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Bone Stress Accidents in Cross Nation Run on Athletic Coaching Providers

Epidemiology of Bone Stress Accidents and Healthcare Utilization in PAC-12 Cross-Nation Athletes

Wayner RA, Brown CN, Bovbjerg VE, Fredericson M, Soucy MT, Choe S, Simon JE. J Athl Practice. 2023;10.4085/1062-6050-0089.23 [published online ahead of print, 2023 Jul 18].

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Take Residence Message

Bone stress accidents in cross nation athletes most frequently happen in ladies, are overuse, and require 10-11 companies offered by Athletic trainers. 


The harm price in cross-country operating is about 4 per 1000 athletic exposures. Some authors have discovered bone stress accidents to be ~20% of all accidents in cross-country. Sufferers who maintain a bone stress harm can have as much as six occasions higher danger of subsequent bone stress harm. Sadly, we all know little about how widespread bone stress accidents are amongst female and male NCAA Division I cross-country athletes and what healthcare companies they obtain.

Examine Objectives

The authors assessed the healthcare utilization, harm price, and harm traits of bone stress accidents in NCAA Division I cross-country athletes.


The authors used deidentified knowledge from the PAC-12 Well being Analytics Program harm registry. The registry included harm knowledge and healthcare companies entered by athletic trainers from July 2018 to June 2022. The authors categorised bone stress accidents as ones within the lumbar backbone, pelvis, or decrease extremities. They excluded circumstances of medial tibial stress syndrome for this paper. The authors categorized accidents into acute or power onset and time loss or non-time loss accidents. They then calculated healthcare utilization by counting the variety of encounters with a supplier (athletic coach or doctor), prescriptions, procedures, or checks. The authors additionally assessed the time within the 12 months the harm occurred: pre-season, in-season, post-season, and low season.


The speed of bone stress accidents was 0.14 per athlete season. Females’ price of bone stress harm was 58% larger than males. Total, 92% of bone stress accidents occurred by means of an overuse mechanism. Extra particularly, 73% of all bone stress accidents had classifications of time loss and overuse in nature. On common, a affected person acquired 10.5 athletic coaching companies. Sufferers with an overuse and time loss harm tended to obtain barely extra athletic coaching companies than these with an overuse and non-time loss harm (10.9 vs. 12.2).


Amongst Division I collegiate cross-country runners, bone stress accidents are widespread and are typically brought on by overuse mechanisms, resulting in time loss. These accidents required important athletic coaching companies however not often different healthcare companies (e.g., medicines, checks, procedures, surgical procedure). It could be fascinating to see if this sample persists in different athletic conferences. The authors acknowledged that using athletic coaching companies amongst these collegiate sufferers was extra important than using athletic coaching companies by highschool cross-country runners. Therefore, we should always rigorously apply these outcomes to completely different age teams.

Scientific Implications

Clinicians ought to promote harm prevention programming for cross-country athletes that targets overuse accidents, together with bone stress accidents. The excessive demand for athletic coaching companies for this affected person inhabitants highlights the necessity for adequate staffing to work with collegiate Division I cross-country runners.

Associated posts

Is Way of life a Issue for Adolescents with Bony Stress Accidents?
Who Will get Stress Fractures in School?

Written by Mitchell Barnhart
Reviewed by Jeffrey Driban

9 EBP CEU Courses

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