{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T03:46:38Z","timestamp":1794541598850,"version":"4.9.1"},"reference-count":23,"publisher":"National Athletic Trainers' Association","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:sec>\n          <jats:title>Context:<\/jats:title>\n          <jats:p>Cheerleading-related injuries are on the rise. To date, no epidemiologic studies of cheerleading stunt-related injuries have been published.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Objective:<\/jats:title>\n          <jats:p>To describe and compare cheerleading stunt-related injuries by type of cheerleading team (All Star, college, high school, middle school, or recreation league) and event (practice, pep rally, athletic event, or cheerleading competition).<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Design:<\/jats:title>\n          <jats:p>Prospective injury surveillance study.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Setting:<\/jats:title>\n          <jats:p>Participant exposure and injury data were collected from US cheerleading teams via the Cheerleading RIO (Reporting Information Online) surveillance tool.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Patients or Other Participants:<\/jats:title>\n          <jats:p>Athletes from enrolled cheerleading teams who participated in official, organized cheerleading practices, pep rallies, athletic events, or cheerleading competitions.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Main Outcome Measure(s):<\/jats:title>\n          <jats:p>The numbers, types, and rates of cheerleading stunt-related injuries during a 1-year period (2006\u20132007) are reported.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results:<\/jats:title>\n          <jats:p>Stunt-related injuries accounted for 60% (338\/567) of the injuries sustained by US cheerleaders who participated in the study and 96% (22\/23) of the concussions and closed head injuries (CHIs) reported during the study. Collegiate cheerleaders were more likely to sustain a concussion or CHI than were cheerleaders on other types of teams (<jats:italic>P<\/jats:italic> \u200a=\u200a .02, odds ratio \u200a=\u200a 3.10, 95% confidence interval \u200a=\u200a 1.20, 8.06). Most injuries occurred while the cheerleader was spotting or basing another cheerleader (34%, 115\/338), and these injuries comprised 32% (51\/161) of all stunt-related strains and sprains. Four cheerleaders (1.2%, 4\/335) were admitted to the hospital, and 9 cheerleaders (2.7%, 9\/335) required surgery.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusions:<\/jats:title>\n          <jats:p>Cheerleading stunts pose an increased risk for injury, especially in terms of sustaining a concussion or CHI. Spotters and bases were most likely to be injured during the performance of cheerleading stunts and were at risk for sustaining strain and sprain injuries. The ankle, lower back, and wrist were the sites most likely to be reinjured while performing cheerleading stunts.<\/jats:p>\n        <\/jats:sec>","DOI":"10.4085\/1062-6050-44.6.586","type":"journal-article","created":{"date-parts":[[2009,12,30]],"date-time":"2009-12-30T15:36:39Z","timestamp":1262187399000},"page":"586-594","source":"Crossref","is-referenced-by-count":39,"title":["Epidemiology of Cheerleading Stunt-Related Injuries in the United States"],"prefix":"10.4085","volume":"44","author":[{"given":"Brenda J.","family":"Shields","sequence":"first","affiliation":[{"name":"The Research Institute at Nationwide Children's Hospital, Columbus, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soledad A.","family":"Fernandez","sequence":"additional","affiliation":[{"name":"The Ohio State University, Columbus, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary A.","family":"Smith","sequence":"additional","affiliation":[{"name":"The Research Institute at Nationwide Children's Hospital, Columbus, OH"},{"name":"The Ohio State University College of Medicine, Columbus, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"key":"i1062-6050-44-6-586-Giannone1","series-title":"American Association of Cheerleading Coaches and Administrators Cheerleading Safety Manual","first-page":"1","article-title":"A philosophy of safety awareness.","author":"Giannone, L.","year":"2006","unstructured":"Giannone, L. and T. L.Williamson. A philosophy of safety awareness.In:George, G. S.American Association of Cheerleading Coaches and Administrators Cheerleading Safety Manual. Memphis, TNUCA Publications Department. 2006. 1\u20134."