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<?covid-19-tdm?>
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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JMIRxMed</journal-id>
      <journal-id journal-id-type="nlm-ta">JMIRx Med</journal-id>
      <journal-title>JMIRx Med</journal-title>
      <issn pub-type="epub">2563-6316</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v3i2e38755</article-id>
      <article-id pub-id-type="pmid"/>
      <article-id pub-id-type="doi">10.2196/38755</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Authors’ Response to Peer Reviews</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Authors’ Response to Peer Reviews</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Authors' Response to Peer Reviews of “COVID-19 Return to Sport: NFL Injury Prevalence Analysis”</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Meinert</surname>
            <given-names>Edward</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author" corresp="yes">
          <name name-style="western">
            <surname>Puga</surname>
            <given-names>Troy B</given-names>
          </name>
          <degrees>BSc</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <address>
            <institution>College of Osteopathic Medicine</institution>
            <institution>Kansas City University</institution>
            <addr-line>1750 Independence Ave</addr-line>
            <addr-line>Kansas City, MO</addr-line>
            <country>United States</country>
            <phone>1 816 654 7000</phone>
            <email>troy.puga@kansascity.edu</email>
          </address>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0003-3291-9700</ext-link>
        </contrib>
        <contrib id="contrib2" contrib-type="author">
          <name name-style="western">
            <surname>Schafer</surname>
            <given-names>Joshua</given-names>
          </name>
          <degrees>BSc</degrees>
          <xref rid="aff2" ref-type="aff">2</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0002-4537-444X</ext-link>
        </contrib>
        <contrib id="contrib3" contrib-type="author">
          <name name-style="western">
            <surname>Agbedanu</surname>
            <given-names>Prince N</given-names>
          </name>
          <degrees>BSc, PhD</degrees>
          <xref rid="aff3" ref-type="aff">3</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0003-4728-6619</ext-link>
        </contrib>
        <contrib id="contrib4" contrib-type="author">
          <name name-style="western">
            <surname>Treffer</surname>
            <given-names>Kevin</given-names>
          </name>
          <degrees>BSc, DO</degrees>
          <xref rid="aff4" ref-type="aff">4</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0002-4804-0605</ext-link>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>College of Osteopathic Medicine</institution>
        <institution>Kansas City University</institution>
        <addr-line>Kansas City, MO</addr-line>
        <country>United States</country>
      </aff>
      <aff id="aff2">
        <label>2</label>
        <institution>School of Medicine</institution>
        <institution>University of Kansas</institution>
        <addr-line>Kansas City, MO</addr-line>
        <country>United States</country>
      </aff>
      <aff id="aff3">
        <label>3</label>
        <institution>Department of Health Sciences</institution>
        <institution>Division of Science, Technology, Engineering, and Math</institution>
        <institution>Friends University</institution>
        <addr-line>Wichita, KS</addr-line>
        <country>United States</country>
      </aff>
      <aff id="aff4">
        <label>4</label>
        <institution>Department of Osteopathic Manipulative Medicine</institution>
        <institution>College of Osteopathic Medicine</institution>
        <institution>Kansas City University</institution>
        <addr-line>Kansas City, MO</addr-line>
        <country>United States</country>
      </aff>
      <author-notes>
        <corresp>Corresponding Author: Troy B Puga <email>troy.puga@kansascity.edu</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <season>Apr-Jun</season>
        <year>2022</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>22</day>
        <month>4</month>
        <year>2022</year>
      </pub-date>
      <volume>3</volume>
      <issue>2</issue>
      <elocation-id>e38755</elocation-id>
      <history>
        <date date-type="received">
          <day>14</day>
          <month>4</month>
          <year>2022</year>
        </date>
        <date date-type="accepted">
          <day>14</day>
          <month>4</month>
          <year>2022</year>
        </date>
      </history>
      <copyright-statement>©Troy B Puga, Joshua Schafer, Prince N Agbedanu, Kevin Treffer. Originally published in JMIRx Med (https://med.jmirx.org), 22.04.2022.</copyright-statement>
      <copyright-year>2022</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIRx Med, is properly cited. The complete bibliographic information, a link to the original publication on https://med.jmirx.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://med.jmirx.org/2022/2/e38755" xlink:type="simple"/>
      <related-article related-article-type="companion" id="preprint21267811" ext-link-type="doi" xlink:href="10.1101/2021.12.16.21267811" vol="1" page="21267811" xlink:title="Preprint:" xlink:type="simple">https://www.medrxiv.org/content/10.1101/2021.12.16.21267811v1</related-article>
      <related-article related-article-type="companion" id="preprint35862" ext-link-type="doi" xlink:href="https://doi.org/10.2196/preprints.35862" vol="1" page="e35862" xlink:title="Preprint:" xlink:type="simple">https://preprints.jmir.org/preprint/35862</related-article>
      <related-article related-article-type="companion" id="v3i2e38731" ext-link-type="doi" xlink:href="10.2196/38731" vol="3" page="e38731" xlink:title="Peer-Review Report by Felicianus Pereira (D):" xlink:type="simple">https://med.jmirx.org/2022/2/e38731/</related-article>
      <related-article related-article-type="companion" id="v3i2e38730" ext-link-type="doi" xlink:href="10.2196/38730" vol="3" page="e38730" xlink:title="Peer-Review Report by Anonymous:" xlink:type="simple">https://med.jmirx.org/2022/2/e38730/</related-article>
      <related-article related-article-type="companion" id="v3i2e35862" ext-link-type="doi" xlink:href="10.2196/35862" vol="3" page="e35862" xlink:title="Published Article:" xlink:type="simple">https://med.jmirx.org/2022/2/e35862/</related-article>
      <kwd-group>
        <kwd>COVID-19</kwd>
        <kwd>sport</kwd>
        <kwd>injury</kwd>
        <kwd>prevalence</kwd>
