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Shoe and Field Surface Risk Factors for Acute Lower Extremity Injuries Among Female Youth Soccer Players.
John W OʼKane1, Kristen E Gray, Marni R Levy
1Departments of *Family Medicine; and †Orthopedics and Sports Medicine, University of Washington School of Medicine, Seattle Washington; ‡Department of Epidemiology, School of Public Health, University of Washington, Seattle, Washington; §Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington; and ¶The Mountain-Whisper-Light Statistics, Seattle, Washington.
Female youth soccer players experience frequent ankle and knee injuries. Playing on grass, especially with cleats, increases training injury risk, highlighting the need for targeted prevention strategies.
Area of Science:
- Sports Medicine
- Pediatric Orthopedics
- Biomechanics
Background:
- Acute lower extremity injuries are common in female youth soccer.
- Understanding extrinsic risk factors is crucial for developing effective prevention strategies.
Purpose of the Study:
- To describe the incidence and characteristics of acute lower extremity injuries in female youth soccer players.
- To evaluate extrinsic risk factors associated with these injuries.
Main Methods:
- A nested case-control study was conducted with 351 female soccer players aged 11-15 years.
- Injured players and matched uninjured controls were interviewed regarding injury circumstances, playing surface, footwear, and position.
- Logistic regression analysis was used to determine the association between risk factors and injury.
Main Results:
- Ankle (39.3%) and knee (24.9%) were the most commonly injured sites.
- Playing on grass surfaces (odds ratio [OR], 2.83) and wearing cleats on grass (OR, 2.4) during practice increased injury likelihood.
- Playing the defender position during games was also associated with a higher risk of injury (OR, 1.89).
Conclusions:
- Ankle and knee injuries constitute the majority of acute injuries in this population.
- Implementing injury prevention strategies targeting these areas and considering safer playing surfaces like artificial turf for training is recommended.
- Reducing injuries in female youth soccer requires attention to playing surfaces and footwear during practice and games.
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