Soccer is an increasingly popular sport in the United States, both professionally and recreationally, with over 3 million registered soccer players under 19 years of age playing in leagues every year. A new study conducted by the Center for Injury Research and Policy of the Research Institute at Nationwide Children's Hospital found that with the increase in the number of players there has been a rise in the number and rate of injuries.
The study, published online today in Pediatrics, found that from 1990 through 2014, the number of soccer-related injuries treated in hospital emergency departments in the U.S. each year increased by 78 percent and the yearly rate of injuries increased by 111 percent among youth 7-17 years of age. By calculating the rate using participation data, researchers were able to show that the rising number of injuries comes not just from the increase in the number of young players participating in the sport but also because players are now being treated more frequently for injuries.
"The sport of soccer has changed dramatically in the last 25 years," said Huiyun Xiang MD, MPH, PhD, senior author and Director of Research Core at the Center for Injury Research and Policy at Nationwide Children's Hospital. "We're seeing athletes play year-round now thanks to club, travel and rec leagues, and the intensity of play is higher than it ever has been. These factors combine to lead to more risk of injury."
The majority of the injuries were sprains or strains (35 percent), fractures (23 percent) or soft tissue injuries (22 percent). While concussions and other closed-head injuries (CHIs) only accounted for just over 7 percent of the injuries overall, the rate of concussions/CHIs increased 1596 percent over the 25-year study period. Athletes with concussions/CHI were twice as likely to be admitted to the hospital as patients with other diagnoses.
"While we can't tell from our data why the rate of concussions among soccer players is increasing, it is important for athletes and families to be aware of this issue and what they can do to reduce the risks," said Tracy Mehan, MA, manager of translational research at the Center for Injury Research and Policy. "Young athletes take longer to recover from concussions than older athletes and they can put themselves at risk for second-impact syndrome and repeat concussions if they return to play too soon -- both of which can lead to serious, life-altering injuries."
The study also found that most of the injuries occurred when a player was struck by either another player or the ball (39 percent) or when they fell (29 percent). Older children and adolescents ages 12-17 years accounted for the majority of the injuries (73 percent) and girls were more likely than boys to sustain a knee or an ankle injury.
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