Cited by 423Traumatic Brain Injury ResearchAutomotive and Human Injury BiomechanicsSports injuries and prevention

The DOI matches its Crossref record; 44 of the 47 references it cites were found in a registry or an index.

MEASUREMENT OF HEAD IMPACTS IN COLLEGIATE FOOTBALL PLAYERS: RELATIONSHIP BETWEEN HEAD IMPACT BIOMECHANICS AND ACUTE CLINICAL OUTCOME AFTER CONCUSSION

Guskiewicz, Kevin M., Mihalik, Jason P., Shankar, Viswanathan, Marshall, Stephen W., Crowell, Dean H., Oliaro, Scott M., Ciocca, Mario F., Hooker, Daniel N.·2007·Neurosurgery

DOI 10.1227/01.neu.0000306103.68635.1a

Open this paper in CoChat — free account

Abstract

OBJECTIVE: To determine the relationship between recorded head accelerations and impact locations and acute clinical outcome of symptomatology, neuropsychological, and postural stability tests after cerebral concussion in Division I collegiate football players. METHODS: A prospective field study was used in which accelerometers were embedded in the football helmets of 88 collegiate football players. Linear and rotational accelerations of all head impacts sustained over the course of 2004 to 2006 National Collegiate Athletic Association football seasons were collected in real-time. Change scores were calculated on clinical measures from the players' preseason baseline to postinjury (within 48 h) and regressed against the recorded linear and rotational accelerations of the head at the time of the concussion. RESULTS: Thirteen concussions were recorded ranging in impact magnitudes of 60.51 to 168.71 g. Linear regression showed no significant relationships between impact magnitude (linear or rotational acceleration) or impact location and change scores for symptom severity, postural stability, or neurocognitive function (P > 0.05). CONCLUSION: Our findings suggest that football players are concussed by impacts to the head that occur at a wide range of magnitudes and that clinical measures of acute symptom severity, postural stability, and neuropsychological function all appear to be largely independent of impact magnitude and location. Because of the varying magnitudes and locations of impacts resulting in concussion as well as other factors such as the frequency of subconcussive impacts and number of previous concussions, it may be difficult to establish a threshold for concussive injury that can be applied to all football players.

Integrity signals

Registry

Crossref · 10.1227/01.neu.0000306103.68635.1a

Cites

44 of 44 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

The Epidemiology and Impact of Traumatic Brain Injury: A Brief Overview
Langlois, J., Rutland-Brown, W., & Wald, M. (2006) · The journal of head trauma rehabilitation · doi:10.1097/00001199-200609000-00001 · Cited by 3,893
Cumulative Effects Associated With Recurrent Concussion in Collegiate Football Players: The NCAA Concussion Study
Guskiewicz, K. M., McCrea, M., Marshall, S. W., Cantu, R. C., Randolph, C., Barr, W., Onate, J. A., & Kelly, J. P. (2003) · JAMA · doi:10.1001/jama.290.19.2549 · Cited by 1,712
Self-citation
Acute Effects and Recovery Time Following Concussion in Collegiate Football Players
McCrea, M., Guskiewicz, K. M., Marshall, S. W., Barr, W., RANDOLPH, C. C., Cantu, R. C., Oñate, J. A., Yang, J. G., & Kelly, J. P. (2003) · JAMA · doi:10.1001/jama.290.19.2556 · Cited by 1,492
Self-citation
The Neurometabolic Cascade of Concussion.
Giza, C. C., & Hovda, D. A. (2001) · PubMed Central · Cited by 1,342
National Athletic Trainers' Association Position Statement: Management of Sport Concussion
Broglio, S. P., Cantu, R. C., Gioia, G. A., Guskiewicz, K. M., Kutcher, J. S., Palm, M., & McLeod, T. C. V. (2014) · Journal of Athletic Training · doi:10.4085/1062-6050-49.1.07 · Cited by 1,112
Self-citation
Summary and agreement statement of the 2nd International Conference on Concussion in Sport, Prague 2004
McCrory, P. R., Johnston, K., Meeuwisse, W. H., Aubry, M., Cantu, R. C., Dvořák, J., Graf-Baumann, T., Kelly, J. P., Lovell, M., & Schamasch, P. (2005) · British Journal of Sports Medicine · doi:10.1136/bjsm.2005.018614 · Cited by 950
Epidemiology of Concussion in Collegiate and High School Football Players
Guskiewicz, K. M., Weaver, N. L., Padua, D. A., & Garrett, W. E. J. (2000) · The American Journal of Sports Medicine · doi:10.1177/03635465000280050401 · Cited by 851
Self-citation
Summary and agreement statement of the first International Conference on Concussion in Sport, Vienna 2001
Aubry, M., Cantu, R., Dvořák, J., Graf-Baumann, T., Johnston, K., Kelly, J., Lovell, M., McCrory, P., Meeuwisse, W., & Schamasch, P. (2002) · Physician and sportsmedicine · doi:10.1136/bjsm.36.1.6 · Cited by 722
Untitled work
Neurology (1997) · doi:10.1212/wnl.48.3.581 · Cited by 678
Concussion in Professional Football: Reconstruction of Game Impacts and Injuries
Pellman, E. J., Viano, D. C., TUCKER, A. M., Casson, I. R., & Waeckerle, J. F. (2003) · Neurosurgery · doi:10.1093/neurosurgery/53.3.799 · Cited by 675

