Short report
Severity of fall injuries on sand or grass in playgrounds
Sophie Laforest, Yvonne Robitaille, Danièle Dorval, Dominique Lesage, Barry Pless
Montreal Public
Health Department, 1301 Sherbrooke est, Montréal, Québec, Canada,
H2L 1M3
Correspondence to: Dr Laforest
Accepted for publication 19 December 1999
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Playground injuries are a major public health problem.1-3 Laboratory studies have recommended sand, pearock, synthetic materials, or wood chips as protective surfaces beneath equipment,2 and epidemiological studies have confirmed that hard surfaces are dangerous. However, some questions remain about grass.1-3 To compare the protection offered by grass and sand, public and residential playgrounds need to be considered. Most sand surfaces are in public playgrounds, while grass is used mostly at home where up to 25% of accidents occur.2 4 This study aimed at comparing the risk of severe injuries after a fall on sand or on grass.
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During the summers of 1991 and 1995, children aged 1 to 14, who
attended the emergency department of
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