Incidence, Mechanisms, and Severity of Game-Related College Football Injuries on FieldTurf versus Natural Grass: A 3-Year Prospective Study

Background Numerous injuries have been attributed to playing on artificial turf. More recently, FieldTurf was developed to duplicate the playing characteristics of natural grass. No long-term studies have been conducted comparing game-related collegiate football injuries between the 2 playing surfac...

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Veröffentlicht in:The American journal of sports medicine 2010-04, Vol.38 (4), p.687-697
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description Background Numerous injuries have been attributed to playing on artificial turf. More recently, FieldTurf was developed to duplicate the playing characteristics of natural grass. No long-term studies have been conducted comparing game-related collegiate football injuries between the 2 playing surfaces. Hypothesis Collegiate athletes do not experience any difference in the incidence, mechanisms, and severity of game-related injuries between FieldTurf and natural grass. Study Design Cohort study; Level of evidence, 2. Methods Twenty-four universities were evaluated over 3 competitive seasons for injury incidence, injury category, time of injury, injury time loss, player position, injury mechanism, primary type of injury, grade and anatomical location of injury, type of tissue injured, trauma (head, knee, and shoulder), and environmental factors. Results In sum, 465 collegiate games were evaluated for game-related football injuries sustained on FieldTurf or natural grass during 3 seasons. Overall, 230 team games (49.5%) were played on FieldTurf versus 235 team games (50.5%) played on natural grass. A total of 2253 injuries were documented, with 1050 (46.6%) occurring during play on FieldTurf, and 1203 (53.4%) on natural grass. Multivariate analysis per 10 team games indicated significantly lower total injury incidence rates, F(3, 2249) = 3.468, P = .016, n — β =0.778, on FieldTurf, 45.7 (95% confidence interval [CI], 44.2-46.3), versus natural grass, 51.2 (95% CI, 49.8-51.7). Significantly lower minor injury incidence rates, 38.0 (95% CI, 36.9-38.5) versus 39.9 (95% CI, 39.1-40.0, P = .001), substantial injury incidence rates, 5.0 (95% CI, 4.3-5.6) versus 7.2 (95% CI, 6.6-7.7, P = .020), and severe injury incidence rates, 2.7 (95% CI, 2.1-3.3) versus 4.1 (95% CI, 3.5-4.1; P = .049), were documented on FieldTurf versus natural grass, respectively. Multivariate analyses also indicated significantly less trauma on FieldTurf when comparing injury time loss, injury situation, grade of injury, injuries under various field conditions, and temperature. No significant differences in head, knee, or shoulder trauma were observed between playing surfaces. Conclusion FieldTurf is in many cases safer than natural grass. It must be reiterated, however, that the findings of this study may be generalizable to only this level of competition. Because this study is still in the early stages, investigation is ongoing.
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More recently, FieldTurf was developed to duplicate the playing characteristics of natural grass. No long-term studies have been conducted comparing game-related collegiate football injuries between the 2 playing surfaces. Hypothesis Collegiate athletes do not experience any difference in the incidence, mechanisms, and severity of game-related injuries between FieldTurf and natural grass. Study Design Cohort study; Level of evidence, 2. Methods Twenty-four universities were evaluated over 3 competitive seasons for injury incidence, injury category, time of injury, injury time loss, player position, injury mechanism, primary type of injury, grade and anatomical location of injury, type of tissue injured, trauma (head, knee, and shoulder), and environmental factors. Results In sum, 465 collegiate games were evaluated for game-related football injuries sustained on FieldTurf or natural grass during 3 seasons. Overall, 230 team games (49.5%) were played on FieldTurf versus 235 team games (50.5%) played on natural grass. A total of 2253 injuries were documented, with 1050 (46.6%) occurring during play on FieldTurf, and 1203 (53.4%) on natural grass. Multivariate analysis per 10 team games indicated significantly lower total injury incidence rates, F(3, 2249) = 3.468, P = .016, n — β =0.778, on FieldTurf, 45.7 (95% confidence interval [CI], 44.2-46.3), versus natural grass, 