Abstract

This study measured and compared the frequency, magnitude, and distribution of head impacts sustained by junior and adult Australian football players, respectively, and between player positions over a season of games. Twelve junior and twelve adult players were tracked using a skin-mounted impact sensor. Head impact exposure, including frequency, magnitude, and location of impacts, was quantified using previously established methods. Over the collection period, there were no significant differences in the impact frequency between junior and adult players. However, there was a significant increase in the frequency of head impacts for midfielders in both grades once we accounted for player position. A comparable amount of head impacts in both junior and adult players has implications for Australian football regarding player safety and medical coverage as younger players sustained similar impact levels as adult players. The other implication of a higher impact profile within midfielders is that, by targeting education and prevention strategies, a decrease in the incidence of sports-related concussion may result.

Highlights

  • Australian football (AF) is a contact, invasion game [1] combining athleticism with speed, necessitating skillful foot and hand passing [2] with aggressive tackling and sudden collisions between players and the ground [1, 3]

  • These collisions have the potential to result in head impacts that may lead to sports-related concussion (SRC), a mild traumatic brain injury associated with a range of symptoms, including headache and impaired memory [4, 5]

  • There were more severe Head Impact Telemetry Severity profile (HITSP) impacts recorded for juniors (RR: 1.8 [95% confidence intervals (CI): 1.0–3.2]; p = 0.0461) when compared with seniors

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Summary

Introduction

Australian football (AF) is a contact, invasion game [1] combining athleticism with speed, necessitating skillful foot and hand passing [2] with aggressive tackling and sudden collisions between players and the ground [1, 3]. Mouthguard or headmounted sensors (XPatch; X2Biosystems, USA) have documented head impacts in rugby union [9, 10], rugby league [11], collegiate wrestling [12], and AF [8] This data has enabled the development of analytical risk functions [13,14,15,16], concussion risk curves [14], and risk weighted exposure metrics [17], further assisting in the identification of athletes at risk of SRC

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