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1519\/JSC.0b013e3181b86712"}],"container-title":["OTO Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/oto2.70049","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:34:54Z","timestamp":1760956494000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/oto2.70049"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1002\/oto2.70049"],"URL":"https:\/\/doi.org\/10.1002\/oto2.70049","archive":["Portico"],"relation":{},"ISSN":["2473-974X","2473-974X"],"issn-type":[{"value":"2473-974X","type":"print"},{"value":"2473-974X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"2024-09-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70049"}}