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Player age and initial helmet contact among American football players.
Wang, David X; Napoli, Anthony M; Webb, Alex R; Etzel, Christine; Baird, Janette; Milzman, David.
Afiliação
  • Wang DX; Allegheny Health Network, Department of Orthopedics, Pittsburgh, PA.
  • Napoli AM; Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA. Electronic address: anapoli@lifespan.org.
  • Webb AR; Department of Orthopaedic Surgery, Emory University, Atlanta, GA.
  • Etzel C; Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Baird J; Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Milzman D; Georgetown University School of Medicine, Washington, DC, USA.
Am J Emerg Med ; 47: 115-118, 2021 Sep.
Article em En | MEDLINE | ID: mdl-33794473
OBJECTIVE: Concussions and chronic traumatic encephalopathy (CTE) related to professional football has received much attention within emergency care and sports medicine. Research suggests that some of this may be due to a greater likelihood of initial helmet contact (IHC), however this association has not been studied across all age groups. This study aims to investigate the association between player age and IHC in American football. METHODS: Retrospective review of championship games between 2016 and 2018 at 6 levels of amateur tackle football as well as the National Football League (NFL). Trained raters classified plays as IHC using pre-specified criteria. A priori power analysis established the requisite impacts needed to establish non-inferiority of the incidence rate of IHC across the levels of play. RESULTS: Thirty-seven games representing 2912 hits were rated. The overall incidence of IHC was 16% across all groups, ranging from 12.6% to 18.9%. All but 2 of the non-NFL divisions had a statistically reduced risk of IHC when compared with the NFL, with relative risk ratios ranging from 0.55-0.92. IHC initiated by defensive participants were twice as high as offensive participants (RR 2.04, p < 0.01) while 6% [95% CI 5.4-7.2] of all hits were helmet-on-helmet contact. CONCLUSIONS: There is a high rate of IHC with a lower relative risk of IHC at most levels of play compared to the NFL. Further research is necessary to determine the impact of IHC; the high rates across all age groups suggests an important role for education and prevention.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Futebol Americano / Dispositivos de Proteção da Cabeça Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Humans / Male Idioma: En Revista: Am J Emerg Med Ano de publicação: 2021 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Futebol Americano / Dispositivos de Proteção da Cabeça Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Humans / Male Idioma: En Revista: Am J Emerg Med Ano de publicação: 2021 Tipo de documento: Article País de publicação: Estados Unidos