},{"issue":"6","key":"i1062-6050-44-6-586-Shields1","series-title":"J Athl Train","first-page":"567","article-title":"Cheerleading-related injuries in the United States: a prospective surveillance study.","volume":"44","author":"Shields, B. J.","year":"2009","unstructured":"Shields, B. J. and G. A.Smith. Cheerleading-related injuries in the United States: a prospective surveillance study.J Athl Train2009. 446:567\u2013577."},{"issue":"9","key":"i1062-6050-44-6-586-Hutchinson1","series-title":"Physician Sportsmed","first-page":"83","article-title":"Cheerleading injuries: patterns, prevention, case reports.","volume":"25","author":"Hutchinson, M. R.","year":"1997","unstructured":"Hutchinson, M. R.\n          \n          Cheerleading injuries: patterns, prevention, case reports.\n          Physician Sportsmed\n          1997. 259:83\u201396."},{"issue":"1","key":"i1062-6050-44-6-586-Shields2","series-title":"Pediatrics","first-page":"122","article-title":"Cheerleading-related injuries to children 5 to 18 years of age: United States, 1990\u20132002.","volume":"117","author":"Shields, B. J.","year":"2006","unstructured":"Shields, B. J. and G. A.Smith. Cheerleading-related injuries to children 5 to 18 years of age: United States, 1990\u20132002.Pediatrics2006. 1171:122\u2013129."},{"issue":"2","key":"i1062-6050-44-6-586-Schulz1","series-title":"Am J Sports Med","first-page":"396","article-title":"A prospective cohort study of injury incidence and risk factors in North Carolina high school competitive cheerleaders.","volume":"32","author":"Schulz, M. R.","year":"2004","unstructured":"Schulz, M. R., S. W.Marshall, J.Yang, F. O.Mueller, N. L.Weaver, and J. M.Bowling. A prospective cohort study of injury incidence and risk factors in North Carolina high school competitive cheerleaders.Am J Sports Med2004. 322:396\u2013405."},{"issue":"5","key":"i1062-6050-44-6-586-Jacobson1","series-title":"J Orthop Sports Phys Ther","first-page":"261","article-title":"An assessment of high school cheerleading: injury distribution, frequency, and associated factors.","volume":"34","author":"Jacobson, B. H.","year":"2004","unstructured":"Jacobson, B. H., M.Hubbard, B.Redus, et al. An assessment of high school cheerleading: injury distribution, frequency, and associated factors.J Orthop Sports Phys Ther2004. 345:261\u2013265."},{"key":"i1062-6050-44-6-586-Mueller1","article-title":"National Center for Catastrophic Sports Injury Research: twenty-fourth annual report, fall 1982\u2013spring 2006.","author":"Mueller, F. O.","unstructured":"Mueller, F. O. and R. C.Cantu. National Center for Catastrophic Sports Injury Research: twenty-fourth annual report, fall 1982\u2013spring 2006.http:\/\/www.unc.edu\/depts\/nccsi\/AllSport.htm. Accessed April 24, 2008."},{"issue":"4","key":"i1062-6050-44-6-586-Proctor1","series-title":"Clin Sports Med","first-page":"693","article-title":"Head and neck injuries in young athletes.","volume":"19","author":"Proctor, M. R.","year":"2000","unstructured":"Proctor, M. R. and R. C.Cantu. Head and neck injuries in young athletes.Clin Sports Med2000. 194:693\u2013715."},{"issue":"10","key":"i1062-6050-44-6-586-Powell1","series-title":"JAMA","first-page":"958","article-title":"Traumatic brain injury in high school athletes.","volume":"282","author":"Powell, J. W.","year":"1999","unstructured":"Powell, J. W. and K. D.Barber-Foss. Traumatic brain injury in high school athletes.JAMA1999. 28210:958\u2013963."},{"issue":"4","key":"i1062-6050-44-6-586-Buzzini1","series-title":"Curr Opin Pediatr","first-page":"376","article-title":"Sport-related concussion in the young athlete.","volume":"18","author":"Buzzini, S. R. R.","year":"2006","unstructured":"Buzzini, S. R. R. and K. M.Guskiewicz. Sport-related concussion in the young athlete.Curr Opin Pediatr2006. 184:376\u2013382."},{"issue":"4","key":"i1062-6050-44-6-586-Gessel1","series-title":"J Athl Train","first-page":"495","article-title":"Concussions among United States high school and collegiate athletes.","volume":"42","author":"Gessel, L. M.","year":"2007","unstructured":"Gessel, L. M., S. K.Fields, C. L.Collins, R. W.Dick, and R. D.Comstock. Concussions among United States high school and collegiate athletes.J Athl Train2007. 424:495\u2013503."},{"issue":"2","key":"i1062-6050-44-6-586-Hootman1","series-title":"J Athl Train","first-page":"311","article-title":"Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives.","volume":"42","author":"Hootman, J. M.","year":"2007","unstructured":"Hootman, J. M., R.Dick, and J.Agel. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives.J Athl Train2007. 