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Context: A sport-related concussion (SRC) is a traumatic brain injury that is caused by biomechanical stresses and results in a complex pathophysiological process in the brain. Some in the sporting community believe that headgear (HG) can prevent SRC, and several professional Australian sports organizations, including rugby, football, and soccer clubs, recommend its use.

Objective: The purpose of this study is to determine whether HG is effective in lowering the prevalence of SRC in sports.

Data Sources: A systematic search for related studies published between 1985 and 2023 was conducted using the following databases: Cochrane Library, AMED, PubMed, Web of Science, and Physiotherapy Evidence Database (PEDro).

Study Selection: Only randomized controlled trials (RCTs) that investigated the effectiveness of HG in reducing SRC rate were included.

Study Design: Systematic review and meta-analysis of RCTs.

Level of Evidence: Level 1a.

Data Extraction: Two researchers independently completed the title and abstract search and performed full-text reviews. A third reviewer was consulted to reach a consensus if any discrepancies were noted. The PEDro scale was used to evaluate the quality of the included RCTs. Data recorded from each study included authors, year of publication, type and number of players, study design, duration of the study, injury rate, compliance (%), sports/level, and exposure hours.

Results: The pooled results of 6311 players and 173,383 exposure hours showed 0% SRC reduction per 1000 hours of exposure in the experimental group compared with the control group, with an injury risk ratio of 1.03 (95% CI, 0.82-1.30; P = 0.79).

Conclusion: This systematic review and meta-analysis demonstrates that HG does not prevent SRC among soccer and rugby players, and therefore the findings from this meta-analysis do not currently support the use of HG to prevent SRC in soccer or rugby.

Competing Interests: The authors report no potential conflicts of interest in the development and publication of this article.

Titel:	Does Headgear Prevent Sport-Related Concussion? A Systematic Review and Meta-Analysis of Randomized Controlled Trials Including 6311 Players and 173,383 Exposure Hours.
Autor/in / Beteiligte Person:	Al Attar, WSA ; Mahmoud, H ; Alfadel, A ; Faude, O
Link:	Full Text Finder (Volltext)
Zeitschrift:	Sports health, Jg. 16 (2024-05-01), Heft 3, S. 473-480
Veröffentlichung:	Thousand Oaks, CA : Sage Publications, 2024
Medientyp:	academicJournal
ISSN:	1941-0921 (electronic)
DOI:	10.1177/19417381231174461
Schlagwort:	Humans Australia Randomized Controlled Trials as Topic Brain Concussion epidemiology Soccer injuries Athletic Injuries epidemiology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Meta-Analysis; Systematic Review; Journal Article; Review Language: English [Sports Health] 2024 May-Jun; Vol. 16 (3), pp. 473-480. <i>Date of Electronic Publication: </i>2023 May 19. MeSH Terms: Brain Concussion* / epidemiology ; Soccer* / injuries ; Athletic Injuries* / epidemiology ; Humans ; Australia ; Randomized Controlled Trials as Topic References: Am J Sports Med. 2017 May;45(6):1420-1428. (PMID: 28298054) ; BMJ. 2021 Mar 29;372:n71. (PMID: 33782057) ; Med Sci Sports Exerc. 2009 Feb;41(2):306-13. (PMID: 19127196) ; Sports Med. 2016 Feb;46(2):205-17. (PMID: 26403470) ; Br J Sports Med. 2017 Jun;51(12):969-977. (PMID: 28455362) ; Br J Sports Med. 2017 Jun;51(11):838-847. (PMID: 28446457) ; J Athl Train. 2009 Jul-Aug;44(4):434-48. (PMID: 19593427) ; J Athl Train. 2014 Mar-Apr;49(2):245-65. (PMID: 24601910) ; Br J Sports Med. 2008 Feb;42(2):110-5; discussion 115. (PMID: 17615173) ; Neurology. 1997 Mar;48(3):581-5. (PMID: 9065530) ; J Physiother. 2017 Oct;63(4):235-242. (PMID: 28939307) ; Sports Med. 2017 May;47(5):907-916. (PMID: 27752982) ; Br J Sports Med. 2014 Jan;48(2):119-24. (PMID: 24043666) ; Scand J Med Sci Sports. 2019 Dec;29(12):1846-1855. (PMID: 31394009) ; Br J Sports Med. 2001 Apr;35(2):89-94. (PMID: 11273968) ; Neurosurg Focus. 2016 Apr;40(4):E12. (PMID: 27032915) ; Neurology. 2013 Jun 11;80(24):2250-7. (PMID: 23508730) ; Injury. 2007 Jan;38(1):104-11. (PMID: 16989834) ; Arch Intern Med. 2007 Aug 13-27;167(15):1585-92. (PMID: 17698680) ; Br J Sports Med. 2002 Feb;36(1):19-22. (PMID: 11867487) ; Phys Sportsmed. 2015 Jul;43(3):236-46. (PMID: 25913712) ; Br J Sports Med. 2017 Jun;51(11):877-887. (PMID: 29098981) ; Sports Med. 2018 Apr;48(4):953-969. (PMID: 29349651) ; Br J Sports Med. 2017 Jun;51(12):978-984. (PMID: 28254746) ; Inj Prev. 2005 Aug;11(4):242-6. (PMID: 16081755) ; Br J Sports Med. 2020 Apr;54(7):408-413. (PMID: 31088784) ; Br J Sports Med. 2001 Jun;35(3):167-9. (PMID: 11375874) ; Br J Sports Med. 2019 Feb;53(4):213-225. (PMID: 30705232) ; Pediatrics. 2010 Sep;126(3):e550-6. (PMID: 20805145) ; BMJ Open. 2021 Jun 3;11(6):e044320. (PMID: 34083330) ; Aust J Physiother. 2009;55(2):129-33. (PMID: 19463084) ; Scand J Med Sci Sports. 2021 Sep;31(9):1774-1781. (PMID: 33914964) ; Am J Sports Med. 2021 Jul;49(9):2293-2300. (PMID: 34138672) ; Clin J Sport Med. 2005 Sep;15(5):294-8. (PMID: 16162986) ; Br J Sports Med. 2000 Oct;34(5):337-41. (PMID: 11049142) ; JAMA Pediatr. 2019 Apr 1;173(4):319-325. (PMID: 30715132) ; BMJ Open Sport Exerc Med. 2016 Sep 29;2(1):e000053. (PMID: 27900149) Contributed Indexing: Keywords: football; head injury; protective sports equipment; rugby; soccer; sports injury prevention Entry Date(s): Date Created: 20230519 Date Completed: 20240418 Latest Revision: 20240520 Update Code: 20240520 PubMed Central ID: PMC11025511

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Does Headgear Prevent Sport-Related Concussion? A Systematic Review and Meta-Analysis of Randomized Controlled Trials Including 6311 Players and 173,383 Exposure Hours.