High School American Football Players Research Articles

Arthroscopic Shoulder Stabilization in High School Football Players.

Destabilizing shoulder injuries are common in high school American football players; however, the rate of recurrent glenohumeral instability and return to play after arthroscopic labral stabilization surgery remains unknown. The purpose of this study was to determine the rate of recurrent instability on return to competitive high school football after arthroscopic shoulder labral stabilization and capsulorrhaphy procedures. It was hypothesized that the instability rate would be greater in players with more years of eligibility remaining (YER) to play at the high school level. Case series; Level of evidence, 4. Consecutive male high school football players with at least 1 YER who sustained at least 1 anterior traumatic inseason shoulder instability episode and underwent arthroscopic stabilization between 2012 and 2017 were identified. Patients and/or families were contacted by phone to discuss (1) recurrent instability episodes and (2) return to competitive sport and/or recreational athletic activity. Statistical analysis was conducted using chi-square tests to compare recurrent shoulder instability with return to play and YER. A total of 45 football players aged 14 to 17 years were included, with a mean follow-up of 4.1 years. Most patients (60%) chose not to return to competitive football, due mainly to fear of recurrent injury. Overall, the recurrent instability rate was 15.6% (7/45). The instability rate in players who returned to football was 16.7%, with 66.7% requiring revision surgery. The instability rate in patients who did not return to football was 14.8%, with no revision procedures required. In players who returned to football, the instability rate in YER group 4 was significantly higher than that in YER groups 1 to 3 (42% vs 10.5%, respectively, P = .03), with each year of play conferring an additional 10% risk of reinjury. There was a significant difference in the type of recurrent instability in players who returned to any sport versus those who did not (P = .029). High school football players who returned to competitive play after arthroscopic shoulder stabilization surgery experienced a higher rate of recurrent instability that was dependent on their YER. Over half of the players chose not to return to football, with fear of reinjury being the most common reason.

Evaluation of the Back-in-Action test Battery In Uninjured High School American Football Players.

Return to sport testing is an established routine, especially for athletes who have ruptured their anterior cruciate ligament (ACL). Various tests are performed, often combined in test batteries, such as the Back-in-action (BIA) test battery. Unfortunately, pre-injury performance is often unknown, and only few athletes pass the high demands of these test batteries. The aim of the study was to determine the performance of under 18 American football players on the BIA to establish pre-injury sport specific benchmarks for future RTS testing and to compare these values to data from an age-matched reference group. Fifty-three healthy male American football players underwent a functional assessment using the "Back-in-action" test battery evaluating agility, speed (Parkour-Jumps and Quick-Feet test), balance (using a PC based balance board), and power (Counter-Movement-Jump [CMJ]) as objective measures. Their results were compared with a previously tested reference group (RP) and within the american football players (AF) through three subgroups according to field playing position. Overall, the American football (AF) athletes showed lower balance scores for both legs (AF: 3.71/3.57/3.61; RP: 3.4/3.2/3.2; p<0.002) compared to the reference population (RP). CMJ height and Quick-Feet results were not statistically different (p>0.05), Parkour-Jump times (AF: 8.18/ 8.13 sec.; RP: 5.9/5.9sec.; p<0.001) were significantly slower. Power output in all CMJ's (AF: 46.86/36.94/37.36 W/kg; RP: 43.2/29.5/29 W/kg; p<0.001) was significantly higher than the RP. Passing and running game involved players (G2 & G3) showed significantly better balance scores (G2+G3: 3.36/3.27/3.33; G1: 4.22/4.06/4.10; p<0.001), higher jump height (G2&G3: 38.87/24.02/24.96 cm; G1: 32.03/19.50/18.96 cm; p<0.001) and more watts/kg (G2&G3: 48.83/37.21/37.64 W/kg; G1: 43.95/36.88/36.53 W/kg; p<0.001) compared to blocking players like Linemen (G1) and to the age matched reference population (RP). Only 53% of the healthy athletes would have been cleared for sport using the BIA test criteria, which highlights the challenging passing criteria. Despite significantly greater power measurements, scores of balance and agility were poorer compared to the reference group, especially for linemen. These data may serve as sport and position specific reference for high school American football players, instead of using the non-specific reference group data. cross-sectional study. IIb.

