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Study Guide: Understanding Sports Injuries: Types, Prevention, and Psychological Impact

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Understanding Sports Injuries: Types, Prevention, and Psychological Impact Study Guide

Introduction to Sports Injuries

Sports injuries are defined as physical or emotional trauma sustained exclusively during organized competitive sports.

Answer: False

Explanation: The definition provided is too restrictive, as sports injuries can also occur during training, recreational activities, or indirectly through psychological stress related to sports participation.

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Approximately 15% to 20% of all annual acute care visits are attributed to sports injuries.

Answer: True

Explanation: This statistic highlights the significant burden of sports-related injuries on healthcare systems, underscoring the importance of prevention.

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Contusions, fractures, and sprains are considered less common types of sports injuries compared to overuse injuries.

Answer: False

Explanation: Contusions, fractures, and sprains are among the most prevalent types of acute sports injuries, whereas overuse injuries develop gradually from repetitive stress.

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What percentage of annual acute care visits are estimated to be for sports injuries?

Answer: 15% to 20%

Explanation: Sports injuries account for approximately 15% to 20% of all annual acute care visits, indicating their significant impact on healthcare utilization.

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Specific Musculoskeletal Injuries

Soft tissue injuries affecting ligaments are classified as sprains.

Answer: True

Explanation: Sprains specifically involve damage to ligaments, which are the fibrous tissues connecting bones to other bones, providing joint stability.

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Abrasions are a classification of skin injury in sports characterized by deep cuts or punctures.

Answer: False

Explanation: Abrasions are superficial skin injuries, typically caused by friction or scraping against a rough surface, distinct from lacerations which involve cuts or punctures.

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A contusion, or bruise, is typically caused by repetitive strain over time.

Answer: False

Explanation: Contusions, commonly known as bruises, result from blunt force trauma that damages underlying blood vessels, rather than from repetitive strain.

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Ankle sprains account for roughly half of all sports-related injuries.

Answer: False

Explanation: While ankle sprains are very common, they represent approximately 25% to 30% of all sports injuries, not half.

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A significant percentage of individuals who experience an ankle sprain will re-injure it within two years.

Answer: True

Explanation: Studies indicate that between 20% and 40% of individuals who sustain an ankle sprain will experience a subsequent sprain within one to two years, highlighting the importance of proper rehabilitation.

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ACL tears are the most frequent type of knee injury in sports, making up over 20% of all knee injuries.

Answer: False

Explanation: ACL tears constitute approximately 5% to 10% of all knee injuries, not over 20%. They are often caused by non-contact pivoting or hyperextension.

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ACL tears can lead to an increased risk of developing osteoarthritis later in life.

Answer: True

Explanation: The biomechanical changes and potential instability following an ACL tear can accelerate degenerative joint disease, leading to osteoarthritis.

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Meniscal tears are always managed surgically, regardless of their severity.

Answer: False

Explanation: Management of meniscal tears varies; minor tears may be treated conservatively with rest and physical therapy, while more severe or complex tears may require surgical intervention.

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Hamstring strains have a low re-injury rate, affecting less than 10% of individuals within two years.

Answer: False

Explanation: Hamstring strains exhibit a high re-injury rate, with reported figures ranging from 13.9% to 63.3% within a two-year period, indicating the need for comprehensive rehabilitation.

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Achilles tendinopathy is characterized by pain in the knee joint due to overuse.

Answer: False

Explanation: Achilles tendinopathy involves pain and dysfunction in the Achilles tendon, typically located in the heel or posterior calf, resulting from repetitive stress.

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Rotator cuff injuries are uncommon in overhead athletes such as swimmers and baseball players.

Answer: False

Explanation: Rotator cuff injuries are quite common among overhead athletes, affecting a substantial percentage due to the repetitive nature of their movements.

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Bony injuries like fractures are generally more frequent than soft tissue injuries in sports.

Answer: False

Explanation: Bony injuries, such as fractures, are typically less frequent than soft tissue injuries like sprains and strains, but they are often more severe.

