Full TGIF Record # 303442
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DOI:10.1177/0363546518808499
Web URL(s):https://journals.sagepub.com/doi/full/10.1177/0363546518808499
    Last checked: 02/14/2019
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https://journals.sagepub.com/doi/pdf/10.1177/0363546518808499
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Publication Type:
i
Refereed
Author(s):Mack, Christina D.; Hershman, Elliott B.; Anderson, Robert B.; Coughlin, Michael J.; McNitt, Andrew S.; Sendor, Rachel R.; Kent, Richard W.
Author Affiliation:Mack: Ph.D. and MSPH and IQVIA, Research Triangle Park, North Carolina; Hershman: MD and Department of Orthopaedic Surgery, Lenox Hill Hospital, Zucker School of Medicine at Hofstra/Northwell, Northwell Health, New York, New York; Anderson: MD and Bellin Health Titletown Sports Medicine and Orthopedics, Green Bay, Wisconsin; Coughlin: MD and University of California, San Francisco, San Francisco, California and Coughlin Foot and Ankle Clinic, Saint Alphonsus Hospital, Boise, Idaho; McNitt: Ph.D. and Center for Sports Surface Research, Pennsylvania State University, University Park, Pennsylvania; Sendor: MPH and IQVIA, Research Triangle Park, North Carolina; Kent: Ph.D. and Center for Applied Biomechanics, University of Virginia and Biomechanics Consulting & Research (Biocore), Charlottesville, Virginia
Title:Higher rates of lower extremity injury on synthetic turf compared with natural turf among National Football League athletes: Epidemiological confirmation of a biomechanical hypothesis
Section:Epidemiology and injury prevention
Other records with the "Epidemiology and injury prevention" Section
Source:American Journal of Sports Medicine. Vol. 47, No. 1, January 2019, p. 189-196.
Publishing Information:Thousand Oaks, California: Sage Publications, Inc.
# of Pages:8
Related Web URL:https://journals.sagepub.com/doi/abs/10.1177/0363546518808499
    Last checked: 02/20/2019
    Notes: Abstract only
Keywords:TIC Keywords: Athletic injuries; Athletic injury incidence; Biomechanics; National Football League; Natural versus artificial turf
Author-Supplied Keywords: Stadium surface; Football injury; Lower extremity; Synthetic turf; Natural turf
Abstract/Contents:"Background: Biomechanical studies have shown that synthetic turf surfaces do not release cleats as readily as natural turf, and it has been hypothesized that concomitant increased loading on the foot contributes to the incidence of lower body injuries. This study evaluates this hypothesis from an epidemiologic perspective, examining whether the lower extremity injury rate in National Football League (NFL) games is greater on contemporary synthetic turfs as compared with natural surfaces. Hypothesis: Incidence of lower body injury is higher on synthetic turf than on natural turf among elite NFL athletes playing on modern-generation surfaces. Study Design: Cohort study; Level of evidence, 3. Methods: Lower extremity injuries reported during 2012-2016 regular season games were included, with all 32 NFL teams reporting injuries under mandated, consistent data collection guidelines. Poisson models were used to construct crude and adjusted incidence rate ratios (IRRs) to estimate the influence of surface type on lower body injury groupings (all lower extremity, knee, ankle/foot) for any injury reported as causing a player to miss football participation as well as injuries resulting in ≥8 days missed. A secondary analysis was performed on noncontact/surface contact injuries. Results: Play on synthetic turf resulted in a 16% increase in lower extremity injuries per play than that on natural turf (IRR, 1.16; 95% CI, 1.10-1.23). This association between synthetic turf and injury remained when injuries were restricted to those that resulted in ≥8 days missed, as well as when categorizations were narrowed to focus on distal injuries anatomically closer to the playing surface (knee, ankle/foot). The higher rate of injury on synthetic turf was notably stronger when injuries were restricted to noncontact/surface contact injuries (IRRs, 1.20-2.03; all statistically significant). Conclusion: These results support the biomechanical mechanism hypothesized and add confidence to the conclusion that synthetic turf surfaces have a causal impact on lower extremity injury."
Language:English
References:43
See Also:See also related article "Thoughts on synthetic turf or natural grass" Sports Turf, 35(5) May 2019, p. 7, R=305170. R=305170
Note:Tables
Graphs
ASA/CSSA/SSSA Citation (Crop Science-Like - may be incomplete):
Mack, C. D., E. B. Hershman, R. B. Anderson, M. J. Coughlin, A. S. McNitt, R. R. Sendor, et al. 2019. Higher rates of lower extremity injury on synthetic turf compared with natural turf among National Football League athletes: Epidemiological confirmation of a biomechanical hypothesis. Am. J. Sports Med. 47(1):p. 189-196.
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DOI: 10.1177/0363546518808499
Web URL(s):
https://journals.sagepub.com/doi/full/10.1177/0363546518808499
    Last checked: 02/14/2019
    Access conditions: Item is within a limited-access website
https://journals.sagepub.com/doi/pdf/10.1177/0363546518808499
    Last checked: 02/14/2019
    Requires: PDF Reader
    Access conditions: Item is within a limited-access website
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MSU catalog number: b2202626
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