Perceptual-Motor Efficiency and Concussion History Are Prospectively Associated With Injury Occurrences Among High School and Collegiate American Football Players.

Background:After a sport-related concussion (SRC), the risk for lower extremity injury is approximately 2 times greater, and the risk for another SRC may be as much as 3 to 5 times greater.Purpose:To assess the predictive validity of screening methods for identification of individual athletes who possess an elevated risk of SRC.Study Design:Case-control study; Level of evidence, 3.Methods:Metrics derived from a smartphone flanker test software application and self-ratings of both musculoskeletal function and overall wellness were acquired from American high school and college football players before study participation. Occurrences of core or lower extremity injury (CLEI) and SRC were documented for all practice sessions and games for 1 season. Receiver operating characteristic and logistic regression analyses were used to identify variables that provided the greatest predictive accuracy for CLEI or SRC occurrence.Results:Overall, there were 87 high school and 74 American college football players included in this study. At least 1 CLEI was sustained by 45% (39/87) of high school players and 55% (41/74) of college players. Predictors of CLEI included the flanker test conflict effect ≥69 milliseconds (odds ratio [OR], 2.12; 90% CI, 1.24-3.62) and a self-reported lifetime history of SRC (OR, 1.70; 90% CI, 0.90-3.23). Of players with neither risk factor, only 38% (29/77) sustained CLEI compared with 61% (51/84) of players with 1 or both of the risk factors (OR, 2.56; 90% CI, 1.50-4.36). SRC was sustained by 7 high school players and 3 college players. Predictors of SRC included the Overall Wellness Index score ≤78 (OR, 9.83; 90% CI, 3.17-30.50), number of postconcussion symptoms ≥4 (OR, 8.35; 90% CI, 2.71-25.72), the Sport Fitness Index score ≤78 (OR, 5.16; 90% CI, 1.70-15.65), history of SRC (OR, 4.03; 90% CI, 1.35-12.03), and the flanker test inverse efficiency ratio ≥1.7 (OR, 3.19; 90% CI, 1.08-9.47).Conclusion:Survey responses and smartphone flanker test metrics predicted greater injury incidence among individual football players classified as high-risk compared with that for players with a low-risk profile.

Effects of Hydration Educational Intervention in High School Football Players.

Atkins, WC, McDermott, BP, Kanemura, K, Adams, JD, and Kavouras, S. Effects of Hydration Educational Intervention in High School Football Players. J Strength Cond Res XX(X): 000-000, 2020-The purpose of this study was to assess the effects of a one-time educational intervention (EI) on hydration behaviors, status, and knowledge. In a pre-test, post-test quasi-experimental design, 41 in-season American high school football players (16 ± 1 years) voluntarily participated. Teams were assigned to EI or no intervention (NI) groups. Educational intervention included a 5-minute presentation on hydration importance, self-assessment, urine-color charts, water bottles, and hydration status feedback. Baseline data included 24-hour fluid intake logs, urinalysis, and questionnaires. Data collection was repeated 3 and 24-days post-EI. Subjects provided urine samples and recorded fluid intake. Twenty-four hour mean fluid consumed (FC) and water consumed (WC) were calculated. Questionnaires quantified hydration knowledge. Significance was set a priori at p ≤ 0.05. Urine specific gravity was not significantly different at baseline (EI: 1.026 ± 0.006; NI: 1.023 ± 0.009; p = 0.118, confidence interval [CI] 95% [-0.001 to 008]), improved 3-days post-EI (EI: 1.017 ± 0.010; NI: 1.026 ± 0.007; p = 0.004, CI 95% [-0.015 to -0.003]), and was not different 24-days post-EI (EI: 1.021 ± 0.009; NI: 1.025 ± 0.007; p = 0.213, CI 95% [-0.008 to 002]) between groups. Three days post-EI, 24-hour WC increased significantly in the EI (EI: 888 ± 713 ml; t(19) = -5.685, p < 0.001, CI 95%: [-1,208.9 to -560.0]) but not NI (119 ± 583 ml; t(20) = -0.915, CI 95%: [-392.0 to 153.5]) and EI increased FC by 19%, whereas NI showed a 6% FC decrease. There were no significant group (F(1,19) = 0.025, p = 0.876, = 0.001) or interaction effects for hydration knowledge (F(2,38) = 0.677, p = 0.514, = 0.034). Educational intervention improved hydration status and behaviors despite no change in knowledge. Hydration education should be implemented and reinforced by team personnel as benefits to an EI are reduced at 24-days post-intervention.