Show all 47 references

Sorted by citations

Items 101–200 of 423

Horn and horn core trabecular bone of bighorn sheep rams absorbs impact energy and reduces brain cavity accelerations during high impact ramming of the skull
Drake, A., Donahue, T. L. H., Stansloski, M. J., Fox, K. A., Wheatley, B., & Donahue, S. W. (2016) · Acta Biomaterialia · doi:10.1016/j.actbio.2016.08.019 · Cited by 69
Kinematic Rotational Brain Injury Criterion (BRIC)
Takhounts, E. G., Hasija, V., Ridella, S. A., Rowson, S., & Duma, S. M. (2011) · International Technical Conference on the Enhanced Safety of Vehicles (ESV) · Cited by 68
Effect of the mandible on mouthguard measurements of head kinematics
Kuo, C., Wu, L. C., Hammoor, B. T., Luck, J. F., Cutcliffe, H. C., Lynall, R. C., Kait, J. R., Campbell, K. R., Mihalik, J. P., Bass, C. R., et al. (2016) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2016.04.017 · Cited by 67
Self-citation
Head injury predictors in sports trauma – A state-of-the-art review
Fernandes, F. A. O., & de Sousa, R. J. A. (2015) · Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine · doi:10.1177/0954411915592906 · Cited by 64
Head Rotational Acceleration Characteristics Influence Behavioral and Diffusion Tensor Imaging Outcomes Following Concussion
Stemper, B. D., Shah, A. S., Pintar, F. A., McCrea, M., Kurpad, S. N., Glavaski‐Joksimovic, A., Olsen, C. M., & Budde, M. D. (2014) · Annals of Biomedical Engineering · doi:10.1007/s10439-014-1171-9 · Cited by 69
Occupant kinematics in low-speed frontal sled tests: Human volunteers, Hybrid III ATD, and PMHS
Beeman, S. M., Kemper, A. R., Madigan, M. L., Franck, C. T., & Loftus, S. C. (2012) · Accident Analysis & Prevention · doi:10.1016/j.aap.2012.01.016 · Cited by 64
Biomechanics of head impacts associated with diagnosed concussion in female collegiate ice hockey players
Wilcox, B. J., Beckwith, J. G., Greenwald, R. M., Raukar, N. P., Chu, J. J., McAllister, T. W., Flashman, L. A., Maerlender, A., Duhaime, A., & Crisco, J. J. (2015) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2015.04.005 · Cited by 64
Sports-Related Concussion Testing
Dziemianowicz, M. S., Kirschen, M. P., Pukenas, B. A., Laudano, E., Balcer, L. J., & Galetta, S. L. (2012) · Current Neurology and Neuroscience Reports · doi:10.1007/s11910-012-0299-y · Cited by 70
An Investigation of the NOCSAE Linear Impactor Test Method Based on In Vivo Measures of Head Impact Acceleration in American Football
Gwin, J. T., Chu, J. J., Diamond, S. G., Halstead, P. D., Crisco, J. J., & Greenwald, R. M. (2009) · Journal of Biomechanical Engineering · doi:10.1115/1.4000249 · Cited by 64
Head Impact Exposure in Youth Football: Comparing Age- and Weight-Based Levels of Play
Kelley, M. E., Urban, J. E., Miller, L. E., Jones, D. A., Espeland, M. A., Davenport, E. M., Whitlow, C. T., Maldjian, J. A., & Stitzel, J. D. (2017) · Journal of Neurotrauma · doi:10.1089/neu.2016.4812 · Cited by 69
Effect of Infraction Type on Head Impact Severity in Youth Ice Hockey
Mihalik, J. P., Greenwald, R. M., Blackburn, J. T., Cantu, R. C., Marshall, S. W., & Guskiewicz, K. M. (2010) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181d2521a · Cited by 61
Self-citation
Animal models of sports‐related head injury: bridging the gap between pre‐clinical research and clinical reality
Angoa‐Pérez, M., Kane, M. J., Briggs, D. I., Herrera‐Mundo, N., Viano, D. C., & Kuhn, D. M. (2014) · Journal of Neurochemistry · doi:10.1111/jnc.12690 · Cited by 63
CSCCa and NSCA Joint Consensus Guidelines for Transition Periods: Safe Return to Training Following Inactivity
Caterisano, A., Decker, D., Snyder, B., Feigenbaum, M. S., Glass, R. G., House, P., Sharp, C., Waller, M., & Witherspoon, Z. (2019) · Strength and conditioning journal · doi:10.1519/ssc.0000000000000477 · Cited by 58
The Potential Role of the Cervical Spine in Sports-Related Concussion: Clinical Perspectives and Considerations for Risk Reduction
Streifer, M., Brown, A. M., Porfido, T., Anderson, E. Z., Buckman, J. F., & Esopenko, C. (2019) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2019.8582 · Cited by 59
Neurobehavioral outcomes of pediatric mild traumatic brain injury
Kirkwood, M. W., & Yeates, K. O. (2010) · Cambridge University Press eBooks · doi:10.1017/cbo9780511676383.007 · Cited by 58
