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Epidemiology of Anterior Cruciate Ligament Injury on Natural Grass Versus Artificial Turf in Soccer: 10-Year Data From the National Collegiate Athletic Association Injury Surveillance System

Howard M, Solaru S, Kang HP, Bolia IK, Hatch GFR, Tibone JE, Gamradt SC, Weber AE

Orthopaedic journal of sports medicine · 15 citas

Etiquetas de revisión

Vínculos de autores con la industria

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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 independiente
Autores
Al menos un autor declara un vínculo económico con la industria

Según la declaración de financiación del texto completo.

Publicación

Publicado
2020-07-01 · Orthop J Sports Med · vol. 8 · número 7 · pág. 2325967120934434
Editorial
SAGE Publishing
Citado
39 citas · más que el 84% de estudios similares · 1.9× el promedio de su campo
Referencias
23 trabajos
Acceso
Acceso abierto (revista) · CC-BY-NC-ND
Áreas de investigación
Sports injuries and prevention · Knee injuries and reconstruction techniques · Exercise and Physiological Responses
Palabras clave
Anterior cruciate ligament, ACL injury, Medicine, Rate ratio, Physical therapy, Incidence (geometry), Sports medicine, Demography, Surgery, Internal medicine, Confidence interval

8 autores

  • Mark Howard🇺🇸Keck Hospital of USC
  • Samantha A. Solaru🇺🇸University of Southern California
  • Hyunwoo Paco Kang🇺🇸Keck Hospital of USC
  • Ioanna K. Bolia🇺🇸Keck Hospital of USC
  • George F. Rick Hatch🇺🇸Keck Hospital of USC
  • James Eugene Tibone🇺🇸Keck Hospital of USC
  • Seth C. Gamradt🇺🇸Keck Hospital of USC
  • Alexander Evan Weber🇺🇸 · autor de correspondenciaKeck Hospital of USC

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Anterior cruciate ligament (ACL) injury is prevalent among National Collegiate Athletic Association (NCAA) soccer players. Controversy remains regarding the effect of the surface type on the rate of ACL injury in soccer players, considering differences in sex, type of athletic exposure, and level of competition.

Hypothesis

Natural grass surfaces would be associated with decreased ACL injury rate in NCAA soccer players. Sex, type of athletic exposure (match vs practice), and level of competition (Division I-III) would affect the relationship between playing surface and ACL injury rates.

Study design

Cohort study; Level of evidence, 3.

Methods

Using the NCAA Injury Surveillance System (ISS) database, we calculated the incidence rate of ACL injury in men and women from 2004-2005 through 2013-2014 seasons. The incidence was normalized against athletic exposure (AE). Additional data collected were sex, athletic activity at time of injury (match vs practice), and level of competition (NCAA division) to stratify the analysis. Statistical comparisons were made by calculating incidence rate ratios (IRR). Statistical significance was set at an alpha of .05.

Results

There were 30,831,779 weighted AEs during the study period. The overall injury rate was 1.12 ACL injuries per 10,000 AEs (95% CI, 1.08-1.16). Women comprised 57% of the match data (10,261 games) and 55% of practice data (26,664 practices). The overall injury rate was significantly higher on natural grass (1.16/10,000 AEs; 95% CI, 1.12-1.20) compared with artificial turf (0.92/10,000 AEs [95% CI, 0.84-1.01]; IRR, 1.26 [95% CI, 1.14-1.38]) (P P P = .15).

Conclusion

NCAA soccer players who practice on natural grass have increased risk of ACL injury compared with the risk of those practicing on an artificial surface, regardless of sex or NCAA division of play. No difference in risk of ACL injury between playing surfaces was detected during matches. Further research is necessary to examine the effect of multiple factors when evaluating the effect of the surface type on the risk of ACL injury in soccer players.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC-ND).

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