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| DOI: | 10.1177/03635465211069562 |
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| Web URL(s): | https://journals.sagepub.com/doi/10.1177/03635465211069562
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| Publication Type:
| Refereed |
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| Author(s): | Gould, Heath P.;
Lostetter, Stephen J.;
Samuelson, Eric R.;
Guyton, Gregory P. |
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| Author Affiliation: | Gould and Gregory: MD and Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, Maryland; Lostetter: Massachusetts Institute of Technology, Cambridge, Massachusetts; Samuelson: MS and Georgetown University School of Medicine, Washington, District of Columbia |
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| Title: | Lower extremity injury rates on artificial turf versus natural grass playing surfaces: A systematic review |
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| Column Name: | Team physician's corner
Other records with the "Team physician's corner" Column
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| Source: | American Journal of Sports Medicine. May 20 2022, p. 1-7. |
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| Publishing Information: | Thousand Oaks, California: Sage Publications, Inc. |
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| # of Pages: | 7 |
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| Keywords: | Author-Supplied Keywords: Artificial turf; Natural grass; Playing surfaces; Injury risk; Football; Soccer
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| Abstract/Contents: | "Background: No study has provided a comprehensive systematic review of sports injuries on artificial turf versus natural grass. Purpose: To comprehensively examine the risk of overall injuries and multiple types of lower extremity injuries across all sports, all levels of competition, and on both old-generation and new-generation artificial turf. Study Design: Systematic review; Level of evidence, 3. Methods: A systematic review of the English-language literature was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. All included articles compared overall injury rates or lower extremity (hip, knee, or foot and ankle) injury rates on artificial turf and natural grass. All sports, levels of competition, and turf types were included. Studies were excluded if they did not include overall injury rates or lower extremity injury rates. Because of the heterogeneity of the included studies, no attempt was made to aggregate risk ratios to conduct a quantitative meta-analysis. Results: A total of 53 articles published between 1972 and 2020 were identified for study inclusion. Most studies on new-generation turf (13/18 articles) found similar overall injury rates between playing surfaces. When individual anatomic injury locations were analyzed, the greatest proportion of articles reported a higher foot and ankle injury rate on artificial turf compared with natural grass, both with old-generation (3/4 articles) and new-generation (9/19 articles) turf. Similar knee and hip injury rates were reported between playing surfaces for soccer athletes on new-generation turf, but football players, particularly those at high levels of competition, were more likely to sustain a knee injury on artificial turf than on natural grass. Conclusion: The available body of literature suggests a higher rate of foot and ankle injuries on artificial turf, both old-generation and new-generation turf, compared with natural grass. High-quality studies also suggest that the rates of knee injuries and hip injuries are similar between playing surfaces, although elite-level football athletes may be more predisposed to knee injuries on artificial turf compared with natural grass. Only a few articles in the literature reported a higher overall injury rate on natural grass compared with artificial turf, and all of these studies received financial support from the artificial turf industry." |
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| Language: | English |
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| References: | 33 |
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| Note: | Tables
Figures |
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| ASA/CSSA/SSSA Citation (Crop Science-Like - may be incomplete):
Gould, H. P., S. J. Lostetter, E. R. Samuelson, and G. P. Guyton. 2022. Lower extremity injury rates on artificial turf versus natural grass playing surfaces: A systematic review. Am. J. Sports Med. p. 1-7. |
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| DOI: 10.1177/03635465211069562 |
| Web URL(s):
https://journals.sagepub.com/doi/10.1177/03635465211069562
Last checked: 08/26/2022
Requires: HTML5
Access conditions: Item is within a limited-access website
https://journals.sagepub.com/doi/pdf/10.1177/03635465211069562
Last checked: 08/26/2022
Requires: PDF Reader; HTML5
Access conditions: Item is within a limited-access website
https://journals.sagepub.com/doi/epub/10.1177/03635465211069562
Last checked: 08/26/2022
Requires: JavaScript; HTML5
Access conditions: Item is within a limited-access website |
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MSU catalog number: b4898264
MSU catalog number: b2202626 |
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