Field-based measures of head impacts in high school football athletes
Broglio, S. P., Eckner, J. T., & Kutcher, J. S. (2012) · Current Opinion in Pediatrics · doi:10.1097/mop.0b013e3283595616 · Cited by 58
Comparative Analysis of Head Impact in Contact and Collision Sports
Reynolds, B. B., Patrie, J. T., Henry, E. J., Goodkin, H. P., Broshek, D. K., Wintermark, M., & Druzgal, T. J. (2016) · Journal of Neurotrauma · doi:10.1089/neu.2015.4308 · Cited by 66
Shear Shock Waves Observed in the Brain
Espíndola, D., Lee, S., & Pinton, G. (2017) · Physical Review Applied · doi:10.1103/physrevapplied.8.044024 · Cited by 57
Consensus Head Acceleration Measurement Practices (CHAMP): Origins, Methods, Transparency and Disclosure
Arbogast, K. B., Caccese, J. B., Buckley, T. A., McIntosh, A. S., Henderson, K. A., Stemper, B. D., Solomon, G. S., Broglio, S. P., Funk, J. R., & Crandall, J. R. (2022) · Annals of Biomedical Engineering · doi:10.1007/s10439-022-03025-9 · Cited by 60
Elevated markers of brain injury as a result of clinically asymptomatic high-acceleration head impacts in high-school football athletes
Joseph, J. R., Swallow, J. S., Willsey, K., Lapointe, A. P., Khalatbari, S. H., Korley, F. K., Oppenlander, M. E., Park, P., Szerlip, N. J., & Broglio, S. P. (2018) · Journal of neurosurgery · doi:10.3171/2017.12.jns172386 · Cited by 56
Considerations for Return‐to‐Play and Retirement Decisions After Concussion
Cantu, R. C., & Register‐Mihalik, J. K. (2011) · PM&R · doi:10.1016/j.pmrj.2011.07.013 · Cited by 59
Clinical Evaluation of the Concussed Athlete: A View From the Sideline
Putukian, M. (2017) · Journal of Athletic Training · doi:10.4085/1062-6050-52.1.08 · Cited by 55
Assessment of oculomotor control and balance post-concussion: A preliminary study for a novel approach to concussion management
Murray, N. G., Ambati, V. N. P., Contreras, M. M., Salvatore, A. P., & Reed-Jones, R. J. (2014) · Brain Injury · doi:10.3109/02699052.2014.887144 · Cited by 52
Proceedings of the Military mTBI Diagnostics Workshop, St. Pete Beach, August 2010
Marion, D. W., Curley, K. C., Schwab, K. A., & Hicks, A. T. M. D. W. R. R. (2011) · Journal of Neurotrauma · doi:10.1089/neu.2010.1638 · Cited by 51
Onfield assessment of concussion in the adult athlete
Putukian, M., Raftery, M., Guskiewicz, K. M., Herring, S. A., Aubry, M., Cantu, R. C., & Molloy, M. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-092158 · Cited by 51
Self-citation
Impact Locations and Concussion Outcomes in High School Football Player-to-Player Collisions
Kerr, Z. Y., Collins, C. L., Mihalik, J. P., Marshall, S. W., Guskiewicz, K. M., & Comstock, R. D. (2014) · PEDIATRICS · doi:10.1542/peds.2014-0770 · Cited by 51
Self-citation
Weight Drop Models in Traumatic Brain Injury
Kalish, B. T., & Whalen, M. J. (2016) · Methods in molecular biology · doi:10.1007/978-1-4939-3816-2_12 · Cited by 53
Neuro-Ophthalmologic Response to Repetitive Subconcussive Head Impacts
Nowak, M. K., Bevilacqua, Z. W., Ejima, K., Huibregtse, M. E., Chen, Z., Mickleborough, T. D., Newman, S. D., & Kawata, K. (2020) · JAMA Ophthalmology · doi:10.1001/jamaophthalmol.2019.6128 · Cited by 53
Sport and Nonsport Etiologies of Mild Traumatic Brain Injury: Similarities and Differences
Rabinowitz, A. R., Li, X., & Levin, H. S. (2013) · Annual Review of Psychology · doi:10.1146/annurev-psych-010213-115103 · Cited by 58
Association of Increased Serum S100B Levels With High School Football Subconcussive Head Impacts
Zonner, S. W., Ejima, K., Bevilacqua, Z. W., Huibregtse, M. E., Charleston, C. N., Fulgar, C. C., & Kawata, K. (2019) · Frontiers in Neurology · doi:10.3389/fneur.2019.00327 · Cited by 46
Characteristics of head impacts sustained by youth ice hockey players
Mihalik, J. P., Guskiewicz, K. M., JEFFRIES, J., Greenwald, R. M., & Marshall, S. W. (2008) · Proceedings of the Institution of Mechanical Engineers Part P Journal of Sports Engineering and Technology · doi:10.1243/17543371jset4 · Cited by 46
Self-citation
Accounting for Variance in Concussion Tolerance Between Individuals: Comparing Head Accelerations Between Concussed and Physically Matched Control Subjects
