Lacrosse



Lacrosse


Thad J. Barkdull



INTRODUCTION



  • History (17)



    • Considered to be the oldest sport in North America.


    • Derived from baggataway, a game French observed Native Americans playing in 17th century Canada.


    • Stick, or lacrosse, used in game comes from appearance similar to bishop’s crosier or crosse.


    • In 1879, Canada formed the National Lacrosse Association (now the Canadian Lacrosse Association).


    • Eleven U.S. men’s college and club teams formed the National Lacrosse Association in 1879.


    • By 1950, over 200 teams existed in the United States.


    • Lacrosse is still the National Summer Sport of Canada.


  • Demographics (U.S. Lacrosse)



    • Estimated that 568,021 people played organized lacrosse in 2009.



      • □ Over 340,000 men


      • □ Over 220,000 women


    • Nearly 19,000 men participated in over 250 universities with sanctioned programs.


    • Over 136,000 men at 1,600 high schools now have varsity programs.


    • Over 250 universities have sanctioned women’s programs for 12,868 women athletes.


    • As of 2010, lacrosse was a sanctioned sport in 19 state high school athletic associations.


    • There are currently two professional leagues: Major League Lacrosse (indoor or box) and the National Lacrosse League (outdoor or field).


  • The game



    • Men’s field lacrosse (16)



      • □ Ten players per side:



        • Three attackmen (offense), three defensemen (defense), three midfielders (both), and one goalie (defense)


        • Teams may allow a maximum of six players on the offensive half and seven on the defensive half.


      • □ The field is 110 × 60 yards.


      • □ Goals are 6-feet square with a 9-feet diameter circular crease around them.


      • □ Substitutions may occur during play stoppage or during play (similar to hockey).


      • □ Players may pass the ball or run while cradling the ball in their stick, or crosse.


      • □ The object is to score more points than the opponent by putting the ball into the opposition’s goal.


      • □ Players may hit an opposing player who controls the ball or is within 5 yards of ball.


      • □ Players may hit an opponent’s stick or gloved hand with their own stick.


    • Women’s field lacrosse (14)



      • □ Twelve players: One goalie, four attackers, four defenders, and three midfielders


      • □ The field is 120 × 70 yards.


      • □ No contact between players


      • □ Restraining Line Rule — only seven offensive and eight defensive players in 30-yard area around goal


    • Box lacrosse



      • □ Six players per side


      • □ Played in enclosed area


      • □ More contact allowed than field lacrosse


  • Equipment (13)



    • Crosse or stick



      • □ Length varies by position.


      • □ Made of wood, laminated wood, or synthetic material.


      • □ Attackmen’s and midfielders’ sticks must be 40-42 inches long.


      • □ Defensemen’s sticks must be 52-72 inches long.


      • □ The head must be 6.5-10 inches wide, or 10-12 inches for the goalie.


    • Ball



      • □ Made of solid rubber


      • □ 7.75-8 inches in circumference


      • □ 5-5.25 ounces


    • Personal equipment



      • □ Varies by different game and position played


      • □ Required equipment




        • All players are required to wear mouthguards.


        • In men’s game, helmet with full face mask and padded gloves.


        • Women are currently only required to wear mouthguards and eye protection, although some wear soft helmets (goalies are a notable exception, see below).


      • □ Goalies



        • Both men’s and women’s games require head, chest, and throat protection.


        • The stick has a significantly larger net than sticks of other players.


        • Athletic cup is optional but highly recommended.


      • □ Attackmen



        • Frequently wear elbow pads, shoulder pads, and rib protectors.


        • Sticks tend to be shorter.


      • □ Defensemen



        • Frequently wear less protective gear in the men’s game, often only the required helmet, mouthguard, and gloves.


        • Have a much longer stick than other players.


      • □ Midfielders



        • Often wear less protection than attackmen.


        • May have longer or shorter stick depending on specialty (defensive midfielders have longer sticks).


INJURY EPIDEMIOLOGY (NCAA INJURY SURVEILLANCE SYSTEM)



  • The Injury Surveillance System (ISS) was developed by the National Collegiate Athletic Association (NCAA) in 1982 to monitor collegiate athlete injury patterns (3).






    FIGURE 97.1: Injury during games — men.


  • The latest data were presented in 2007 as a summary of injury patterns from the 1988-1989 season through the 2003-2004 season in all three NCAA divisions, focusing on 15 different sports (4).


  • Monitors type of injury, body part injured, severity of injury, field type, field condition, and special equipment worn.


  • Data are collected by certified athletic trainers at NCAA-sanctioned schools.


  • Reportable injuries must meet specific criteria (5).



    • Occurs during practice or contest.


    • Requires medical attention by athletic trainer or physician.


    • Causes the student-athlete to miss one or more days of participation beyond the day of injury.


    • In 1994, ISS expanded to include data regarding any dental injury, regardless of time lost.


  • Injury rate



    • Men’s overall (7)



      • □ Game — 12.6 per 1,000 athlete exposures (A-E); eighth


      • □ Practice — 3.2; twelfth


    • Women’s overall (7)



      • □ Game — 7.2; twelfth


      • □ Practice — 3.3; eleventh


  • Frequency by body part



    • Men’s (5) (Figs. 97.1 and 97.2)



      • □ Game



        • Head/neck: 11.7%


        • Upper extremity: 26.2%


        • Trunk/back: 11.9%


        • Lower extremity: 48.1%


        • Other: 2.2%


      • □ Practice



        • Head/neck: 6.2%


        • Upper extremity: 16.9%







          FIGURE 97.2: Injury in practice — men.


        • Trunk/back: 14.4%


        • Lower extremity: 58.7%


        • Other: 3.8%


    • Women’s (14) (Figs. 97.3 and 97.4)



      • □ Game



        • Head/neck: 21.9%


        • Upper extremity: 8.9%


        • Trunk/back: 6.1%


        • Lower extremity: 61.0%


        • Other: 2.2%


      • □ Practice



        • Head/neck: 12.2%


        • Upper extremity: 5.9%


        • Trunk/back: 12.0%






          FIGURE 97.3: Injury during games — women.


        • Lower extremity: 64.3%


        • Other: 5.9%


  • Men experienced injury rates almost four times as frequently in game situations than practice.


  • Injury during practice occurred twice as often during the preseason compared with in-season practice for men and women.


  • Women had more than twice as many injuries in games than practice.


  • Specific injury patterns

May 22, 2016 | Posted by in SPORT MEDICINE | Comments Off on Lacrosse

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