Dataset Information

Comparative Analysis of Head Impact in Contact and Collision Sports.

ABSTRACT: As concerns about head impact in American football have grown, similar concerns have started to extend to other sports thought to experience less head impact, such as soccer and lacrosse. However, the amount of head impact experienced in soccer and lacrosse is relatively unknown, particularly compared with the substantial amount of data from football. This pilot study quantifies and compares head impact from four different types of sports teams: college football, high school football, college soccer, and college lacrosse. During the 2013 and 2014 seasons, 61 players wore mastoid patch accelerometers to quantify head impact during official athletic events (i.e., practices and games). In both practices and games, college football players experienced the most or second-most impacts per athletic event, highest average peak resultant linear and rotational acceleration per impact, and highest cumulative linear and rotational acceleration per athletic event. For average peak resultant linear and rotational acceleration per individual impact, college football was followed by high school football, then college lacrosse, and then college soccer, with similar trends in both practices and games. In the four teams under study, college football players experienced a categorically higher burden of head impact. However, for cumulative impact burden, the high school football cohort was not significantly different from the college soccer cohort. The results suggest that head impact in sport substantially varies by both the type of sport (football vs. soccer vs. lacrosse) and level of play (college vs. high school).

SUBMITTER: Reynolds BB

PROVIDER: S-EPMC5198110 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature

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Comparative Analysis of Head Impact in Contact and Collision Sports.

Reynolds Bryson B BB Patrie James J Henry Erich J EJ Goodkin Howard P HP Broshek Donna K DK Wintermark Max M Druzgal T Jason TJ

Journal of neurotrauma 20161117 1

As concerns about head impact in American football have grown, similar concerns have started to extend to other sports thought to experience less head impact, such as soccer and lacrosse. However, the amount of head impact experienced in soccer and lacrosse is relatively unknown, particularly compared with the substantial amount of data from football. This pilot study quantifies and compares head impact from four different types of sports teams: college football, high school football, college so ...[more]

PMID: 27541183

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Project description:A controversial theory proposes that playing tackle football before the age of 12 causes later in life brain health problems. This theory arose from a small study of 42 retired National Football League (NFL) players, which reported that those who started playing tackle football at a younger age performed worse on selected neuropsychological tests and a word reading test. The authors concluded that these differences were likely due to greater exposure to repetitive neurotrauma during a developmentally sensitive maturational period in their lives. Several subsequent studies of current high school and collegiate contact/collision sports athletes, and former high school, collegiate, and professional tackle football players have not replicated these findings. This narrative review aims to (i) discuss the fundamental concepts, issues, and controversies surrounding existing research on age of first exposure (AFE) to contact/collision sport, and (ii) provide a balanced interpretation, including risk of bias assessment findings, of this body of evidence. Among 21 studies, 11 studies examined former athletes, 8 studies examined current athletes, and 2 studies examined both former and current athletes. Although the literature on whether younger AFE to tackle football is associated with later in life cognitive, neurobehavioral, or mental health problems in former NFL players is mixed, the largest study of retired NFL players (N = 3,506) suggested there was not a significant association between earlier AFE to organized tackle football and worse subjectively experienced cognitive functioning, depression, or anxiety. Furthermore, no published studies of current athletes show a significant association between playing tackle football (or other contact/collision sports) before the age of 12 and cognitive, neurobehavioral, or mental health problems. It is important to note that all studies were judged to be at high overall risk of bias, indicating that more methodologically rigorous research is needed to understand whether there is an association between AFE to contact/collision sports and later in life brain health. The accumulated research to date suggests that earlier AFE to contact/collision sports is not associated with worse cognitive functioning or mental health in (i) current high school athletes, (ii) current collegiate athletes, or (iii) middle-aged men who played high school football. The literature on former NFL players is mixed and does not, at present, clearly support the theory that exposure to tackle football before age 12 is associated with later in life cognitive impairment or mental health problems.

Project description:ObjectiveSport participation promotes health benefits for children. Current media and scientific coverage of sport-related head injury may influence a parent's decision on sports participation. Physicians must understand what influences these decisions to effectively counsel patients and families. This study sought to better understand and quantify the parental decisions to allow/disallow collision sports, including football participation.MethodsA 31-question survey related to child/parent demographics, sports history, and influences to allow/disallow sport participation was available to parents in the United States through a national volunteer registry, between November 2016 and September 2019. Pearson's chi-squared and Wilcoxon's signed-rank test were used to analyze categorical and continuous variables, respectively. Multivariate logistic regression was performed to identify the most powerful factors associated with the decision.ResultsOf the 884 responses, 430 (49%) parents would disallow collision sport participation and 334 (38%) would disallow football. Parents who would allow collision sports more commonly cited child desire, while those parents who would disallow cited safety concern as the greatest influence to generally disallow a sport. Those who would disallow reported doctors (35.1% vs 25.3%; P = 0.002), media (12.8% vs 7.3%; P = 0.006) and other parents (11.2% vs 7.3%; P = 0.045) as influences. A child's age (OR 1.039, 95%CI 1.007-1.073; P = 0.018) was independently associated with their parent responding that they would allow collision sports. Parent educational status showed that those with higher than a bachelor's degree would be less likely to allow football participation (OR 0.635, 95%CI 0.443-0.910; P = 0.013).ConclusionsParents incorporate many sources of information into the decision to allow or disallow their child to participate in collision sports. A child's desire to play a sport and child safety are driving factors for parents faced with the decision of whether to allow participation in collision sports. Physician input is more frequently influential to parents than the media, underscoring the responsibility of physicians to engage families on the risks, benefits, and resources available for sport participation.

