TY - JOUR PY - 2016// TI - Comparison of Indiana high school football injury rates by inclusion of the USA Football "Heads Up Football" player safety coach JO - Orthopaedic journal of sports medicine A1 - Kerr, Zachary Y. A1 - Dalton, Sara L. A1 - Roos, Karen G. A1 - Djoko, Aristarque A1 - Phelps, Jennifer A1 - Dompier, Thomas P. SP - e2325967116648441 EP - e2325967116648441 VL - 4 IS - 5 N2 - BACKGROUND: In Indiana, high school football coaches are required to complete a coaching education course with material related to concussion awareness, equipment fitting, heat emergency preparedness, and proper technique. Some high schools have also opted to implement a player safety coach (PSC). The PSC, an integral component of USA Football's Heads Up Football (HUF) program, is a coach whose primary responsibility is to ensure that other coaches are implementing proper tackling and blocking techniques alongside other components of the HUF program.

PURPOSE: To compare injury rates in Indiana high school football teams by their usage of a PSC or online coaching education only. STUDY DESIGN: Cohort study; Level of evidence, 2.

METHODS: Athletic trainers (ATs) evaluated and tracked injuries at each practice and game during the 2015 high school football season. Players were drawn from 6 teams in Indiana. The PSC group, which used the PSC component, was comprised of 204 players from 3 teams. The "education only" group (EDU), which utilized coaching education only, was composed of 186 players from 3 teams. Injury rates and injury rate ratios (IRRs) were reported with 95% confidence intervals (CIs).

RESULTS: During 25,938 athlete-exposures (AEs), a total of 149 injuries were reported, of which 54 (36.2%) and 95 (63.8%) originated from the PSC and EDU groups, respectively. The practice injury rate was lower in the PSC group than the EDU group (2.99 vs 4.83/1000 AEs; IRR, 0.62; 95% CI, 0.40-0.95). The game injury rate was also lower in the PSC group than the EDU group (11.37 vs 26.37/1000 AEs; IRR, 0.43; 95% CI, 0.25-0.74). When restricted to concussions only, the rate was lower in the PSC group (0.09 vs 0.73/1000 AEs; IRR, 0.12; 95% CI, 0.01-0.94), although only 1 concussion was reported in the PSC group. No differences were found in game concussion rates (0.60 vs 4.39/1000 AEs; IRR, 0.14; 95% CI, 0.02-1.11).

CONCLUSION: Findings support the PSC as an effective method of injury mitigation in high school football. Future research should seek to replicate this study using larger samples from additional states. Keywords: American football;

Language: en

LA - en SN - 2325-9671 UR - http://dx.doi.org/10.1177/2325967116648441 ID - ref1 ER -