Brown University

The effectiveness of regulations and interventions on head impacts and brain injuries in youth, high-school and collegiate football: A systematized review

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Abstract:
Objective: The purpose of this study was to assess the effectiveness of regulations and interventions on head impacts in youth, high-school, and collegiate football, using a systematic search strategy to identify relevant literature. Methods: Six databases were searched by one reviewer between 15 November 2019 and 22 February 2020 for English-language articles: PubMed, PsycINFO, Cochrane, Embase, ERIC, and Global Health. Studies that met inclusion criteria were included in the study and underwent data extraction. Studies were excluded if the sport in the study was not identified as American football, the population in the study was identified as NFL players, semi-professional, or professional players, or if the study was identified as a systematic review, or meta-analysis, or narrative review. Results: Twenty articles met inclusion criteria and were included in data extraction and the final systematized review. Of the 20 included studies, 8 studies evaluated interventions in high-school football, 5 studies evaluated interventions in collegiate football, 6 studies evaluated interventions in youth football, and 1 study evaluated interventions in both, high-school and collegiate football. The four categories of interventions and regulations included rule changes, training, education/instruction/coaching tactical changes, and tackle football alternatives. Conclusions: Despite a lack of understanding surrounding the relationship between head impact exposures and long-term neurocognitive deficits, interventions and regulations have been implemented to reduce head impacts and head injuries in American football. Studies evaluating the effectiveness of interventions and regulations on reducing head impact exposures or head injuries have shown mixed results. Some regulations may be more effective than others, but methodological design and risk of bias pose limitations to synthesize and generalize effects.
Notes:
Thesis (Sc. M.)--Brown University, 2020

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Citation

Phillips, Nicole Lynne, "The effectiveness of regulations and interventions on head impacts and brain injuries in youth, high-school and collegiate football: A systematized review" (2020). Molecular Pharmacology, Physiology, and Biotechnology Theses and Dissertations. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/tr1q-0x40

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