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An enamel-dentin-pulp fracture involves damage only to the outer enamel layer of the tooth.

Answer: False

Explanation: An enamel-dentin-pulp fracture extends through all three layers of the tooth, potentially exposing the sensitive pulp tissue.

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Which of the following is NOT considered one of the most common types of sports injuries?

Answer: Tendinopathy

Explanation: Contusions, fractures, and sprains are identified as the most common types of acute sports injuries. Tendinopathy, while prevalent, is categorized under overuse injuries.

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What is the typical cause of a contusion?

Answer: Blunt force trauma.

Explanation: Contusions, or bruises, are typically caused by blunt force trauma that damages underlying blood vessels and soft tissues.

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What proportion of all sports injuries are ankle sprains?

Answer: Approximately 25% to 30%

Explanation: Ankle sprains are highly prevalent, accounting for approximately 25% to 30% of all sports-related injuries.

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What is the re-injury rate for ankle sprains within one to two years?

Answer: 20% to 40%

Explanation: The re-injury rate for ankle sprains is significant, with 20% to 40% of individuals experiencing a subsequent sprain within one to two years, emphasizing the need for thorough rehabilitation.

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Which of the following is a primary mechanism leading to ACL tears?

Answer: Direct impact to the knee or pivoting with excessive force.

Explanation: ACL tears commonly occur due to non-contact mechanisms such as sudden pivoting, deceleration, or hyperextension of the knee, often during athletic movements.

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What long-term condition is associated with ACL tears?

Answer: Osteoarthritis

Explanation: ACL tears are associated with an increased risk of developing osteoarthritis later in life due to altered joint mechanics and potential cartilage damage.

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How are minor meniscal tears typically managed?

Answer: Conservative treatment with rest and rehabilitation.

Explanation: Minor meniscal tears are often managed conservatively with rest, ice, compression, elevation (RICE), and physical therapy, while more severe tears may necessitate surgical intervention.

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What is the reported re-injury rate for hamstring strains within two years?

Answer: 13.9% to 63.3%

Explanation: Hamstring strains have a notable re-injury rate, with figures ranging from 13.9% to 63.3% within a two-year period, underscoring the importance of comprehensive rehabilitation.

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Achilles tendinopathy is characterized by pain in which area due to tendon dysfunction?

Answer: The heel

Explanation: Achilles tendinopathy involves pain and dysfunction in the Achilles tendon, typically located in the heel or posterior calf, resulting from repetitive stress.

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What percentage of overhead athletes are affected by rotator cuff injuries?

Answer: 18% to 40%

Explanation: Rotator cuff injuries affect approximately 18% to 40% of overhead athletes, such as swimmers and baseball players, due to the repetitive nature of their movements.

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How do bony injuries generally compare to soft tissue injuries in sports regarding frequency and seriousness?

Answer: Less frequent but more serious.

Explanation: Bony injuries, such as fractures, are generally less frequent than soft tissue injuries but are often more serious and can have longer-lasting consequences.

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An enamel-dentin-pulp fracture requires immediate referral to a dentist if:

Answer: The pulp is vital and exposed.

Explanation: An enamel-dentin-pulp fracture extends through all tooth layers, potentially exposing the pulp. Vital pulp exposure requires immediate dental referral.

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Overuse Injuries and Pediatric Considerations

Overuse injuries develop rapidly from a single traumatic event.

Answer: False

Explanation: Overuse injuries are characterized by a gradual onset, resulting from cumulative micro-trauma that exceeds the tissue's repair capacity, rather than a single acute event.

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Tendinopathy, stress fractures, and Juvenile Osteochonditis Dissecans are primary categories of overuse injuries.

Answer: True

Explanation: These conditions represent common forms of overuse injuries resulting from repetitive loading that overwhelms the body's ability to adapt and repair.

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Children and adolescents are less susceptible to overuse injuries compared to adults due to their developing bodies.

Answer: False

Explanation: Children and adolescents are often *more* susceptible to overuse injuries because their developing bones and growth plates are more vulnerable to repetitive stress.