Rowson, S., Campolettano, E. T., Duma, S. M., Stemper, B. D., Shah, A. S., Harezlak, J., Riggen, L., Mihalik, J. P., Guskiewicz, K. M., Giza, C. C., et al. (2019) · Annals of Biomedical Engineering · doi:10.1007/s10439-019-02329-7 · Cited by 46
Self-citation
Head Impact Research Using Inertial Sensors in Sport: A Systematic Review of Methods, Demographics, and Factors Contributing to Exposure
Flao, E. L., Siegmund, G., & Borotkanics, R. (2021) · Sports Medicine · doi:10.1007/s40279-021-01574-y · Cited by 43
Descriptive Characteristics of Concussions in National Football League Games, 2010-2011 to 2013-2014
Clark, M., Asken, B. M., Marshall, S. W., & Guskiewicz, K. M. (2017) · The American Journal of Sports Medicine · doi:10.1177/0363546516677793 · Cited by 45
Self-citation
Comparison of Laboratory and On-Field Performance of American Football Helmets
Bailey, A. M., McMurry, T. L., Cormier, J. M., Funk, J. R., Crandall, J. R., Mack, C. D., Myers, B. S., & Arbogast, K. B. (2020) · Annals of Biomedical Engineering · doi:10.1007/s10439-020-02627-5 · Cited by 44
Similar head impact acceleration measured using instrumented ear patches in a junior rugby union team during matches in comparison with other sports
King, D. A., Hume, P. A., Gissane, C., & Clark, T. N. (2016) · Journal of Neurosurgery: Pediatrics · doi:10.3171/2015.12.peds15605 · Cited by 43
The Role of Medical Imaging in the Recharacterization of Mild Traumatic Brain Injury Using Youth Sports as a Laboratory
Talavage, T. M., Nauman, E. A., & Leverenz, L. J. (2016) · Frontiers in Neurology · doi:10.3389/fneur.2015.00273 · Cited by 43
The influence of headform orientation and flooring systems on impact dynamics during simulated fall-related head impacts
Wright, A. D., & Laing, A. C. (2011) · Medical Engineering & Physics · doi:10.1016/j.medengphy.2011.11.012 · Cited by 43
Factors Affecting Head Impact Exposure in College Football Practices: A Multi-Institutional Study
Campolettano, E. T., Rowson, S., Duma, S. M., Stemper, B. D., Shah, A. S., Harezlak, J., Riggen, L., Mihalik, J. P., Brooks, A., Cameron, K. L., et al. (2019) · Annals of Biomedical Engineering · doi:10.1007/s10439-019-02309-x · Cited by 42
Self-citation
Effects of Olympic-style taekwondo kicks on an instrumented head-form and resultant injury measures
Fife, G. P., O'Sullivan, D. M., Pieter, W., Cook, D. P., & Kaminski, T. W. (2012) · British Journal of Sports Medicine · doi:10.1136/bjsports-2012-090979 · Cited by 42
A New Rat Model for Diffuse Axonal Injury Using a Combination of Linear Acceleration and Angular Acceleration
Wang, H.-C., Duan, Z.-X., Wu, F.-F., Xie, L., Zhang, H., & Ma, Y.-B. (2010) · Journal of Neurotrauma · doi:10.1089/neu.2009.1071 · Cited by 40
Chronic traumatic encephalopathy: the dangers of getting "dinged"
Lakhan, S. E., & Kirchgessner, A. L. (2012) · SpringerPlus · doi:10.1186/2193-1801-1-2 · Cited by 45
Post-Season Neurophysiological Deficits Assessed by ImPACT and fMRI in Athletes Competing in American Football
Nauman, E. A., Breedlove, K. M., Breedlove, E. L., Talavage, T. M., Robinson, M. E., & Leverenz, L. J. (2015) · Developmental Neuropsychology · doi:10.1080/87565641.2015.1016161 · Cited by 40
Outcomes after Concussion Recovery Education: Effects of Litigation and Disability Status on Maintenance of Symptoms
Hanks, R. A., Rapport, L. J., Seagly, K., Millis, S. R., Scott, C. A., & Pearson, C. (2018) · Journal of Neurotrauma · doi:10.1089/neu.2018.5873 · Cited by 40
Concussion and the severity of head impacts in mixed martial arts
Tiernan, S., Meagher, A., O'Sullivan, D. M., O’Keeffe, E., Kelly, E., Wallace, E., Doherty, C. P., Campbell, M., Liu, Y., & Domel, A. G. (2020) · Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine · doi:10.1177/0954411920947850 · Cited by 39
Comment on: “Incidence, Severity, Aetiology and Prevention of Sports Injuries: A Review of Concepts”
Chandran, A. S., Nedimyer, A. K., Register‐Mihalik, J. K., DiPietro, L., & Kerr, Z. Y. (2019) · Sports Medicine · doi:10.1007/s40279-019-01154-1 · Cited by 39
The Role of Location of Subconcussive Head Impacts in fMRI Brain Activation Change
Robinson, M. E., Shenk, T. E., Breedlove, E. L., Leverenz, L. J., Nauman, E. A., & Talavage, T. M. (2015) · Developmental Neuropsychology · doi:10.1080/87565641.2015.1012204 · Cited by 38
