American Football Research Articles

Shoulder injury patterns and trends in the national football league: an epidemiological analysis.

Athletic movements in American football render the shoulder vulnerable to injury. The aim of this study was to explore the epidemiology of shoulder injuries in the National Football League (NFL). Injury data from the 2019-2022 seasons were extracted from official NFL website and secondary resources. Injury parameters included type, severity, week, position and other demographic characteristics. Injury rates were calculated per 1000 athletic exposures (AE) and statistical analyses were used to determine whether any significant differences exist in injury patterns across different positions and types. A total of 6732 injuries were reported during our study period, of which 452(6.7%) were attributed to the shoulder, leading to an injury rate of 4.5 per1000 AE. Linebackers, cornerbacks, wide receivers, and safety positions had significantly higher numbers of shoulder injuries than other defensive and offensive positions. Most injuries were mild (66%, P<0.001). Muscular (40.9%) and ligamentous (37.4%) injuries were the most common injury types. Fractures and ligamentous injuries were significantly more severe than muscular and other injuries (P<0.05). Even though week 17 had the highest mean number of shoulder injuries at 10.75/season, there was no apparent shoulder injury distribution trend across the football season. Shoulder injuries are common in American football. Introducing a deidentified injury registry that provides detailed injury information in the NFL may help develop better prevention strategies and protocols.

Megaformer as a Rehabilitation Modality for Hamstring Strain Injury in Division I American Football: A Case Study

BACKGROUND: With athletes striving for peak performance, noncontact muscle strain injuries are increasingly common. Hamstring strain injuries (HSIs) make up the largest portion of noncontact injuries and provide further difficulty because of the high reinjury rate. This case study explores the Megaformer as a modality to treat HSIs with the potential to reduce the return to play timetable and recurrence rate. CASE PRESENTATION: A 23-year-old male American football player with a history of hamstring injuries presented with pain in the right proximal hamstring and deficits in strength and mobility testing as a result of sustained hyperflexion of the right hip with full knee extension. Magnetic resonance imaging (MRI) confirmed a recurrent proximal hamstring strain. OUTCOME AND FOLLOW-UP: Subsequent strength and range of motion testing revealed no impactful tenderness or pain during active participation or palpation after 9 days, and complete alleviation of symptoms at 6 weeks. No reinjury occurred during the remaining football season. DISCUSSION: This case study highlights possible advantageous features of the Megaformer as a recovery modality for HSIs. The Megaformer aims to improve flexibility, strengthen primary and secondary muscles, and enhance neuromuscular coordination to attempt to decrease the return to play timetable and reduce injury recurrence.

Morphological and Performance Biomechanics Profiles of Draft Preparation American-Style Football Players

Background/Objectives: Using advanced methodologies may enhance athlete profiling. This study profiled morphological and laboratory-derived performance biomechanics by position of American-style football players training for the draft. Methods: Fifty-five players were categorized into three groups: Big (e.g., lineman; n = 17), Big–skill (e.g., tight end; n = 11), and Skill (e.g., receiver; n = 27). Body fat (BF%), lean body mass (LBM), and total body mass were measured using a bioelectrical impedance device. Running ground reaction force (GRF) and ground contact time (GCT) were obtained using an instrumented treadmill synchronized with a motion capture system. Dual uniaxial force plates captured countermovement jump height (CMJ-JH), normalized peak power (CMJ-NPP), and reactive strength. Asymmetry was calculated for running force, GCT, and CMJ eccentric and concentric impulse (IMP). MANOVA determined between-group differences, and radar plots for morphological and performance characteristics were created using Z-scores. Results: There was a between-group difference (F(26,80) = 5.70, p &lt; 0.001; Wilk’s Λ = 0.123, partial η2 = 0.649). Fisher’s least squares difference post hoc analyses showed that participants in the Skill group had greater JH, CMJ-NPP, reactive strength, and running GRF values versus Big players but not Big–skill players (p &lt; 0.05). Big athletes had greater BF%, LBM, total body mass, and GCT values than Skill and Big–skill athletes (p &lt; 0.05). Big–skill players had greater GCT asymmetry than Skill and Big players (p &lt; 0.05). Asymmetries in running forces, CMJ eccentric, and concentric IMP were not different (p &gt; 0.05). Morphological and performance biomechanics differences are pronounced between Skill and Big players. Big–skill players possess characteristics from both groups. Laboratory-derived metrics offer precise values of running and jumping force strategies and body composition that can aid sports science researchers and practitioners in refining draft trainee profiles.

