Evidence map›Paper›PMID 36226553›Full record

ArticlePediatrics2022

Drill Intensity and Head Impact Exposure in Adolescent Football.

Kyle A Kercher, Jesse A Steinfeldt, Jonathan T Macy, Dong-Chul Seo, Keisuke Kawata

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Association Between Head Impact Exposure, Psychological Needs, and Indicators of Mental Health Among U.S. High School Tackle Football Players.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Article
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

5 authors at 2 institutions in 1 country.

Kyle A KercherDepartments of Kinesiology.
Jesse A SteinfeldtDepartment of Counseling and Educational Psychology, School of Education.
Jonathan T MacyApplied Health Science, School of Public Health-Bloomington.
Dong-Chul SeoApplied Health Science, School of Public Health-Bloomington.
Keisuke KawataDepartments of Kinesiology.
Indiana University Bloomington · USInternational College of Applied Kinesiology-USA · US

Funding

Subconcussive neurodegenerative progression in adolescent athletesR01NS113950 · NINDS · TRUSTEES OF INDIANA UNIVERSITY · PI KAWATA, KEISUKE · 2021 to 2025
$2.8M
NINDS NIH HHS R01 NS113950
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe objective of this study was to examine head-impact exposure by intensity level and position group, and to test the hypothesis that there would be an increase in cumulative head-impact exposure between drill intensities after controlling for duration in each level with air recording the lowest frequency and magnitude and live recording the highest: air < bags < control < thud < live.

methodsWe conducted a prospective, multisite study in 1 season with players from 3 high school football teams (n = 74). Each player wore a sensor-installed mouthguard, which monitored head-impact frequency, peak linear acceleration (PLA), and peak rotational acceleration (PRA). Practice drills and games were categorized by level of contact.

resultsA total of 7312 impacts were recorded with a median of 67 (interquartile range:128) impacts per player. After controlling for duration, increases in head-impact outcomes by level of contact were observed (air < bags = control < thud = live). Live drills had higher cumulative head-impact frequency (45.4 ± 53.0 hits) and magnitude (PLA: 766.3 ± 932.9 g; PRA: 48.9 ± 61.3 kilorad/s2) per player than other levels (P < .0001). In comparison, air drills had the lowest cumulative frequency (4.2 ± 6.9 hits) and magnitude (PLA: 68.0 ± 121.6 g; PRA: 6.4 ± 13.2 kilorad/s2).

conclusionsThese data support the levels-of-contact system as a practical approach to limiting head-impact exposure in tackle football. Our findings are clinically important, because data have begun to suggest the relationship between chronic head-impact exposure and decline in brain health. Since head-impact exposure was influenced by levels of contact, regulation of the duration of certain drill intensities (eg, thud, live) may associate with reduced head-impact exposure in high school football.

Indexed as

Brain ConcussionFootballAccelerationAdolescentBiomechanical PhenomenaHeadHead Protective DevicesHumansPolyestersProspective StudiesPolyesters

Identifiers

PMID36226553
PMCPMC9675985
OpenAlexW4304889408

What OpenQuestion holds

Textmetadata
LicenceTDM
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.