Association between biomechanical parameters and concussion in helmeted collisions in American football: a review of the literature
Forbes, J. A., Awad, A. J., Zuckerman, S. L., Carr, K. A., & Cheng, J. S. (2012) · Neurosurgical FOCUS · doi:10.3171/2012.9.focus12288 · Cited by 38
Genetic findings in sport-related concussions: potential for individualized medicine?
McDevitt, J. K., & Krynetskiy, E. Y. (2017) · Concussion · doi:10.2217/cnc-2016-0020 · Cited by 37
Protective Equipment and the Prevention of Concussion - What Is the Evidence?
Navarro, R. R. (2011) · Current Sports Medicine Reports · doi:10.1249/jsr.0b013e318205e072 · Cited by 39
Evaluation of a laboratory model of human head impact biomechanics
Hernandez, F., Shull, P. B., & Camarillo, D. B. (2015) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2015.05.034 · Cited by 36
Evaluating the “Threshold Theory”
Mihalik, J. P., Lynall, R. C., Wasserman, E. B., Guskiewicz, K. M., & Marshall, S. W. (2016) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001089 · Cited by 36
Self-citation
Head impacts in a junior rugby league team measured with a wireless head impact sensor: an exploratory analysis
King, D. A., Hume, P. A., Gissane, C., & Clark, T. N. (2016) · Journal of Neurosurgery Pediatrics · doi:10.3171/2016.7.peds1684 · Cited by 36
Big Data in traumatic brain injury; promise and challenges
Agoston, D. V., & Langford, D. (2017) · Concussion · doi:10.2217/cnc-2016-0013 · Cited by 36
Head impact exposure from match participation in women’s rugby league over one season of domestic competition
King, D. A., Hume, P. A., Gissane, C., Kieser, D., & Clark, T. N. (2017) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2017.10.026 · Cited by 36
Concussions Experienced by Major League Baseball Catchers and Umpires: Field Data and Experimental Baseball Impacts
Beyer, J. A., Rowson, S., & Duma, S. M. (2011) · Annals of Biomedical Engineering · doi:10.1007/s10439-011-0412-4 · Cited by 35
Does clenching reduce indirect head acceleration during rugby contact?
Hasegawa, K., Takeda, T., Nakajima, K., Ozawa, T., Ishigami, K., Narimatsu, K., & Noh, K. (2013) · Dental Traumatology · doi:10.1111/edt.12082 · Cited by 35
Verifying Head Impacts Recorded by a Wearable Sensor using Video Footage in Rugby League: a Preliminary Study
Carey, L., Stanwell, P., Terry, D. P., McIntosh, A. S., Caswell, S. V., Iverson, G. L., & Gardner, A. J. (2019) · Sports Medicine - Open · doi:10.1186/s40798-019-0182-3 · Cited by 35
Alterations to the gut microbiome after sport-related concussion in a collegiate football players cohort: A pilot study
Soriano, S., Curry, K. D., Sadrameli, S. S., Wang, Q., Nute, M., Reeves, E., Kabir, R., Wiese, J., Criswell, A., Schodrof, S., et al. (2022) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2022.100438 · Cited by 35
Effect of mouthguards on impact to the craniomandibular complex
Tanaka, Y., Tsugawa, T., & Maeda, Y. (2016) · Dental Traumatology · doi:10.1111/edt.12283 · Cited by 34
Acute Changes in Plasma Total Tau Levels Are Independent of Subconcussive Head Impacts in College Football Players
Kawata, K., Rubin, L. H., Wesley, L., Lee, J. H., Sim, T., Takahagi, M., Bellamy, A., Tierney, R., & Langford, D. (2017) · Journal of Neurotrauma · doi:10.1089/neu.2017.5376 · Cited by 36
The Effects of Anticipation and Visual and Sensory Performance on Concussion Risk in Sport: A Review
Kung, S. M., Suksreephaisan, T. K., Perry, B. G., Palmer, B. R., & Page, R. (2020) · Sports Medicine - Open · doi:10.1186/s40798-020-00283-6 · Cited by 34
Estimating Contact Exposure in Football Using the Head Impact Exposure Estimate
Kerr, Z. Y., Littleton, A. C., Cox, L. M., DeFreese, J. D., Varangis, E. M. L., Lynall, R. C., Schmidt, J. D., Marshall, S. W., & Guskiewicz, K. M. (2015) · Journal of Neurotrauma · doi:10.1089/neu.2014.3666 · Cited by 34
Self-citation
Differences in the protective capabilities of bicycle helmets in real-world and standard-specified impact scenarios
Bland, M. L., Zuby, D. S., Mueller, B. C., & Rowson, S. (2018) · Traffic Injury Prevention · doi:10.1080/15389588.2017.1388915 · Cited by 33
Head Impact Biomechanics Differ Between Girls and Boys Youth Ice Hockey Players
