Shoe and Field Surface Risk Factors for Acute Lower Extremity Injuries Among Female Youth Soccer Players
OʼKane JW, Gray KE, Levy MR, Neradilek M, Tencer AF, Polissar NL, Schiff MA
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 10 citations
How it was studied
- Design
- Case-control study (indexed by PubMed)
- Studied in
- People
- Main outcome
- Clinical events such as disease or death
Who paid for it
- Funding
- Independent funding
- Government
- National Institute of Arthritis and Musculoskeletal and Skin Diseases
- Government
- NIAMS NIH HHS
- Grants
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01 AR051059)
Based on 2 listed funder(s).
Publication
- Published
- 2015-09-01 · Clin J Sport Med · vol. 26 · issue 3 · pp. 245–250
- Publisher
- Lippincott Williams & Wilkins
- Cited
- 22 citations · more than 71% of similar papers · 0.7× the field average
- References
- 37 works
- Access
- Open access (repository copy)
- Research areas
- Sports injuries and prevention · Sports Performance and Training · Lower Extremity Biomechanics and Pathologies
- Keywords
- Medicine, Football players, Physical therapy, Injury prevention, Physical medicine and rehabilitation, Poison control, Medical emergency, Football
- MeSH
- lower extremity, humans, athletic injuries, risk factors, case-control studies, soccer, shoes, adolescent, child, washington, female
7 authors
- John W. O’Kane
- Kristen E. Gray
- Marni R. Levy
- Moni Blazej Neradilek
- Allan F. Tencer
- Nayak Lincoln Polissar
Abstract
Objective
To describe acute lower extremity injuries and evaluate extrinsic risk factors in female youth soccer.
Design
Nested case-control study.
Setting
Youth soccer clubs in Seattle, WA.
Participants
Female soccer players (n = 351) ages 11 to 15 years randomly selected from 4 soccer clubs from which 83% of their players were enrolled with complete follow-up for 92% of players.
Interventions
Injured players were interviewed regarding injury, field surface, shoe type, and position. Uninjured controls, matched on game or practice session, were also interviewed.
Main outcome measures
The association between risk factors and acute lower extremity injury using logistic regression to estimate odds ratios (OR) and 95% confidence intervals (CI).
Results
One hundred seventy-three acute lower extremity injuries occurred involving primarily the ankle (39.3%), knee (24.9%), and thigh (11.0%). Over half (52.9%) recovered within 1 week, whereas 30.2% lasted beyond 2 weeks. During practices, those injured were approximately 3-fold (OR, 2.83; 95% CI, 1.49-5.31) more likely to play on grass than artificial turf and 2.4-fold (95% CI, 1.03-5.96) more likely to wear cleats on grass than other shoe and surface combinations. During games, injured players were 89% (95% CI, 1.03-4.17) more likely to play defender compared with forward.
Conclusions
Half of the acute lower extremity injuries affected the ankle or knee. Grass surface and wearing cleats on grass increased training injuries.
Clinical relevance
The majority, 64%, of female youth soccer players' acute injuries involve the ankle and knee and injury prevention strategies in this age group should target these areas. When considering playing surfaces for training, communities and soccer organizations should consider the third-generation artificial turf a safe alternative to grass.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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