Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear?

Background Boys’ lacrosse (LAX), a full contact sport allowing body and stick checking, mandates hard shell helmets with full face masks. Girls’ LAX, which prohibits body checking and whose sphere rule is supposed to prevent stick checking to the head, allows optional flexible headgear with/without integrated eye protection. Whether the required boys’ LAX helmets should also be mandated in girls’ LAX has been debated. Methods In this retrospective cohort study we used LAX concussion data from a national high school sports-related injury surveillance study to determine if girls’ LAX players were at increased risk of concussion from stick or ball contact due to differences in helmet regulations by calculating the attributable risk and attributable risk percent (AR%) for concussion resulting from ball or stick impacts. Results From 2008-09 through 2018–19, boys’ LAX players sustained 614 concussions during 1,318,278 athletic exposures (AEs) (4.66 per 10,000 AEs) and girls’ LAX players sustained 384 concussions during 983,291 AEs (3.91 per 10,000 AEs). For boys, athlete-athlete contact was the most common mechanism of concussion accounting for 66.4% of all concussions, while stick or ball contact accounted for 23.5%. For girls, stick or ball contact accounted for 72.7% of all concussions, while athlete-athlete contact accounted for 19.8%. Concussion rates from stick or ball contact were significantly higher in girls vs. boys (RR = 2.60, 95% CI 2.12–3.18). The attributable risk associated with playing girls’ vs. boys’ LAX for concussion resulting from stick or ball contact was 1.75 concussions per 10,000 AEs (95% CI 1.37–2.12) and the AR% was 61.5% (95% CI 52.9–68.5). An estimated 44.7% of all girls’ LAX concussions could have been prevented if girls’ LAX players wore the helmet mandated in boys’ LAX. Conclusions Girls’ LAX players who are allowed, but not required, to wear a flexible headgear are at increased risk of concussions from stick or ball impacts compared to boys’ LAX players, who are required to wear a hard shell helmet with full face mask. Additional research is needed to determine if there are any defendable arguments to continue justifying restricting girls’ LAX players access to this effective piece of protective equipment. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Comstock, R. Dawn [verfasserIn] Arakkal, Alan T. [verfasserIn] Pierpoint, Lauren A. [verfasserIn] Fields, Sarah K. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Concussion Lacrosse Gender Attributable risk Attributable risk percent Surveillance Prevention

Übergeordnetes Werk:	Enthalten in: Injury Epidemiology - Berlin : SpringerOpen, 2014, 7(2020), 1 vom: 18. Mai
Übergeordnetes Werk:	volume:7 ; year:2020 ; number:1 ; day:18 ; month:05

Links:	Volltext

DOI / URN:	10.1186/s40621-020-00242-5

Katalog-ID:	SPR039740919

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520			\|a Background Boys’ lacrosse (LAX), a full contact sport allowing body and stick checking, mandates hard shell helmets with full face masks. Girls’ LAX, which prohibits body checking and whose sphere rule is supposed to prevent stick checking to the head, allows optional flexible headgear with/without integrated eye protection. Whether the required boys’ LAX helmets should also be mandated in girls’ LAX has been debated. Methods In this retrospective cohort study we used LAX concussion data from a national high school sports-related injury surveillance study to determine if girls’ LAX players were at increased risk of concussion from stick or ball contact due to differences in helmet regulations by calculating the attributable risk and attributable risk percent (AR%) for concussion resulting from ball or stick impacts. Results From 2008-09 through 2018–19, boys’ LAX players sustained 614 concussions during 1,318,278 athletic exposures (AEs) (4.66 per 10,000 AEs) and girls’ LAX players sustained 384 concussions during 983,291 AEs (3.91 per 10,000 AEs). For boys, athlete-athlete contact was the most common mechanism of concussion accounting for 66.4% of all concussions, while stick or ball contact accounted for 23.5%. For girls, stick or ball contact accounted for 72.7% of all concussions, while athlete-athlete contact accounted for 19.8%. Concussion rates from stick or ball contact were significantly higher in girls vs. boys (RR = 2.60, 95% CI 2.12–3.18). The attributable risk associated with playing girls’ vs. boys’ LAX for concussion resulting from stick or ball contact was 1.75 concussions per 10,000 AEs (95% CI 1.37–2.12) and the AR% was 61.5% (95% CI 52.9–68.5). An estimated 44.7% of all girls’ LAX concussions could have been prevented if girls’ LAX players wore the helmet mandated in boys’ LAX. Conclusions Girls’ LAX players who are allowed, but not required, to wear a flexible headgear are at increased risk of concussions from stick or ball impacts compared to boys’ LAX players, who are required to wear a hard shell helmet with full face mask. Additional research is needed to determine if there are any defendable arguments to continue justifying restricting girls’ LAX players access to this effective piece of protective equipment.