Mihalik, J. P., Wasserman, E. B., Teel, E. F., & Marshall, S. W. (2019) · Annals of Biomedical Engineering · doi:10.1007/s10439-019-02343-9 · Cited by 33
Self-citation
Sport-Related Concussion: On-Field and Sideline Assessment
Guskiewicz, K. M., & Broglio, S. P. (2011) · Physical Medicine and Rehabilitation Clinics of North America · doi:10.1016/j.pmr.2011.08.003 · Cited by 33
Self-citation
Acute sports-related traumatic brain injury and repetitive concussion
Guskiewicz, K. M., & Broglio, S. P. (2015) · Handbook of clinical neurology · doi:10.1016/b978-0-444-52892-6.00010-6 · Cited by 32
Self-citation
High Energy Side and Rear American Football Head Impacts Cause Obvious Performance Decrement on Video
Bartsch, A. J., Hedin, D. S., Alberts, J. L., Benzel, E. C., Cruickshank, J., Gray, R. S., Cameron, K. L., Houston, M. N., Rooks, T. F., McGinty, G. T., et al. (2020) · Annals of Biomedical Engineering · doi:10.1007/s10439-020-02640-8 · Cited by 31
Concussion in Sports: The Sideline Assessment
Broglio, S. P., & Guskiewicz, K. M. (2009) · Sports Health A Multidisciplinary Approach · doi:10.1177/1941738109343158 · Cited by 31
Self-citation
What Comes First: Return to School or Return to Activity for Youth After Concussion? Maybe We Don't Have to Choose
DeMatteo, C. A., Randall, S., Lin, C.-Y. A., & Claridge, E. A. (2019) · Frontiers in Neurology · doi:10.3389/fneur.2019.00792 · Cited by 31
Factors affecting peak impact force during soccer headers and implications for the mitigation of head injuries
Auger, J., Markel, J., Pecoski, D. D., Leiva-Molano, N., Talavage, T. M., Leverenz, L. J., Shen, F. X., & Nauman, E. A. (2020) · PLoS ONE · doi:10.1371/journal.pone.0240162 · Cited by 30
A Review of On-Field Investigations into the Biomechanics of Concussion in Football and Translation to Head Injury Mitigation Strategies
Rowson, B., & Duma, S. M. (2020) · Annals of Biomedical Engineering · doi:10.1007/s10439-020-02684-w · Cited by 30
The effect of hardhats on head and neck response to vertical impacts from large construction objects
Suderman, B. L., Hoover, R. W., Ching, R. P., & Scher, I. S. (2014) · Accident Analysis & Prevention · doi:10.1016/j.aap.2014.08.011 · Cited by 30
Every newton hertz: A macro to micro approach to investigating brain injury
Duma, S. M., & Rowson, S. (2009) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/iembs.2009.5333423 · Cited by 30
Understanding Athletic Trainers' Beliefs Toward a Multifacted Sport-Related Concussion Approach: Application of the Theory of Planned Behavior
Rigby, J. H., Vela, L. I., & Housman, J. M. (2013) · Journal of Athletic Training · doi:10.4085/1062-6050-48.3.10 · Cited by 30
The Potential for Brain Injury on Selected Surfaces Used by Cheerleaders
Shields, B. J., & Smith, G. A. (2009) · Journal of Athletic Training · doi:10.4085/1062-6050-44.6.595 · Cited by 29
Blood and cerebrospinal fluid biomarkers
Kawata, K., Tierney, R., & Langford, D. (2018) · Handbook of clinical neurology · doi:10.1016/b978-0-444-63954-7.00022-7 · Cited by 29
The incidence and characteristics of purposeful heading in male and female youth football (soccer) within Australia
Peek, K., Vella, T., Meyer, T., Beaudouin, F., & McKay, M. J. (2020) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2020.12.010 · Cited by 29
Head Impact Exposures Among Youth Tackle and Flag American Football Athletes
Waltzman, D., Sarmiento, K., Devine, O. J., Zhang, X., DePadilla, L., Kresnow, M., Borradaile, K. E., Hurwitz, A., Jones, D. J., Goyal, R., et al. (2021) · Sports Health A Multidisciplinary Approach · doi:10.1177/1941738121992324 · Cited by 28
Sport-related Concussion in Adolescents
Patel, D. R., & Reddy, V. (2010) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2010.03.006 · Cited by 28
Subconcussive head impact exposure between drill intensities in U.S. high school football
Kercher, K. A., Steinfeldt, J. A., Macy, J. T., Ejima, K., & Kawata, K. (2020) · PLoS ONE · doi:10.1371/journal.pone.0237800 · Cited by 27
Assessing Head/Neck Dynamic Response to Head Perturbation: A Systematic Review
Flao, E. L., Brughelli, M., Hume, P. A., & King, D. A. (2018) · Sports Medicine · doi:10.1007/s40279-018-0984-3 · Cited by 27
