Overuse Injury, Substance Use, and Resilience in Collegiate Female Athlete

# Background Overuse injury is a common stressor experienced by female collegiate athletes and is often underreported. In response, athletes may develop negative coping skills such as substance use. Alternatively, resilience is a modifiable trait that may positively influence response to musculoskel...

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Main Authors: Chelsea L Martin, Ellen Shanley, Chris Harnish, Amy M Knab, Shefali Christopher, Srikant Vallabhajosula, Garrett S Bullock
Format: Article
Language:English
Published: North American Sports Medicine Institute 2021-08-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.25760
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author Chelsea L Martin
Ellen Shanley
Chris Harnish
Amy M Knab
Shefali Christopher
Srikant Vallabhajosula
Garrett S Bullock
author_facet Chelsea L Martin
Ellen Shanley
Chris Harnish
Amy M Knab
Shefali Christopher
Srikant Vallabhajosula
Garrett S Bullock
author_sort Chelsea L Martin
collection DOAJ
description # Background Overuse injury is a common stressor experienced by female collegiate athletes and is often underreported. In response, athletes may develop negative coping skills such as substance use. Alternatively, resilience is a modifiable trait that may positively influence response to musculoskeletal injuries and substance use. # Purpose To provide an updated epidemiological profile of overuse injury and substance use and examine the relationship between resilience, overuse injury, and substance use among collegiate female athletes. # Design Cross-sectional study # Methods Two-hundred and thirty female collegiate athletes were classified into overuse injury and resilience groups. Overuse injury, pain, and substance use incidence proportions (IP) were calculated. Kruskal-Wallis analyses were performed to investigate differences in substance use among resilience groups. Analyses of covariance were performed to evaluate differences in overuse injuries, substantial overuse injuries, and time loss injuries, among resilience groups. # Results IP for pain was 45.0% (95% CI: 38.2-51.9); Overuse injury 52.0% (45.1-58.9); Alcohol use 35.1% (28.6-41.6); Electronic cigarette use 19.5% (14.6-24.9); Cigarette use 2.8% (6-5.1); and Drug use 3.3% (0.9-5.8). No significant differences were found between resilience groups for the Oslo Sports Trauma Research Center Overuse Injury Questionnaire (OSTRC) variables (Pain: p=0.102; Overuse injury: p=0.331; Substantial overuse injury: p=0.084; Not playing: p=0.058), alcohol (p=0.723), or combined substance use (p=0.069). # Conclusions Pain and overuse injury prevalence is high among female collegiate athletes. Alcohol followed by electronic cigarette use were the most commonly utilized substances. No significant differences were identified in substance use or overuse injury presentation between resilience groups, though further investigation is warranted. # Level of Evidence 3
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spelling doaj-art-761412f3484946639848596a0a9c3cd92025-02-11T20:28:27ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962021-08-01164Overuse Injury, Substance Use, and Resilience in Collegiate Female AthleteChelsea L MartinEllen ShanleyChris HarnishAmy M KnabShefali ChristopherSrikant VallabhajosulaGarrett S Bullock# Background Overuse injury is a common stressor experienced by female collegiate athletes and is often underreported. In response, athletes may develop negative coping skills such as substance use. Alternatively, resilience is a modifiable trait that may positively influence response to musculoskeletal injuries and substance use. # Purpose To provide an updated epidemiological profile of overuse injury and substance use and examine the relationship between resilience, overuse injury, and substance use among collegiate female athletes. # Design Cross-sectional study # Methods Two-hundred and thirty female collegiate athletes were classified into overuse injury and resilience groups. Overuse injury, pain, and substance use incidence proportions (IP) were calculated. Kruskal-Wallis analyses were performed to investigate differences in substance use among resilience groups. Analyses of covariance were performed to evaluate differences in overuse injuries, substantial overuse injuries, and time loss injuries, among resilience groups. # Results IP for pain was 45.0% (95% CI: 38.2-51.9); Overuse injury 52.0% (45.1-58.9); Alcohol use 35.1% (28.6-41.6); Electronic cigarette use 19.5% (14.6-24.9); Cigarette use 2.8% (6-5.1); and Drug use 3.3% (0.9-5.8). No significant differences were found between resilience groups for the Oslo Sports Trauma Research Center Overuse Injury Questionnaire (OSTRC) variables (Pain: p=0.102; Overuse injury: p=0.331; Substantial overuse injury: p=0.084; Not playing: p=0.058), alcohol (p=0.723), or combined substance use (p=0.069). # Conclusions Pain and overuse injury prevalence is high among female collegiate athletes. Alcohol followed by electronic cigarette use were the most commonly utilized substances. No significant differences were identified in substance use or overuse injury presentation between resilience groups, though further investigation is warranted. # Level of Evidence 3https://doi.org/10.26603/001c.25760
spellingShingle Chelsea L Martin
Ellen Shanley
Chris Harnish
Amy M Knab
Shefali Christopher
Srikant Vallabhajosula
Garrett S Bullock
Overuse Injury, Substance Use, and Resilience in Collegiate Female Athlete
International Journal of Sports Physical Therapy
title Overuse Injury, Substance Use, and Resilience in Collegiate Female Athlete
title_full Overuse Injury, Substance Use, and Resilience in Collegiate Female Athlete
title_fullStr Overuse Injury, Substance Use, and Resilience in Collegiate Female Athlete
title_full_unstemmed Overuse Injury, Substance Use, and Resilience in Collegiate Female Athlete
title_short Overuse Injury, Substance Use, and Resilience in Collegiate Female Athlete
title_sort overuse injury substance use and resilience in collegiate female athlete
url https://doi.org/10.26603/001c.25760
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