Can helmet design reduce the risk of concussion in football? Technical note

Steven Rowson, Stefan M. Duma, Richard M. Greenwald, Jonathan G. Beckwith, Jeffrey J. Chu, Kevin M. Guskiewicz, Jason P. Mihalik, Joseph J. Crisco, Bethany J. Wilcox, Thomas W. Mcallister, Arthur C. Maerlender, Steven P. Broglio, Brock Schnebel, Scott Anderson, P. Gunnar Brolinson

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Of all sports, football accounts for the highest incidence of concussion in the US due to the large number of athletes participating and the nature of the sport. While there is general agreement that concussion incidence can be reduced through rule changes and teaching proper tackling technique, there remains debate as to whether helmet design may also reduce the incidence of concussion. A retrospective analysis was performed of head impact data collected from 1833 collegiate football players who were instrumented with helmet-mounted accelerometer arrays for games and practices. Data were collected between 2005 and 2010 from 8 collegiate football teams: Virginia Tech, University of North Carolina, University of Oklahoma, Dartmouth College, Brown University, University of Minnesota, Indiana University, and University of Illinois. Concussion rates were compared between players wearing Riddell VSR4 and Riddell Revolution helmets while controlling for the head impact exposure of each player. A total of 1,281,444 head impacts were recorded, from which 64 concussions were diagnosed. The relative risk of sustaining a concussion in a Revolution helmet compared with a VSR4 helmet was 46.1% (95% CI 28.1%-75.8%). When controlling for each player's exposure to head impact, a significant difference was found between concussion rates for players in VSR4 and Revolution helmets (χ2 = 4.68, p = 0.0305). This study illustrates that differences in the ability to reduce concussion risk exist between helmet models in football. Although helmet design may never prevent all concussions from occurring in football, evidence illustrates that it can reduce the incidence of this injury.

Original languageEnglish (US)
Pages (from-to)919-922
Number of pages4
JournalJournal of neurosurgery
Volume120
Issue number4
DOIs
StatePublished - Apr 2014

Fingerprint

Head Protective Devices
Football
Head
Incidence
Sports
Athletes
Teaching
Wounds and Injuries

Keywords

  • Concussion incidence
  • Exposure
  • Football
  • Prevention
  • Sports
  • Traumatic brain injury

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Rowson, S., Duma, S. M., Greenwald, R. M., Beckwith, J. G., Chu, J. J., Guskiewicz, K. M., ... Brolinson, P. G. (2014). Can helmet design reduce the risk of concussion in football? Technical note. Journal of neurosurgery, 120(4), 919-922. https://doi.org/10.3171/2014.1.JNS13916

Can helmet design reduce the risk of concussion in football? Technical note. / Rowson, Steven; Duma, Stefan M.; Greenwald, Richard M.; Beckwith, Jonathan G.; Chu, Jeffrey J.; Guskiewicz, Kevin M.; Mihalik, Jason P.; Crisco, Joseph J.; Wilcox, Bethany J.; Mcallister, Thomas W.; Maerlender, Arthur C.; Broglio, Steven P.; Schnebel, Brock; Anderson, Scott; Brolinson, P. Gunnar.

In: Journal of neurosurgery, Vol. 120, No. 4, 04.2014, p. 919-922.

Research output: Contribution to journalArticle

Rowson, S, Duma, SM, Greenwald, RM, Beckwith, JG, Chu, JJ, Guskiewicz, KM, Mihalik, JP, Crisco, JJ, Wilcox, BJ, Mcallister, TW, Maerlender, AC, Broglio, SP, Schnebel, B, Anderson, S & Brolinson, PG 2014, 'Can helmet design reduce the risk of concussion in football? Technical note', Journal of neurosurgery, vol. 120, no. 4, pp. 919-922. https://doi.org/10.3171/2014.1.JNS13916
Rowson S, Duma SM, Greenwald RM, Beckwith JG, Chu JJ, Guskiewicz KM et al. Can helmet design reduce the risk of concussion in football? Technical note. Journal of neurosurgery. 2014 Apr;120(4):919-922. https://doi.org/10.3171/2014.1.JNS13916
Rowson, Steven ; Duma, Stefan M. ; Greenwald, Richard M. ; Beckwith, Jonathan G. ; Chu, Jeffrey J. ; Guskiewicz, Kevin M. ; Mihalik, Jason P. ; Crisco, Joseph J. ; Wilcox, Bethany J. ; Mcallister, Thomas W. ; Maerlender, Arthur C. ; Broglio, Steven P. ; Schnebel, Brock ; Anderson, Scott ; Brolinson, P. Gunnar. / Can helmet design reduce the risk of concussion in football? Technical note. In: Journal of neurosurgery. 2014 ; Vol. 120, No. 4. pp. 919-922.
@article{aa38267e363a4be8bada5af040610d3a,
title = "Can helmet design reduce the risk of concussion in football? Technical note",
abstract = "Of all sports, football accounts for the highest incidence of concussion in the US due to the large number of athletes participating and the nature of the sport. While there is general agreement that concussion incidence can be reduced through rule changes and teaching proper tackling technique, there remains debate as to whether helmet design may also reduce the incidence of concussion. A retrospective analysis was performed of head impact data collected from 1833 collegiate football players who were instrumented with helmet-mounted accelerometer arrays for games and practices. Data were collected between 2005 and 2010 from 8 collegiate football teams: Virginia Tech, University of North Carolina, University of Oklahoma, Dartmouth College, Brown University, University of Minnesota, Indiana University, and University of Illinois. Concussion rates were compared between players wearing Riddell VSR4 and Riddell Revolution helmets while controlling for the head impact exposure of each player. A total of 1,281,444 head impacts were recorded, from which 64 concussions were diagnosed. The relative risk of sustaining a concussion in a Revolution helmet compared with a VSR4 helmet was 46.1{\%} (95{\%} CI 28.1{\%}-75.8{\%}). When controlling for each player's exposure to head impact, a significant difference was found between concussion rates for players in VSR4 and Revolution helmets (χ2 = 4.68, p = 0.0305). This study illustrates that differences in the ability to reduce concussion risk exist between helmet models in football. Although helmet design may never prevent all concussions from occurring in football, evidence illustrates that it can reduce the incidence of this injury.",
keywords = "Concussion incidence, Exposure, Football, Prevention, Sports, Traumatic brain injury",
author = "Steven Rowson and Duma, {Stefan M.} and Greenwald, {Richard M.} and Beckwith, {Jonathan G.} and Chu, {Jeffrey J.} and Guskiewicz, {Kevin M.} and Mihalik, {Jason P.} and Crisco, {Joseph J.} and Wilcox, {Bethany J.} and Mcallister, {Thomas W.} and Maerlender, {Arthur C.} and Broglio, {Steven P.} and Brock Schnebel and Scott Anderson and Brolinson, {P. Gunnar}",
year = "2014",
month = "4",
doi = "10.3171/2014.1.JNS13916",
language = "English (US)",
volume = "120",
pages = "919--922",
journal = "Journal of Neurosurgery",
issn = "0022-3085",
publisher = "American Association of Neurological Surgeons",
number = "4",