Measurement of Head Impacts in Collegiate Football Players: Relationship Between Head Impact Biomechanics and Acute Clinical Outcome After Concussion
Cantu, R. C. (2009) · Yearbook of Sports Medicine · doi:10.1016/s0162-0908(08)79292-4 · Cited by 26
Normative Data for the NeuroCom Sensory Organization Test in United States Military Academy Boxers
Henry, N. E., Weart, A. N., Miller, E. M., Feltner, L. D., & Goss, D. L. (2022) · International Journal of Sports Physical Therapy · doi:10.26603/001c.32547 · Cited by 25
Impact attenuation capabilities of football and lacrosse helmets
Breedlove, K. M., Breedlove, E. L., Bowman, T. G., & Nauman, E. A. (2016) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2016.06.030 · Cited by 25
Sensitivity analysis of muscle properties and impact parameters on head injury risk in American football
Mortensen, J. D., Vasavada, A. N., & Merryweather, A. (2020) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2019.109411 · Cited by 24
The effects of internal jugular vein compression for modulating and preserving white matter following a season of American tackle football: A prospective longitudinal evaluation of differential head impact exposure
Diekfuss, J. A., Yuan, W., Foss, K. D. B., Dudley, J. A., DiCesare, C. A., Reddington, D. L., Zhong, W., Nissen, K. S., Shafer, J. L., Leach, J. L., et al. (2020) · Journal of Neuroscience Research · doi:10.1002/jnr.24727 · Cited by 24
The science and questions surrounding chronic traumatic encephalopathy
Ban, V. S., Madden, C. J., Bailes, J. E., Batjer, H. H., & Lonser, R. R. (2016) · Neurosurgical FOCUS · doi:10.3171/2016.2.focus15609 · Cited by 24
Animal models of chronic traumatic encephalopathy
McAteer, K. M., Turner, R. J., & Corrigan, F. (2017) · Concussion · doi:10.2217/cnc-2016-0031 · Cited by 23
Disruption of function: Neurophysiological markers of cognitive deficits in retired football players
Ruiter, K. I., Boshra, R., Doughty, M., Noseworthy, M. D., & Connolly, J. F. (2018) · Clinical Neurophysiology · doi:10.1016/j.clinph.2018.10.013 · Cited by 27
Frequency and Magnitude of Game-Related Head Impacts in Male Contact Sports Athletes: A Systematic Review and Meta-Analysis
Nguyen, J. V. K., Brennan, J. H., Mitra, B., & Willmott, C. (2019) · Sports Medicine · doi:10.1007/s40279-019-01135-4 · Cited by 24
A New Model of Repetitive Traumatic Brain Injury in Mice
Chen, K., Gu, H., Zhu, L., & Feng, D. (2020) · Frontiers in Neuroscience · doi:10.3389/fnins.2019.01417 · Cited by 25
Fluid Biomarkers for Chronic Traumatic Encephalopathy
Shahim, P., Gill, J., Blennow, K., & Zetterberg, H. (2020) · Seminars in Neurology · doi:10.1055/s-0040-1715095 · Cited by 24
Do Head Injury Biomechanics Predict Concussion Clinical Recovery in College American Football Players?
Mihalik, J. P., Chandran, A. S., Powell, J. R., Roby, P. R., Guskiewicz, K. M., Stemper, B. D., Shah, A. S., Rowson, S., Duma, S. M., Harezlak, J., et al. (2020) · Annals of Biomedical Engineering · doi:10.1007/s10439-020-02658-y · Cited by 23
Self-citation
Effect of clenching with a mouthguard on head acceleration during heading of a soccer ball.
Narimatsu, K., Takeda, T., Nakajima, K., Konno, M., Ozawa, T., & Ishigami, K. (2015) · PubMed · Cited by 23
Relationship Between Tibial Acceleration and Proximal Anterior Tibia Shear Force Across Increasing Jump Distance
Sell, T. C., Akins, J. S., Opp, A. R., & Lephart, S. M. (2014) · Journal of Applied Biomechanics · doi:10.1123/jab.2012-0186 · Cited by 23
Analysis of Concussion Metrics of Real-world Concussive and Non-injurious Elbow and Shoulder to Head Collisions in Ice Hockey
Rousseau, P. (2014) · uO Research (University of Ottawa) · doi:10.20381/ruor-6347 · Cited by 23
Biomechanics of subdural hemorrhage in American football: review of the literature in response to rise in incidence
Forbes, J. A., Zuckerman, S. L., Abla, A. A., Mocco, J., Bode, K., & Eads, T. (2013) · Child s Nervous System · doi:10.1007/s00381-013-2318-y · Cited by 22
The Virginia Tech Response
Rowson, S., & Duma, S. M. (2012) · Annals of Biomedical Engineering · doi:10.1007/s10439-012-0660-y · Cited by 22
Comprehensive assessment and management of athletes with sport concussion.
Stewart, G. W., McQueen-Borden, E., Bell, R. A., Barr, T., & Juengling, J. (2012) · PubMed Central · Cited by 22

