The relationship between neck strength and sports-related concussion in team sports : A systematic review with meta-analysis
Journal article
Garrett, Joel M., Mastrorocco, Marco, Peek, Kerry, van den Hoek, Daniel J. and McGuckian, Thomas B.. (2023). The relationship between neck strength and sports-related concussion in team sports : A systematic review with meta-analysis. Journal of Orthopaedic and Sports Physical Therapy. 53(10), pp. 585-593. https://doi.org/10.2519/jospt.2023.11727
Authors | Garrett, Joel M., Mastrorocco, Marco, Peek, Kerry, van den Hoek, Daniel J. and McGuckian, Thomas B. |
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Abstract | OBJECTIVE: We aimed to quantify the relationship between neck strength and sports-related concussion (SRC) for athletes participating in team sports. DESIGN: Etiology systematic review with meta-analysis. LITERATURE SEARCH: PubMed, PsycINFO, MEDLINE, CINAHL, CENTRAL, and Scopus were searched on March 17, 2022, and updated on April 18, 2023. STUDY SELECTION CRITERIA: Team sports where an opponent invades the player’s territory (eg, football, rugby, basketball) that reported at least 1 measure of neck strength, and 1 measure of SRC incidence, using cohort, case-control, or cross-sectional study designs. The Newcastle-Ottawa scale was used to assess risk of bias; certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation approach. DATA SYNTHESIS: Studies were summarized qualitatively and quantitatively. To understand the relationship between neck strength and future SRC incidence, random-effects meta-analysis was conducted on prospective longitudinal studies. RESULTS: From a total of 1445 search results, eight studies including 7625 participants met the inclusion criteria. Five studies reported a relationship between greater neck strength or motor control and reduced concussion incidence. Pooled results from 4 studies indicated small (r = 0.08-0.14) nonsignificant effects with substantial heterogeneity (I2>90%). The considerable heterogeneity is likely a result of synthesized studies with vastly different sample characteristics, including participant age, playing level, and sports. CONCLUSIONS: There was very low–certainty evidence suggesting a small, nonsignificant relationship between greater neck strength and a lower risk of sustaining a SRC. |
Keywords | athletic injuries; exercise training; invasion sport; sport injuries; strength |
Year | 2023 |
Journal | Journal of Orthopaedic and Sports Physical Therapy |
Journal citation | 53 (10), pp. 585-593 |
Publisher | Journal of Orthopaedic & Sports Physical Therapy, Inc. |
ISSN | 0190-6011 |
Digital Object Identifier (DOI) | https://doi.org/10.2519/jospt.2023.11727 |
PubMed ID | 37428807 |
Scopus EID | 2-s2.0-85167842364 |
Page range | 585-593 |
Publisher's version | License All rights reserved File Access Level Controlled |
Output status | Published |
Publication dates | |
Online | 11 Aug 2023 |
Publication process dates | |
Deposited | 03 Apr 2025 |
https://acuresearchbank.acu.edu.au/item/918z5/the-relationship-between-neck-strength-and-sports-related-concussion-in-team-sports-a-systematic-review-with-meta-analysis
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