The Controversy Over Grass

madison plains

Where Pigskin Meets Grass

To be clear, my topic today is NOT a survey of what cannabis legalization has wrought in states like Washington or Colorado [as an aside, in our own little corner of the USA the question of legalization will be on the ballot in Ohio this fall].

The grasses we’re discussing are ‘Bermuda,’ ‘Fescue,’ ‘Bluegrass’ and the like.

And the question today is not whether ‘the Dude abides’ [he most certainly does], but is this: which is the safer surface on which to play sport, grass or turf?

The subject came to mind after reading about a recent kerfuffle in the NFL.  The Houston Texans have played on a specially designed grass surface over the years. This season, they are switching to turf in response to concerns voiced about the field quality by opponents such as the Kansas City Chiefs.  In the NFL, in this season for this stadium, there’s a push toward turf.

On the other hand, readers may remember the controversy that raged much of this year regarding the use of turf [as opposed to grass] for the FIFA Women’s World Cup. And that ‘other’ world cup, Rugby World Cup 2015, is taking place right now in England, with  Twickenham Stadium and its grass pitch as that event’s centerpiece.

Grass vs. turf?  The perennial question.  Looking at it solely from the perspective of injury prevention [as opposed to factors such as sports performance or maintenance costs], we have looked at this question from time to time in the blog and in the journal.

For instance, this summer, in the July 2015 CJSM, O’Kane et al. published their timely findings looking into shoe wear and surface type on injury rates in female youth soccer players.  They found that a grass surface and wearing cleats on grass raised rates of lower extremity injuries; they concluded: “When considering playing surfaces for training, communities and soccer organizations should consider the third-generation artificial turf a safe alternative to grass.” Something to consider in this population and this sport and a countervailing argument to the push for grass in future iterations of the Women’s World Cup? Perhaps.  Or might that be too great of a generalization, extrapolating from the youth to the elite sport level?  Very likely.

What about you: your thoughts on this matter?  Taken purely from the perspective of sporting safety and injury prevention, what are your thoughts, your read of the medical literature?  Grass vs. Turf:  which is safer?  Does the sport matter?  Does the level of play matter?

Tell us in the poll!

 

Rugby World Cup 2015: “All In”

Wallabies_vs_Springboks_lineout

Wallabies vs. Springboks: a potential fixture in #RWC2015 England Follow @CJSMOnLine during the World Cup to find out more.

The Rugby World Cup begins tomorrow in England, and I, like many others around the world, have been looking forward to this day for some time. It’s been on my mind at least since this blog post [‘Rugby’s Big Year(s)’], which I am republishing today.

Interest in the sport continues to grow here in the United States.  This interest is growing both in its own right–an awareness of the special excitement of rugby– and it is growing as there is increasing awareness of the sport’s impact on the broader world of football in general.  Rugby played midwife to American football, so to speak. The familial bond is still present: Jarryd Hayne, an Australian rugby player, just made his debut in an NFL regular season game; and the Wall Street Journal published an intriguing story today on the ‘thing or two’ that American football might learn from its mother sport.

I’ve written frequently on the sport in the pages of this blog, and the journal has published just as frequently on the subject.  And so we are ‘all in’ for the World Cup over the next six weeks.  Expect timely, topical posts on the sport medicine issues that arise as the games begin.

Among the other twitter feeds I’ll be following (and you should too):  @RugbyWorldCup (the official RWC2015 twitter feed); @WorldRugby (the official governing body of the sport, formerly known as the ‘IRB’); @Sharief_H (aka ‘Rugby Science); and @RugbySciNetwork (Rugby Science Network or ‘RSN’).  RSN is actually having an international conference on the sport and associated sport medicine, in Cape Town, and following the hashtag #RSN2015 will bring you a wealth of valuable information.

I’ll be travelling through South Africa and visiting Cape Town myself during the tournament, and so I’ll be sure to follow @Springboks as well.  Who knows, maybe I’ll be following a winner?  Or will it be the Pumas?  The All Blacks?  The Wallabies? Maybe the USA, ranked 15th in the world, will pull off the mother of all upsets?

We will find out at the end of October!

sportingjim's avatarClinical Journal of Sport Medicine Blog

IMG_1008 Sam Boyd Stadium, Las Vegas Nevada, site of the annual Rugby 7s tournament.

It’s amazing how time flies.  How is it already March?

It’s almost 7 p.m. and I’m writing by the light of a sun that is still above the horizon, thanks to one of my favorite inventions of the modern world: daylight savings time, which arrived last night.

This realization is a personal reminder, however, that I have been delinquent: meaning to write a blog post about an event that took place three weeks ago…..but, my oh my, business has just swamped me, I guess.

As the swallows return annually to San Juan Capistrano, so do the Rugby 7 squads of Kenya, South Africa, New Zealand and other countries come each February to the desert:  Las Vegas hosted the USA leg of the HSBC Sevens Series Feb 13 – 15.  It is the largest annual…

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Rugby’s Big Year(s)

IMG_1008

Sam Boyd Stadium, Las Vegas Nevada, site of the annual Rugby 7s tournament.

It’s amazing how time flies.  How is it already March?