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650		4	\|a Gender \|7 (dpeaa)DE-He213
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650		4	\|a Surveillance \|7 (dpeaa)DE-He213
650		4	\|a Prevention \|7 (dpeaa)DE-He213
700	1		\|a Arakkal, Alan T. \|e verfasserin \|4 aut
700	1		\|a Pierpoint, Lauren A. \|e verfasserin \|4 aut
700	1		\|a Fields, Sarah K. \|e verfasserin \|4 aut
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allfields	10.1186/s40621-020-00242-5 doi (DE-627)SPR039740919 (SPR)s40621-020-00242-5-e DE-627 ger DE-627 rakwb eng 610 ASE Comstock, R. Dawn verfasserin aut Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear? 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Boys’ lacrosse (LAX), a full contact sport allowing body and stick checking, mandates hard shell helmets with full face masks. Girls’ LAX, which prohibits body checking and whose sphere rule is supposed to prevent stick checking to the head, allows optional flexible headgear with/without integrated eye protection. Whether the required boys’ LAX helmets should also be mandated in girls’ LAX has been debated. Methods In this retrospective cohort study we used LAX concussion data from a national high school sports-related injury surveillance study to determine if girls’ LAX players were at increased risk of concussion from stick or ball contact due to differences in helmet regulations by calculating the attributable risk and attributable risk percent (AR%) for concussion resulting from ball or stick impacts. Results From 2008-09 through 2018–19, boys’ LAX players sustained 614 concussions during 1,318,278 athletic exposures (AEs) (4.66 per 10,000 AEs) and girls’ LAX players sustained 384 concussions during 983,291 AEs (3.91 per 10,000 AEs). For boys, athlete-athlete contact was the most common mechanism of concussion accounting for 66.4% of all concussions, while stick or ball contact accounted for 23.5%. For girls, stick or ball contact accounted for 72.7% of all concussions, while athlete-athlete contact accounted for 19.8%. Concussion rates from stick or ball contact were significantly higher in girls vs. boys (RR = 2.60, 95% CI 2.12–3.18). The attributable risk associated with playing girls’ vs. boys’ LAX for concussion resulting from stick or ball contact was 1.75 concussions per 10,000 AEs (95% CI 1.37–2.12) and the AR% was 61.5% (95% CI 52.9–68.5). An estimated 44.7% of all girls’ LAX concussions could have been prevented if girls’ LAX players wore the helmet mandated in boys’ LAX. Conclusions Girls’ LAX players who are allowed, but not required, to wear a flexible headgear are at increased risk of concussions from stick or ball impacts compared to boys’ LAX players, who are required to wear a hard shell helmet with full face mask. Additional research is needed to determine if there are any defendable arguments to continue justifying restricting girls’ LAX players access to this effective piece of protective equipment. Concussion (dpeaa)DE-He213 Lacrosse (dpeaa)DE-He213 Gender (dpeaa)DE-He213 Attributable risk (dpeaa)DE-He213 Attributable risk percent (dpeaa)DE-He213 Surveillance (dpeaa)DE-He213 Prevention (dpeaa)DE-He213 Arakkal, Alan T. verfasserin aut Pierpoint, Lauren A. verfasserin aut Fields, Sarah K. verfasserin aut Enthalten in Injury Epidemiology Berlin : SpringerOpen, 2014 7(2020), 1 vom: 18. Mai (DE-627)782241859 (DE-600)2764253-7 2197-1714 nnns volume:7 year:2020 number:1 day:18 month:05 https://dx.doi.org/10.1186/s40621-020-00242-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2020 1 18 05