422:311\u2013319."},{"issue":"2","key":"i1062-6050-44-6-586-Marshall1","series-title":"J Athl Train","first-page":"234","article-title":"Descriptive epidemiology of collegiate women's gymnastics injuries: National Collegiate Athletic Association Injury Surveillance System, 1988\u20131989 through 2003\u20132004.","volume":"42","author":"Marshall, S. W.","year":"2007","unstructured":"Marshall, S. W., T.Covassin, R.Dick, L. G.Nassar, and J.Agel. Descriptive epidemiology of collegiate women's gymnastics injuries: National Collegiate Athletic Association Injury Surveillance System, 1988\u20131989 through 2003\u20132004.J Athl Train2007. 422:234\u2013240."},{"issue":"6","key":"i1062-6050-44-6-586-Boden1","series-title":"Am J Sports Med","first-page":"881","article-title":"Catastrophic cheerleading injuries.","volume":"31","author":"Boden, B. P.","year":"2003","unstructured":"Boden, B. P., R.Tacchetti, and F. O.Mueller. Catastrophic cheerleading injuries.Am J Sports Med2003. 316:881\u2013888."},{"issue":"1","key":"i1062-6050-44-6-586-Cantu1","series-title":"Clin Sports Med","first-page":"45","article-title":"Return to play guidelines after a head injury.","volume":"17","author":"Cantu, R. C.","year":"1998","unstructured":"Cantu, R. C.\n          \n          Return to play guidelines after a head injury.\n          Clin Sports Med\n          1998. 171:45\u201360."},{"issue":"6","key":"i1062-6050-44-6-586-Kushner1","series-title":"Am Fam Physician","first-page":"1007","article-title":"Concussion in sports: minimizing the risk for complications.","volume":"64","author":"Kushner, D. S.","year":"2001","unstructured":"Kushner, D. S.\n          \n          Concussion in sports: minimizing the risk for complications.\n          Am Fam Physician\n          2001. 646:1007\u20131014."},{"issue":"5","key":"i1062-6050-44-6-586-Cobb1","series-title":"J School Nurs","first-page":"262","article-title":"Second-impact syndrome.","volume":"20","author":"Cobb, S.","year":"2004","unstructured":"Cobb, S. and B.Battin. Second-impact syndrome.J School Nurs2004. 205:262\u2013267."},{"issue":"5","key":"i1062-6050-44-6-586-Lovell1","series-title":"Am J Sports Med","first-page":"47","article-title":"Grade 1 or \"ding\" concussions in high school athletes.","volume":"32","author":"Lovell, M. R.","year":"2004","unstructured":"Lovell, M. R., M. W.Collins, G. L.Iverson, K. M.Johnston, and J. P.Bradley. Grade 1 or \"ding\" concussions in high school athletes.Am J Sports Med2004. 325:47\u201354."},{"issue":"3","key":"i1062-6050-44-6-586-Cantu2","series-title":"Clin Sports Med","first-page":"593","article-title":"Recurrent athletic head injury: risks and when to retire.","volume":"22","author":"Cantu, R. C.","year":"2003","unstructured":"Cantu, R. C.\n          \n          Recurrent athletic head injury: risks and when to retire.\n          Clin Sports Med\n          2003. 223:593\u2013603."},{"key":"i1062-6050-44-6-586-National1","article-title":"Secondary school official statement.","unstructured":"National Athletic Trainers' Association\n          \n          Secondary school official statement.\n          \n            http:\/\/www.nata.org\/statements\/official\/secondaryschool.pdf. Accessed October 7, 2008."},{"key":"i1062-6050-44-6-586-National2","article-title":"Recommendations and guidelines for appropriate medical coverage of intercollegiate athletics.","year":"Revised June 2007","unstructured":"National Athletic Trainers' Association\n          \n          Recommendations and guidelines for appropriate medical coverage of intercollegiate athletics.\n          Revised June 2007. http:\/\/www.nata.org\/statements\/support\/AMCIARecsandGuides.pdf. Accessed October 7, 2008."},{"key":"i1062-6050-44-6-586-National3","article-title":"Appropriate medical care for the secondary school-age athlete communication.","year":"2004","unstructured":"National Athletic Trainers' Association\n          \n          Appropriate medical care for the secondary school-age athlete communication.\n          2004. http:\/\/www.nata.org\/statements\/support\/secondary_school_medcarecommunication.pdf. Accessed October 10, 2008."},{"key":"i1062-6050-44-6-586-American1","article-title":"2007\u20132008 AACCA college cheerleading safety rules.","unstructured":"American Association of Cheerleading Coaches and Administrators\n          \n          2007\u20132008 AACCA college cheerleading safety rules.\n          \n            http:\/\/www.aacca.org\/collegesafety.asp. 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