Head Impact Exposures Among Youth Tackle and Flag American Football Athletes.
concussion
flag
football
head impact
tackle
Journal
Sports health
ISSN: 1941-0921
Titre abrégé: Sports Health
Pays: United States
ID NLM: 101518422
Informations de publication
Date de publication:
Historique:
pubmed:
24
2
2021
medline:
9
9
2021
entrez:
23
2
2021
Statut:
ppublish
Résumé
Promoted as a safer alternative to tackle football, there has been an increase in flag football participation in recent years. However, examinations of head impact exposure in flag football as compared with tackle football are currently limited. Tackle football athletes will have a greater number and magnitude of head impacts compared with flag football athletes. Cohort study. Level 4. Using mouthguard sensors, this observational, prospective cohort study captured data on the number and magnitude of head impacts among 524 male tackle and flag football athletes (6-14 years old) over the course of a single football season. Estimates of interest based on regression models used Bayesian methods to estimate differences between tackle and flag athletes. There were 186,239 head impacts recorded during the study. Tackle football athletes sustained 14.67 (95% CI 9.75-21.95) times more head impacts during an athletic exposure (game or practice) compared with flag football athletes. Magnitude of impact for the 50th and 95th percentile was 18.15 This study demonstrates that youth athletes who play tackle football are more likely to experience a greater number of head impacts and are at a markedly increased risk for high-magnitude impacts compared with flag football athletes. These results suggest that flag football has fewer head impact exposures, which potentially minimizes concussion risk, making it a safer alternative for 6- to 14-year-old youth football athletes.
Sections du résumé
BACKGROUND
BACKGROUND
Promoted as a safer alternative to tackle football, there has been an increase in flag football participation in recent years. However, examinations of head impact exposure in flag football as compared with tackle football are currently limited.
HYPOTHESIS
OBJECTIVE
Tackle football athletes will have a greater number and magnitude of head impacts compared with flag football athletes.
STUDY DESIGN
METHODS
Cohort study.
LEVEL OF EVIDENCE
METHODS
Level 4.
METHODS
METHODS
Using mouthguard sensors, this observational, prospective cohort study captured data on the number and magnitude of head impacts among 524 male tackle and flag football athletes (6-14 years old) over the course of a single football season. Estimates of interest based on regression models used Bayesian methods to estimate differences between tackle and flag athletes.
RESULTS
RESULTS
There were 186,239 head impacts recorded during the study. Tackle football athletes sustained 14.67 (95% CI 9.75-21.95) times more head impacts during an athletic exposure (game or practice) compared with flag football athletes. Magnitude of impact for the 50th and 95th percentile was 18.15
CONCLUSION
CONCLUSIONS
This study demonstrates that youth athletes who play tackle football are more likely to experience a greater number of head impacts and are at a markedly increased risk for high-magnitude impacts compared with flag football athletes.
CLINICAL RELEVANCE
CONCLUSIONS
These results suggest that flag football has fewer head impact exposures, which potentially minimizes concussion risk, making it a safer alternative for 6- to 14-year-old youth football athletes.
