Higher Rates of Lower Extremity Injury on Synthetic Turf Compared With Natural Turf Among National Football League Athletes: Epidemiologic Confirmation of a Biomechanical Hypothesis
Mack CD, Hershman EB, Anderson RB, Coughlin MJ, McNitt AS, Sendor RR, Kent RW
The American journal of sports medicine · 28 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Estudio de cohortes (clasificado por nuestro filtro de IA)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2018-11-19 · Am J Sports Med · vol. 47 · número 1 · págs. 189–196
- Editorial
- SAGE Publishing
- Citado
- 60 citas · más que el 92% de estudios similares · 3.4× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 40 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Sports injuries and prevention · Knee injuries and reconstruction techniques · Shoulder Injury and Treatment
- Palabras clave
- Football, Athletes, Medicine, League, Ankle, Physical therapy, Poison control, Rate ratio, Surgery, Emergency medicine, Population, Geography, Environmental health
- MeSH
- lower extremity, humans, poaceae, athletic injuries, incidence, retrospective studies, football, floors and floorcoverings, male, biomechanical phenomena
7 autores
- Christina DeFilippo Mack🇺🇸 · autor de correspondenciaTriangle; IQVIA (United States)
- Elliott B. Hershman🇺🇸Northwell Health; Lenox Hill Hospital
- Robert B. Anderson🇺🇸Bellin College
- Michael J. Coughlin🇺🇸University of California, San Francisco; Saint Alphonsus Medical Center
- Andrew Scott McNitt🇺🇸Pennsylvania State University
- Rachel R. Sendor🇺🇸Triangle; IQVIA (United States)
- Richard W. Kent🇺🇸University of Virginia
Resumen
El texto original del estudio, en el idioma en que se publicó.
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.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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