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Two Pops

My ACL Recoveries and How I'm Trying to Advocate for Change to Reduce ACL and Other Serious Injuries for Women Soccer Players

I was running towards the center of the field with the ball on my left foot. I saw the defender approaching me from the right and as soon as I crossed the ball, I felt the contact. On October 18, 2016 I heard the loudest pop of my life, and I honestly couldn’t believe it came from my knee. The news came in a waiting room with pale yellow walls, a vibrant red doctor stool, and a painting of ocean waves crashing onto the beach, as if that was supposed to calm me down. I had torn my Anterior Cruciate Ligament (ACL). I underwent a four hour surgery, spent nine months off the field and went to physical therapy two days every week. The physical recovery pushed me to strengthen muscles I didn’t even know I had. I’ve been an athlete all my life so I was pretty much prepared for the strength work, but I really didn’t know how to handle my mental recovery. I struggled without the one constant I always had in my life and I couldn’t handle the idea that my goal of playing soccer in college had been pushed to the back burner. After almost three months back on the field, I was starting to feel like myself again. But on November 14, 2017 I heard that same pop and my heart sank. This time there was even much contact with opposing players, just a step over move and then that pop. The one constant in my two ACL injuries was top of the line grass cleats on a synthetic turf surface. That same constant has been at work as I've watched a dozen or so of my current and former teammates tear their ACLs, the past few years, often also in limited or non-contact situations. Like some of those talented teammates, for as long as I can remember, I've had my sights set on playing college soccer and every moment since my injuries has still been dedicated to that goal. I attended several College ID camps and played really well. I had interest from several top college program coaches. I love everything about the sport and until that first pop I had spent the majority of my time outside of school on a soccer field. Lately I've spent most of it in PT and the gym doing rehab, and wondering why me and why twice? I've come to understand so clearly that I am not alone and there are hundreds if not thousands of other girls wondering the same thing.

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Research on Footware and ACL Injuries

Best Studies BUT SO MUCH MORE NEEDS TO BE DONE!

Redwood Athletic Newsletter Feature 2016

Effects of Playing Surface and Shoe Type on ACL Tears in Soccer Players

Melissa Mansfield & Ronald Bucinell
Binghamton Unv, Mechanical Engineering
Union College, Mechanical Engineering

Today, Anterior Cruciate Ligament (ACL) tears are one of the most prevalent knee injuries, with the occurrence of ACL tears increasing drastically from approximately 80,000 in 2000 to 150,000 in 2011. Natural grass provides all the benefits of cushion, traction and the ability to deform in order to reduce injuries. Based on these three criteria, playing on natural grass with round studded cleats is recommended; however, in the modern athletic domain avoiding playing on artificial turf surfaces is difficult. To limit stress on the ACL when playing on artificial turf surfaces, wearing turf shoes is recommended. Ideally, these recommendations along with other data presented in this report can help prevent ACL tears in soccer players by helping them choose appropriate footwear for the surface on which they are playing.

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A review: The difference in lower extremity injury rates when played on natural grass compared to third-generation artificial turf

Kayla M. Pearce Northern Arizona University, pearce.kayla@gmail.com

Using University electronic medical records dating from 2011 to 2014, with the assistance of a staff member for data collection and categorization, the purpose of this study is to investigate the following questions: Is there a difference in the rate of lower extremity sprains on natural grass compared to third-generation artificial turf? Is there a difference in the rate of lower extremity sprains on third generation artificial turf vs. natural grass between teams (Football vs. Women’s Soccer)? Is there a difference in the rate of lower extremity sprains by body part (ankle vs. knee) on third-generation artificial turf vs. natural grass?

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Influence of Cleats-Surface Interaction on the Performance and Risk of Injury in Soccer: A Systematic Review

Twenty-three articles were included in this review: nine related to performance and fourteen to injury risk. On artificial grass, the soft ground model on dry and wet conditions and the turf model in wet conditions are related to worse performance. Compared to rounded studs, bladed ones improve performance during changes of directions in both natural and synthetic grass. Cleat models presenting better traction on the stance leg improve ball velocity while those presenting a homogeneous pressure across the foot promote better kicking accuracy. Bladed studs can be considered less secure by increasing plantar pressure on lateral border. The turf model decrease peak plantar pressure compared to other studded models.

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New Turf Fight Has U.S. Soccer and Women’s Team at Odds Again

By Caitlin Murray
Sept. 21, 2017

Five months after U.S. Soccer and the women’s national team completed often contentious negotiations on a new collective bargaining agreement, the players and the federation have fallen out again over an old grievance: artificial turf.

The dispute has an immediate cause: The women are angry that they will close their 2017 schedule with four of their final nine matches on artificial turf.