Project description:This article aimed to compare the sports participation of populations from two distinct societies with huge cultural differences: France and Japan. At a macro-statistical level and using a societal approach based on two national ad-hoc surveys-in contrast with functionalist and culturalist analyses-it analysed the differences in sports participation between the two populations. The angle adopted for analysing sports participation was that of voraciousness (number and types of sports and physical activities practised). We performed a secondary analysis of a Japanese national ad-hoc survey and a French national ad-hoc survey (quotas sampling, June/July 2016), which reported activities precisely over the preceding 12 months. The two reconstructed samples for comparison concerned people aged between 18 and 70, and 46 PSAs and PSA families, making it possible to evaluate sports participation. The Japanese sample consisted of 2,612 individuals and the French sample of 3,791 individuals. To identify statistically significant differences between the two samples, Fisher's exact test and bootstrap approaches was used (boot package in R software). Sports participation and voraciousness for sport are higher in the French population than in the Japanese one. For the overall rate of sports practice, there is a difference of 8.2 points (95%CI[6.0;10.3], p<0.001), and the difference concerning the average number of activities practised by practitioners is 1.7 activity (95%CI[1.9;1.5], p<0.001). In both countries, young males have the highest level of sportiness. Age is an important variable with a lower difference between the youngest and oldest age groups for sports participation in Japan than in France: when compared to France, the difference in difference for the rate of no activity is 13.7 points (95%CI[6.3;21.1], p<0.001) and -2.3 activities for the average number of activities among practitioners (95%CI[-3.0;-1.7], p<0.001). Some physical and sports activities (PSAs) are specific to France (e.g. skiing with 12.7 points difference, 95%CI[11.3;14.1], p<0.001) and others to Japan, such as baseball (with 9.8 points difference 95%CI[8.6;11.0], p<0.001) or more traditional PSAs like Japanese calisthenics and radio exercise (at 15.9%). In contrast to France, Japan is still in the process of greatly modernising its sporting tradition as a result of its particular cultural dimensions. We can identify physical and sports activities which are specific to each country, as well as similar activities in the two countries and wider diversification in France. Voraciousness for sport is higher in France than in Japan. In both countries, the youngest age groups and men have the highest level of sportiness. Yet, the difference between the youngest and the oldest group is smaller in Japan due to the pressure of work.

Project description:Background and Purpose: Athletes participating in high-contact sports experience repeated head trauma. Anatomical findings, such as a cavum septum pellucidum, prominent CSF spaces, and hippocampal volume reductions, have been observed in cases of mild traumatic brain injury. The extent to which these neuroanatomical findings are associated with high-contact sports is unknown. The purpose of this study was to determine whether there are subtle neuroanatomic differences between athletes participating in high-contact sports compared to low-contact athletic controls. Materials and Methods: We performed longitudinal structural brain MRI scans in 63 football (high-contact) and 34 volleyball (low-contact control) male collegiate athletes with up to 4 years of follow-up, evaluating a total of 315 MRI scans. Board-certified neuroradiologists performed semi-quantitative visual analysis of neuroanatomic findings, including: cavum septum pellucidum type and size, extent of perivascular spaces, prominence of CSF spaces, white matter hyperintensities, arterial spin labeling perfusion asymmetries, fractional anisotropy holes, and hippocampal size. Results: At baseline, cavum septum pellucidum length was greater in football compared to volleyball controls (p = 0.02). All other comparisons were statistically equivalent after multiple comparison correction. Within football at baseline, the following trends that did not survive multiple comparison correction were observed: more years of prior football exposure exhibited a trend toward more perivascular spaces (p = 0.03 uncorrected), and lower baseline Standardized Concussion Assessment Tool scores toward more perivascular spaces (p = 0.02 uncorrected) and a smaller right hippocampal size (p = 0.02 uncorrected). Conclusion: Head impacts in high-contact sport (football) athletes may be associated with increased cavum septum pellucidum length compared to low-contact sport (volleyball) athletic controls. Other investigated neuroradiology metrics were generally equivalent between sports.

Dataset Information

Comparative Analysis of Head Impact in Contact and Collision Sports.

Publications

Comparative Analysis of Head Impact in Contact and Collision Sports.

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