Collegiate women's soccer players suffer greater cumulative head impacts than their high school counterparts

2015 ◽  
Vol 48 (13) ◽  
pp. 3720-3723 ◽  
Author(s):  
Emily McCuen ◽  
Diana Svaldi ◽  
Katherine Breedlove ◽  
Nicole Kraz ◽  
Brian Cummiskey ◽  
...  
2018 ◽  
Vol 53 (2) ◽  
pp. 115-121 ◽  
Author(s):  
Lindsey C. Lamond ◽  
Jaclyn B. Caccese ◽  
Thomas A. Buckley ◽  
Joseph Glutting ◽  
Thomas W. Kaminski

Context:  Heading, an integral component of soccer, exposes athletes to a large number of head impacts over a career. The literature has begun to indicate that cumulative exposure may lead to long-term functional and psychological deficits. Quantifying an athlete's exposure over a season is a first step in understanding cumulative exposure. Objective:  To measure the frequency and magnitude of direct head impacts in collegiate women's soccer players across impact type, player position, and game or practice scenario. Design:  Cross-sectional study. Setting:  National Collegiate Athletic Association Division I institution. Patients or Other Participants:  Twenty-three collegiate women's soccer athletes. Main Outcome Measure(s):  Athletes wore Smart Impact Monitor accelerometers during all games and practices. Impacts were classified during visual, on-field monitoring of athletic events. All direct head impacts that exceeded the 10g threshold were included in the final data analysis. The dependent variable was linear acceleration, and the fixed effects were (1) type of impact: clear, pass, shot, unintentional deflection, or head-to-head contact; (2) field position: goalkeeper, defense, forward, or midfielder; (3) playing scenario: game or practice. Results:  Shots (32.94g ± 12.91g, n = 38; P = .02) and clears (31.09g ± 13.43g, n = 101; P = .008) resulted in higher mean linear accelerations than passes (26.11g ± 15.48g, n = 451). Head-to-head impacts (51.26g ± 36.61g, n = 13; P < .001) and unintentional deflections (37.40g ± 34.41g, n = 24; P = .002) resulted in higher mean linear accelerations than purposeful headers (ie, shots, clears, and passes). No differences were seen in linear acceleration across player position or playing scenario. Conclusions:  Nonheader impacts, including head-to-head impacts and unintentional deflections, resulted in higher mean linear accelerations than purposeful headers, including shots, clears, and passes, but occurred infrequently on the field. Therefore, these unanticipated impacts may not add substantially to an athlete's cumulative exposure, which is a function of both frequency and magnitude of impact.


2012 ◽  
Vol 24 (6) ◽  
pp. 702-708 ◽  
Author(s):  
Steven P. Broglio ◽  
James T. Eckner ◽  
Jeffery S. Kutcher

2022 ◽  
Vol 8 (1) ◽  
Author(s):  
Thomas G. Di Virgilio ◽  
Magdalena Ietswaart ◽  
Ragul Selvamoorthy ◽  
Angus M. Hunter

Abstract Background The suitability of corticomotor inhibition and corticospinal excitability to measure brain health outcomes and recovery of sport-related head impact (concussion and subconcussion) depends on good inter-day reliability, which is evaluated in this study. Transcranial magnetic stimulation (TMS) reliability in soccer players is assessed by comparing soccer players, for whom reliability on this measure may be reduced due to exposure to head impacts, to generally active individuals not engaged in contact sport. Methods TMS-derived corticomotor inhibition and corticospinal excitability were recorded from the rectus femoris muscle during two testing sessions, spaced 1–2 weeks apart in 19 soccer players (SOC—age 22 ± 3 years) and 20 generally active (CON—age 24 ± 4 years) healthy volunteers. Inter-day reliability between the two time points was quantified by using intra-class correlation coefficients (ICC). Intra-group reliability and group differences on actual measurement values were also explored. Results Good inter-day reliability was evident for corticomotor inhibition (ICCSOC = 0.61; ICCCON = 0.70) and corticospinal excitability (ICCSOC = 0.59; ICCCON = 0.70) in both generally active individuals and soccer players routinely exposed to sport-related head impacts. Corticomotor inhibition showed lower coefficients of variation than excitability for both groups (InhibSOC = 15.2%; InhibCON = 9.7%; ExcitabSOC = 41.6%; ExcitabCON = 39.5%). No group differences between soccer players and generally active individuals were found on the corticomotor inhibition value (p > 0.05), but levels of corticospinal excitability were significantly lower in soccer players (45.1 ± 20.8 vs 85.4 ± 6.2%Mmax, p < 0.0001). Corticomotor inhibition also showed excellent inter-rater reliability (ICC = 0.87). Conclusions Corticomotor inhibition and corticospinal excitability are stable and maintain good degrees of reliability when assessed over different days in soccer players, despite their routine exposure to head impacts. However, based on intra-group reliability and group differences of the levels of excitability, we conclude that corticomotor inhibition is best suited for the evaluation of neuromuscular alterations associated with head impacts in contact sports.


