Marching bands are known for their spectacular performances, but new research reveals that participating in one can come with physical risks, particularly for high school girls. A study conducted on marching band-related injuries reported to emergency departments over a nine-year period found that 70% of these injuries affected young women in high school. The lower body, including the ankles and knees, was the most vulnerable, with half of the injuries occurring in this area. The study, titled Marching Band Injuries In Children Presenting to Emergency Departments in the United States, 2012-2021: A Trebling Tale, will be presented at the 2023 American Academy of Pediatrics’ National Conference & Exhibition.
Unlike other organized sports like football, soccer, and cheerleading, there is a lack of evidence regarding injury trends in marching band members. This study is the first nationwide estimate of marching band injuries reported to emergency departments. The researchers emphasize the importance of educating coaches and parents about the risk of soft tissue injury and mild traumatic brain injury to ensure the safety of band members.
The study analyzed approximately 20,335 marching band injuries reported to emergency departments between 2012 and 2021. The majority of these injuries, 85%, occurred in age groups between 14 and 18. Fortunately, 98% of the injuries were treated and released from the emergency department, suggesting that many of these visits could potentially be prevented with targeted public health interventions.
Several measures have already been implemented to address the physical demands and risks associated with marching band. For instance, the National Athletic Trainers’ Association provided recommendations in 2017 to keep marching band members healthy and prepared for activity. States like Texas and Oklahoma now mandate pre-participation physical evaluations for marching band members, recognizing the similarities in physical demands and environmental conditions between athletes and band members.
Dr. Robert Lapus, a UTHealth Houston emergency medicine physician affiliated with Children’s Memorial Hermann Hospital, emphasized the significance of the study’s findings, particularly regarding the high prevalence of injuries among high school-aged females. This information can help guide injury prevention strategies and interventions tailored to this demographic. Knowing which body parts are most commonly injured, such as the ankle, knee, and upper trunk, can also aid in the development of protective equipment and strengthening programs to minimize the risk of these injuries.
Marching band injuries occur due to the complex movements and heavy instruments involved. Tripping, falling on uneven surfaces, and collisions with other band members are common causes of injuries. Carrying heavy instruments like tubas can lead to wrist injuries, but they help prevent head trauma by preventing players from using their arms to break their fall.
Dr. Dennis Cardone, chief of primary care sports medicine for NYU Langone Orthopedics, emphasized the importance of this study in drawing attention to the specific population and the extent and types of injuries sustained. The next step is focused on prevention based on the study’s findings. Further research is needed to determine when and how most injuries occur, whether during practice or performance, and if they are related to falls, instrument contact, or contact with other band members.
In addition to musculoskeletal impacts and concussions, marching band members are also susceptible to injuries caused by extreme heat or cold. Frostbite in the fingers, toes, ears, and nose is a common occurrence during winter performances. Wearing appropriate layers and keeping hands and feet warm can help prevent these injuries.
As awareness grows regarding the physical demands and risks associated with marching band, efforts will continue to focus on prevention and the development of strategies to ensure the safety and well-being of band members and to further elevate their performances.
