High School Football Injury Rates and Services by Athletic Trainer Employment Status

J Athl Train. 2016 Jan;51(1):70-3. doi: 10.4085/1062-6050-51.3.02. Epub 2016 Feb 1.


Context: Reported injury rates and services in sports injury surveillance may be influenced by the employment setting of the certified athletic trainers (ATs) reporting these data.

Objective: To determine whether injury rates and the average number of AT services per injury in high school football varied by AT employment status.

Design: Cross-sectional study.

Setting: We used data from the National Athletic Treatment, Injury and Outcomes Network and surveyed ATs about their employment setting.

Patients or other participants: Forty-four responding ATs (37.9% of all National Athletic Treatment, Injury and Outcomes Network participants) worked at high schools with football programs and were included in this study. Fourteen ATs were full-time employees of the high school, and 30 ATs were employed as outreach ATs (i.e., full-time and part-time ATs from nearby clinics, hospitals, and graduate school programs).

Main outcome measure(s): We calculated injury rates per 1000 athlete-exposures and average number of AT services per injury.

Results: Reported injury rates and services per injury were greater among full-time school employees compared with outreach ATs. However, injury rates did not differ when restricted to time-loss injuries only.

Conclusions: Our findings suggest that ATs who are full-time school employees may be able to identify and care for more patients with injuries.

Keywords: coverage; medical services; secondary school.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Athletes / statistics & numerical data
  • Athletic Injuries / epidemiology
  • Certification
  • Cross-Sectional Studies
  • Employment
  • Football / injuries*
  • Humans
  • Schools / statistics & numerical data
  • Sports Medicine / statistics & numerical data*
  • Surveys and Questionnaires
  • United States / epidemiology