“The federation has agreed with the players association that turf is not the preferred playing surface, and yet still the WNT plays on turf far more than the MNT, including three of our final six games this year,” Becky Sauerbrunn, a team co-captain, said in an email, referring to the women’s team and the men’s team. “It is a stark disparity in working conditions, and one of the many issues we hope to remedy through our pending E.E.O.C. charges.”

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CALL TO ACTION! WHAT CAN WE ALL DO TO HELP?

Here is my list of actions we can take to help reduce the prevalence of ACL injuries among women soccer players. Some of these suggestions are most relevant to players in states like California that have switched to a winter high school season played exclusively on synthetic turf instead of grass. Like me, players in these states and regions now play 75%-80% of all their games on synthetic turf!

  1. Studies cited here and elsewhere suggest a strong link between ACL injuries and wearing grass cleats on synthetic turf which puts more stress and strain on ligaments like the ACL. Players, coaches and parents should advocate to their clubs, federations, and high schools for rule changes requiring turf shoes to be worn by all players on synthetic turf surfaces. Referees used to check cleats when they checked for shin pads and they should be doing that again to make sure the right soccer boots are matched to the surface to reduce risks of injury. Call and email your coaches, clubs, HS athletic directors, US Club, US Soccer Federation, ECNL, US Youth Soccer, ODP, and other key stakeholders and representatives. Organize the players on your teams to wear turf shoes and ask for the league and club rule change.

  2. Contact the Public Relations departments and other executives at Nike, Adidas , Diadora, Puma, Umbro, Under Armour and others to point out the issue of footwear contributing to higher rates of ACL injuries and ask them to consider changing their marketing to highlight the need for appropriate turf shoes to be worn on turf. Ask them to extend popular grass shoe lines linked to star players to include a robust selection of turf shoes to help support the cause and communicate to young players that turf shoes are cool and a crucial piece of equipment for any player that has training or games on synthetic surfaces. The lack of marketing focus on turf shoes and shortage of quality models at retail stores is part of the problem. Organize the players on your teams to advocate en mass. Take this opportunity to also ask these companies to support more research into optimizing footwear for each surface to prevent injuries. They should all be open to these ideas since it'll mean another pair of boots in every player's bag!

  3. Advocate with your coaches, clubs and schools for more cutting edge injury prevention training. There are new programs that analyze an individual player's movement, jumping, landing, etc to identify players at higher risk and help them adjust their movement and positioning to reduce their ACL and other injury risks. Women move differently than men and these differences seem to be contributing to higher rates of injury. These new analysis tools and training programs should be embraced and included as part of mandatory team training at all levels. We should also ask our soccer federations and universities to support additional ongoing research in this area to keep these injury prevention programs on the cutting edge. Strengthening and flexibility programs are not enough by themselves. Organize the players on your teams to advocate as a group and communicate the need for action.

  4. Contact professional players and coaches, both past and present, college coaches, television hosts and analysts, soccer experts, etc to ask them to take up the cause and help advocate for these rules, policies, and brand marketing changes. I heard Julie Foudy educate one of the male British lay by play announcers during a WNT game recently. The male announcer said, of I didn't even know that women were injuring their knees at a much higher level than the men. The Women's National Team, for example, is on record arguing against playing games on turf because of the increased risk of injury so they know the issue exists and could be important supporters of this cause!

  5. Use social media to spread the word and organize players, parents and fans to create a movement and widespread awareness of the steps we can all take to help reduce the massive wave of injuries that young women soccer players have endured and continue to face every day playing the sport we love. Share the link to this web site, fill out the contact form below to receive updates and more information, and follow me on social media. Share your stories here and on social media of injuries and inspirational recoveries, and as importantly your successes in changing the footwear and injury prevention training policies of your teams, leagues, and soccer organizations. I will add more links to helpful resources to this site as others rally to our cause.

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Other Player Stories

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“It takes amazing grit, amazing resolve and an amazing personality to overcome what she has." Following three ACL tears and a staph infection that hospitalized her for a month, Mia Hoen-Beck is back on the field for the #UVa women's soccer team. http://bit.ly/2wa8QBj 

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EMILY: Everything leading into it was just a bad feeling. I said it. I said “someone is going to get hurt on this field.” The turf was really bad and it was kind of bad feelings going into the game.

STEFANIE: You’re on turf. It’s not great turf...

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By Janelle’s and her mother’s count, her club team, with 18 players, had suffered eight A.C.L. tears — eight — during her high-school years: Janelle’s two, another player’s two and four other girls with one each. A high-school teammate one class above Janelle endured chronic ankle problems and, according to a Miami Herald article, six ankle operations — three in each leg — over the course of her four years on the varsity soccer team.

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