spelling	10.1186/s40621-020-00242-5 doi (DE-627)SPR039740919 (SPR)s40621-020-00242-5-e DE-627 ger DE-627 rakwb eng 610 ASE Comstock, R. Dawn verfasserin aut Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear? 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Boys’ lacrosse (LAX), a full contact sport allowing body and stick checking, mandates hard shell helmets with full face masks. Girls’ LAX, which prohibits body checking and whose sphere rule is supposed to prevent stick checking to the head, allows optional flexible headgear with/without integrated eye protection. Whether the required boys’ LAX helmets should also be mandated in girls’ LAX has been debated. Methods In this retrospective cohort study we used LAX concussion data from a national high school sports-related injury surveillance study to determine if girls’ LAX players were at increased risk of concussion from stick or ball contact due to differences in helmet regulations by calculating the attributable risk and attributable risk percent (AR%) for concussion resulting from ball or stick impacts. Results From 2008-09 through 2018–19, boys’ LAX players sustained 614 concussions during 1,318,278 athletic exposures (AEs) (4.66 per 10,000 AEs) and girls’ LAX players sustained 384 concussions during 983,291 AEs (3.91 per 10,000 AEs). For boys, athlete-athlete contact was the most common mechanism of concussion accounting for 66.4% of all concussions, while stick or ball contact accounted for 23.5%. For girls, stick or ball contact accounted for 72.7% of all concussions, while athlete-athlete contact accounted for 19.8%. Concussion rates from stick or ball contact were significantly higher in girls vs. boys (RR = 2.60, 95% CI 2.12–3.18). The attributable risk associated with playing girls’ vs. boys’ LAX for concussion resulting from stick or ball contact was 1.75 concussions per 10,000 AEs (95% CI 1.37–2.12) and the AR% was 61.5% (95% CI 52.9–68.5). An estimated 44.7% of all girls’ LAX concussions could have been prevented if girls’ LAX players wore the helmet mandated in boys’ LAX. Conclusions Girls’ LAX players who are allowed, but not required, to wear a flexible headgear are at increased risk of concussions from stick or ball impacts compared to boys’ LAX players, who are required to wear a hard shell helmet with full face mask. Additional research is needed to determine if there are any defendable arguments to continue justifying restricting girls’ LAX players access to this effective piece of protective equipment. Concussion (dpeaa)DE-He213 Lacrosse (dpeaa)DE-He213 Gender (dpeaa)DE-He213 Attributable risk (dpeaa)DE-He213 Attributable risk percent (dpeaa)DE-He213 Surveillance (dpeaa)DE-He213 Prevention (dpeaa)DE-He213 Arakkal, Alan T. verfasserin aut Pierpoint, Lauren A. verfasserin aut Fields, Sarah K. verfasserin aut Enthalten in Injury Epidemiology Berlin : SpringerOpen, 2014 7(2020), 1 vom: 18. Mai (DE-627)782241859 (DE-600)2764253-7 2197-1714 nnns volume:7 year:2020 number:1 day:18 month:05 https://dx.doi.org/10.1186/s40621-020-00242-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2020 1 18 05
allfields_unstemmed	10.1186/s40621-020-00242-5 doi (DE-627)SPR039740919 (SPR)s40621-020-00242-5-e DE-627 ger DE-627 rakwb eng 610 ASE Comstock, R. Dawn verfasserin aut Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear? 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Boys’ lacrosse (LAX), a full contact sport allowing body and stick checking, mandates hard shell helmets with full face masks. Girls’ LAX, which prohibits body checking and whose sphere rule is supposed to prevent stick checking to the head, allows optional flexible headgear with/without integrated eye protection. Whether the required boys’ LAX helmets should also be mandated in girls’ LAX has been debated. Methods In this retrospective cohort study we used LAX concussion data from a national high school sports-related injury surveillance study to determine if girls’ LAX players were at increased risk of concussion from stick or ball contact due to differences in helmet regulations by calculating the attributable risk and attributable risk percent (AR%) for concussion resulting from ball or stick impacts. Results From 2008-09 through 2018–19, boys’ LAX players sustained 614 concussions during 1,318,278 athletic exposures (AEs) (4.66 per 10,000 AEs) and girls’ LAX players sustained 384 concussions during 983,291 AEs (3.91 per 10,000 AEs). For boys, athlete-athlete contact was the most common mechanism of concussion accounting for 66.4% of all concussions, while stick or ball contact accounted for 23.5%. For girls, stick or ball contact accounted for 72.7% of all