It’s almost 7 p.m. and I’m writing by the light of a sun that is still above the horizon, thanks to one of my favorite inventions of the modern world: daylight savings time, which arrived last night.

This realization is a personal reminder, however, that I have been delinquent: meaning to write a blog post about an event that took place three weeks ago…..but, my oh my, business has just swamped me, I guess.

As the swallows return annually to San Juan Capistrano, so do the Rugby 7 squads of Kenya, South Africa, New Zealand and other countries come each February to the desert:  Las Vegas hosted the USA leg of the HSBC Sevens Series Feb 13 – 15.  It is the largest annual rugby tournament held in North America. and Las Vegas has been its host since 2010.

As followers of the blog will know, USA Rugby conducts an outstanding medical symposium every year just prior to the tournament, and I was out for some education as well as sport.  It was a fabulous conference, and I do hope you all get a chance to attend some day.

Tim Hewett, who is well known to readers of this blog, gave a great talk on original research of the difference in injury rates between collegiate rugby and American football players.  We are most definitely looking forward to seeing that research published.  Hey, Tim, if you’re looking for a place to send that manuscript for peer review, send it our way.

His colleague from Ohio State, the orthopaedic surgeon and OSU Team Doc Chris Kaeding, gave a great talk as well, regarding data on knee outcomes coming out of the ‘Multicenter Othopaedic Outcomes Network,’ or MOON group, some of whose research we have published in CJSM.

With the George North story on everyone’s mind, we were all eager to hear what concussion experts such as Chris Nowinski of the Sports Legacy Institute had to say about minimizing injury risk in rugby.  Nowinski presented one of the best and most nuanced talks I have heard on the ‘concussion crisis’ in sports. I enjoyed it so much I caught up with him after the conference, and the interview I had with him is now available as a podcast. Read more of this post

Super Sunday

rachel nichols

Some of the media absurdity, and social media fun, in the run up to the Super Bowl

Why is Marshawn Lynch not talking?

Will #DeflateGate show up in the next edition of Webster’s dictionary?

Might Richard Sherman be in a hospital labor and delivery room rather than the stadium on Super Bowl Sunday?

The two week period between the NFL conference championships and the Super Bowl is at last, blessedly, over and it’s time for the real deal, the big kahuna, the game itself:  #PatriotsVsSeahawks.

There is so much room to fill in this fortnight that the media gets a little loopy, and many of the questions being asked with bated breath are, as the above sampling would indicate, fairly ridiculous.

One redeeming dimension to this tempest is that some clever folk get the opportunity to emphasize the absurdity of it all: I especially enjoyed the Jimmy Kimmel spoof of the DeflateGate controversy, “I am the locker room guy,” for which I owe Rachel Nichols a big thank you:  her tweet first made me aware of this hilarious video.

There has been the opportunity, as well, for what I think are intelligent analyses of the current state of the NFL, and of American football itself.  Mother Jones–a magazine not typically paired with, say, Sports Illustrated–recently ran an article entitled “The NFL’s Terrible, Horrible, No Good, Very Bad Year” and which began with a statement which sounds like the NFL apocalypse is nigh:  “From domestic violence and concussions to racist team names and angry cheerleaders, 2014 was a rotten year for pro football.”  Katy Perry–the singer who will perform at halftime this Sunday and the person with the largest twitter following on the planet–made what I think was a particularly concise evaluation of the multiple domestic violence issues occurring this season:  “It wasn’t an image problem–it was a problem.”

Many of the articles I’ve been reading in various periodicals have direct relevance to those of us in the universe of sports medicine.  The New York Times has done a great job in the past several days profiling the increasing awareness of injury risks associated with football; examples include an article on NFL outreach to mothers to assure them of football’s relative safety (and ensure for the league a pipeline of young talent coming their way) and an article profiling the recent study in Neurology purporting to demonstrate the long-term cognitive effects of initiating contact before the age of 12.

The Guardian even stepped into the fray with a very interesting piece on the potential for a measles outbreak in Arizona:  the massing of large populations; the recent outbreak of the disease in nearby California; and the relative lack of herd immunity (thanks to historically low rates of vaccination), contribute to a ‘perfect storm’ of contagion. The most deadly of childhood febrile exanthems–according to the CDC–may make for a post-Super Bowl hangover that won’t go away.

Like many of us who go into sports medicine, though, I do love sports, warts and all.  I am looking forward to a good game between New England and Seattle…..and a respite from the silly stories.

I am looking forward, too, to the research that will eventually come out of the NFL Player’s Association $100 million dollar grant to Harvard looking at player safety.  That’s a 10 year project, and so much of what will be found is still years away.  I am confident, as the evidence comes in, that some of the manuscripts to be published will be found in the pages of CJSM.  I am eager to discuss that research with you along the way.  Super Bowl L (actually Super Bowl 50–the NFL is dispensing with the Roman numerals for a year) will surely have more medically relevant stories seen in a new, evidence-based context…..and, of course, more inanity.

For now:  good luck to both teams.  May the players stay safe on Super Bowl Sunday. And….one last question:

Will Marshawn Lynch grab his crotch in celebration?

See you all next week.