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A large number of children require emergency room treatment daily for sports-related injuries.

Answer: True

Explanation: Approximately 8,000 children are treated daily in emergency rooms for sports-related injuries, highlighting the need for pediatric prevention strategies.

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Overuse injuries are characterized by:

Answer: Gradual development from repetitive micro-trauma.

Explanation: Overuse injuries result from repetitive micro-trauma exceeding tissue repair capacity, developing gradually from cumulative stress.

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Which of the following is NOT listed as a primary category of overuse injuries?

Answer: Contusions

Explanation: Contusions are typically acute injuries from blunt force, not primary categories of overuse injuries, which include tendinopathy and stress fractures.

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Why are children particularly susceptible to overuse injuries like Juvenile Osteochonditis Dissecans?

Answer: Their rapid growth phases affect the bone-cartilage interface.

Explanation: Children's susceptibility stems from rapid growth phases affecting the bone-cartilage interface during intense training, making them prone to conditions like Juvenile Osteochonditis Dissecans.

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Approximately how many children are treated daily in emergency rooms for sports-related injuries?

Answer: 8,000

Explanation: Approximately 8,000 children are treated daily in emergency rooms for sports-related injuries, highlighting the need for pediatric prevention strategies.

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Head Injuries and Neurological Impact

Sports-related head and neck injuries are responsible for a majority of sports-related mortality.

Answer: True

Explanation: Head and neck injuries account for a significant proportion of fatalities and permanent disabilities in sports, estimated at 70% of mortality.

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Contact sports like football and hockey have low incidence rates for sports-related concussions.

Answer: False

Explanation: Conversely, contact sports such as football and hockey typically exhibit high incidence rates for sports-related concussions due to the nature of the physical contact involved.

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Chronic Traumatic Encephalopathy (CTE) is a disorder that can result from single, severe head impacts.

Answer: False

Explanation: CTE is primarily associated with repeated head trauma, including concussions and subconcussive impacts, rather than a single event.

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Return-to-play protocols after a concussion are designed to expedite an athlete's immediate return to full activity.

Answer: False

Explanation: These protocols are structured to ensure a gradual, safe return to activity, prioritizing the prevention of severe complications like second-impact syndrome.

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What percentage of sports-related mortality is attributed to head and neck injuries?

Answer: 70%

Explanation: Head and neck injuries account for an estimated 70% of sports-related mortality and 20% of permanent disability.

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Which sports typically have the highest incidence rates for sports-related concussions in the US?

Answer: Football and Hockey

Explanation: Contact sports such as football and hockey typically exhibit high incidence rates for sports-related concussions due to the nature of the physical contact involved.

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What disorder is linked to repeat concussions, and what are its symptoms?

Answer: Chronic Traumatic Encephalopathy (CTE)

Explanation: Repeat concussions can lead to Chronic Traumatic Encephalopathy (CTE), characterized by memory loss, impaired impulse control, and mental health/movement disorders.

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What is the primary goal of return-to-play protocols following a concussion?

Answer: To prevent severe conditions like second-impact syndrome through gradual recovery.

Explanation: These protocols ensure gradual, safe recovery after a concussion, aiming to prevent severe complications like second-impact syndrome.

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Injury Prevention and Risk Management

Gender is considered an extrinsic risk factor for sports injuries.

Answer: False

Explanation: Gender is classified as an intrinsic risk factor, referring to personal characteristics, whereas extrinsic factors are external influences like playing environment or equipment.

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Female athletes have a lower rate of ACL tears compared to male athletes.

Answer: False

Explanation: Research indicates that female athletes, particularly in certain sports, have a significantly higher rate of ACL tears compared to male athletes, often attributed to anatomical and biomechanical differences.

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The condition of the playing environment is an example of an extrinsic risk factor for sports injuries.

Answer: True

Explanation: Extrinsic risk factors are external elements such as playing surfaces, weather conditions, and equipment, which can influence injury occurrence.

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Primary prevention focuses on rehabilitation after an injury has occurred to minimize disability.