concussions, while athlete-athlete contact accounted for 19.8%. Concussion rates from stick or ball contact were significantly higher in girls vs. boys (RR = 2.60, 95% CI 2.12–3.18). The attributable risk associated with playing girls’ vs. boys’ LAX for concussion resulting from stick or ball contact was 1.75 concussions per 10,000 AEs (95% CI 1.37–2.12) and the AR% was 61.5% (95% CI 52.9–68.5). An estimated 44.7% of all girls’ LAX concussions could have been prevented if girls’ LAX players wore the helmet mandated in boys’ LAX. Conclusions Girls’ LAX players who are allowed, but not required, to wear a flexible headgear are at increased risk of concussions from stick or ball impacts compared to boys’ LAX players, who are required to wear a hard shell helmet with full face mask. Additional research is needed to determine if there are any defendable arguments to continue justifying restricting girls’ LAX players access to this effective piece of protective equipment. Concussion (dpeaa)DE-He213 Lacrosse (dpeaa)DE-He213 Gender (dpeaa)DE-He213 Attributable risk (dpeaa)DE-He213 Attributable risk percent (dpeaa)DE-He213 Surveillance (dpeaa)DE-He213 Prevention (dpeaa)DE-He213 Arakkal, Alan T. verfasserin aut Pierpoint, Lauren A. verfasserin aut Fields, Sarah K. verfasserin aut Enthalten in Injury Epidemiology Berlin : SpringerOpen, 2014 7(2020), 1 vom: 18. Mai (DE-627)782241859 (DE-600)2764253-7 2197-1714 nnns volume:7 year:2020 number:1 day:18 month:05 https://dx.doi.org/10.1186/s40621-020-00242-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2020 1 18 05
allfieldsGer	10.1186/s40621-020-00242-5 doi (DE-627)SPR039740919 (SPR)s40621-020-00242-5-e DE-627 ger DE-627 rakwb eng 610 ASE Comstock, R. Dawn verfasserin aut Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear? 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Boys’ lacrosse (LAX), a full contact sport allowing body and stick checking, mandates hard shell helmets with full face masks. Girls’ LAX, which prohibits body checking and whose sphere rule is supposed to prevent stick checking to the head, allows optional flexible headgear with/without integrated eye protection. Whether the required boys’ LAX helmets should also be mandated in girls’ LAX has been debated. Methods In this retrospective cohort study we used LAX concussion data from a national high school sports-related injury surveillance study to determine if girls’ LAX players were at increased risk of concussion from stick or ball contact due to differences in helmet regulations by calculating the attributable risk and attributable risk percent (AR%) for concussion resulting from ball or stick impacts. Results From 2008-09 through 2018–19, boys’ LAX players sustained 614 concussions during 1,318,278 athletic exposures (AEs) (4.66 per 10,000 AEs) and girls’ LAX players sustained 384 concussions during 983,291 AEs (3.91 per 10,000 AEs). For boys, athlete-athlete contact was the most common mechanism of concussion accounting for 66.4% of all concussions, while stick or ball contact accounted for 23.5%. For girls, stick or ball contact accounted for 72.7% of all concussions, while athlete-athlete contact accounted for 19.8%. Concussion rates from stick or ball contact were significantly higher in girls vs. boys (RR = 2.60, 95% CI 2.12–3.18). The attributable risk associated with playing girls’ vs. boys’ LAX for concussion resulting from stick or ball contact was 1.75 concussions per 10,000 AEs (95% CI 1.37–2.12) and the AR% was 61.5% (95% CI 52.9–68.5). An estimated 44.7% of all girls’ LAX concussions could have been prevented if girls’ LAX players wore the helmet mandated in boys’ LAX. Conclusions Girls’ LAX players who are allowed, but not required, to wear a flexible headgear are at increased risk of concussions from stick or ball impacts compared to boys’ LAX players, who are required to wear a hard shell helmet with full face mask. Additional research is needed to determine if there are any defendable arguments to continue justifying restricting girls’ LAX players access to this effective piece of protective equipment. Concussion (dpeaa)DE-He213 Lacrosse (dpeaa)DE-He213 Gender (dpeaa)DE-He213 Attributable risk (dpeaa)DE-He213 Attributable risk percent (dpeaa)DE-He213 Surveillance (dpeaa)DE-He213 Prevention (dpeaa)DE-He213 Arakkal, Alan T. verfasserin aut Pierpoint, Lauren A. verfasserin aut Fields, Sarah K. verfasserin aut Enthalten in Injury Epidemiology Berlin : SpringerOpen, 2014 7(2020), 1 vom: 18. Mai (DE-627)782241859 (DE-600)2764253-7 2197-1714 nnns volume:7 year:2020 number:1 day:18 month:05 https://dx.doi.org/10.1186/s40621-020-00242-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2020 1 18 05
allfieldsSound	10.1186/s40621-020-00242-5 doi (DE-627)SPR039740919 (SPR)s40621-020-00242-5-e DE-627 ger DE-627 rakwb eng 610 ASE Comstock, R. Dawn verfasserin aut Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear? 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Boys’ lacrosse (LAX), a full contact sport allowing body and stick checking, mandates hard shell helmets with full face masks. Girls’ LAX, which prohibits body checking and whose sphere rule is supposed to prevent stick checking to the head, allows optional flexible headgear with/without integrated eye protection. Whether the required boys’ LAX helmets should also be mandated in girls’ LAX has been debated. Methods In this retrospective cohort study we used LAX concussion data from a national high school sports-related injury surveillance study to determine if girls’ LAX players were at increased risk of concussion from stick or ball contact due to differences in helmet regulations by calculating the attributable risk and attributable risk percent (AR%) for concussion resulting from ball or stick impacts. Results From 2008-09 through 2018–19, boys’ LAX players sustained 614 concussions during 1,318,278 athletic exposures (AEs) (4.66 per 10,000 AEs) and girls’ LAX players sustained 384 concussions during 983,291 AEs (3.91 per 10,000 AEs). For boys, athlete-athlete contact was the most common mechanism of concussion accounting for 66.4% of all concussions, while stick or ball contact accounted for 23.5%. For girls, stick or ball contact accounted for 72.7% of all concussions, while athlete-athlete contact accounted for 19.8%. Concussion rates from stick or ball contact were significantly higher in girls vs. boys (RR = 2.60, 95% CI 2.12–3.18). The attributable risk associated with playing girls’ vs. boys’ LAX for concussion resulting from stick or ball contact was 1.75 concussions per 10,000 AEs (95% CI 1.37–2.12) and the AR% was 61.5% (95% CI 52.9–68.5). An estimated 44.7% of all girls’ LAX concussions could have been prevented if girls’ LAX players wore the helmet mandated in boys’ LAX. Conclusions Girls’ LAX players who are allowed, but not required, to wear a flexible headgear are at increased risk of concussions from stick or ball impacts compared to boys’ LAX players, who are required to wear a hard shell helmet with full face mask. Additional research is needed to determine if there are any defendable arguments to continue justifying restricting girls’ LAX players access to this effective piece of protective equipment. Concussion (dpeaa)DE-He213 Lacrosse (dpeaa)DE-He213 Gender (dpeaa)DE-He213 Attributable risk (dpeaa)DE-He213 Attributable risk percent (dpeaa)DE-He213 Surveillance (dpeaa)DE-He213 Prevention (dpeaa)DE-He213 Arakkal, Alan T. verfasserin aut Pierpoint, Lauren A. verfasserin aut Fields, Sarah K. verfasserin aut Enthalten in Injury Epidemiology Berlin : SpringerOpen, 2014 7(2020), 1 vom: 18. Mai (DE-627)782241859 (DE-600)2764253-7 2197-1714 nnns volume:7 year:2020 number:1 day:18 month:05 https://dx.doi.org/10.1186/s40621-020-00242-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2020 1 18 05
language	English
source	Enthalten in Injury Epidemiology 7(2020), 1 vom: 18. Mai volume:7 year:2020 number:1 day:18 month:05
sourceStr	Enthalten in Injury Epidemiology 7(2020), 1 vom: 18. Mai volume:7 year:2020 number:1 day:18 month:05
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Concussion Lacrosse Gender Attributable risk Attributable risk percent Surveillance Prevention
dewey-raw	610
isfreeaccess_bool	true
container_title	Injury Epidemiology
authorswithroles_txt_mv	Comstock, R. Dawn @@aut@@ Arakkal, Alan T. @@aut@@ Pierpoint, Lauren A. @@aut@@ Fields, Sarah K. @@aut@@
publishDateDaySort_date	2020-05-18T00:00:00Z
hierarchy_top_id	782241859
dewey-sort	3610
id	SPR039740919
language_de	englisch
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Dawn</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear?</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2020</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Boys’ lacrosse (LAX), a full contact sport allowing body and stick checking, mandates hard shell helmets with full face masks. Girls’ LAX, which prohibits body checking and whose sphere rule is supposed to prevent stick checking to the head, allows optional flexible headgear with/without integrated eye protection. Whether the required boys’ LAX helmets should also be mandated in girls’ LAX has been debated. Methods In this retrospective cohort study we used LAX concussion data from a national high school sports-related injury surveillance study to determine if girls’ LAX players were at increased risk of concussion from stick or ball contact due to differences in helmet regulations by calculating the attributable risk and attributable risk percent (AR%) for concussion resulting from ball or stick impacts. Results From 2008-09 through 2018–19, boys’ LAX players sustained 614 concussions during 1,318,278 athletic exposures (AEs) (4.66 per 10,000 AEs) and girls’ LAX players sustained 384 concussions during 983,291 AEs (3.91 per 10,000 AEs). For boys, athlete-athlete contact was the most common mechanism of concussion accounting for 66.4% of all concussions, while stick or ball contact accounted for 23.5%. For girls, stick or ball contact accounted for 72.7% of all concussions, while athlete-athlete contact accounted for 19.8%. Concussion rates from stick or ball contact were significantly higher in girls vs. boys (RR = 2.60, 95% CI 2.12–3.18). The attributable risk associated with playing girls’ vs. boys’ LAX for concussion resulting from stick or ball contact was 1.75 concussions per 10,000 AEs (95% CI 1.37–2.12) and the AR% was 61.5% (95% CI 52.9–68.5). An estimated 44.7% of all girls’ LAX concussions could have been prevented if girls’ LAX players wore the helmet mandated in boys’ LAX. Conclusions Girls’ LAX players who are allowed, but not required, to wear a flexible headgear are at increased risk of concussions from stick or ball impacts compared to boys’ LAX players, who are required to wear a hard shell helmet with full face mask. 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author	Comstock, R. Dawn
spellingShingle	Comstock, R. Dawn ddc 610 misc Concussion misc Lacrosse misc Gender misc Attributable risk misc Attributable risk percent misc Surveillance misc Prevention Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear?
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topic_title	610 ASE Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear? Concussion (dpeaa)DE-He213 Lacrosse (dpeaa)DE-He213 Gender (dpeaa)DE-He213 Attributable risk (dpeaa)DE-He213 Attributable risk percent (dpeaa)DE-He213 Surveillance (dpeaa)DE-He213 Prevention (dpeaa)DE-He213
topic	ddc 610 misc Concussion misc Lacrosse misc Gender misc Attributable risk misc Attributable risk percent misc Surveillance misc Prevention
topic_unstemmed	ddc 610 misc Concussion misc Lacrosse misc Gender misc Attributable risk misc Attributable risk percent misc Surveillance misc Prevention
topic_browse	ddc 610 misc Concussion misc Lacrosse misc Gender misc Attributable risk misc Attributable risk percent misc Surveillance misc Prevention
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title	Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear?
ctrlnum	(DE-627)SPR039740919 (SPR)s40621-020-00242-5-e
title_full	Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear?
author_sort	Comstock, R. Dawn
journal	Injury Epidemiology
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author_browse	Comstock, R. Dawn Arakkal, Alan T. Pierpoint, Lauren A. Fields, Sarah K.
container_volume	7
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author-letter	Comstock, R. Dawn
doi_str_mv	10.1186/s40621-020-00242-5
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title_sort	are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear?
title_auth	Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear?
abstract	Background Boys’ lacrosse (LAX), a full contact sport allowing body and stick checking, mandates hard shell helmets with full face masks. Girls’ LAX, which prohibits body checking and whose sphere rule is supposed to prevent stick checking to the head, allows optional flexible headgear with/without integrated eye protection. Whether the required boys’ LAX helmets should also be mandated in girls’ LAX has been debated. Methods In this retrospective cohort study we used LAX concussion data from a national high school sports-related injury surveillance study to determine if girls’ LAX players were at increased risk of concussion from stick or ball contact due to differences in helmet regulations by calculating the attributable risk and attributable risk percent (AR%) for concussion resulting from ball or stick impacts. Results From 2008-09 through 2018–19, boys’ LAX players sustained 614 concussions during 1,318,278 athletic exposures (AEs) (4.66 per 10,000 AEs) and girls’ LAX players sustained 384 concussions during 983,291 AEs (3.91 per 10,000 AEs). For boys, athlete-athlete contact was the most common mechanism of concussion accounting for 66.4% of all concussions, while stick or ball contact accounted for 23.5%. For girls, stick or ball contact accounted for 72.7% of all concussions, while athlete-athlete contact accounted for 19.8%. Concussion rates from stick or ball contact were significantly higher in girls vs. boys (RR = 2.60, 95% CI 2.12–3.18). The attributable risk associated with playing girls’ vs. boys’ LAX for concussion resulting from stick or ball contact was 1.75 concussions per 10,000 AEs (95% CI 1.37–2.12) and the AR% was 61.5% (95% CI 52.9–68.5). An estimated 44.7% of all girls’ LAX concussions could have been prevented if girls’ LAX players wore the helmet mandated in boys’ LAX. Conclusions Girls’ LAX players who are allowed, but not required, to wear a flexible headgear are at increased risk of concussions from stick or ball impacts compared to boys’ LAX players, who are required to wear a hard shell helmet with full face mask. Additional research is needed to determine if there are any defendable arguments to continue justifying restricting girls’ LAX players access to this effective piece of protective equipment.
abstractGer	Background Boys’ lacrosse (LAX), a full contact sport allowing body and stick checking, mandates hard shell helmets with full face masks. Girls’ LAX, which prohibits body checking and whose sphere rule is supposed to prevent stick checking to the head, allows optional flexible headgear with/without integrated eye protection. Whether the required boys’ LAX helmets should also be mandated in girls’ LAX has been debated. Methods In this retrospective cohort study we used LAX concussion data from a national high school sports-related injury surveillance study to determine if girls’ LAX players were at increased risk of concussion from stick or ball contact due to differences in helmet regulations by calculating the attributable risk and attributable risk percent (AR%) for concussion resulting from ball or stick impacts. Results From 2008-09 through 2018–19, boys’ LAX players sustained 614 concussions during 1,318,278 athletic exposures (AEs) (4.66 per 10,000 AEs) and girls’ LAX players sustained 384 concussions during 983,291 AEs (3.91 per 10,000 AEs). For boys, athlete-athlete contact was the most common mechanism of concussion accounting for 66.4% of all concussions, while stick or ball contact accounted for 23.5%. For girls, stick or ball contact accounted for 72.7% of all concussions, while athlete-athlete contact accounted for 19.8%. Concussion rates from stick or ball contact were significantly higher in girls vs. boys (RR = 2.60, 95% CI 2.12–3.18). The attributable risk associated with playing girls’ vs. boys’ LAX for concussion resulting from stick or ball contact was 1.75 concussions per 10,000 AEs (95% CI 1.37–2.12) and the AR% was 61.5% (95% CI 52.9–68.5). An estimated 44.7% of all girls’ LAX concussions could have been prevented if girls’ LAX players wore the helmet mandated in boys’ LAX. Conclusions Girls’ LAX players who are allowed, but not required, to wear a flexible headgear are at increased risk of concussions from stick or ball impacts compared to boys’ LAX players, who are required to wear a hard shell helmet with full face mask. Additional research is needed to determine if there are any defendable arguments to continue justifying restricting girls’ LAX players access to this effective piece of protective equipment.
abstract_unstemmed	Background Boys’ lacrosse (LAX), a full contact sport allowing body and stick checking, mandates hard shell helmets with full face masks. Girls’ LAX, which prohibits body checking and whose sphere rule is supposed to prevent stick checking to the head, allows optional flexible headgear with/without integrated eye protection. Whether the required boys’ LAX helmets should also be mandated in girls’ LAX has been debated. Methods In this retrospective cohort study we used LAX concussion data from a national high school sports-related injury surveillance study to determine if girls’ LAX players were at increased risk of concussion from stick or ball contact due to differences in helmet regulations by calculating the attributable risk and attributable risk percent (AR%) for concussion resulting from ball or stick impacts. Results From 2008-09 through 2018–19, boys’ LAX players sustained 614 concussions during 1,318,278 athletic exposures (AEs) (4.66 per 10,000 AEs) and girls’ LAX players sustained 384 concussions during 983,291 AEs (3.91 per 10,000 AEs). For boys, athlete-athlete contact was the most common mechanism of concussion accounting for 66.4% of all concussions, while stick or ball contact accounted for 23.5%. For girls, stick or ball contact accounted for 72.7% of all concussions, while athlete-athlete contact accounted for 19.8%. Concussion rates from stick or ball contact were significantly higher in girls vs. boys (RR = 2.60, 95% CI 2.12–3.18). The attributable risk associated with playing girls’ vs. boys’ LAX for concussion resulting from stick or ball contact was 1.75 concussions per 10,000 AEs (95% CI 1.37–2.12) and the AR% was 61.5% (95% CI 52.9–68.5). An estimated 44.7% of all girls’ LAX concussions could have been prevented if girls’ LAX players wore the helmet mandated in boys’ LAX. Conclusions Girls’ LAX players who are allowed, but not required, to wear a flexible headgear are at increased risk of concussions from stick or ball impacts compared to boys’ LAX players, who are required to wear a hard shell helmet with full face mask. Additional research is needed to determine if there are any defendable arguments to continue justifying restricting girls’ LAX players access to this effective piece of protective equipment.
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title_short	Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear?
url	https://dx.doi.org/10.1186/s40621-020-00242-5
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author2	Arakkal, Alan T. Pierpoint, Lauren A. Fields, Sarah K.
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up_date	2024-07-04T01:21:25.236Z
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Dawn</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Are high school girls’ lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys’ lacrosse players are required to wear?</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2020</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Boys’ lacrosse (LAX), a full contact sport allowing body and stick checking, mandates hard shell helmets with full face masks. Girls’ LAX, which prohibits body checking and whose sphere rule is supposed to prevent stick checking to the head, allows optional flexible headgear with/without integrated eye protection. Whether the required boys’ LAX helmets should also be mandated in girls’ LAX has been debated. Methods In this retrospective cohort study we used LAX concussion data from a national high school sports-related injury surveillance study to determine if girls’ LAX players were at increased risk of concussion from stick or ball contact due to differences in helmet regulations by calculating the attributable risk and attributable risk percent (AR%) for concussion resulting from ball or stick impacts. Results From 2008-09 through 2018–19, boys’ LAX players sustained 614 concussions during 1,318,278 athletic exposures (AEs) (4.66 per 10,000 AEs) and girls’ LAX players sustained 384 concussions during 983,291 AEs (3.91 per 10,000 AEs). For boys, athlete-athlete contact was the most common mechanism of concussion accounting for 66.4% of all concussions, while stick or ball contact accounted for 23.5%. For girls, stick or ball contact accounted for 72.7% of all concussions, while athlete-athlete contact accounted for 19.8%. Concussion rates from stick or ball contact were significantly higher in girls vs. boys (RR = 2.60, 95% CI 2.12–3.18). The attributable risk associated with playing girls’ vs. boys’ LAX for concussion resulting from stick or ball contact was 1.75 concussions per 10,000 AEs (95% CI 1.37–2.12) and the AR% was 61.5% (95% CI 52.9–68.5). An estimated 44.7% of all girls’ LAX concussions could have been prevented if girls’ LAX players wore the helmet mandated in boys’ LAX. 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