Identifiants
pubmed: 33618557
doi: 10.1177/1941738121992324
pmc: PMC8404728
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
454-462Références
J Neurotrauma. 2017 Jan 15;34(2):328-340
pubmed: 27029716
Med Sci Sports Exerc. 2015 Aug;47(8):1567-76
pubmed: 25437194
Orthop J Sports Med. 2019 Apr 04;7(4):2325967119835587
pubmed: 31058198
Ann Biomed Eng. 2013 May;41(5):873-82
pubmed: 23299827
J Int Neuropsychol Soc. 2018 Feb;24(2):147-155
pubmed: 28829004
Clin J Sport Med. 2014 Sep;24(5):416-21
pubmed: 24326933
Hawaii J Med Public Health. 2017 Mar;76(3):77-81
pubmed: 28352493
Neurosci Biobehav Rev. 2015 Sep;56:276-93
pubmed: 26183075
J Safety Res. 2019 Feb;68:157-172
pubmed: 30876507
Neurology. 2014 Jan 7;82(1):63-9
pubmed: 24336143
Ann Biomed Eng. 2012 Jan;40(1):237-48
pubmed: 21994068
PLoS One. 2020 Aug 14;15(8):e0237800
pubmed: 32797073
J Biomech Eng. 2014 Sep;136(9):094501
pubmed: 24950298
J Athl Train. 2017 Mar;52(3):206-227
pubmed: 28387553
J Neurosurg. 2013 Nov;119(5):1235-45
pubmed: 23971952
Pediatrics. 2019 May;143(5):
pubmed: 30936250
J Pediatr. 2013 Sep;163(3):717-20
pubmed: 23751761
Inj Prev. 2019 Aug;25(4):278-282
pubmed: 29330199
Neurosurgery. 2007 Dec;61(6):1229-35; discussion 1235
pubmed: 18162902
Ann Biomed Eng. 2012 Apr;40(4):976-81
pubmed: 22350665
J Appl Biomech. 2011 Feb;27(1):8-14
pubmed: 21451177
Pediatrics. 2014 Jun;133(6):1151-7
pubmed: 24864185
JAMA. 2010 Jun 9;303(22):2265-72
pubmed: 20530780
Am J Sports Med. 2012 Apr;40(4):747-55
pubmed: 22287642
J Neurotrauma. 2017 Jun 1;34(11):1939-1947
pubmed: 28274184
Curr Opin Pediatr. 2012 Dec;24(6):702-8
pubmed: 23042253
J Athl Train. 2016 Jul;51(7):511-8
pubmed: 27333460
J Biomech. 2015 Oct 15;48(13):3720-3
pubmed: 26329462
Neurosurgery. 2007 Dec;61(6):1244-52; discussion 1252-3
pubmed: 18162904
J Neurotrauma. 2019 Jun;36(11):1752-1757
pubmed: 30654683
Ann Biomed Eng. 2020 Jan;48(1):104-111
pubmed: 31435751
Am J Sports Med. 2007 Aug;35(8):1284-8
pubmed: 17405886
Ann Neurol. 2018 May;83(5):886-901
pubmed: 29710395
J Neurosurg Pediatr. 2017 Dec;20(6):604-612
pubmed: 29037104
Orthop J Sports Med. 2017 Feb 10;5(2):2325967116686784
pubmed: 28255566
Int J Psychophysiol. 2017 Feb;112:22-30
pubmed: 27867100
Am J Sports Med. 2017 Feb;45(2):468-473
pubmed: 27789471
J Neurotrauma. 2017 Jan 1;34(1):38-49
pubmed: 27541183
J Athl Train. 2007 Jan-Mar;42(1):5-10
pubmed: 17597937
Ann Biomed Eng. 2013 Sep;41(9):1939-49
pubmed: 23604848
Ann Biomed Eng. 2013 Dec;41(12):2463-73
pubmed: 23881111
Radiology. 2016 Dec;281(3):919-926
pubmed: 27775478
Sports Health. 2019 Jul/Aug;11(4):332-342
pubmed: 31173699
JAMA Pediatr. 2018 Nov 1;172(11):e182853
pubmed: 30193284
Neuroimage Clin. 2017 Mar 21;14:708-718
pubmed: 28393012
Br J Sports Med. 2016 Jan;50(1):55-61
pubmed: 26702018
J Neurotrauma. 2014 Feb 15;31(4):327-38
pubmed: 20883154
Pediatrics. 2015 Nov;136(5):e1419-30
pubmed: 26498638
J Neurotrauma. 2011 Oct;28(10):2069-78
pubmed: 21787201
Ann Biomed Eng. 2013 Dec;41(12):2474-87
pubmed: 23864337
J Alzheimers Dis. 2018;61(1):17-28
pubmed: 29103039