Anthropometric and Performance Parameters of Japanese High School American Football Players: A Case Study of Selection for International Matches

This study aimed to compare the anthropometric and performance parameters between American football players from different high school grades and to compare their physical characteristics to the normative values for U.S. and Japanese players from previous studies. The analysis included 240 grade 10 and 11 American football players. The testing included height, body mass, broad jump, 40-yard dash, and pro-agility shuttle. The analysis was stratified by position: linemen (offensive and defensive), big skill players (fullbacks, tight ends, and linebackers), and skill players (wide receivers, running backs, and defensive backs). The only between-grade difference was body mass for linemen (Cohen’s d&gt;0.6), with no moderate effects for all other measured variables (|d| ≦0.6). No Japanese players were better in both mass and performance measures than U.S. elite high school players. The strength and conditioning program for long-term athlete development should be established for American football players in Japan.

Association between Muscle Damage and Head Impacts in High School American Football.

Subconcussive head impacts (SHI), defined as impacts to the cranium that do not result in concussion symptoms, are gaining traction as a major public health concern. The contribution of physiological factors such as physical exertion and muscle damage to SHI-dependent changes in neurological measures remains unknown. A prospective longitudinal study examined the association between physiological factors and SHI kinematics in 15 high school American football players over one season. Players wore a sensor-installed mouthguard for all practices and games, recording frequency and magnitude of all head impacts. Serum samples were collected at 12 time points (pre-season, pre- and post-game for five in-season games, and post-season) and were assessed for an isoenzyme of creatine kinase (CK-MM) primarily found in skeletal muscle. Physical exertion was estimated in the form of excess post-exercise oxygen consumption (EPOC) from heart rate data captured during the five games. Mixed-effect regression models indicated that head impact kinematics were significantly and positively associated with change in CK-MM but not EPOC. There was a significant and positive association between CK-MM and EPOC. These data suggest that when examining SHI, effects of skeletal muscle damage should be considered when using outcome measures that may have an interaction with muscle damage.

Performance Differences between National Football League and High School American Football Combine Participants

ABSTRACTPurpose: The purpose of this study was to determine magnitudes of differences for anthropometric and athletic performance scores between high school and elite college-level American football players. Method: Participants included high school-age (n = 3,666) athletes who participated in American football combines, as well as elite college-level (n = 5,537) athletes who participated in the National Football League (NFL) scouting combine. Combine data included position; height; weight; 10-, 20-, and 40-yard dash; pro-agility (PA); L-cone drill (LC); vertical jump (VJ); and broad jump (BJ). Athletes were separated into their respective position group, defensive back (DB), wide receiver (WR), linebacker (LB), quarterback (QB), running back (RB), tight end (TE), defensive line (DL), and offensive line (OL) for analysis of performance differences. Percent differences for each dependent variable were calculated to quantify magnitudes of differences. Results: NFL combine participants scored 3% to 25% better on all measurements, with the largest differences between weight and VJ (14%–25%). Conclusion: The largest measurement-specific differences between high school-age and elite college-level American football players were body size and power. Although it may seem intuitive that elite college-level players would perform better, these data provide a unique perspective to high school players, parents, and coaches, giving new information to use when designing measurement-specific athletic development programs. Thus, strength and conditioning professionals may benefit from emphasizing increases in muscle mass and power output in strength and conditioning programs.

Olympic lifting vs. traditional lifting methods for North American high school football players

A stronger emphasis has been placed on increasing strength, power, size, and speed for today’s football player. The key to obtaining these abilities and skills are accomplished in the weight room. There are various types of lifting methods when it comes to resistance training (RT) for football. Two types of lifting styles that are often used for high school football weight training programs are the traditional lifting or core training programs and Olympic style lifting. It is thought that Olympic lifts help to increase power, which is something that can be transferred onto the playing field and help improve overall performance. This study compared two different styles of RT (traditional vs. Olympic) in North American High School football athletes in order to determine if one RT protocol was superior at improving measures of speed, strength, and power. Forty male, high school football players ranging from 14 to 18 years old participated in an eight week, off-season, early morning football resistance training program. Each participant was randomly selected into either the traditional resistance protocol (TR: n = 20) or Four Quarters protocol (FQ: n = 20) experimental groups. The players each had the same weight lifting/conditioning routine, however, twice a week the FQ group performed an Olympic lift variation and the TR group performed a dead lift. Pre- and post-assessment scores were obtained and compared in the 1-RM squat, 1-RM power clean, vertical jump (VJ) and 9.14 meter sprint. Pre- post- scores were compared with in each group with a dependent t-test. A gain score was also calculated for each dependent variable (post-pre score) and compared between the experimental groups with an independent t-tests (p≤0.05). Both groups made improvements in pre to post assessments in the 1-RM squat, 1-RM power clean, and VJ (p&amp;lt;0.05). The gain scores for the 1-RM squat, 1-RM power clean were significantly greater for the FQ group (p&amp;lt;0.05). Neither group improved 9.14 meter sprint times (p&amp;gt;0.05). The results of this study are consistent with those found in previous literature demonstrating that increases in both the 1-RM squat and 1-RM power clean are better achieved using an Olympic lift variations when compared to using a traditional lifting method. Resistance training programs for athletes are designed with the goal of improving physical performance on the field of play. The results of this study suggest that improvements in muscular strength and power as measured by the 1-RM squat and 1-RM power clean are best achieved with a RT protocol that includes the Olympic lift variation of the power clean.

Functional movement screen and Y-Balance test scores across levels of American football players.

Few studies have investigated differences in functional movement assessment performance across scholastic levels of competition. This study examined Functional Movement Screen (FMS) performance in middle school (MS), high school (HS) and collegiate (COL) American football players and Y-Balance test (YBT) scores in MS and HS players. Functional movement measurements were collected for MS (N = 29; age = 12.8 ± 0.7 years), HS (N =52; age = 15.7 ± 1.2 years), and COL (N =77; age = 19.9 ± 1.4 years) football players prior to each group’s competitive season. Differences in composite FMS and YBT measurements were examined using Welch’s ANOVA and Mann-Whitney U-tests, respectively. Chi-square analyses examined normality of score distributions for individual FMS tests. The MS group displayed a lower composite FMS (12.9 ± 1.9) than both HS (14.0 ± 1.7) and COL (14.1 ± 2.1) groups (p = 0.019). COL players scored significantly lower on the Shoulder Mobility (SM) but higher on the Deep Squat (DS), In-line Lunge (ILL), Active Straight-Leg Raise (ASLR) and Push-Up (PU) than both HS and MS groups. No differences were found between MS and HS groups for any YBT normalized reach distances and side-to-side reach distance differences. FMS performance varied with football competition level whereas YBT performance did not. The results suggest that football competition levels normative data and injury-risk thresholds should be established when using FMS scores to guide performance and injury prevention programming.

Stature, Body Mass, and Body Mass Index in High School American Football Players: Appropriate Determinants of Obesity Prevalence?

Mendez, AI, Miramonti, AA, Gillen, ZM, McKay, BD, Leutzinger, TJ, and Cramer, JT. Stature, body mass, and BMI in high school american football players: Appropriate determinants of obesity prevalence? J Strength Cond Res 32(11): 3119-3126, 2018-The purpose of this study was to evaluate stature (HT), mass (BM), body mass index (BMI), and obesity prevalence based on BMI categories in a large sample (n = 7,175) of high school American football players enrolled as freshmen, sophomores, or juniors. Players were categorized by their positions: offensive linemen (OLs), defensive linemen (DLs), tight end, defensive end, linebacker, running back, quarterback, defensive back, and wide receiver. The HT, BM, and BMI increased as grade increased among all positions. Offensive lineman and DL had the greatest HT, BM, and BMI (p ≤ 0.05). Obesity prevalence was greatest in OL and DL. When accounting for age-related increases in BMI, BM increased to a greater degree than HT. If HT is an indirect indicator of skeletal size, although BM is more influenced by soft tissue, then the age-related BMI increases in this study may be largely accounted for by soft-tissue changes rather than skeletal growth. Although obesity prevalence in OL (94.5%) and DL (78.4%) positions was greater than all other positions as determined from BMI, it is impossible to know the allocations of fat-free and fat mass-particularly in American football athletes. If obesity continues to be defined as an unhealthy accumulation of fat, then athletes who may have a greater relative proportion of lean soft tissue should not be classified as obese using BMI (BM ÷ HT). More sophisticated, reliable, and sensitive measure of body composition, such as skinfolds, may be more appropriate field measurements.

Hydration and Renal Responses During Pre-Season High School American Football

American football athletes often report to practices and games in a hypohydrated state, potentially increasing the risk for performance and thermoregulatory impairments. However, the renal responses to progressive dehydration with environmental and workload stressors, have not been elucidated in this population. PURPOSE: To observe the hydration status and renal function of high school American football players during preseason practices. METHODS: High school American football players (n = 31 males, age 16 ± 1y, ht 1.79 ± 0.07m, mass 88.4 ± 19.9kg, body fat 19.9 ± 9.4%) participated in this observational study. Body mass (BM), blood, and urine samples were obtained 2-3 days prior to the start of pre-season practices (Base) and at Days 4 (D4), 7 (D7), and 10 (D10). D4 and D7 samples were collected prior to practice while D10 samples were obtained post-practice. Serum osmolality (Sosm), urine specific gravity (USG), and urine color (Ucolor) were measured at each time point. Renal stress was assessed by measuring plasma neutrophil gelatinase-associated lipocalin (pNGAL) via enzyme linked immunosorbent assay. Wet bulb globe temperatures (WBGT) were also recorded for each practice. RESULTS: BM did not change significantly from Base (91.6 ± 22.9 kg) through D10 (90.2 ± 23.2 kg; p = 0.26). Sosm at Base (292 ± 4 mOsm/kg) was significantly lower than D10 (295 ± 4 mOsm/kg, p= 0.05). Further, Sosm >290 mOsm/kg was present in 67-73% of players reporting to practices on D4 and D7, and 80% finishing practice on D10. USG at Base (1.023 ± 0.007) and D10 (1.027 ± 0.005) were greater than D4 (1.018 ± 0.009) and D7 (1.019 ± 0.009, all p < 0.05). Ucolor on D4 (3 ± 1) was lower than Base (4 ± 1) and D10 (4 ± 1, all p < 0.05). pNGAL was not different throughout preseason (Base, 50.7 ± 12.5 ng/mL, D10, 52.8 ± 14.7 ng/mL, p = 0.19). Further, there was no relationship between Sosm and pNGAL (r = -0.03, p = 0.77) or USG and pNGAL (r = 0.05, p=0.63). Average WBGT ranged from 20.0 °C to 31.1 °C. CONCLUSIONS: At least two-thirds of players reported for or completed practice sub-optimally hydrated. However, renal stress assessed via pNGAL was not elevated throughout preseason. Thus, despite suboptimal hydration and environmental stress, these American football players experienced minimal renal injury as measured via pNGAL. Supported by AMSSM-ACSM Grant

Post Activation Potentiation in North American High School Football Players

Post Activation Potentiation in North American High School Football Players

Correlation Between Varying Back Squat Depths On Speed And Vertical Jump Performance In North American High School Football Players

The back squat exercise is perhaps the most popular and most effective exercise for developing lower body musculature. Development of the lower body musculature is paramount for increasing ground reaction forces which in turn can translate to increased explosiveness in movements such as sprinting or vertical jumping (VJ). For athletes in particular, developing lower body strength can be of utmost importance. There is however dispute over which back squat depth is most optimal. PURPOSE: This study attempted to determine which of two back squat depths (90 degree knee flexion or 45 degree knee flexion) would correlate with superior sprint times and VJ performance. METHODS: Participants were high school aged males on a North American football team (age: 15.1±0.9 yrs, mass: 77.0±13.2 kgs). Twenty three athletes performed the 36.6 meter (36.6M) sprint and VJ tests along with performing a 3RM back squat at 90 and 45 degrees of knee flexion on randomized separate days. A Pearson Correlation Coefficient (r) test was used to compare the squat scores with sprint times and VJ performance. RESULTS: Variable measures were 36.6M: 5.23±0.26 secs, VJ: 59.6±6.6 cms, 90° 3RM squat: 116.1±21.0 kgs, and 45° 3RM squat: 132.1.±22.2 kgs. Low correlations were found at both knee flexion angles: 90° 3RM squat (36.6Mr=-0.32, VJr=0.33, p<0.01), and 45° 3RM squat (36.6Mr=-0.31, VJr=0.33, p<0.01). However, moderate correlations were revealed when comparing the 3RM back squat/body mass ratio with the participant’s 36.6M sprint times (90r=-0.46, 45r=-0.46, p<0.01). CONCLUSIONS: Within the parameters of this study, low to moderate correlations were determined between back squat strength and sprint speed as well as VJ at both 90 and 45 degrees of knee flexion.

Epidemiology of Knee Sprains in Youth, High School, and Collegiate American Football Players.

Variations in knee-sprain incidence among competition levels are unclear but may help inform prevention strategies in American football players. To describe the epidemiology of knee sprains in youth, high school, and collegiate football players. Descriptive epidemiology study. Injury and athlete-exposure (AE) data were collected from 3 injury-surveillance programs at the youth, high school, and collegiate competition levels. Data from 310 youth, 184 high school, and 71 collegiate football team-seasons were collected during the 2012 through 2014 seasons. Knee-sprain rates and risks were calculated for each competition level. Injury rate ratios (IRRs) and risk ratios (RRs) compared knee-sprain rates by competition level. Injury proportion ratios (IPRs) compared differences in surgery needs, recurrence, injury mechanism, and injury activity by competition level. Knee-sprain rates in youth, high school, and collegiate football were 0.16/1000 AEs, 0.25/1000 AEs, and 0.69/1000 AEs, respectively. Knee-sprain rates increased as the competition level increased (high school versus youth: IRR = 1.60; 95% confidence interval [CI] = 1.12, 2.30; collegiate versus high school: IRR = 2.73; 95% CI = 2.38, 3.96). Knee-sprain risk was highest in collegiate (4.3%), followed by high school (2.0%) and youth (0.5%) athletes. Knee-sprain risk increased as the competition level increased (high school versus youth: RR = 3.73; 95% CI = 2.60, 5.34; collegiate versus high school: RR = 2.14; 95% CI = 1.83, 2.51). Collegiate football had the lowest proportion of knee sprains that were noncontact injuries (collegiate versus youth: IPR = 0.54; 95% CI = 0.31, 0.95; collegiate versus high school: IPR = 0.59; 95% CI = 0.44, 0.79) and the lowest proportion that occurred while being tackled (collegiate versus youth: IPR = 0.44; 95% CI = 0.26, 0.76; collegiate versus high school: IPR = 0.71; 95% CI = 0.51, 0.98). Knee-sprain incidence was highest in collegiate football. However, level-specific variations in the distributions of knee sprains by injury activity may highlight the need to develop level-specific policies and prevention strategies that ensure safe sports play.

Post Activation Potentiation in North American High School Football Players

Post Activation Potentiation in North American High School Football Players

Anthropometrics, Physical Performance, and Injury Characteristics of Youth American Football.

Background:Prior research has described the anthropometric and physical performance characteristics of professional, collegiate, and high school American football players. Yet, little research has described these factors in American youth football and their potential relationship with injury.Purpose:To characterize anthropometric and physical performance measures, describe the epidemiology of injury, and examine the association of physical performance measures with injury among children participating within age-based divisions of a large metropolitan American youth football league.Study Design:Case-control study; Level of evidence, 3.Methods:Demographic, anthropometric, and physical performance characteristics and injuries of 819 male children were collected over a 2-year period (2011-2012). Injury data were collected by the league athletic trainer (AT) and coaches. Descriptive analysis of demographic, anthropometric, and physical performance measures (40-yard sprint, pro-agility, push-ups, and vertical jump) were conducted. Incidence rates were computed for all reported injuries; rates were calculated as the number of injuries per 1000 athlete-exposures (AEs). Multinomial logistic regression was used to identify whether the categories of no injury, no-time-loss (NTL) injury, and time-loss (TL) injury were associated with physical performance measures.Results:Of the 819 original participants, 760 (92.8%) completed preseason anthropometric measures (mean ± SD: age, 11.8 ± 1.2 years; height, 157.4 ± 10.7 cm; weight, 48.7 ± 13.3 kg; experience, 2.0 ± 1.8 years); 640 (78.1%) players completed physical performance measures. The mean (±SD) 40-yard sprint and pro-agility measures of the players were 6.5 ± 0.6 and 5.7 ± 0.5 seconds, respectively; the number of push-ups and maximal vertical jump height were 16.5 ± 9.3 repetitions and 42.3 ± 8.4 cm, respectively. Players assigned to different teams within age divisions demonstrated no differences in anthropometric measures; 40-yard dash and pro-agility times differed significantly (P < .05) between players assigned to different teams. A total of 261 NTL and TL injuries were reported during 35,957 AEs (games: 22%, n = 7982 AEs; practices: 78%, n = 27,975 AEs). The overall incidence rate was 7.26 per 1000 AEs (95% CI, 6.37-8.14). Physical performance measures did not predict NTL or TL injuries (P > .05).Conclusion:No practically meaningful differences existed in anthropometric or physical performance measures between teams within age-based levels of play. Findings suggest that age-only criterion for player groupings can evenly match in terms of physical performance.

Inadequate Helmet Fit Increases Concussion Severity in American High School Football Players

Background:There is limited information on the relationship between football helmet fit and concussion severity.Hypothesis:Poor helmet fit may predispose football players to a more severe concussion.Study Design:Descriptive epidemiology study.Level of Evidence:Level 3.Methods:Data from concussion injury reports were obtained from the National High School Sports-Related Injury Surveillance System over a 9-year period. Symptoms, duration, and helmet parameters (fit, interior padding) were analyzed for all first-time concussions.Results:Data from 4580 concussions were analyzed. Patients who suffered concussions with a helmet that did not fit properly (3.22%), as determined by an athletic trainer, had higher rates of drowsiness (RR, 1.46; P = 0.005), hyperexcitability (RR, 2.38; P = 0.047), and sensitivity to noise (RR, 1.88; P < 0.001); had more symptoms (5.34 vs 4.54, P = 0.004); and had longer symptom duration (P = 0.04). Athletes with helmets lined with an air bladder had greater rates of sensitivity to light (RR, 1.13; P = 0.02), sensitivity to noise (RR, 1.25; P = 0.009), and longer symptom duration (P = 0.004) compared with foam or gel liners.Conclusion:An improperly fitted football helmet is a risk factor for a concussion with more symptoms and of longer duration. Concussions of longer duration are also more common in players with an air bladder–lined helmet. Current high school football rules should mandate supervision and maintenance of helmet fit throughout the season, prior to impact.Clinical Relevance:Team physicians, athletic trainers, coaches, and high school officials should ensure proper oversight of helmet fit in high school athletes to decrease concussion severity and duration.

Not Just an Athlete: The Impact of High School Coaches on the Educational Pursuit of First-year African American College Football Players

Elite high school football players face a barrage of pressures from their external environment that determine where they attend college as well as what factors, whether academic or athletic, they consider in a school. This study aims to analyze the relationship between African American high school football players, who go on to play intercollegiate football, and their high school football coaches. African American freshmen football players at a predominantly white institution in the Southwest United States were interviewed. The responses were compared and analyzed using two tenants of critical race theory (CRT): the centrality of experiential knowledge and the challenge to the dominant ideology. In an educational context, CRT utilizes storytelling and the experiences of people of color to highlight their experiences against the dominant culture in order to transform the educational environment for the benefit of marginalized people. After analyzing the interview transcriptions, the researchers found that these athletes were positively influenced by their high school coaches to perform well academically in high school, as well as to consider academics as a major point of emphasis in choosing to attend a university. Athletes developed positive relationships with their coaches, regardless of the sport in which they coached, that encouraged them to perform well academically and see college as a means to attain a degree as opposed to an avenue to professional athletics. This positive relationship contrasted some previous literature about college students that suggested that college coach–athlete relationship could be a major source of exploitation and stress for the athletes. Overall, the research found that these coaches were a source of positive influence on these student–athlete's lives athletically, personally, and academically.

Anthropometric and performance differences among playing positions between Italian and American high school football players

Height, body weight and body composition are different among American football players and this is due to the different movement demands for each playing position (1). The results of the National Football League (NFL) Combines are different for playing position and they are used by coaches and scouts to assess players’ physical abilities as a determinant of their success in the professional level (2). The purpose of this study was to examine anthropometric and performance differences among young football players of a top Italian team (Rhinos Milan) and to compare these values with the American high school football players. Participants (N=62) were categorized by position in 3 groups based on playing position: Skill players (SP) included wide receivers, cornerbacks, safeties, and running backs; Big skill players (BSP) consisted of fullbacks, linebackers, tight ends, and defensive ends; Lineman (LM) included centers, offensive guards, offensive and defensive tackles. Body weight and percentage of body fat were determined using the TANITA Body Composition Monitor BC-418 and we obtained performance results of the following Nike SPARQ Combine drills: 40-yard dash, vertical jump, 20-yard shuttle and the kneeling power ball toss (KPBT). The one-way ANOVA followed by the Tukey-Kramer post-hoc test showed significant differences for all the variables among the 3 playing categories: LM had higher anthropometric and body composition values than SP (p<0.001) and BSP (p<0.01) while they performed significantly worse in the physical tests, except for the KPBT (p<0.01). We calculated and compared the 95% confidence limits for each anthropometric and physical test parameter of Italian and American players: American high school players had higher values for all the anthropometric and physical tests variables than Italian players (p<0.001). Administrators of professional football teams in Italy need to improve players’ physical attributes so the gap that currently exists between Italy and USA can be reduced.

King-Devick Test reference values and associations with balance measures in high school American football players.

The King-Devick test appears to be a promising tool in screening for concussions. However, limited evidence exists on the baseline associations between the K-D test and age and baseline screening tools used after concussion. Additionally, there are no published reference values for the K-D test in high school football players. The K-D test, the Balance Error Scoring System, and the Limits of Stability (LOS) test were administered to 157 high school football players. Additionally, a subsample of 62 participants completed the test twice to examine the reliability of K-D test. There was no relationship between the K-D test and the BESS, or the reaction time and directional control of LOS test. Students aged between 16 and 18 years demonstrated faster K-D test performance compared to students between 13 and 15 years of age. However, there was no association between K-D test and history of concussion. The reliability of the K-D test was (ICC2,1 = 0.89), and the minimal detectable change was 6.10 s. Normative reference values for high school football players are presented in this study.