Youth Tackle Football Head-Impact Estimation by Players and Parents: Is the Perception the Reality?

Autor:	Schmidt JD; UGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens., Johnson RS; UGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens., Lempke LB; UGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens., Anderson M; UGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens., Le RK; UGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens., Lynall RC; UGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens.
Jazyk:	angličtina
Zdroj:	Journal of athletic training [J Athl Train] 2023 Apr 01; Vol. 58 (4), pp. 285-292.
DOI:	10.4085/1062-6050-0560.21
Abstrakt:	Context: With growing concerns surrounding exposure to head impacts in youth tackle football, players and parents must understand the exposure level when assenting and consenting to participate. Objective: To determine whether youth football players and parents could estimate on-field head-impact frequency, severity, and location. Design: Prospective cohort study. Setting: Football field. Patients or Other Participants: We administered a 10-question head-impact estimation tool to parents (n = 23; mean age = 36.5 years [95% CI = 31.7, 37.3 years]) and players (n = 16 boys; mean age = 11.1 years [95% CI = 10.3, 11.8 years]). Main Outcome Measure(s): Player on-field head-impact exposure was captured using the Triax SIM-G system. We determined the accuracy between player and parent estimates relative to on-field head-impact exposures using κ and weighted κ values. Results: Youth tackle football players and parents did not accurately estimate on-field head-impact frequency (κ range = -0.09 to 0.40), severity (κ range = -0.05 to 0.34), or location (κ range = -0.30 to 0.13). Players and parents overestimated head-impact frequency in practices but underestimated the frequency in games. Both groups overestimated head-impact severity, particularly in games. Most players and parents underestimated the number of head impacts to the top of the head, particularly during practices. Conclusions: Underestimations of head-impact frequency in games and to the top of the head suggest that informed consent processes aimed at educating players and parents should be improved. Overestimations of head-impact frequency in practices and severity may explain declining rates of youth tackle football participation. (© by the National Athletic Trainers' Association, Inc.)
Databáze:	MEDLINE
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