Evidence map›Paper›PMID 41295775›Full record

ReviewSports (Basel, Switzerland)2025

Protective Equipment in Football: A Review of History, Evolution, Materials, and Contemporary Use.

Marco Vecchiato, Luca Russo, Alberto Livio, Emanuele Zanardo, Mara Mezzalira, Emanuele Farina, Andrea Demeco, Stefano Palermi

Abstract readReview
In one paragraph

Review in Sports (Basel, Switzerland), 2025. 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. 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

8 authors.

Marco VecchiatoSports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128 Padova, Italy.ORCID 0000-0003-2395-4977
Luca RussoDepartment of Theoretical and Applied Sciences, eCampus University, 22060 Novedrate, Italy.ORCID 0000-0003-1902-4830
Alberto LivioSports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128 Padova, Italy.
Emanuele ZanardoSports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128 Padova, Italy.ORCID 0009-0003-9838-4371
Mara MezzaliraCorte Medica, Via Molino 27, 36027 Rosà, Italy.
Emanuele FarinaCorte Medica, Via Molino 27, 36027 Rosà, Italy.
Andrea DemecoPhysical and Rehabilitative Medicine, Department of Medical and Surgical Sciences, University of Catanzaro "Magna Graecia", 88100 Catanzaro, Italy.ORCID 0000-0001-5419-4275
Stefano PalermiDepartment of Medicine and Surgery, UniCamillus-Saint Camillus International University of Health Sciences, 00187 Rome, Italy.ORCID 0000-0003-1558-4857

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Football (soccer) is the world's most widely played sport, but it carries a high incidence of traumatic injuries, particularly to the head, face, and lower limbs. Once regarded as a low-equipment discipline, the role of protective devices has expanded substantially in recent decades, both in injury prevention and in return-to-play strategies. This review provides a comprehensive overview of the historical evolution, typology, and materials of football protective equipment, with additional focus on regulatory frameworks, cultural acceptance, and illustrative cases from elite athletes. Shin guards remain the only mandatory device, yet the use of facial masks, headgear, braces, and orthoses is increasing, particularly following high-profile injuries. Advances in carbon fiber composites, thermoplastics, viscoelastic foams, and additive manufacturing have enabled lightweight, customized devices that balance protection with comfort and adherence. Beyond biomechanics, psychological reassurance, esthetics, durability, and hygiene strongly influence player compliance and perception. Despite this progress, critical challenges remain. Football lacks standardized testing protocols, clear certification pathways, and longitudinal studies on long-term outcomes. Evidence is particularly limited for youth athletes and newer categories of equipment. Looking ahead, the integration of wearable technologies, systematic hygiene and durability testing, and sustainable materials could transform protective gear into multifunctional tools for safety, monitoring, and performance optimization. Protective equipment in football has thus evolved into a multidisciplinary field at the intersection of medicine, engineering, psychology, and regulation. Future advances will depend on stronger collaboration between clinicians, researchers, governing bodies, and manufacturers to ensure safe, effective, and widely accepted protective solutions at all levels of the game.

Indexed as

face maskinjury preventionprotective equipmentsafetysoccersports biomechanics

Identifiers

PMID41295775
PMCPMC12656666

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.