Evidence map›Paper›PMID 40124124›Full record

ArticleBMJ open sport & exercise medicine2025

Distribution of position-specific head impact severities among professional and Division I collegiate American football athletes during games.

Lee F Gabler, Declan A Patton, Kristen A Reynier, Ian J Barnett, Alexander M Miles, Nathan Z Dau, James R Clugston, Daniel G Cobian, Kimberly G Harmon, Anthony P Kontos and 9 more

Abstract read
In one paragraph

Article in BMJ open sport & exercise medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

19 authors.

Lee F GablerBiomechanics Consulting & Research LLC, Charlottesville, Virginia, USA.ORCID 0000-0003-1737-4888
Declan A PattonCenter for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Kristen A ReynierBiomechanics Consulting & Research LLC, Charlottesville, Virginia, USA.
Ian J BarnettDepartment of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Alexander M MilesBiomechanics Consulting & Research LLC, Charlottesville, Virginia, USA.
Nathan Z DauBiomechanics Consulting & Research LLC, Charlottesville, Virginia, USA.
James R ClugstonUF Student Health Care Center, Department of Community Health and Family Medicine, University of Florida, Gainesville, Florida, USA.
Daniel G CobianDepartment of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Kimberly G HarmonDepartment of Family Medicine, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-3670-6609
Anthony P KontosDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Robert C LynallDepartment of Kinesiology, University of Georgia, Athens, Georgia, USA.
Jason P MihalikMatthew Gfeller Center, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Ryan N MoranDepartment of Health Science, The University of Alabama, Tuscaloosa, Alabama, USA.
Douglas P TerryDepartment of Neurological Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Thom MayerNational Football League Players Association, Washington, District of Columbia, USA.
Gary S SolomonDepartment of Neurological Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.ORCID 0000-0002-1842-9759
Allen K SillsDepartment of Neurological Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Kristy B ArbogastCenter for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Jeff R CrandallBiomechanics Consulting & Research LLC, Charlottesville, Virginia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare the severity of head impacts between professional and Division I (D-I) collegiate football games for the purpose of improving protective equipment. Methods: A total of 243 football players from the National Football League (NFL) and from D-I of the National Collegiate Athletic Association (NCAA) were equipped with instrumented mouthpieces capable of measuring six degrees-of-freedom head kinematics. Head impacts were processed using a custom algorithm and combined with game period descriptors to produce a curated dataset for analysis. Head impact severity distributions for several kinematic-based metrics were compared within position groupings between leagues. Results: A total of 11 038 head impacts greater than 10 g from 1208 player-games were collected during 286 player-seasons (2019-2022). No significant differences were found between leagues in the distributions of kinematic-based metrics for all investigated position groupings (p≥0.320). The median and IQRs for peak linear acceleration for NFL and NCAA were 17.2 (9.3) g and 17.0 (8.6) g for linemen, 20.7 (13.8) g and 20.0 (13.5) g for hybrid and 21.0 (17.0) g and 20.8 (15.5) g for speed position groupings, respectively. Conclusion: The absence of statistically significant differences in the distributions of head impact severity between professional and D-I collegiate football players indicates that these data can be combined for the purpose of understanding the range of loading conditions for which new protective equipment, such as position-specific helmets, should be designed. This observation underscores the potential for knowledge transfer regarding biomechanical factors affecting head loading across professional and D-I college football, highlighting crucial implications for innovation in protective equipment.

Indexed as

AccelerometerAmerican footballHead

Identifiers

PMID40124124
PMCPMC11927453

What OpenQuestion holds

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LicenceCC BY-NC
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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.