Context: Among US collegiate soccer players, the incidence rate and the event characteristics of hamstrings strains differ between sexes, but comparisons in the return-to-participation (RTP) time have not been reported.Objective: To compare the RTP time between male and female collegiate soccer players and analyze the influence of event characteristics on the RTP time for each sex.Design: Descriptive epidemiology study. Setting: Data were collected from collegiate teams that voluntarily participated in the National Collegiate Athletic Association Injury Surveillance System. Main Outcome Measure(s): Nonparametric statistics were used to evaluate RTP time differences between sexes and among categories of each event characteristic (ie, time of season, practice or competition, player position). Negative binomial regression was used to model the RTP time for each sex. All analyses were performed separately for first-time and recurrent strains.Results: We found no differences in the RTP time between sexes for first-time (median: men ¼ 7.0 days, women ¼ 6.0 days; P ¼ .07) or recurrent (median: men ¼ 11 days, women ¼ 5.5 days; P ¼ .06) hamstrings strains. For male players with first-time strains, RTP time was increased when the strain occurred during competition or the in-season/postseason and varied depending on the division of play. Among female players with first-time strains, we found no differences in RTP time within characteristics. For male players with recurrent hamstrings strains, the RTP time was longer when the injury occurred during the in-season/ postseason. Among female players with recurrent strains, RTP time was longer for forwards than for midfielders or defenders.Conclusions: Although we found no differences in the RTP time after hamstrings strains in male and female collegiate soccer players, each sex had unique event characteristics that influenced RTP time.Key Words: sports injuries, muscle injuries, sex differences
Key PointsReturn-to-participation time was not different between male and female collegiate soccer players. Each sex had unique characteristics specific to the injury event that influenced the number of days to return to participation after a hamstrings strain. Programs for reducing the incidence and severity of hamstrings strains should focus on sport-specific and positionspecific training to replicate the demands of competition.