Describing and optimising travel distances in amateur football and handball in Germany

Describing and optimising travel distances in amateur football and handball in Germany

A New Bivariate Survival Model: The Marshall-Olkin Bivariate Exponentiated Lomax Distribution with Modeling Bivariate Football Scoring Data

This paper focuses on applying the Marshall-Olkin approach to generate a new bivariate distribution. The distribution is called the bivariate exponentiated Lomax distribution, and its marginal distribution is the exponentiated Lomax distribution. Numerous attributes are examined, including the joint reliability and hazard functions, the bivariate probability density function, and its marginals. The joint probability density function and joint cumulative distribution function can be stated analytically. Different contour plots of the joint probability density function and joint reliability and hazard rate functions of the bivariate exponentiated Lomax distribution are given. The unknown parameters and reliability and hazard rate functions of the bivariate exponentiated Lomax distribution are estimated using the maximum likelihood method. Also, the Bayesian technique is applied to derive the Bayes estimators and reliability and hazard rate functions of the bivariate exponentiated Lomax distribution. In addition, maximum likelihood and Bayesian two-sample prediction are considered to predict a future observation from a future sample of the bivariate exponentiated Lomax distribution. A simulation study is presented to investigate the theoretical findings derived in this paper and to evaluate the performance of the maximum likelihood and Bayes estimates and predictors. Furthermore, the real data set used in this paper comprises the scoring times from 42 American Football League matches that took place over three consecutive independent weekends in 1986. The results of utilizing the real data set approve the practicality and flexibility of the bivariate exponentiated Lomax distribution in real-world situations, and the bivariate exponentiated Lomax distribution is suitable for modeling this bivariate data set.

The Reliability and Validity of the Rebound Countermovement Jump in National Collegiate Athletic Association Division I American Football Players.

Talpey, SW, Drake, M, Haintz, L, Belanger, A, O'Grady, MW, Young, WB, Mundy, PD, James L, Gabbett, TJ, Gardner, EC. The reliability and validity of the rebound countermovement jump in National Collegiate Athletic Association Division I American Football Players. J Strength Cond Res XX(X): 000-000, 2024-The purpose of this study was to investigate the reliability and validity of the rebound countermovement jump (R-CMJ), as an alternate test of leg muscle function to the CMJ and drop jumps (DJs). Because the first phase of the R-CMJ mimics that of the CMJ, it is hypothesized that variables obtained in phase I of the R-CMJ will be like those of a CMJ. Similarly, because the second phase of a R-CMJ mimics a DJ, it is believed that the variables obtained from phase II will be like those from a DJ. Collegiate male American football players (N = 46) aged 18-24 years completed CMJs and R-CMJs on a portable force plate. Tests were completed on 3 separate days to determine the repeatability of select variables and to establish their validity. In addition, a subgroup (N = 20) of players from the cohort completed DJs from both 30 cm (DJ30) and 45 cm (DJ45) to determine the concurrent validity of the variables obtained from the second phase of the R-CMJ. Most variables obtained from the CMJ and R-CMJ phase I were found to be reliable, except for time-to-take-off. The variables from the DJ30, DJ45, and R-CMJ phase II displayed moderate to good reliability; however, all coefficient of variations were >10%. Jump height achieved in the CMJ was significantly greater than that achieved in phase I of the R-CMJ. The reactive strength index was significantly different in the R-CMJ compared with the DJ from both 30 and 45 cm heights. Although the R-CMJ may be inviting for coaches to use owing to its ease and time efficiency, the results of this study highlight that it may not provide a valid representation of an athlete's reactive strength.

American Football-associated Whiplash Maculopathy Presenting With Bilateral Bacillary Detachments: Case Report and Review of Literature.

Ocular trauma is a rare cause of bacillary layer detachments (BALAD). A case report was evaluated and a literature review was performed. A 15-year-old boy presented with bilateral scotomas after a routine American football tackle and was found to have bilateral BALADs. Inflammatory and infectious causes of BALAD were excluded, and he was diagnosed with whiplash maculopathy. Without intervention, the patient's visual acuity and macular anatomy rapidly improved. Novel indocyanine green angiography findings of this condition are reported. Bacillary detachments resulting from whiplash injuries generally resolve spontaneously with good visual outcomes. Even when other sequelae of trauma are not obvious, the presence of BALAD should prompt a targeted history around recent trauma including sports-associated whip-lash injuries. Patients with thicker choroids may be at increased risk of posterior segment sequalae from whiplash injury and choroidal status should be commented on in future reports. [Ophthalmic Surg Lasers Imaging Retina 2024;55:XX-XX.].