}

TY - JOUR

T1 - Can helmet design reduce the risk of concussion in football? Technical note

AU - Rowson, Steven

AU - Duma, Stefan M.

AU - Greenwald, Richard M.

AU - Beckwith, Jonathan G.

AU - Chu, Jeffrey J.

AU - Guskiewicz, Kevin M.

AU - Mihalik, Jason P.

AU - Crisco, Joseph J.

AU - Wilcox, Bethany J.

AU - Mcallister, Thomas W.

AU - Maerlender, Arthur C.

AU - Broglio, Steven P.

AU - Schnebel, Brock

AU - Anderson, Scott

AU - Brolinson, P. Gunnar

PY - 2014/4

Y1 - 2014/4

N2 - Of all sports, football accounts for the highest incidence of concussion in the US due to the large number of athletes participating and the nature of the sport. While there is general agreement that concussion incidence can be reduced through rule changes and teaching proper tackling technique, there remains debate as to whether helmet design may also reduce the incidence of concussion. A retrospective analysis was performed of head impact data collected from 1833 collegiate football players who were instrumented with helmet-mounted accelerometer arrays for games and practices. Data were collected between 2005 and 2010 from 8 collegiate football teams: Virginia Tech, University of North Carolina, University of Oklahoma, Dartmouth College, Brown University, University of Minnesota, Indiana University, and University of Illinois. Concussion rates were compared between players wearing Riddell VSR4 and Riddell Revolution helmets while controlling for the head impact exposure of each player. A total of 1,281,444 head impacts were recorded, from which 64 concussions were diagnosed. The relative risk of sustaining a concussion in a Revolution helmet compared with a VSR4 helmet was 46.1% (95% CI 28.1%-75.8%). When controlling for each player's exposure to head impact, a significant difference was found between concussion rates for players in VSR4 and Revolution helmets (χ2 = 4.68, p = 0.0305). This study illustrates that differences in the ability to reduce concussion risk exist between helmet models in football. Although helmet design may never prevent all concussions from occurring in football, evidence illustrates that it can reduce the incidence of this injury.

AB - Of all sports, football accounts for the highest incidence of concussion in the US due to the large number of athletes participating and the nature of the sport. While there is general agreement that concussion incidence can be reduced through rule changes and teaching proper tackling technique, there remains debate as to whether helmet design may also reduce the incidence of concussion. A retrospective analysis was performed of head impact data collected from 1833 collegiate football players who were instrumented with helmet-mounted accelerometer arrays for games and practices. Data were collected between 2005 and 2010 from 8 collegiate football teams: Virginia Tech, University of North Carolina, University of Oklahoma, Dartmouth College, Brown University, University of Minnesota, Indiana University, and University of Illinois. Concussion rates were compared between players wearing Riddell VSR4 and Riddell Revolution helmets while controlling for the head impact exposure of each player. A total of 1,281,444 head impacts were recorded, from which 64 concussions were diagnosed. The relative risk of sustaining a concussion in a Revolution helmet compared with a VSR4 helmet was 46.1% (95% CI 28.1%-75.8%). When controlling for each player's exposure to head impact, a significant difference was found between concussion rates for players in VSR4 and Revolution helmets (χ2 = 4.68, p = 0.0305). This study illustrates that differences in the ability to reduce concussion risk exist between helmet models in football. Although helmet design may never prevent all concussions from occurring in football, evidence illustrates that it can reduce the incidence of this injury.

KW - Concussion incidence

KW - Exposure

KW - Football

KW - Prevention

KW - Sports

KW - Traumatic brain injury

UR - http://www.scopus.com/inward/record.url?scp=84897932615&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84897932615&partnerID=8YFLogxK

U2 - 10.3171/2014.1.JNS13916

DO - 10.3171/2014.1.JNS13916

M3 - Article

C2 - 24484225

AN - SCOPUS:84897932615

VL - 120

SP - 919

EP - 922

JO - Journal of Neurosurgery

JF - Journal of Neurosurgery

SN - 0022-3085

IS - 4

ER -