        <kwd>cause</kwd>
        <kwd>data</kwd>
        <kwd>statistics</kwd>
        <kwd>pain</kwd>
        <kwd>training</kwd>
        <kwd>practice</kwd>
        <kwd>physiology</kwd>
        <kwd>adaptation</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <p>
      <italic>This is the authors’ responses to peer-review reports of “COVID-19 Return to Sport: NFL Injury Prevalence Analysis”</italic>
    </p>
    <sec>
      <title>Round 1</title>
      <p>Thank you for reviewing our paper [<xref ref-type="bibr" rid="ref1">1</xref>]. We have provided response in regard to all editorial and reviewer comments.</p>
      <sec>
        <title>Reviewer D [<xref ref-type="bibr" rid="ref2">2</xref>]</title>
        <sec>
          <title>General Comments</title>
          <p>Thank you for your comments on our paper and for taking the time to review our research.</p>
        </sec>
        <sec>
          <title>Specific Comments</title>
          <list list-type="order">
            <list-item>
              <p>Thank you for your comment. The data used in this study are publicly available data. As defined by United States Department of Health and Human Services policy 45 CFR 46.102, publicly available data do not qualify as human subjects research and do not require institutional review board approval. However, the authors of this research strive to uphold all principles of ethical research and principles of medical ethics.</p>
            </list-item>
            <list-item>
              <p>Thank you for your comment; we have included in the introduction and methods that contact injuries are included in this study, as football is a contact sport, making contact a nonmodifiable risk factor.</p>
            </list-item>
          </list>
        </sec>
      </sec>
      <sec>
        <title>Anonymous [<xref ref-type="bibr" rid="ref3">3</xref>]</title>
        <sec>
          <title>General Comments</title>
          <p> Thank you for your comments and taking the time to review our paper. We have addressed the hours as a limitation, and we do not have access to the individuals or their specific training hours as we used a public data set. We also addressed the fact that there would be potential recall bias, as the research goes several years into the past and may not provide an accurate number of hours per year if this were to be undertaken. We also have added support that there was a reduction in training among the majority of athletes across all levels of sport due to lockdown restrictions to mitigate the spread of COVID-19. We have also provided support that the National Football League training facilities were shut down between March 25, 2020, and May 19, 2020. We expanded on the conclusion as we have evidence of reduction in training across all levels of sport and facility closures due to COVID-19 precautions.</p>
        </sec>
        <sec>
          <title>Specific Comments</title>
          <list list-type="order">
            <list-item>
              <p>Thank you for your comment. We have defined resistance exercise and changed the wording of “post-resistance exercise” to “after resistance exercise” in order to provide a clearer description.</p>
            </list-item>
            <list-item>
              <p>Thank you for your comment, we have removed the cited figure from the abstract.</p>
            </list-item>
            <list-item>
              <p>Thank you for your comment. We have provided rationale within the methods section as to why sick days were not included. Sick days were not included due to the fact that literature from other sports analyses have stated that it is best to report incidence of illness separate from injuries. In addition, sick days would not accurately represent the possibility of increased injuries due to less training and could potentially create a confounding variable.</p>
            </list-item>
          </list>
        </sec>
      </sec>
    </sec>
  </body>
  <back>
    <app-group/>
    <glossary>
      <title>Abbreviations</title>
      <def-list>
        <def-item>
          <term id="abb1">CHERRIES</term>
          <def>
            <p>Checklist for Reporting Results of Internet E-Surveys</p>
          </def>
        </def-item>
      </def-list>
    </glossary>
    <fn-group>
      <fn fn-type="conflict">
        <p>None declared.</p>
      </fn>
    </fn-group>
    <ref-list>
      <ref id="ref1">
        <label>1</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Puga</surname>
              <given-names>TB</given-names>
            </name>
            <name name-style="western">
              <surname>Schafer</surname>
              <given-names>J</given-names>
            </name>
            <name name-style="western">
              <surname>Agbedanu</surname>
              <given-names>PN</given-names>
            </name>
            <name name-style="western">
              <surname>Treffer</surname>
              <given-names>K</given-names>
            </name>
          </person-group>
          <article-title>COVID-19 Return to Sport: NFL Injury Prevalence Analysis</article-title>
          <source>JMIRx Med</source>
          <year>2022</year>
          <volume>3</volume>
          <issue>2</issue>
          <fpage>e35862</fpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://med.jmirx.org/2022/2/e35862/"/>
          </comment>
        </nlm-citation>
      </ref>
      <ref id="ref2">
        <label>2</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Pereira</surname>
              <given-names>F</given-names>
            </name>
          </person-group>
          <article-title>Peer Review of "COVID-19 Return to Sport: NFL Injury Prevalence Analysis"</article-title>
          <source>JMIRx Med</source>
          <year>2022</year>
          <volume>3</volume>
          <issue>2</issue>
          <fpage>e38731</fpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://med.jmirx.org/2022/2/e38731/"/>
          </comment>
        </nlm-citation>
      </ref>
      <ref id="ref3">
        <label>3</label>
        <nlm-citation citation-type="journal">
          <person-group person-group-type="author">
            <collab>Anonymous</collab>
          </person-group>
          <article-title>Peer Review of "COVID-19 Return to Sport: NFL Injury Prevalence Analysis"</article-title>
          <source>JMIRx Med</source>
          <year>2022</year>
          <volume>3</volume>
          <issue>2</issue>
          <fpage>e38730</fpage>
          <comment>
            <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://med.jmirx.org/2022/2/e38730/"/>
          </comment>
        </nlm-citation>
      </ref>
    </ref-list>
  </back>
</article>
