Friday, April 19, 2024

Headgear Could Lower Concussion Danger in Excessive Faculty Ladies Lacrosse

Affiliation of Headgear Mandate and Concussion Harm Charges in Ladies’ Excessive Faculty Lacrosse

Herman DC, Caswell S V, Kelshaw PM, Vincent HK, Lincoln AE. Br J Sports activities Med. 2022;56:970-974. doi:10.1136/bjsports-2021-105031 material/56/17/970.lengthy

Take-Residence Message

Headgear might lower concussion threat amongst women highschool lacrosse discipline gamers. 


Present rules classify girls’s lacrosse as a non-contact sport, which limits the quantity of protecting tools required to eyewear and mouthguards. Nevertheless, unintentional head impacts (akin to head-to-stick) happen usually, generally resulting in a concussion. Little proof exists evaluating whether or not headgear mitigates concussion threat on this inhabitants.

Research Objective

The authors aimed to find out if highschool women’ lacrosse gamers had a decrease charge of concussions in a state with a headgear mandate than gamers in states with out a headgear mandate. 


The authors accessed a pre-existing knowledge registry system (the Excessive Faculty Nationwide Athletic Remedy, Harm, and Outcomes Community [NATION]) to investigate athlete exposures and concussions. Every athlete publicity represented a single athlete collaborating in a single excessive school-sanctioned follow or sport. A concussion wanted to happen throughout a highschool lacrosse sport or follow and be recognized by a healthcare skilled. The authors in contrast knowledge from Florida, which has a state-wide headgear mandate, to athletes in 31 different states with out a mandate. They centered on knowledge from 2019-2021.


General, the authors analyzed 289 faculty seasons (96 with a helmet mandated), yielding 357,225 athlete exposures (91,074 with a helmet mandated). Throughout these exposures, 141 concussions occurred. Lacrosse gamers collaborating in states with out a headgear mandate had a ~59% higher incidence of concussion than these in a state with a mandate.


This examine provides to the restricted literature suggesting headgear might lower concussion threat in feminine highschool lacrosse gamers. Extra states and lacrosse organizations ought to take into account implementing an analogous mandate to scale back concussion incidence on this athletic inhabitants. In contrast to earlier analysis, this examine concurrently tracked each mandated and non-mandated headgear concussion prevalence, which provides to its energy. Nevertheless, a number of limitations are additionally current. Primarily, this examine lacks randomization of individuals. Subsequently, helmet-mandated athletes (primarily Florida) could also be distinctive in comparison with different gamers. This may increasingly embrace variations in refereeing fashion and participant depth. Secondarily, some lacrosse gamers in states with out mandates might have worn helmets primarily based on their preferences. It’s unclear what number of athletes within the states with out mandates voluntarily wore helmets and will have been protected additionally. Therefore, these outcomes may underestimate the good thing about helmets.

Scientific Implications

Athletic trainers and different sports activities drugs professionals ought to advocate for headgear mandates and assets to make sure entry to headgear in girls’s lacrosse to doubtlessly scale back concussion incidence. 

Questions for Dialogue

What are your ideas on helmets and headgear’s capability to lower concussion threat in athletes? Does this examine change your perspective on their capability to scale back concussion incidence?

Associated Posts

  1. Aftermarket Helmet Add-Ons Are Not Including Up
  2. Females Not Solely Have Elevated Danger of Concussions However Extra Extreme Concussions
  3. A Nearer Have a look at Concussions 2016-2020: Growing Prevalence and Intercourse Variations

Written by: Cade Watts
Reviewed by: Jeffrey Driban

Evidence-Based Assessment of Concussion Course - 5 EBP CEUs

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