Study2024Industry fundedOpen access

Imaging and Surgical Procedures After Surface-Related Collegiate Football Injuries on Artificial Turf Versus Natural Grass: Prevalence and Trends Over 15 Seasons

Meyers MC, Sterling JC, Robinson SK

Orthopaedic journal of sports medicine · 0 citations

Review labels

Author industry tiesIndustry funded

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cohort study (classified by our AI screen)
Studied in
People
Main outcome
Clinical events such as disease or death

Who paid for it

Funding
Industry funded
Authors
At least one author declares a financial tie to industry

Based on full-text disclosure statement.

Publication

Published
2024-09-01 · Orthop J Sports Med · vol. 12 · issue 9 · p. 23259671241274144
Publisher
SAGE Publishing
Cited
1 citation · more than 56% of similar papers · 0.3× the field average
References
57 works
Access
Open access (journal) · CC-BY-NC-ND
Research areas
Sports injuries and prevention · Foot and Ankle Surgery · Lower Extremity Biomechanics and Pathologies
Keywords
Medicine, Multivariate analysis of variance, Football, Incidence (geometry), Physical therapy, Mathematics, Statistics, Geography

3 authors

From US

  • Michael C. Meyers · correspondingIdaho State University
  • James C. SterlingBaylor Medical Center at Garland
  • Shad K. RobinsonIdaho State University

Abstract

Background

Few longitudinal studies exist comparing medical procedures after football injuries on artificial and natural grass surfaces.

Purpose/hypothesis

The purpose of this study was to specifically compare imaging and surgical procedures after surface-related collegiate football injuries on artificial turf versus natural grass. It was hypothesized that there would be no difference in the incidence of imaging and surgical procedures, combined medical procedures, or combined substantial and severe injuries over time between these surfaces.

Study design

Cohort study; Level of evidence, 2.

Methods

A total of 39 universities across all Football Bowl Subdivision conferences were evaluated over 15 seasons (2006-2020). Playing surfaces evaluated were either a heavyweight artificial turf infill system (≥9.0 lb infill/ft2) or natural grass. Outcomes of interest included medical procedures across injury category, primary injury type, injury location, and specific procedures. Data involved multivariate analyses of variance (MANOVA) and Wilks λ criteria using general linear model procedures and were expressed as medical procedure incidence rates (IRs) per 10-game season.

Results

Overall, 2224 games were documented: 1106 (49.7%) on artificial turf and 1118 (50.3%) on natural grass. Of the 9137 total injuries reported, 4010 (44%) were surface-related cases. MANOVA indicated significant main effects between surfaces according to imaging procedure (F 2,1738 = 4.718; P = .009), surgical procedure (F 1,539 = 5.974; P = .003), and medical diagnosis (F 2,456 = 2.643; P = .040). Post hoc analyses indicated significantly lower (P P = .005) and combined substantial and severe injuries (P = .0007) irrespective of surface.

Conclusion

Results indicated that collegiate football competition on heavyweight artificial turf resulted in lower incidences of imaging and surgical procedures and medical diagnoses compared with natural grass.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).

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