{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T04:16:19Z","timestamp":1749701779976,"version":"3.41.0"},"reference-count":30,"publisher":"National Athletic Trainers' Association","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2]]},"abstract":"\n Context<\/jats:title>\n Surrounding the predictive value of clinical measurements and assessments for future athletic injury, most researchers have not differentiated between contact and noncontact injuries.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n We assessed the association between clinical measures and questionnaire data collected before sport participation and the incidence of noncontact lower extremity (LE) injuries among Division III collegiate athletes.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Prospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n University setting, National Collegiate Athletic Association Division III.<\/jats:p>\n <\/jats:sec>\n \n Patients or Other Participants<\/jats:title>\n Here, 488 Division III freshmen athletes were recruited to participate in the study during their preseason physical examinations.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measure(s)<\/jats:title>\n Prospective incidence of noncontact LE injury. Athletes completed questionnaires to collect demographics and musculoskeletal pain history. Clinical tests, performed by trained examiners, included hip provocative tests, visual appraisal of a single-leg squat to identify dynamic knee valgus, and hip range of motion. Injury surveillance for each athlete\u2019s collegiate career was performed. The athletic training department documented each athlete-reported new onset injury and documented the injury location, type, and outcome (days lost, surgery performed). Univariable generalized estimating equation models were used to analyze the relationship between each clinical measure and the first occurrence of noncontact LE injury. An exchangeable correlation structure was used to account for repeated measurements within athletes (right and left limbs).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of the 488 athletes, 369 athletes (75%) were included in the final analysis. Sixty-nine noncontact LE injuries were reported. Responding yes<\/jats:italic> to, \u201cHave you ever had pain or an injury to your low back?\u201d was associated with an increased risk of noncontact LE, odds ratio = 1.59 (95% confidence interval = 1.03, 2.45; P<\/jats:italic> = .04). No other clinical measures were associated with an increased injury risk.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n A history of prior low back pain or injury was associated with an increased risk of sustaining a noncontact LE injury while participating in National Collegiate Athletic Association Division III athletics.<\/jats:p>\n <\/jats:sec>","DOI":"10.4085\/1062-6050-0151.24","type":"journal-article","created":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T17:03:54Z","timestamp":1726592634000},"page":"170-176","source":"Crossref","is-referenced-by-count":0,"title":["Low Back Pain or Injury Before Collegiate Athletics, a Potential Risk Factor for Noncontact Athletic Injuries"],"prefix":"10.4085","volume":"60","author":[{"given":"Marcie","family":"Harris-Hayes","sequence":"first","affiliation":[{"name":"Physical Therapy and Orthopaedic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Solomon","sequence":"additional","affiliation":[{"name":"Physical Therapy and Orthopaedic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvia","family":"Lin","sequence":"additional","affiliation":[{"name":"Physical Therapy and Orthopaedic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidi","family":"Prather","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, Weill Cornell Medicine, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devyani","family":"Hunt","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Division of Physical Medicine and Rehabilitation, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mansi","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Division of Biostatistics, Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy J.","family":"Bloom","sequence":"additional","affiliation":[{"name":"Physical Therapy and Orthopaedic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Mills","sequence":"additional","affiliation":[{"name":"Physical Therapy and Orthopaedic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John C.","family":"Clohisy","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Division of Physical Medicine and Rehabilitation, and"},{"name":"Division of Biostatistics, Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","reference":[{"issue":"4","key":"i1938-162X-60-2-170-b01","series-title":"Sports Med Auckl NZ","first-page":"205","article-title":"Intrinsic risk factors and athletic injuries","volume":"9","author":"Taimela","year":"1990","unstructured":"Taimela\n S,\n \n \n Kujala\n UM,\n \n \n Osterman\n K.\n \n \n Intrinsic risk factors and athletic injuries. 