Friday, April 25, 2014
Inquirer Daily News

Children, Teens

POSTED: Wednesday, April 23, 2014, 5:30 AM

Did you know that up to 91 percent of competitive swimmers have reported experiencing shoulder pain? Unfortunately most young swimmers will develop such pain—it’s just part of the sport.The same used to be true of youth pitchers in baseball.

For years, there was growing evidence that youth baseball pitchers were experiencing a high number of shoulder and elbow injuries. These injuries appeared related to excessive exposure to throwing the baseball. It was an epidemic, a talented 13-year old kid’s future ended due to shoulder and/or elbow ligamentous injuries. It got to a point where these kids and their parents were coming to orthopaedic surgeons for the elbow-saving Tommy John surgical procedure. Enough was enough.

In the beginning of 2007, Little League baseball became the first organization to implement a pitch count rule to protect young pitching arms. This is an age-based system in which a pitcher who throws a certain number of pitches must wait several days before competitively throwing again. Even Major League Baseball managers follow pitch counts to protect multi-million dollar shoulders from injury.

Good Shepherd Penn Partners - Shoulder and Trunk Exercises for Swimmers from Good Shepherd Penn Partners on Vimeo.

POSTED: Friday, April 4, 2014, 5:45 AM

Grab your helmet and stick and let’s hit the lacrosse field.

Injury statistics

A 2007 study by Dick et al in the Journal of Athletic Training looked at injury rates for the men’s lacrosse using the NCAA injury surveillance system from 1988-2004. The results show a nearly 4 times higher rate of injury in games than in practice (12.58 versus 3.24 injuries per 1000 athlete-exposures [A-Es]).

POSTED: Wednesday, March 26, 2014, 5:30 AM
Jon Darling, athletic trainer for North Fargo, N.D. Spartan High School, tapes senior Marlee Nasset's ankle prior to track practice, Friday, May 14, 2004. (AP Photo/Alyssa Hurst)

While watching our favorite sports teams, we are generally hoping for 2 things—a win for our team and no injuries.

Injuries have always been a part of sports and likely always will be. The difference between a championship season and missing the playoffs may be 1-2 injuries. Fortunately, professional and college teams almost always have an athletic trainer on site to care for that injury.

Athletic trainers (ATs) are nationally certified after passing a board exam and obtaining a bachelor’s or master’s degree in athletic training. They are state-licensed and work under the direction of a physician in most states. The services provided by ATs comprise prevention, emergency care, clinical diagnosis, therapeutic intervention and rehabilitation of injuries and medical conditions.1 ATs are the first medical providers to respond to an on field emergency. They care for the individual player (often alone), until an ambulance arrives to transport the player to a hospital.

POSTED: Monday, March 10, 2014, 5:30 AM

For statistics on common baseball injuries, click here.

It’s that time of year. Spring sports are in the air, even if the spring weather isn’t. Let’s head to the ballpark and start with baseball.

Upper Extremity

POSTED: Monday, March 10, 2014, 5:30 AM

A 2007 study by Dick et al in the Journal of Athletic Training looked at injury rates for the men’s baseball using the NCAA injury surveillance system from 1988-2004. 

  • The results show a 3x higher rate of injuries in games than in practice.
  • Division I players had higher injury rates for both games and practice compared to Divisions II and III. 
  • Practice injuries were nearly 2 times higher in pre-season than in-season. 
  • Game injury rates were higher in the regular season than post-season play. 

45% of all injuries were to the upper extremity and about 30% were to the lower extremity.  The most frequent game injuries were:

Upper leg strains (11%)

POSTED: Wednesday, March 5, 2014, 5:30 AM
Northwestern quarterback Kain Colter (right) speaks while College Athletes Players Association president Ramogi Huma left and United Steel Workers National Political Director Tim Waters second from left look on during a news conference in Chicago, Tuesday, Jan. 28, 2014. Calling the NCAA a "dictatorship," a handful of Northwestern football players announced they are forming the first labor union for college athletes--one they hope will eventually represent players nationwide. (AP Photo/Paul Beaty)

Intercollegiate athletics are well integrated into the college and university experience. Student-athletes are provided an opportunity to perform, socialize, develop self-confidence, improve self-esteem and have a healthy, active lifestyle. In addition, they often get experiences and mentorship that can help shape them into young adults that will be productive members of society. The rest of the campus community also benefits as they get to watch competitive sports, develop a sense of loyalty and pride towards their institution, and be part of the campus excitement associated with a particular team.