51.2 (95% CI, 49.8-51.7). Significantly lower minor injury incidence rates, 38.0 (95% CI, 36.9-38.5) versus 39.9 (95% CI, 39.1-40.0, P = .001), substantial injury incidence rates, 5.0 (95% CI, 4.3-5.6) versus 7.2 (95% CI, 6.6-7.7, P = .020), and severe injury incidence rates, 2.7 (95% CI, 2.1-3.3) versus 4.1 (95% CI, 3.5-4.1; P = .049), were documented on FieldTurf versus natural grass, respectively. Multivariate analyses also indicated significantly less trauma on FieldTurf when comparing injury time loss, injury situation, grade of injury, injuries under various field conditions, and temperature. No significant differences in head, knee, or shoulder trauma were observed between playing surfaces. Conclusion FieldTurf is in many cases safer than natural grass. It must be reiterated, however, that the findings of this study may be generalizable to only this level of competition. Because this study is still in the early stages, investigation is ongoing.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546509352464</identifier><identifier>PMID: 20075177</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Ankle Injuries - epidemiology ; Ankle Injuries - etiology ; Athletic Injuries - epidemiology ; Biological and medical sciences ; Cohort Studies ; Craniocerebral Trauma - epidemiology ; Craniocerebral Trauma - etiology ; Diseases of the osteoarticular system ; Football - injuries ; Humans ; Incidence ; Injuries of the limb. Injuries of the spine ; Knee Injuries - epidemiology ; Knee Injuries - etiology ; Medical sciences ; Poaceae ; Prospective Studies ; Shoulder Injuries ; Surface Properties ; Trauma Severity Indices ; Traumas. 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More recently, FieldTurf was developed to duplicate the playing characteristics of natural grass. No long-term studies have been conducted comparing game-related collegiate football injuries between the 2 playing surfaces. Hypothesis Collegiate athletes do not experience any difference in the incidence, mechanisms, and severity of game-related injuries between FieldTurf and natural grass. Study Design Cohort study; Level of evidence, 2. Methods Twenty-four universities were evaluated over 3 competitive seasons for injury incidence, injury category, time of injury, injury time loss, player position, injury mechanism, primary type of injury, grade and anatomical location of injury, type of tissue injured, trauma (head, knee, and shoulder), and environmental factors. Results In sum, 465 collegiate games were evaluated for game-related football injuries sustained on FieldTurf or natural grass during 3 seasons. Overall, 230 team games (49.5%) were played on FieldTurf versus 235 team games (50.5%) played on natural grass. A total of 2253 injuries were documented, with 1050 (46.6%) occurring during play on FieldTurf, and 1203 (53.4%) on natural grass. Multivariate analysis per 10 team games indicated significantly lower total injury incidence rates, F(3, 2249) = 3.468, P = .016, n — β =0.778, on FieldTurf, 45.7 (95% confidence interval [CI], 44.2-46.3), versus natural grass, 51.2 (95% CI, 49.8-51.7). Significantly lower minor injury incidence rates, 38.0 (95% CI, 36.9-38.5) versus 39.9 (95% CI, 39.1-40.0, P = .001), substantial injury incidence rates, 5.0 (95% CI, 4.3-5.6) versus 7.2 (95% CI, 6.6-7.7, P = .020), and severe injury incidence rates, 2.7 (95% CI, 2.1-3.3) versus 4.1 (95% CI, 3.5-4.1; P = .049), were documented on FieldTurf versus natural grass, respectively. Multivariate analyses also indicated significantly less trauma on FieldTurf when comparing injury time loss, injury situation, grade of injury, injuries under various field conditions, and temperature. No significant differences in head, knee, or shoulder trauma were observed between playing surfaces. Conclusion FieldTurf is in many cases safer than natural grass. It must be reiterated, however, that the findings of this study may be generalizable to only this level of competition. Because this study is still in the early stages, investigation is ongoing.