Cohort study2013

The effect of field condition and shoe type on lower extremity injuries in American Football

Iacovelli JN, Yang J, Thomas G, Wu H, Schiltz T, Foster DT

British journal of sports medicine · 19 citations

How it was studied

Design
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death

Who paid for it

Funding
Independent funding
Government
U.S. Public Health Service
Government
PHS HHS
Grants
U.S. Public Health Service (R49-CCD721682-03)

Based on 2 listed funder(s).

Publication

Published
2013-06-12 · Br J Sports Med · vol. 47 · issue 12 · pp. 789–793
Publisher
BMJ
Cited
42 citations · more than 90% of similar papers · 2.9× the field average
Impact
Top 10% most cited in its field
References
48 works
Access
Paywalled
Research areas
Sports injuries and prevention · Lower Extremity Biomechanics and Pathologies · Shoulder Injury and Treatment
Keywords
Football, American football, Medicine, Football players, Field (mathematics), Physical medicine and rehabilitation, Physical therapy, Mathematics, Geography
MeSH
humans, poaceae, ankle injuries, knee injuries, incidence, cohort studies, football, floors and floorcoverings, manufactured materials, shoes, united states

6 authors

From US

  • Jaclyn Nicole IacovelliUniversity of Iowa
  • Jingzhen Ginger Yang · correspondingUniversity of Iowa; Kent State University
  • Geb W ThomasUniversity of Iowa
  • Hongqian WuUniversity of Iowa
  • Trisha SchiltzUniversity of Iowa
  • Danny T. FosterUniversity of Iowa

Abstract

Background/aim

Considerable improvement has been made in football field surfaces and types of shoe, yet relatively few epidemiological studies have investigated their roles in the risk of football injuries. This study examined the effects of field surface, surface condition and shoe type on the likelihood of lower extremity football injuries.

Methods

Deidentified data from 188 players from one division I university football team during the 2007-2010 seasons were analysed. Lower extremity injury rate and rate ratio, along with 95% confidence limits, were calculated by football activity, playing surface condition and shoe type.

Results

A total of 130 lower extremity injuries were sustained, with an overall lower extremity injury rate of 33.5/10 000 athlete-sessions. The lower extremity injury rate was 2.61 times higher when the surface condition was abnormal compared with when the surface condition was normal. During games, the risk for lower extremity injury was 3.34 times higher (95% CI 1.70 to 6.56) on artificial turf compared with natural grass. However, this trend was not statistically significant in practice sessions. Furthermore, neither the number of shoe cleats nor the height of the shoe top was statistically associated with risk of lower extremity injuries.

Conclusions

Football players who played on artificial turf or when the surface condition was abnormal were susceptible to lower extremity injuries. Evidence from this study suggests that further research into playing surfaces and shoe types may provide fruitful opportunities to reduce injuries to collegiate football players.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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