2021 ◽  
Vol 58 (1) ◽  
pp. 3184-3194
Author(s):  
Sara Majlesi

This study evaluated the effect of PETTLEP video imagery onreactive motor skill test (Total RMST time, sprint time, reactive agility time, passing time, and passing accuracy) among 32 Malaysian high school soccer players (mean age of 15.31±1.83) who were randomly assigned into an experimental group (N:16) and a control group (N:16). A pre-test-post-test design was used to evaluate the effect of the intervention on the high schoolplayers' soccer skill performance. The experimental group received 10-minute PETTLEP video imagery trainingbefore their regular soccer training for eight weeks in addition to their regular soccer training, while thecontrol group only attended their regular soccer training. The data analysis revealed a significant effect of video imagery training on players' performance in the experimental group. The results showed that total RMST time, reactive agility time, passing time, and passing accuracy were statistically different within the experimental group F(15, 154.993)= 14.440, p = < .001, Wilks' Λ = .050 and between groups F(5, 56.00)=379.774, p = < .001, Wilks' Λ = .050 after receiving the training, except for the sprint time which was not significant. The findings of this study provide evidence that eight weeks ofPETTLEPvideo imagery training interventioncan significantly improve soccer players' total RMST time, reactive agility time, passing time, and passing accuracy. These findings could be integrated into training programs by coaches and players in order to improve the performance of different soccer skills among high school players.


2016 ◽  
Vol 48 (7) ◽  
pp. S134 ◽  
Author(s):  
Siew Sun Wong ◽  
M. Manore ◽  
M. Patton-Lopez ◽  
J. Schuna ◽  
J. Dorbolo ◽  
...  

2019 ◽  
Vol 7 (4) ◽  
pp. 232596711983558 ◽  
Author(s):  
Shane V. Caswell ◽  
Patricia Kelshaw ◽  
Andrew E. Lincoln ◽  
Lisa Hepburn ◽  
Reginald Dunn ◽  
...  

Background: The rate of concussions in boys’ lacrosse is reported to be the third highest among high school sports in the United States, but no studies have described game-related impacts among boys’ lacrosse players. Purpose: To characterize verified game-related impacts, both overall and those directly to the head, in boys’ varsity high school lacrosse. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 77 male participants (mean age, 16.6 ± 1.2 years; mean height, 1.77 ± 0.05 m; mean weight, 73.4 ± 12.2 kg) were instrumented with sensors and were videotaped during 39 games. All verified game-related impacts ≥20 g were summarized in terms of frequency, peak linear acceleration (PLA), and peak rotational velocity (PRV). Descriptive statistics and impact rates per player-game (PG) with corresponding 95% CIs were calculated. Results: Overall, 1100 verified game-related impacts were recorded (PLA: median, 33.5 g [interquartile range (IQR), 25.7-51.2]; PRV: median, 1135.5 deg/s [IQR, 790.0-1613.8]) during 795 PGs. The rate for all verified game-related impacts was 1.38 impacts per PG (95% CI, 1.30-1.47). Of these, 680 (61.8%) impacts (PLA: median, 35.9 g [IQR, 26.7-55.5]; PRV: 1170.5 deg/s [IQR, 803.2-1672.8]) were directly to the head (impact rate, 0.86 impacts/PG [95% CI, 0.79-0.92]). Overall, midfielders (n = 514; 46.7%) sustained the most impacts, followed by attackers (n = 332; 30.2%), defenders (n = 233; 21.2%), and goalies (n = 21; 1.9%). The most common mechanisms for overall impacts and direct head impacts were contact with player (overall: n = 706 [64.2%]; head: n = 397 [58.4%]) and stick (overall: n = 303 [27.5%]; head: n = 239 [35.1%]), followed by ground (overall: n = 73 [6.6%]; head: n = 26 [3.8%]) and ball (overall: n = 15 [1.4%]; head: n = 15 [2.2%]). Direct head impacts were associated with a helmet-to-helmet collision 31.2% of the time, and they were frequently (53.7%) sustained by the players delivering the impact. Nearly half (48.8%) of players delivering contact used their helmets to initiate contact that resulted in a helmet-to-helmet impact. Players receiving a head impact from player contact were most often unprepared (75.9%) for the collision. Conclusion: The helmet is commonly used to initiate contact in boys’ high school lacrosse, often targeting defenseless opponents. Interventions to reduce head impacts should address rules and coaching messages to discourage intentional use of the helmet and encourage protection of defenseless opponents.


2019 ◽  
Vol 28 (1) ◽  
pp. 42-54 ◽  
Author(s):  
Avinash Chandran ◽  
Angelo Elmi ◽  
Heather Young ◽  
Loretta DiPietro

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