{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T10:11:07Z","timestamp":1791281467604,"version":"4.1.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2006,3,1]],"date-time":"2006-03-01T00:00:00Z","timestamp":1141171200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2006,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In a previous study, we noted a possible connection between an athlete's weight and risk of ankle sprain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis<\/jats:title>\n                    <jats:p>A high body mass index and a history of a previous ankle sprain increase the risk of a subsequent noncontact sprain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One hundred fifty-two athletes from 4 football teams were observed (2 varsity and 2 junior varsity). Two teams were observed for 3 seasons, and 2 teams were observed for 1 season. Before each season, body mass, height, history of previous ankle sprains, and ankle tape or brace use were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 24 ankle sprains, of which 15 were noncontact inversion sprains (11 grade I, 3 grade II, 1 grade III; incidence, 1.08 per 1000 athlete-exposures). Injury incidence was higher in athletes with previous ankle injuries (2.60 vs 0.39; P&lt; .001). Body mass index was also a risk factor (P&lt; .05): injury incidence was 0.52 for players with a normal body mass index, 1.05 for players at risk of overweight, and 2.03 for overweight players. Injury incidence was 0.22 for normal-weight players with no previous ankle sprain compared with 4.27 for overweight players who had a previous sprain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>An overweight player who had a previous ankle sprain was 19 times more likely to sustain a noncontact ankle sprain than was a normal-weight player with no previous ankle sprain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Ankle sprain prevention strategies should be targeted at football players with a high body mass index and a history of previous ankle sprains.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546505280429","type":"journal-article","created":{"date-parts":[[2005,10,31]],"date-time":"2005-10-31T20:24:52Z","timestamp":1130790292000},"page":"471-475","source":"Crossref","is-referenced-by-count":158,"title":["Risk Factors for Noncontact Ankle Sprains in High School Football Players"],"prefix":"10.1177","volume":"34","author":[{"given":"Timothy F.","family":"Tyler","sequence":"first","affiliation":[{"name":"Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, New York"},{"name":"Pro Sports Physical Therapy of Westchester, Scarsdale, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malachy P.","family":"Mchugh","sequence":"additional","affiliation":[{"name":"Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael R.","family":"Mirabella","sequence":"additional","affiliation":[{"name":"Pro Sports Physical Therapy of Westchester, Scarsdale, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Mullaney","sequence":"additional","affiliation":[{"name":"Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J.","family":"Nicholas","sequence":"additional","affiliation":[{"name":"Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2006,3]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.1997.tb00135.x"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300508"},{"key":"e_1_3_1_4_2","volume-title":"Neuromechanical Basis of Kinesiology","author":"Enoka R.","year":"1994","unstructured":"EnokaR. 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