Authors: Guskiewicz, K. M., Mihalik, J. P., Shankar, V., Marshall, S. W., Crowell, D. H., Oliaro, S. M., Ciocca, M. F., & Hooker, D. N.
Affiliations: University of North Carolina at Chapel Hill (US)
ORCID: Guskiewicz, Kevin M.
Mihalik, Jason P.
Shankar, Viswanathan
Marshall, Stephen W.
Ciocca, Mario F.
Venue: Neurosurgery
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2007-12
Volume: 61
Issue: 6
Pages: 1244-1253
ISSN: 0148-396X (ISSN-L)
DOI: 10.1227/01.neu.0000306103.68635.1a
OpenAlex: W2051940062
Cited by: 423
References: 47
Citations by year: 2026: 9 · 2025: 9 · 2024: 11 · 2023: 9 · 2022: 19 · 2021: 23 · 2020: 28 · 2019: 34 · 2018: 19 · 2017: 40 · 2016: 34 · 2015: 24 · 2014: 42 · 2013: 31 · 2012: 28
FWCI: 7.80
Type: journal article
Language: en
Open access: closed
Locations: Neurosurgery (publishedVersion)
PubMed (publishedVersion)
Funders: Centers for Disease Control and Prevention (5-R49-CE000196)
Topics: Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
Physical Sciences › Engineering › Biomedical Engineering › Automotive and Human Injury Biomechanics
Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
Keywords: concussion, head impact acceleration, college football, impact location, angular acceleration, linear acceleration, postural stability, neuropsychological performance, concussion symptom severity, impact threshold
MeSH terms: Acceleration, Adolescent, Adult, Athletic Injuries, Brain Concussion, Postural Balance, Follow-Up Studies, Football, Head Protective Devices, Humans, Male, Models, Biological, Neuropsychological Tests, Prospective Studies, Retrospective Studies, Universities, Linear Models, Outcome Assessment, Health Care, Head Movements

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

MEASUREMENT OF HEAD IMPACTS IN COLLEGIATE FOOTBALL PLAYERS: RELATIONSHIP BETWEEN HEAD IMPACT BIOMECHANICS AND ACUTE CLINICAL OUTCOME AFTER CONCUSSION

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks