Head and Neck Injuries in Professional Soccer
2013 (English)In: Clinical Journal of Sports Medicine, ISSN 1050-642X, E-ISSN 1536-3724, Vol. 23, no 4, 255-260 p.Article in journal (Refereed) Published
Objective: To investigate the rate of and risk factors for head and neck injury in male soccer.
Design: Prospective cohort study.
Setting: Professional soccer.
Participants: Twenty-six European teams between 2001/2002 and 2009/2010.
Assessment of Risk Factors: Simple and multiple risk factor analyses were evaluated using Cox regression for player-related variables and logistic regression for match-related variables.
Main Outcome Measures: Injury rate (number of time loss injuries per 1000 hours).
Results: A total of 136 head and neck injuries were recorded (2.2% of all injuries). The head and neck injury rate was 0.17 (0.06 concussions) per 1000 hours. There was a 20-fold higher rate of head and neck injury during match play compared with training (rate ratio [RR], 20.2; 95% confidence interval [CI], 13.3-30.6) and a 78-fold higher rate of concussions (RR, 78.5; 95% CI, 24.4-252.5). Mean layoff for concussion was 10.5 days, but 27% of the concussed players returned to play within 5 days. Defender was the only significant player-related risk factor for head and neck injuries in the multiple analysis (RR, 1.8; 95% CI, 1.0-3.1), whereas no significant variables were identified for concussions.
Conclusions: Head and neck injuries were relatively uncommon in professional soccer. Defender was the playing position most at risk. More than one-quarter of the concussed players returned to play before what is recommended in the consensus statements by the major sports governing bodies.
Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2013. Vol. 23, no 4, 255-260 p.
concussion; football; injury incidence; risk factor
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-104851DOI: 10.1097/JSM.0b013e31827ee6f8ISI: 000330366700002OAI: oai:DiVA.org:liu-104851DiVA: diva2:699594