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Surface-Related High School Football Game Injuries on Pad and No-Pad Fields
1Human Performance Laboratory, Department of Human Performance and Sport Studies, Idaho State University, Pocatello, Idaho, USA.
The American Journal of Sports Medicine
|July 12, 2021
Summary
Padded artificial turf fields show higher injury rates than non-padded fields, contrary to expectations. This study advises against installing padded systems in high school football due to increased injury severity and specific trauma types.
Area of Science:
- Sports Medicine
- Biomechanics
- Orthopedic Surgery
Background:
- Artificial turf fields increasingly use pad underlayers to reduce shock and injuries.
- The impact of these pad underlayers on football trauma remains largely unknown.
Purpose of the Study:
- To investigate the effects of pad underlayers in artificial turf on football-related injuries.
- To compare injury incidence and severity between padded and non-padded artificial turf fields.
Main Methods:
- A 7-season cohort study involving 58 high schools across 3 states.
- Compared injury outcomes (severity, trauma type, mechanism, etc.) between padded and non-padded artificial turf fields.
- Utilized multivariate analyses of variance (MANOVA) to analyze injury incidence rates.
Main Results:
- 795 surface-related injuries were reported across 658 games.
- Padded fields showed significantly higher incidences of substantial/severe injuries, player-to-turf trauma, patellofemoral syndrome, neck/lower leg strains, and need for surgery.
- No significant difference in concussion rates was observed between padded and non-padded fields.
Conclusions:
- Contrary to conventional belief, padded artificial turf surfaces are associated with increased injury rates compared to non-padded surfaces.
- Current findings do not support the trend of installing lightweight padded infill systems for high school football.
- Further research may be needed to understand the specific biomechanical factors contributing to these findings.
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