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Sports Med Open. 2022;8(1):38. doi:10.1186\/s40798-022-00416-z"},{"issue":"7","key":"i1938-162X-60-2-170-b12","series-title":"Int J Environ Res Public Health","first-page":"3826","article-title":"Stiff landings, core stability, and dynamic knee valgus: a systematic review on documented anterior cruciate ligament ruptures in male and female athletes","volume":"18","author":"Larwa","year":"2021","unstructured":"Larwa\n J,\n \n \n Stoy\n C,\n \n \n Chafetz\n RS,\n \n \n Boniello\n M,\n \n \n Franklin\n C.\n \n \n Stiff landings, core stability, and dynamic knee valgus: a systematic review on documented anterior cruciate ligament ruptures in male and female athletes\n .\n \n Int J Environ Res Public Health\n . 2021;18(7):3826. doi:10.3390\/ijerph18073826"},{"issue":"8","key":"i1938-162X-60-2-170-b13","series-title":"J Orthop Sports Phys Ther","first-page":"650","article-title":"Postural stability during single-leg stance: a preliminary evaluation of noncontact lower extremity injury risk","volume":"46","author":"Dingenen","year":"2016","unstructured":"Dingenen\n B,\n \n \n Malfait\n B,\n \n \n Nijs\n S,\n \n et al.\n \n Postural stability during single-leg stance: a preliminary evaluation of noncontact lower extremity injury risk. J Orthop Sports Phys Ther. 2016;46(8):650\u2013657. doi:10.2519\/jospt.2016.6278"},{"issue":"2","key":"i1938-162X-60-2-170-b14","series-title":"Knee Surg Sports Traumatol Arthrosc","first-page":"442","article-title":"Two-dimensional motion analysis of dynamic knee valgus identifies female high school athletes at risk of non-contact anterior cruciate ligament injury","volume":"26","author":"Numata","year":"2018","unstructured":"Numata\n H,\n \n \n Nakase\n J,\n \n \n Kitaoka\n K,\n \n et al.\n \n Two-dimensional motion analysis of dynamic knee valgus identifies female high school athletes at risk of non-contact anterior cruciate ligament injury. 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PM R. 2017;9(7):660\u2013667. doi:10.1016\/j.pmrj.2016.10.022"},{"issue":"10","key":"i1938-162X-60-2-170-b16","series-title":"PM R","first-page":"888","article-title":"Reliability and agreement of hip range of motion and provocative physical examination tests in asymptomatic volunteers","volume":"2","author":"Prather","year":"2010","unstructured":"Prather\n H,\n \n \n Harris\u2010Hayes\n M,\n \n \n Hunt\n DM,\n \n \n Steger\u2010May\n K,\n \n \n Mathew\n V,\n \n \n Clohisy\n JC.\n \n \n Reliability and agreement of hip range of motion and provocative physical examination tests in asymptomatic volunteers. PM R. 2010;2(10):888\u2013895. doi:10.1016\/j.pmrj.2010.05.005"},{"issue":"6","key":"i1938-162X-60-2-170-b17","series-title":"Physiother Theory Pract","first-page":"315","article-title":"Does stabilization of the tibiofemoral joint affect passive prone hip rotation range of motion measures in unimpaired individuals? 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Br J Sports Med. 2001;35(6):435\u2013439; discussion 440. doi:10.1136\/bjsm.35.6.435"},{"issue":"11","key":"i1938-162X-60-2-170-b27","series-title":"J Orthop Sports Phys Ther","first-page":"A1","article-title":"Knee stability and movement coordination impairments: knee ligament sprain revision 2017","volume":"47","author":"Logerstedt","year":"2017","unstructured":"Logerstedt\n DS,\n \n \n Scalzitti\n D,\n \n \n Risberg\n MA,\n \n et al.\n \n Knee stability and movement coordination impairments: knee ligament sprain revision 2017. J Orthop Sports Phys Ther. 2017;47(11):A1\u2013A47. doi:10.2519\/jospt.2017.0303"},{"issue":"1","key":"i1938-162X-60-2-170-b28","series-title":"Knee","first-page":"86","article-title":"Limited hip rotation and non-contact anterior cruciate ligament injury: a case-control study","volume":"21","author":"Tainaka","year":"2014","unstructured":"Tainaka\n K,\n \n \n Takizawa\n T,\n \n \n Kobayashi\n H,\n \n \n Umimura\n M.\n \n \n Limited hip rotation and non-contact anterior cruciate ligament injury: a case-control study. Knee. 2014;21(1):86\u201390. doi:10.1016\/j.knee.2013.07.006"},{"issue":"9","key":"i1938-162X-60-2-170-b29","series-title":"Arthroscopy","first-page":"1034","article-title":"Decreased hip range of motion and noncontact injuries of the anterior cruciate ligament","volume":"24","author":"Gomes","year":"2008","unstructured":"Gomes\n JL,\n \n \n de Castro\n JV,\n \n \n Becker\n R.\n \n \n Decreased hip range of motion and noncontact injuries of the anterior cruciate ligament. Arthroscopy. 2008;24(9):1034\u20131037. doi:10.1016\/j.arthro.2008.05.012"},{"issue":"2","key":"i1938-162X-60-2-170-b30","series-title":"PLoS One","first-page":"e0114937","article-title":"Injuries in runners; a systematic review on risk factors and sex differences","volume":"10","author":"van der Worp","year":"2015","unstructured":"van der Worp\n MP,\n \n \n ten Haaf\n DS,\n \n \n van Cingel\n R,\n \n \n de Wijer\n A,\n \n \n Nijhuis-van der Sanden\n MW,\n \n \n Staal\n JB.\n \n \n Injuries in runners; a systematic review on risk factors and sex differences. 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