ArticleSports health2013
Neck strength imbalance correlates with increased head acceleration in soccer heading.
Article in Sports health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Quantification of heading in adult football: a systematic review and evidence synthesis.British journal of sports medicine · 2025Pooled it
- Prevention strategies and modifiable risk factors for concussion: a systematic review and meta-analysis for the Female, woman and girl/or Athlete Injury pRevention (FAIR) consensus.British journal of sports medicine · 2025Pooled it
- What Factors Influence Head Acceleration During a Purposeful Header in Soccer Players? A Systematic Review.Sports medicine (Auckland, N.Z.) · 2025Pooled it
- Head and Neck Characteristics as Risk Factors For and Protective Factors Against Mild Traumatic Brain Injury in Military and Sporting Populations: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2022Pooled it
- A Systematic Review of Head Impacts and Acceleration Associated with Soccer.International journal of environmental research and public health · 2022Pooled it
- Heading in Football: Incidence, Biomechanical Characteristics and the Association with Acute Cognitive Function-A Three-Part Systematic Review.Sports medicine (Auckland, N.Z.) · 2021Pooled it
- The Role of Cervical Symptoms in Post-concussion Management: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2021Pooled it
- Effects of Combined Caffeine andNutrients · 2026Trial
- Mapping the existence and content of heading coaching documents across FIFA members associations.JSAMS plus · 2026Article
- Epidemiology of acute sports injuries in Hong Kong elite fencing athletes: A retrospective analysis of prospectively collected injury surveillance data.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2026Article
- Article
- Sex Differences in Head Acceleration Events in Law Enforcement Corrections Cadets.Annals of biomedical engineering · 2025Article
- Neck Strength Is Not a Protective Factor for Lower Repetitive Head Impact Exposure in Law Enforcement Cadets.Military medicine · 2025Observational
- Exploring Sex-Based Variations in Head Kinematics During Soccer Heading.Annals of biomedical engineering · 2025Article
- Article
- Neck strength alone does not mitigate adverse associations of soccer heading with cognitive performance in adult amateur players.PloS one · 2024Article
- Where are We Headed? Evidence to Inform Future Football Heading Guidelines.Sports medicine (Auckland, N.Z.) · 2023Review
- Injury-Reduction Programs Containing Neuromuscular Neck Exercises and the Incidence of Soccer-Related Head and Neck Injuries.Journal of athletic training · 2023Article
- Reliability of Repeated Isometric Neck Strength in Rugby Union Players Using a Load Cell Device.Sensors (Basel, Switzerland) · 2022Article
- Sulcal Cavitation in Linear Head Acceleration: Possible Correlation With Chronic Traumatic Encephalopathy.Frontiers in neurology · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSoccer heading is using the head to directly contact the ball, often to advance the ball down the field or score. It is a skill fundamental to the game, yet it has come under scrutiny. Repeated subclinical effects of heading may compound over time, resulting in neurologic deficits. Greater head accelerations are linked to brain injury. Developing an understanding of how the neck muscles help stabilize and reduce head acceleration during impact may help prevent brain injury. HYPOTHESIS: Neck strength imbalance correlates to increasing head acceleration during impact while heading a soccer ball. STUDY
designObservational laboratory investigation.
methodsSixteen Division I and II collegiate soccer players headed a ball in a controlled indoor laboratory setting while player motions were recorded by a 14-camera Vicon MX motion capture system. Neck flexor and extensor strength of each player was measured using a spring-type clinical dynamometer.
resultsPlayers were served soccer balls by hand at a mean velocity of 4.29 m/s (±0.74 m/s). Players returned the ball to the server using a heading maneuver at a mean velocity of 5.48 m/s (±1.18 m/s). Mean neck strength difference was positively correlated with angular head acceleration (rho = 0.497; P = 0.05), with a trend toward significance for linear head acceleration (rho = 0.485; P = 0.057).
conclusionThis study suggests that symmetrical strength in neck flexors and extensors reduces head acceleration experienced during low-velocity heading in experienced collegiate players. CLINICAL RELEVANCE: Balanced neck strength may reduce head acceleration cumulative subclinical injury. Since neck strength is a measureable and amenable strength training intervention, this may represent a modifiable intrinsic risk factor for injury.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.