Answer: False

Explanation: Primary prevention aims to prevent injuries from occurring in the first place, while rehabilitation is a component of tertiary prevention.

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The objective of secondary prevention is to achieve early diagnosis and prompt treatment of an injury.

Answer: True

Explanation: Secondary prevention strategies are implemented after an injury has occurred to facilitate early detection and appropriate management, thereby mitigating its severity and impact.

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Preseason screenings are less important because injury rates are typically lowest during the preseason.

Answer: False

Explanation: Preseason screenings are crucial precisely because injury rates tend to be higher during the initial phases of training and competition, allowing for proactive identification of at-risk individuals.

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Proper nutrition is irrelevant to injury prevention and rehabilitation processes.

Answer: False

Explanation: Adequate nutrition is fundamental for supporting tissue health, energy metabolism, and the inflammatory and repair processes essential for both preventing injuries and recovering from them.

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The Functional Movement Screen (FMS) assesses an athlete's maximum lifting capacity.

Answer: False

Explanation: The FMS evaluates fundamental movement patterns to identify asymmetries and limitations that may predispose an athlete to injury, rather than assessing maximal strength.

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The FMS evaluates seven fundamental movement patterns.

Answer: True

Explanation: These seven patterns include the deep squat, hurdle step, in-line lunge, shoulder mobility, active straight-leg raise, trunk stability push-up, and rotary stability, providing a comprehensive assessment.

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Exercise-based injury prevention programs have shown effectiveness in reducing injury rates among children.

Answer: True

Explanation: Structured exercise programs, including proper warm-ups and conditioning, are vital for mitigating injury risk in pediatric athletes.

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How do female athletes compare to male athletes regarding ACL tear rates?

Answer: False

Explanation: Research indicates that female athletes, particularly in certain sports, have a significantly higher rate of ACL tears compared to male athletes, often attributed to anatomical and biomechanical differences.

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What is the purpose of primary prevention in sports injuries?

Answer: True

Explanation: Primary prevention aims to prevent injuries from occurring in the first place, while rehabilitation is a component of tertiary prevention.

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Why are preseason screenings considered significant for injury prevention?

Answer: True

Explanation: Preseason screenings are crucial precisely because injury rates tend to be higher during the initial phases of training and competition, allowing for proactive identification of at-risk individuals.

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How does nutrition contribute to injury prevention and rehabilitation?

Answer: True

Explanation: Adequate nutrition is fundamental for supporting tissue health, energy metabolism, and the inflammatory and repair processes essential for both preventing injuries and recovering from them.

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What does the Functional Movement Screen (FMS) primarily assess?

Answer: True

Explanation: The FMS evaluates fundamental movement patterns to identify asymmetries and limitations that may predispose an athlete to injury, rather than assessing maximal strength.

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Which of the following is an example of an intrinsic risk factor for sports injuries?

Answer: An athlete's flexibility and coordination.

Explanation: Intrinsic risk factors are personal characteristics such as flexibility, coordination, and biomechanics, while extrinsic factors are external elements like playing surfaces or equipment.

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How do female athletes compare to male athletes regarding ACL tear rates?

Answer: Female athletes have approximately 1.6 times higher rates per athletic exposure.

Explanation: Female athletes have a significantly higher rate of ACL tears, approximately 1.6 times more tears per athletic exposure compared to male athletes, often linked to anatomical and biomechanical factors.

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What is the purpose of primary prevention in sports injuries?

Answer: To avoid injuries altogether.

Explanation: Primary prevention focuses on implementing strategies to prevent injuries from occurring in the first place.

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Why are preseason screenings considered significant for injury prevention?

Answer: Injury rates are typically highest during the preseason.

Explanation: Preseason screenings are significant as injury rates tend to be highest during the preseason, allowing identification of potential risks and early signs of injury before competition.

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How does nutrition contribute to injury prevention and rehabilitation?

Answer: By supporting overall athlete health and recovery processes.

Explanation: Proper nutrition is crucial for supporting athlete health, energy levels, muscle function, and recovery processes, thereby contributing to injury prevention and rehabilitation.

