Evidence map›Paper›PMID 27333460›Full record

ArticleJournal of athletic training2016

Football Players' Head-Impact Exposure After Limiting of Full-Contact Practices.

Steven P Broglio, Richelle M Williams, Kathryn L O'Connor, Jason Goldstick

Abstract read
In one paragraph

Article in Journal of athletic training, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Pooled it
  5. Head-Impact-Measurement Devices: A Systematic Review.Journal of athletic training · 2017
    Pooled it
  6. Whistleblower: the front line and critical facilitator for injury prevention policy?Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025
    Article
  7. Article
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  10. A Description of Suspected Concussions in Football-Related Activities among K-12 Students in Utah.The Journal of school nursing : the official publication of the National Association of School Nurses · 2024
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  14. Efficacy of Guardian Cap Soft-Shell Padding on Head Impact Kinematics in American Football: Pilot Findings.International journal of environmental research and public health · 2023
    Article
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  16. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Steven P BroglioNeuroTrauma Research Laboratory, University of Michigan, Ann Arbor.
Richelle M WilliamsNeuroTrauma Research Laboratory, University of Michigan, Ann Arbor.
Kathryn L O'ConnorNeuroTrauma Research Laboratory, University of Michigan, Ann Arbor.
Jason GoldstickDepartment of Emergency Medicine, University of Michigan, Ann Arbor.

Funding

The impact of concussive and sub-concussive blows on brain network activityR15NS081691 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BROGLIO, STEVEN P. · 2012 to 2015
$514k
NINDS NIH HHS R15 NS081691
6 · The paper itself

Abstract

contextSporting organizations limit full-contact football practices to reduce concussion risk and based on speculation that repeated head impacts may result in long-term neurodegeneration.

objectiveTo directly compare head-impact exposure in high school football players before and after a statewide restriction on full-contact practices.

designCross-sectional study.

settingHigh school football field. PATIENTS OR OTHER

participantsParticipants were varsity football athletes from a single high school. Before the rule change, 26 athletes (age = 16.2 ± 0.8 years, height = 179.6 ± 6.4 cm, weight = 81.9 ± 13.1 kg) participated. After the rule change, 24 athletes (age = 15.9 ± 0.8 years, height = 178.3 ± 6.5 cm, weight = 76.2 ± 11.6 kg) participated. Nine athletes participated in both years of the investigation. MAIN OUTCOME MEASURE(S): Head-impact exposure was monitored using the Head Impact Telemetry System while the athletes participated in football games and practices in the seasons before and after the rule change. Head-impact frequency, location, and magnitude (ie, linear acceleration, rotational acceleration, and Head Impact Telemetry severity profile [HITsp], respectively) were measured.

resultsA total of 15 398 impacts (592 impacts per player per season) were captured before the rule change and 8269 impacts (345 impacts per player per season) after the change. An average 42% decline in impact exposure occurred across all players, with practice-exposure declines occurring among linemen (46% decline); receivers, cornerbacks, and safeties (41% decline); and tight ends, running backs (including fullbacks), and linebackers (39% decline). Impact magnitudes remained largely unchanged between the years.

conclusionsA rule change limiting full-contact high school football practices appears to have been effective in reducing head-impact exposure across all players, with the largest reduction occurring among linemen. This finding is likely associated with the rule modification, particularly because the coaching staff and offensive scheme remained consistent, yet how this reduction influences concussion risk and long-term cognitive health remains unknown.

Indexed as

Athletic InjuriesBrain ConcussionFootballOrganizational PolicyRisk ManagementAdolescentAthletesBiomechanical PhenomenaCross-Sectional StudiesHead Protective DevicesHumansMaleOutcome Assessment, Health CareSchoolsconcussionsprotective equipmenttraumatic brain injuries

Identifiers

PMID27333460
PMCPMC5317186

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.