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Football Rule Slashes Leg Injuries Unexpectedly
16 Sep
Summary
- A rule banning hits above the shoulders lowered leg injuries.
- Emergency room data shows a significant drop in lower body injuries.
- Researchers were surprised by the unintended positive outcome.

A rule implemented in high school football 12 years ago to mitigate serious head injuries has yielded an unforeseen positive outcome: a reduction in leg injuries. This nationwide regulation prohibits players from striking opponents above the shoulders, a measure prompted by growing concerns over head impacts and their link to CTE.
New research analyzing emergency room data has indicated a decrease in lower body injuries among high school football players following the rule's introduction. Researchers initially anticipated an increase in leg injuries as players adapted to tackling lower bodies to avoid head contact.
The study examined over 14,000 emergency room entries for athletes aged 14-18, comparing data from five years before and five years after the rule took effect. The findings revealed a yearly average drop from 7,315 to 5,611 lower-extremity injury cases. Nationwide, this translates to an estimated reduction from 242,000 to 193,000 injuries annually.
While the rule's impact on leg injuries is promising, researchers acknowledge other factors may contribute to overall injury reduction, including advancements in training, injury prevention strategies, and equipment technology. The study's limitations include reliance on emergency department data and a lack of information on player positions, which are known to influence injury risk.