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What does the Functional Movement Screen (FMS) primarily assess?

Answer: An athlete's movement patterns and asymmetries.

Explanation: The FMS evaluates fundamental movement patterns and identifies asymmetries, mechanical restrictions, and potential injury risks.

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Psychological, Economic, and Statistical Aspects

Direct costs of sports injuries relate to lost productivity and inability to work.

Answer: False

Explanation: Direct costs are primarily associated with healthcare resource utilization (e.g., medical treatment, therapy), while lost productivity and inability to work constitute indirect costs.

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Indirect costs associated with sports injuries include expenses for healthcare resource utilization.

Answer: False

Explanation: Indirect costs encompass the economic impact of an injury on an individual's ability to work and participate in daily activities, whereas direct costs relate to medical expenses.

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The annual cost of sports injuries for high school athletics falls within the range of billions of dollars.

Answer: True

Explanation: The economic burden of sports injuries at the high school level is substantial, with estimates ranging from $5.4 billion to $19.2 billion annually.

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Sports involvement primarily places physical demands on athletes, with minimal mental stress.

Answer: False

Explanation: Athletic participation imposes significant physical demands alongside considerable mental stress, requiring athletes to manage pressure, performance expectations, and emotional challenges.

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Athletes experiencing sports injuries often report elevated levels of anxiety and depression.

Answer: True

Explanation: Beyond physical pain, athletes frequently experience psychological distress, including anxiety, depression, and diminished self-esteem, following an injury.

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The culture of sports generally encourages athletes to openly discuss their mental health struggles.

Answer: False

Explanation: Despite growing awareness, the prevailing sports culture often stigmatizes mental health issues, discouraging open discussion and help-seeking among athletes.

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External pressures from coaches and teammates do not influence an athlete's decision to play through pain.

Answer: False

Explanation: External pressures from coaches, teammates, and even fans can significantly influence an athlete's decision to compete despite pain or injury, often prioritizing performance over well-being.

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Athletes who are satisfied with social support from athletic trainers are more likely to experience depression.

Answer: False

Explanation: Conversely, athletes reporting satisfaction with social support from athletic trainers are significantly less likely to experience depression and anxiety, underscoring the protective role of supportive relationships.

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A high percentage of college athletes with mental health conditions actively seek professional support.

Answer: False

Explanation: A concerningly low proportion, approximately 10%, of college athletes experiencing mental health challenges actively seek professional support, indicating a significant gap in care.

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Mindfulness-based interventions can help improve general well-being and performance in athletes.

Answer: True

Explanation: Mindfulness practices offer a valuable tool for athletes to manage stress, enhance focus, and improve overall psychological well-being, potentially benefiting performance.

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Which NCAA sport has the highest overall injury rate?

Answer: Gymnastics

Explanation: Gymnastics has the highest overall injury rate among NCAA sports, reflecting the high-impact and complex nature of the discipline.

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What are direct costs associated with sports injuries?

Answer: Expenses related to healthcare resource utilization.

Explanation: Direct costs primarily involve expenses for healthcare resource utilization (prevention, detection, treatment).

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What psychological states are commonly elevated in athletes following sports injuries?

Answer: Anxiety, stress, and depression

Explanation: Athletes often experience elevated anxiety, stress, and depression, alongside issues with self-esteem and identity crises, following sports injuries.

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The emphasis on success in sports culture can lead athletes to:

Answer: Downplay or ignore pain and injuries.

Explanation: The focus on success can lead athletes to downplay or ignore pain and injuries, believing risks are necessary for achievement.

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What is the consequence for athletes who report satisfaction with social support from athletic trainers?

Answer: They are significantly less likely to experience depression.

Explanation: Athletes satisfied with support are significantly less likely to experience depression and anxiety, highlighting the protective role of supportive relationships.

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What percentage of college athletes with mental health conditions seek support?

Answer: Approximately 10%

Explanation: A concerningly low percentage, approximately 10%, of college athletes experiencing mental health challenges seek professional support, indicating a significant gap in care.

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