Department of Physical Medicine and Rehabilitation, University of California Davis, Sacramento, California, USA
School of Kinesiology; College of Education and Human Development, Exercise, Fitness and Health Promotion; Sports Medicine Assessment, Research & Testing (SMART) Laboratory, Advancing Healthcare Initiative for Underserved Students (ACHIEVES), George Mason University, Manassas, Virginia, USA.
Br J Sports Med. 2022 Sep;56(17):970-974. doi: 10.1136/bjsports-2021-105031.
Headgear use is a controversial issue in girls' lacrosse. We compared concussion rates among high school lacrosse players in an American state with a headgear mandate (HM) to states without an HM.
Participants included high schools with girls' lacrosse programmes in the USA. Certified athletic trainers reported athlete exposure (AE) and injury data via the National Athletic Treatment, Injury and Outcomes Network during the 2019-2021 seasons. The HM cohort was inclusive of high schools from the state of Florida, which mandates the use of ASTM standard F3137 headgear, while the non-HM (NHM) cohort was inclusive of high schools in 31 states without a state-wide HM. Incidence rate ratios (IRRs) and 95% CIs were calculated.
141 concussions (HM: 25; NHM: 116) and 357 225 AEs were reported (HM: 91 074 AEs; NHM: 266 151 AEs) across all games and practices for 289 total school seasons (HM: 96; NHM: 193). Overall, the concussion injury rate per 1000 AEs was higher in the NHM cohort (0.44) than the HM cohort (0.27) (IRR=1.59, 95% CI: 1.03 to 2.45). The IRR was higher for the NHM cohort during games (1.74, 95% CI: 1.00 to 3.02) but not for practices (1.42, 95% CI: 0.71 to 2.83).
These findings suggest a statewide HM for high school girls' lacrosse is associated with a lower concussion rate than playing in a state without an HM. Statewide mandates requiring ASTM standard F3137 headgear should be considered to reduce the risk of concussion.
头盔的使用在女子曲棍球中是一个有争议的问题。我们比较了美国一个有头盔规定（HM）的州和没有头盔规定的州的高中曲棍球运动员的脑震荡发生率。
参与者包括美国有女子曲棍球项目的高中。在 2019-2021 赛季，经过认证的运动训练师通过国家运动治疗、伤害和结果网络报告运动员暴露（AE）和伤害数据。HM 队列包括来自佛罗里达州的高中，该州要求使用 ASTM 标准 F3137 头盔，而 NHM 队列包括 31 个没有全州范围内 HM 的州的高中。计算发病率比值（IRR）和 95%置信区间。
在所有比赛和练习中，共报告了 141 例脑震荡（HM：25 例；NHM：116 例）和 357225 例 AE（HM：91074 例 AE；NHM：266151 例 AE），涉及 289 个总校赛季（HM：96 个；NHM：193 个）。总的来说，NHM 队列的脑震荡损伤率（每 1000 例 AE 中 0.44）高于 HM 队列（每 1000 例 AE 中 0.27）（IRR=1.59，95%CI：1.03 至 2.45）。NHM 队列在比赛中的 IRR 更高（1.74，95%CI：1.00 至 3.02），但在练习中则不然（1.42，95%CI：0.71 至 2.83）。
这些发现表明，全州范围内的 HM 对高中女生曲棍球的规定与在没有 HM 的州打球相比，脑震荡发生率较低。应考虑全州范围内的强制性规定，要求使用 ASTM 标准 F3137 头盔，以降低脑震荡的风险。