</description><subject>Ankle Injuries - epidemiology</subject><subject>Ankle Injuries - etiology</subject><subject>Athletic Injuries - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Craniocerebral Trauma - epidemiology</subject><subject>Craniocerebral Trauma - etiology</subject><subject>Diseases of the osteoarticular system</subject><subject>Football - injuries</subject><subject>Humans</subject><subject>Incidence</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Knee Injuries - epidemiology</subject><subject>Knee Injuries - etiology</subject><subject>Medical sciences</subject><subject>Poaceae</subject><subject>Prospective Studies</subject><subject>Shoulder Injuries</subject><subject>Surface Properties</subject><subject>Trauma Severity Indices</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Knee Injuries - epidemiology</topic><topic>Knee Injuries - etiology</topic><topic>Medical sciences</topic><topic>Poaceae</topic><topic>Prospective Studies</topic><topic>Shoulder Injuries</topic><topic>Surface Properties</topic><topic>Trauma Severity Indices</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meyers, Michael C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meyers, Michael C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence, Mechanisms, and Severity of Game-Related College Football Injuries on FieldTurf versus Natural Grass: A 3-Year Prospective Study</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2010-04-01</date><risdate>2010</risdate><volume>38</volume><issue>4</issue><spage>687</spage><epage>697</epage><pages>687-697</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background Numerous injuries have been attributed to playing on artificial turf. More recently, FieldTurf was developed to duplicate the playing characteristics of natural grass. No long-term studies have been conducted comparing game-related collegiate football injuries between the 2 playing surfaces. Hypothesis Collegiate athletes do not experience any difference in the incidence, mechanisms, and severity of game-related injuries between FieldTurf and natural grass. Study Design Cohort study; Level of evidence, 2. Methods Twenty-four universities were evaluated over 3 competitive seasons for injury incidence, injury category, time of injury, injury time loss, player position, injury mechanism, primary type of injury, grade and anatomical location of injury, type of tissue injured, trauma (head, knee, and shoulder), and environmental factors. Results In sum, 465 collegiate games were evaluated for game-related football injuries sustained on FieldTurf or natural grass during 3 seasons. Overall, 230 team games (49.5%) were played on FieldTurf versus 235 team games (50.5%) played on natural grass. A total of 2253 injuries were documented, with 1050 (46.6%) occurring during play on FieldTurf, and 1203 (53.4%) on natural grass. Multivariate analysis per 10 team games indicated significantly lower total injury incidence rates, F(3, 2249) = 3.468, P = .016, n — β =0.778, on FieldTurf, 45.7 (95% confidence interval [CI], 44.2-46.3), versus natural grass, 51.2 (95% CI, 49.8-51.7). Significantly lower minor injury incidence rates, 38.0 (95% CI, 36.9-38.5) versus 39.9 (95% CI, 39.1-40.0, P = .001), substantial injury incidence rates, 5.0 (95% CI, 4.3-5.6) versus 7.2 (95% CI, 6.6-7.7, P = .020), and severe injury incidence rates, 2.7 (95% CI, 2.1-3.3) versus 4.1 (95% CI, 3.5-4.1; P = .049), were documented on FieldTurf versus natural grass, respectively. Multivariate analyses also indicated significantly less trauma on FieldTurf when comparing injury time loss, injury situation, grade of injury, injuries under various field conditions, and temperature. No significant differences in head, knee, or shoulder trauma were observed between playing surfaces. Conclusion FieldTurf is in many cases safer than natural grass. It must be reiterated, however, that the findings of this study may be generalizable to only this level of competition. Because this study is still in the early stages, investigation is ongoing.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>20075177</pmid><doi>10.1177/0363546509352464</doi><tpages>11</tpages></addata></record>
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subjects Ankle Injuries - epidemiology
Ankle Injuries - etiology
Athletic Injuries - epidemiology
Biological and medical sciences
Cohort Studies
Craniocerebral Trauma - epidemiology
Craniocerebral Trauma - etiology
Diseases of the osteoarticular system
Football - injuries
Humans
Incidence
Injuries of the limb. Injuries of the spine
Knee Injuries - epidemiology
Knee Injuries - etiology
Medical sciences
Poaceae
Prospective Studies
Shoulder Injuries
Surface Properties
Trauma Severity Indices
Traumas. Diseases due to physical agents
title Incidence, Mechanisms, and Severity of Game-Related College Football Injuries on FieldTurf versus Natural Grass: A 3-Year Prospective Study
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