The DOI matches its Crossref record; 120 of the 121 references it cites were found in a registry or an index.
Head-Impact–Measurement Devices: A Systematic Review
Open accessAbstract
Context: With an estimated 3.8 million sport- and recreation-related concussions occurring annually, targeted prevention and diagnostic methods are needed. Biomechanical analysis of head impacts may provide quantitative information that can inform both prevention and diagnostic strategies. Objective: To assess available head-impact devices and their clinical utility. Data Sources: We performed a systematic search of the electronic database PubMed for peer-reviewed publications, using the following phrases: accelerometer and concussion, head impact telemetry, head impacts and concussion and sensor, head impacts and sensor, impact sensor and concussion, linear acceleration and concussion, rotational acceleration and concussion, and xpatch concussion. In addition to the literature review, a Google search for head impact monitor and concussion monitor yielded 15 more devices. Study Selection: Included studies were performed in vivo, used commercially available devices, and focused on sport-related concussion. Data Extraction: One author reviewed the title and abstract of each study for inclusion and exclusion criteria and then reviewed each full-text article to confirm inclusion criteria. Controversial articles were reviewed by all authors to reach consensus. Data Synthesis: In total, 61 peer-reviewed articles involving 4 head-impact devices were included. Participants in boxing, football, ice hockey, soccer, or snow sports ranged in age from 6 to 24 years; 18% (n = 11) of the studies included female athletes. The Head Impact Telemetry System was the most widely used device (n = 53). Fourteen additional commercially available devices were presented. Conclusions: Measurements collected by impact monitors provided real-time data to estimate player exposure but did not have the requisite sensitivity to concussion. Proper interpretation of previously reported head-impact kinematics across age, sport, and position may inform future research and enable staff clinicians working on the sidelines to monitor athletes. However, head-impact–monitoring systems have limited clinical utility due to error rates, designs, and low specificity in predicting concussive injury.
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“Additional benefits of wearable sensors in the field setting include their applicability in environments where rapid medical care is needed and often not readily available, for example, at the scene of accidents, in military settings, athletics and in resource-constrained environments (Figure 2) [36,138-140].”
From Wearables and the Medical Revolution (2018) · cites this paper as [36]
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Cites
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Wearables and the Medical Revolution
Dunn, J., Runge, R., & Snyder, M. (2018) · Personalized Medicine · doi:10.2217/pme-2018-0044 · Cited by 654
“Preventice Bodyguardian Heart Ambulatory cardiac monitoring Ordered through physician billed directly to insurance Chest patch Accel, ECG Cleared [36]”
American Medical Society for Sports Medicine position statement on concussion in sport
Harmon, K. G., Clugston, J. R., Dec, K. L., Hainline, B. W., Herring, S. A., Kane, S. F., Kontos, A. P., Leddy, J. J., McCrea, M., Poddar, S. K., et al. (2019) · British Journal of Sports Medicine · doi:10.1136/bjsports-2018-100338 · Cited by 491
Broglio, S. P., McCrea, M., McAllister, T. W., Harezlak, J., Katz, B. P., Hack, D. C., & Hainline, B. W. (2017) · Sports Medicine · doi:10.1007/s40279-017-0707-1 · Cited by 340
Self-citationMcKee, A. C., Stein, T. D., Huber, B. R., Crary, J. F., Bieniek, K., Dickson, D., Alvarez, V. E., Cherry, J. D., Farrell, K., Butler, M., et al. (2023) · Acta Neuropathologica · doi:10.1007/s00401-023-02540-w · Cited by 244
“The methods, however, were limited by low statistical power, inaccurate assessments of career duration (measured only as age at retirement), and the combination of football players with ice hockey players, sports with very different RHI exposure profiles [81, 93] A recent study demonstrated a dose–response relationshi…”
MethodAmerican Medical Society for Sports Medicine Position Statement on Concussion in Sport
Harmon, K. G., Clugston, J. R., Dec, K., Hainline, B., Herring, S. A., Kane, S., Kontos, A. P., Leddy, J. J., McCrea, M. A., Poddar, S. K., et al. (2019) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0000000000000720 · Cited by 173
“Neither a device nor a specific thresholdmeasure of force or angular acceleration can be used to diagnose concussion.(38,48) Some athletes experience high forces with no clinical symptoms of concussion, and some athletes sustain a concussion at much lower impact forces, making current impact measures a poor predictor…”
Metadata
- Authors
- O'Connor, K. L., Rowson, S., Duma, S. M., & Broglio, S. P.
- Affiliations
- NeuroTrauma Research Laboratory, University of Michigan, Ann Arbor;
- Virginia Tech - Wake Forest University School of Biomedical Engineering & Sciences (US)
- University of Michigan (US)
- Venue
- Journal of Athletic Training
- Published
- 2017-03-01
- Volume
- 52
- Issue
- 3
- Pages
- 206-227
- ISSN
- 1062-6050 (ISSN-L)
- PMC
- PMC5384819
- OpenAlex
- W2605194641
- Cited by
- 210
- References
- 121
- Citations by year
- 2026: 12 · 2025: 18 · 2024: 29 · 2023: 19 · 2022: 31 · 2021: 36 · 2020: 29 · 2019: 19 · 2018: 9 · 2017: 7
- FWCI
- 2.32
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Athletic Training (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- 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
- head impact monitoring, sports-related concussion, impact sensors, accelerometer, concussion diagnosis, concussion prevention, angular acceleration, linear acceleration, athlete exposure
- MeSH terms
- Acceleration, Adolescent, Adult, Athletic Injuries, Biomechanical Phenomena, Boxing, Brain Concussion, Child, Female, Football, Head, Head Protective Devices, Hockey, Humans, Male, Soccer, Sports Medicine, Telemetry, Young Adult, Athletes
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