Injury Characteristics and Risk Factors of Sport-Related Concussion Among High School Athletes in School-Sponsored Sports.

Over a million sport-related concussions (SRC) affect children annually in the United States, posing a significant public health concern. Limited data exist on the premorbid risk factors and injury characteristics of SRCs in high school athletes. This study aims to understand acute SRC injury characteristics and describe premorbid risk factors in high school athletes. Athletes (aged 14-19 years) from 19 central Illinois high schools participating in school-sponsored sports from 2009 to 2023 were included. Sports Concussion Assessment Tool evaluations were performed as part of preseason and postinjury evaluations. Injury characteristics, such as mechanism, setting, and symptoms, were described using all SRCs in the study period. Odds ratios (OR) were computed to determine risk factors using athletes with a baseline Sports Concussion Assessment Tool before SRC and nonconcussed athletes. In total, 4360 athletes were included (3953 without SRC; 407 with ≥1 SRC of whom 168 had a previous baseline). Overall, 24.2% of SRCs occurred in female athletes, and most SRCs occurred in competitions while playing American football (52.3%), soccer (20.4%), and basketball (7.6%). Blow/hit to the head was the most common mechanism. Headache was the most severe symptom (2.55 ± 1.51 [SD]), and symptoms of emotionality and nervousness/anxiety were significantly more severe in female athletes (P < .05). Students with previous concussions (OR 2.64 95% CI [1.81, 3.78]), previous hospitalization for head injury (OR 3.19 95% CI [1.9, 5.14]), headache/migraine disorders (OR 2.23 95% CI [1.29, 3.66]), and learning disabilities (OR 2.69 95% CI [1.47, 4.61]) had greater odds of SRC (P < .05). Lower odds of SRC were seen in athletes identifying as Black or African American (vs White) (OR 0.54 95% CI [0.32, 0.86]) and those attending larger (vs smaller) schools (OR 0.64 95% CI [0.46, 0.88]). Understanding SRC risk factors and characteristics in high school athletes is critical for developing prevention and management programs, guiding neurosurgeons in mitigating SRC risk, and informing return-to-play decisions.

Chronic traumatic encephalopathy in athletes, players, boxers and military: systematic review

The objective of the study was to demonstrate whether athletes, players, boxers and military personnel can really be victims of CTE, and to elucidate this pathology. In 53 articles, 14 were selected for qualitative synthesis in the results table that addresses CTE in football, soccer and rugby players, boxers and the military. Neuropathologically, CTE shows cerebral atrophy, a pelvic septum cavity with fenestrations, dense diffuse immunoreactive inclusions and a TDP-43 proteinopathy. Microscopically, there are extensive neurofibrillary tangles and spindle-shaped neurites throughout the brain. Thus, CTE is characterized by being a distinct tauopathy and with a clear environmental etiology. American football players, boxers and the military are more likely to trigger CET, due to the constant mechanical shocks from their heads. The most frequent clinical manifestations were: headache, aggressiveness, dementia, executive dysfunction and suicide. CET is definitely diagnosed only at autopsy, there is no specific treatment for it, but support and safety measures can help the patient. Advances to definitively diagnose CTE in living people and specific treatment for this disease are needed.

Career duration and later-life health conditions among former professional American-style football players

ObjectivesCareer duration is often used as a metric of neurotrauma exposure in studies of elite athletes. However, as a proxy metric, career length may not accurately represent causal factors, and...

Optimizing Football Formation Analysis via LSTM-Based Event Detection

The process of manually annotating sports footage is a demanding one. In American football alone, coaches spend thousands of hours reviewing and analyzing videos each season. We aim to automate this process by developing a system that generates comprehensive statistical reports from full-length football game videos. Having previously demonstrated the proof of concept for our system, here, we present optimizations to our preprocessing techniques along with an inventive method for multi-person event detection in sports videos. Employing a long short-term memory (LSTM)-based architecture to detect the snap in American football, we achieve an outstanding LSI (Levenshtein similarity index) of 0.9445, suggesting a normalized difference of less than 0.06 between predictions and ground truth labels. We also illustrate the utility of snap detection as a means of identifying the offensive players’ assuming of formation. Our results exhibit not only the success of our unique approach and underlying optimizations but also the potential for continued robustness as we pursue the development of our remaining system components.

On-field concurrent validity of flight time-based countermovement jump height during fatigue: A comparison between inertial measurement units worn at different locations on the body

ABSTRACT We explored the feasibility of utilizing immediate changes in flight time-based vertical countermovement jump height as an on-field measure for fatigue-induced decrements in performance. Comparing Inertial Measurement Units (IMUs) worn at five body locations (feet, shorts for thighs and pelvis, waist strap, and thorax in a standard GPS vest) with a force plate as a reference, we enlisted 19 amateur football players who performed a series of 10 maximal 30 m sprints (initiated every minute). Maximal jumps were executed immediately before and after each sprint, with the latter jumps recorded on a force plate integrated into the field. Bland Altman’s bias (−0.49 cm) and limits of agreement (1.01 cm) were minimal for the feet IMUs. The thorax IMU had the highest bias (−6.35 cm), but the limits of agreement (2.73 cm) were similar to the other locations. Repeated measures correlations (rmcorr) between force plate and IMUs were excellent for the feet (rmcorr = 0.98) and good for the thorax (rmcorr = 0.86) and other locations except for the waist strap. In the fatigued state, within-session coefficients of variation ranged from 4.0% (pelvis in shorts) to 6.5% (waist strap). These findings suggest that body-worn IMUs possess the potential for a prompt and straightforward on-field vertical jump assessment to monitor acute fatigue.

Assessment of Blood Pressure Levels and Left Ventricular Functions of American Football Players in Türkiye

Assessment of Blood Pressure Levels and Left Ventricular Functions of American Football Players in Türkiye

Concussion Incidence by Type of Sport: Differences by Sex, Age Groups, Type of Session, and Level of Play An Overview of Systematic Reviews With Meta-analysis.

OBJECTIVES: To (1) summarize pooled prevalence and incidence rates of concussion by type of sport and (2) synthesize the differences in prevalence or incidence rates of concussion by type of sports in terms of sex, age, type of session, and level of competition. DESIGN: An overview of systematic reviews with meta-analysis. LITERATURE SEARCH: CINAHL, Embase, Epistemonikos, PubMed, Scopus, SPORTDiscus, and the Cochrane Library databases were searched. STUDY SELECTION CRITERIA: Systematic reviews with meta-analyses reporting pooled incidence or prevalence of sport-related concussion. DATA SYNTHESIS: AMSTAR 2 was used to assess the methodological quality of reviews. Overlap between reviews was calculated. RESULTS: Ten systematic reviews with meta-analysis were included, all evaluating incidence rates of concussion. There were no meta-analyses of concussion prevalence. Concussions seem to have a higher incidence in rugby, snowboarding, ice hockey, and American football. In reviews that explored sex-based differences across subgroups, there was a higher incidence rate of concussion in baseball-softball, basketball, and soccer in females compared to males. There were no age subgroups analyzed. The incidence of concussions was higher during games compared to practice in American football, ice hockey, rugby, and soccer. Amateur rugby had higher concussion rates compared to professional rugby. CONCLUSIONS: Rugby, snowboarding, ice hockey, and American football had the highest incidence rate of concussion when no other differences (eg, type of session) were considered. However, important methodological flaws were detected, such as the lack of use of the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system and subgroups for specific factors (eg, age groups). J Orthop Sports Phys Ther 2024;54(11):1-9. Epub 15 October 2024. doi:10.2519/jospt.2024.12677.

Assessment of Eating Disorder Risk According to Sport Level, Sex, and Social Media Use among Polish Football Players: A Cross-Sectional Study

Background/Objectives: Eating disorders (EDs) pose a significant health issue affecting athletes, with risk factors varying by sport level, sex, and social media use. This study assesses the risk of EDs among professional and amateur football players, considering these factors, and compares findings with a control group of non-athletes. Methods: The study involved 170 participants, including non-athletes as a control group, categorized by sex and sport level. The mean age of participants was 24.3 ± 4.20, with an age range of 18–36. The Eating Attitudes Test (EAT-26) and body mass index (BMI) assessments were used to determine ED risk. Results: Results showed a higher prevalence of ED risk among professional athletes, especially women, compared to amateurs and non-athletes. Social media use and body comparisons were linked to increased ED risk, with professional athletes exhibiting higher vulnerability due to performance pressures. Women, particularly those in professional sports, showed a higher risk of EDs than men, influenced by social and aesthetic pressures. Conclusions: The findings highlight the need for targeted interventions, promoting healthier body image perceptions and addressing social media’s role in shaping body dissatisfaction. Psychological support and sex-specific strategies should be integrated into athlete care programs to mitigate these risks.

An Effective Method of Aerobic Capacity Development: Combined Training with Maximal Aerobic Speed and Small-Sided Games for Amateur Football Players

This study aimed to investigate the effects of combined training with maximal aerobic speed and small-sided games on football players’ aerobic capacity development. Methods: The football players were divided into three groups as a combined training group (n = 20) (Mean ± SD age 23.40 ± 2.92 yrs, BMI was 23.67 ± 1.59 kg/m2, mass: 74.80 ± 5.46 kg, height: 177.73 ± 4.31 cm), maximal aerobic speed group (n = 20) (Mean ± SD age 23.93 ± 2.46 yrs, BMI was 23.32 ± 1.42 kg/m2, mass: 72.66 ± 5.38 kg, height: 176.46 ± 4.99 cm) and regular training group (n = 20) (Mean ± SD age 24.80 ± 5.84 yrs, BMI was 22.87 ± 1.67 kg/m2, mass: 73.06 ± 6.74 kg, height: 178.33 ± 7.98 cm). In addition to regular football training, maximal aerobic speed training with small-sided games was applied to the combined training group (CT) and only maximal aerobic speed training was applied to the maximal aerobic speed group (MAS) twice a week for 12 weeks. The normal training group (NT) continued their routine football training programme. All participants applied the Yo-Yo IR1 test in the pre-test and post-test of the study. As a result of normality tests, it was determined that the data showed normal distribution, and the ANOVA test and Tukey’s multiple comparison test were used in the intergroup evaluation. Results: When the Yo-Yo IR1 Test pre-test and post-test results were analysed, maximal aerobic speed training with small-sided games (CT) and maximal aerobic speed (MAS) groups were significantly higher compared to the normal training (NT) group regarding training load, running distance, and VO2max value among the football players (p = 0.001). There was no difference in the normal training group (p &gt; 0.05). As a result, it was determined that combined training with maximal aerobic speed, small-sided games, and only maximal aerobic speed effectively improved football players’ aerobic capacity and general performance.

Analysis of Predicted Thermal Manikin Physiological Responses when Wearing Compression Gear for American College and Pro-Level Football Athletes

From 2012 to 2019, there were approximately 3455 large-scale National Football League injuries reported. There is widespread commercial acceptance of compression garments as tools for reducing injury, promoting recovery, and improving performance in athletic activity. While studies have been conducted to assess the exercise physiology benefits of compression garments, there remains a gap in the scientific literature regarding the clothing comfort and resultant thermoregulation effects of compression girdles for performance athletes. This study aimed to assess the effects of tighter fitting, multi-layer compression systems when worn by American football athletes. A negative impact on thermoregulation may negate or outweigh any realized local benefit such as increased skin blood flow or reduced muscle oscillatory properties. Therefore, the purpose of this research was to determine the predicted hypothalamus temperature, skin blood flow, skin temperature, sweat rate, temperature sensation, and comfort perceptions of the male human body when wearing a compression girdle. A sweating thermal manikin was utilized to predict the physiological responses of a 50th percentile male when wearing football girdles in both practice and play settings. The results indicate significant differences in skin blood flow, skin temperature, core temperature, sweat rate, and comfort and sensation perceptions when wearing compression girdles compared to boxer briefs in replicated practice and play settings. Findings also demonstrate the use of real-time manikin simulation modeling for predicting physiological response outcomes of wearing compression garments to a realized extent.

Understanding beliefs and perceptions of parents, coaches, and organizational leaders toward non-concussive head impact exposure in youth American football

Understanding beliefs and perceptions of parents, coaches, and organizational leaders toward non-concussive head impact exposure in youth American football

OS EFEITOS DA SUPLEMENTAÇÃO DE CREATINA NO DESEMPENHO DOS ATLETAS: UMA REVISÃO DE LITERATURA

Creatine is a highly popular dietary supplement among athletes due to its ergogenic potential. In view of this, this study aims to verify in the specialized literature the main effects of creatine supplementation on athlete performance. The methodology used comprised a narrative literature review, with 12 scientific articles selected from the period 2017 to 2024 in the following databases: PubMed, Medline, Scielo and Lilacs. The results demonstrate that creatine supplementation produces ergogenic effects, positively impacting athletes' muscle strength, endurance and power, reducing the incidence of cramps and injuries, especially in American football, soccer, basketball, tennis and handball. Thus, it is concluded that this supplementation promotes significant improvements in muscle performance and body composition during athletes' periodized training, involving the repetition of high-intensity exercises in short, medium and prolonged periods.

Sensitivity And Agreement Between Head Impact Monitoring Devices In American Football

Sensitivity And Agreement Between Head Impact Monitoring Devices In American Football