Evidence map›Paper›PMID 39229396›Full record

ArticleCureus2024

Concussion Reduction in Division I and II Athletes: Effects of Simple Cervical Spine Exercise Regimen.

Joel Klein, Ian Koch, Blake E Delgadillo, Jason Chickness, Jacob Blank, Ashton Amos, Kevin Tay, Emily A Kelly, Kassidy Webber, Brett Benzinger and 2 more

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

12 authors.

Joel KleinPhysiatry, Rochester Regional Health, Rochester, USA.
Ian KochOrthopedic Surgery, Lake Erie College of Osteopathic Medicine, Erie, USA.
Blake E DelgadilloOrthopedic Surgery, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Jason ChicknessOrthopedic Surgery, Lake Erie College of Osteopathic Medicine, Erie, USA.
Jacob BlankOrthopedic Surgery, Lake Erie College of Osteopathic Medicine, Erie, USA.
Ashton AmosGeneral Surgery, Lake Erie College of Osteopathic Medicine, Erie, USA.
Kevin TayOrthopedic Surgery, Lake Erie College of Osteopathic Medicine, Erie, USA.
Emily A KellyOrthopedic Surgery, Lake Erie College of Osteopathic Medicine, Erie, USA.
Kassidy WebberOrthopedic Surgery, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Brett BenzingerOrthopedic Surgery, Lake Erie College of Osteopathic Medicine, Erie, USA.
Jeffrey HaftAthletic Training, Mercyhurst University, Erie, USA.
Drew MillerOrthopedic Surgery, Lake Erie College of Osteopathic Medicine, Erie, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrimary preventative medicine lacks a consensus on effective concussion prevention strategies for collegiate athletes. Cervical strength has been identified as a potential factor in concussion risk reduction. This study evaluates the impact of a commercially available, portable cervical muscle stretching and strengthening device, NeckX®, on cervical strength, range of motion (ROM), and concussion incidence in collegiate athletes participating in high-concussion-risk sports.

methodsA single-arm prospective cohort study was conducted with 162 collegiate athletes from various sports. Participants underwent a 12-week neck exercise protocol using the NeckX® device. Clinical data, including neck strength and ROM, were collected at weeks 0, 6, and 12. Concussion incidence was self-reported by participants and cross-referenced with records from the athletic department. Data were analyzed for significant neck strength and ROM changes throughout the 12-week study. A two-way analysis of variance multiple comparisons with the Tukey-Kramer significant difference test was utilized, using the Holm-Sidak method, with an alpha of 0.05.

resultsAll athletic teams experienced a significant increase in cervical strength during the 12-week intervention (α = 0.05, p < 0.05). Increases in cervical flexion and extension force were most consistent between teams. Cervical ROM increased significantly in male and female soccer players (α = 0.05, p < 0.05). The overall incidence of head and neck injuries, including concussions, was reduced to 6.60% during the study period, the lowest recorded value in the university's athletic department history.

conclusionThe use of the NeckX® device for 12 weeks was effective in enhancing pericervical muscle strength and ROM while reducing concussion incidence in collegiate athletes participating in high-concussion-risk sports. Interestingly, the positive outcomes were consistent for both males and females, indicating the universal advantages of neck training among collegiate athletes. These findings support existing research on the benefits of cervical strengthening exercises for reducing concussions in collegiate athletes and highlight the convenience and affordability of using this device.

Indexed as

brain concussioncervical range of motioncollegiate athleteconcussion preventionhead impactneck muscle strengthorthopedic sports medicinepericervical musclesport-related concussionsport-related injury

Identifiers

PMID39229396
PMCPMC11370701

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Registered trials

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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.