ArticleThe Journal of orthopaedic and sports physical therapy2019
The Potential Role of the Cervical Spine in Sports-Related Concussion: Clinical Perspectives and Considerations for Risk Reduction.
Article in The Journal of orthopaedic and sports physical therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Efficacy of exercise interventions on prevention of sport-related concussion and related outcomes: a systematic review and meta-analysis.British journal of sports medicine · 2024Pooled it
- Injury Reduction Programs for Reducing the Incidence of Sport-Related Head and Neck Injuries Including Concussion: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2021Pooled it
- Physical examination of the cervical spine should be conducted in female athletes with a history of concussion.JSAMS plus · 2026Article
- Clinical Utility of the Sport Concussion Office Assessment Tool 6 (SCOAT6) and Other Select Multidomain Assessments for Subacute Sport-Related Concussion.Sports medicine (Auckland, N.Z.) · 2025Article
- Circus-specific extension of the 6th International Consensus Statement on Concussion in Sport.BMJ open sport & exercise medicine · 2025Article
- Unsupervised machine learning for clustering forward head posture, protraction and retraction movement patterns based on craniocervical angle data in individuals with nonspecific neck pain.BMC musculoskeletal disorders · 2024Article
- National Athletic Trainers' Association Bridge Statement: Management of Sport-Related Concussion.Journal of athletic training · 2024Article
- The Effect of Exercise-Induced Central Fatigue on Cervical Spine Joint Position Error, Strength, and Endurance.International journal of sports physical therapy · 2024Article
- Functional Overlay Model of Persistent Post-Concussion Syndrome.Brain sciences · 2023Review
- Sex Differences on the Concussion Clinical Profiles Screening in Adolescents With Sport-Related Concussion.Journal of athletic training · 2023Article
- Sports-related concussion: assessing the comprehension, collaboration, and contribution of chiropractors.Chiropractic & manual therapies · 2022Article
- Optimizing Performance in Return to Play After Sport-Related Concussion in Elite Ice Hockey Players: A Sports Physical Therapy and Athletic Trainer Perspective.International journal of sports physical therapy · 2022Article
- Incidence and Severity of Concussions Among Young Soccer Players Based on Age, Sex, and Player Position.Orthopaedic journal of sports medicine · 2022Article
- Exploring the Effects of a Neck Strengthening Program on Purposeful Soccer Heading Biomechanics and Neurocognition.International journal of sports physical therapy · 2022Article
- The Method of Pose Judgment of Potential Motion Damage in 3D Image Analysis.Journal of healthcare engineering · 2021Article
- Bigger Necks Are Not Enough: An Examination of Neck Circumference in Incoming College Athletes.The journal of primary prevention · 2020Article
- Relation between Isometric Neck Strength and White Matter Organization in Collegiate Athletes.Neurotrauma reports · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
synopsisSports-related concussion (SRC) occurs due to biomechanical forces to the head or neck that can result in pathophysiological changes in the brain. The musculature of the cervical spine has been identified as one potential factor in reducing SRC risk as well as for underlying sex differences in SRC rates. Recent research has demonstrated that linear and rotational head acceleration, as well as the magnitude of force upon impact, is influenced by cervical spine biomechanics. Increased neck strength and girth are associated with reduced linear and rotational head acceleration during impact. Past work has also shown that overall neck strength and girth are reduced in athletes with SRC. Additionally, differences in cervical spine biomechanics are hypothesized as a critical factor underlying sex differences in SRC rates. Specifically, compared to males, females tend to have less neck strength and girth, which are associated with increased linear and rotational head acceleration. Although our ability to detect SRC has greatly improved, our ability to prevent SRC from occurring and decrease the severity of clinical outcomes postinjury is limited. However, we suggest, along with others, that cervical spine biomechanics may be a modifiable factor in reducing SRC risk. In this commentary, we review the role of the cervical spine in reducing SRC risk, and how this risk differs by sex. We discuss clinical considerations for the examination of the cervical spine and the potential clinical relevance for SRC prevention. Additionally, we provide suggestions for future research examining cervical spine properties as modifiable factors in reducing SRC risk. J Orthop Sports Phys Ther 2019;49(3):202-208. Epub 15 Jan 2019. doi:10.2519/jospt.2019.8582.
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