The most powerful benefit of intercollegiate athletics, however; is probably the financial impact that it has on the institution. Money generated by sports activities helps to fund construction of new buildings, such as dormitories and libraries. Also, it provides funding for research opportunities, professor salaries, and recruitment initiatives to attract more students to the school.

This is particularly evident at large Division I schools with successful football and basketball programs. For example, an poll from 2008 showed that the top four athletic programs in total revenue made well over $100 million dollars each that year. The majority of this money is generated from ticket sales, media rights, branding, and donations. While the bulk of the money is used to fund coach pay, team travel, marketing, and student tuition, none of the money is designated specifically for athlete compensation. As a result of this, the decision as to whether or not to pay college athletes has become a hot topic for discussion both in the sports and lay press.

POSTED: Wednesday, February 5, 2014, 6:00 AM

This is the last blog of a three part series on winter scholastic sports.  Let’s head to the mat.


Sprains and strains account for nearly half of all wrestling injuries with the shoulder being more common in high school wrestlers and the knee more common in college.  About 40 percent of those injured return to the mat within 1 week. 

POSTED: Wednesday, February 5, 2014, 6:00 AM

A 2008 article by Yard et al in The American Journal of Sports Medicine calculated rates of injury among high school and college wrestlers during the 2005-2006 season using the High School Reporting Information Online (RIOTM) and the NCAA Injury Surveillance System (ISS).   It also characterized the incidence and type injuries and compared risk factors for high school and college wrestling injuries. 

There were 387 injuries among participating high school wrestlers during 166,279 athlete-exposures, for an injury rate of 2.33 injuries per 1000 athlete-exposures (AE). 

258 injuries occurred among college wrestlers during 35,599 athlete-exposures, for an injury rate of 7.25 injuries per 1000 AE.  The injury rate was higher in college than in high school. 

About this blog

Whether you are a weekend warrior, an aging baby boomer, a student athlete or just someone who wants to stay active, this blog is for you. Read about our growing list of expert contributors here.

Robert Senior Sports Doc blog Editor
Alfred Atanda, Jr., M.D. Nemours/Alfred I. duPont Hospital for Children.
Robert Cabry, M.D. Drexel Sports Medicine, Team physician - U.S. Figure Skating, Assoc. Team Physician - Drexel
Brian Cammarota, MEd, ATC, CSCS, CES Symetrix Sports Performance, athletic trainer at OAA Orthopaedics
Desirea D. Caucci, PT, DPT, OCS Co-owner of Conshohocken Physical Therapy, Board Certified Orthopedic Clinical Specialist
Michael G. Ciccotti, M.D. Rothman Institute, Head Team Physician for the Phillies & St. Joe's
Julie Coté, PT, MPT, OCS, COMT Magee Rehabilitation Hospital
Peter F. DeLuca, M.D. Rothman Institute, Head Team Physician - Eagles, Head Orthopedic Surgeon - Flyers
Joel H. Fish, Ph.D. Director - The Center For Sport Psychology, Sports Psychology Consultant - 76ers & Flyers
R. Robert Franks, D.O. Rothman Institute, Team Physician - USA Wrestling, Consultant - Philadelphia Phillies
Ashley B. Greenblatt, ACE-CPT Certified Personal Trainer at The Sporting Club at The Bellevue
Cassie Haynes, JD, MPH Co-Founder, Trap Door Athletics, CrossFit LI Certified
Eugene Hong, MD, CAQSM, FAAFP Team Physician - Drexel, Philadelphia University, Saint Joe’s, & U.S. National Women’s Lacrosse
Jim McCrossin, ATC Flyers and Phantoms
Kevin Miller Fitness Coach, Philadelphia Union
Heather Moore, PT, DPT, CKTP Owner of Total Performance Physical Therapy, North Wales, Pa.
David Rubenstein, M.D. Main Line Health Lankenau Medical Center, Team Orthopedist - Philadelphia 76ers
Justin Shaginaw, MPT, ATC Aria 3B Orthopaedic Institute, Athletic Trainer - US Soccer Federation
Also on
Stay Connected