Skip to main content

Protective Equipment

  • Chapter
  • 1150 Accesses

Part of the book series: Contemporary Pediatric and Adolescent Sports Medicine ((PASM))

Abstract

Protective equipment use in contact/collision sports has evolved during the modern era from rudimentary design and function to sophisticated, state-of-the-art gear. Comprised of lightweight durable materials, current equipment can withstand impact forces that previously would have resulted in significant morbidity to the participant. Despite this evolution, sports-related injuries continue to increase as participation rates rise and young athletes perform sport-specific training and conditioning that often result in their ability to generate more force during collision activities, as the adage “bigger, stronger, faster” continues to play out in youth competitive sports. Recent studies have demonstrated that youth American football players can generate high-magnitude impacts during practice and competition—forces previously thought to be achieved only by college and professional American football players. Tremendous focus and attention by youth sports organizations, medical, safety, and scientific communities have been directed in recent years toward a common goal of reducing injury risk in young athletes, specifically injuries to the head and neck. This chapter provides a review of the role of protective equipment in injury reduction; the history of protective equipment; the evidence supporting the utilization of head, face, and neck protective gear in contact/collision sports; attitudes among players, medical staff, and coaches toward the use of protective equipment; issues pertaining to enforcement and mandated use of protective gear; advertising and marketing claims regarding protective equipment; and future directions and research regarding head and neck protective equipment.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Trojian TH, Mohamed N. Demystifying preventive equipment in the competitive athlete. Curr Sports Med Rep. 2012;11(6):304–8.

    Article  PubMed  Google Scholar 

  2. Hoshizaki TB, Brien SE. The science and design of head protection in sport. Neurosurgery. 2004;55(4):956–66; discussion 66–7.

    Article  PubMed  Google Scholar 

  3. Roper WW. Football today and tomorrow. New York: Duffield and Co.; 1927.

    Google Scholar 

  4. Daneshvar DH, Baugh CM, Nowinski CJ, et al. Helmets and mouth guards: the role of personal equipment in preventing sport-related concussions. Clin Sports Med. 2011;30(1):145–63, x.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Bennett T. The NFL’s official encyclopedic history of professional football. 2nd ed. New York: Macmillan; 1977.

    Google Scholar 

  6. McCrory P, Johnston K, Meeuwisse W, et al. Summary and agreement statement of the 2nd international conference on concussion in sport, Prague 2004. Br J Sports Med. 2005;39(4):196–204.

    PubMed Central  CAS  PubMed  Google Scholar 

  7. McCrory P, Meeuwisse W, Johnston K, et al. Consensus statement on concussion in sport: the 3rd international conference on concussion in sport held in Zurich, November 2008. Br J Sports Med. 2009;43 Suppl 1:i76–90.

    Article  PubMed  Google Scholar 

  8. McCrory P, Meeuwisse WH, Aubry M, et al. Consensus statement on concussion in sport: the 4th international conference on concussion in sport held in Zurich, November 2012. Br J Sports Med. 2013;47(5):250–8.

    Article  PubMed  Google Scholar 

  9. Covassin T, Elbin 3rd R, Stiller-Ostrowski JL. Current sport-related concussion teaching and clinical practices of sports medicine professionals. J Athl Train. 2009;44(4):400–4.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Notebaert AJ, Guskiewicz KM. Current trends in athletic training practice for concussion assessment and management. J Athl Train. 2005;40(4):320–5.

    PubMed Central  PubMed  Google Scholar 

  11. Collins M, Lovell MR, Iverson GL, et al. Examining concussion rates and return to play in high school football players wearing newer helmet technology: a three-year prospective cohort study. Neurosurgery. 2006;58(2):275–86; discussion 86.

    Article  PubMed  Google Scholar 

  12. Rowson S, Duma SM, Greenwald RM, et al. Can helmet design reduce the risk of concussion in football? J Neurosurg. 2014;120(4):919–22.

    Article  PubMed  Google Scholar 

  13. McGuine TA, Hetzel S, McCrea M, et al. Protective equipment and player characteristics associated with the incidence of sport-related concussion in high school football players: a multifactorial prospective study. Am J Sports Med. 2014;42(10):2470–8. pii: 0363546514541926.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Asplund C, Bettcher S, Borchers J. Facial protection and head injuries in ice hockey: a systematic review. Br J Sports Med. 2009;43(13):993–9.

    Article  CAS  PubMed  Google Scholar 

  15. Goudie R, Page JL. Canadian Academy of Sport and Exercise Medicine position statement: mandatory use of bicycle helmets. Clin J Sport Med. 2013;23(6):417–8.

    Article  PubMed  Google Scholar 

  16. Amoros E, Chiron M, Martin JL, et al. Bicycle helmet wearing and the risk of head, face, and neck injury: a French case-control study based on a road trauma registry. Inj Prev. 2012;18(1):27–32.

    Article  PubMed  Google Scholar 

  17. Bambach MR, Mitchell RJ, Grzebieta RH, et al. The effectiveness of helmets in bicycle collisions with motor vehicles: a case-control study. Accid Anal Prev. 2013;53:78–88.

    Article  CAS  PubMed  Google Scholar 

  18. National Federation of State High School Associations. Soccer headgear and ATSM product performance. http://www.nfhs.org/sports-resource-content/soccer-headgear-and-astm-product-performance/. Accessed 31 Aug 2014.

  19. Withnall C, Shewchenko N, Wonnacott M, et al. Effectiveness of headgear in football. Br J Sports Med. 2005;39 Suppl 1:i40–8; discussion i8.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Delaney JS, Al-Kashmiri A, Drummond R, et al. The effect of protective headgear on head injuries and concussions in adolescent football (soccer) players. Br J Sports Med. 2008;42(2):110–5; discussion 5.

    Article  CAS  PubMed  Google Scholar 

  21. Protection and prevention strategies. In: Graham R, Rivara FP, Ford MA, Spicer CM, editors. Sports-related concussions in youth: improving the science, changing the culture. Washington, DC: Institute of Medicine of the National Academies, The National Academies Press; 2013. http://www.iom.edu/Reports/2013/Sports-Related-Concussions-in-Youth-Improving-the-Science-Changing-the-Culture.aspx. Accessed 31 Aug 2014.

  22. Lemair M, Pearsall DJ. Evaluation of impact attenuation of facial protectors in ice hockey helmets. Sports Eng. 2007;10(2):65–74.

    Article  Google Scholar 

  23. Stevens ST, Lassonde M, de Beaumont L, et al. The effect of visors on head and facial injury in National Hockey League players. J Sci Med Sport. 2006;9(3):238–42.

    Article  CAS  PubMed  Google Scholar 

  24. Benson BW, Rose MS, Meeuwisse WH. The impact of face shield use on concussions in ice hockey: a multivariate analysis. Br J Sports Med. 2002;36(1):27–32.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  25. Stuart MJ, Smith AM, Malo-Ortiguera SA, et al. A comparison of facial protection and the incidence of head, neck, and facial injuries in Junior A hockey players. A function of individual playing time. Am J Sports Med. 2002;30(1):39–44.

    PubMed  Google Scholar 

  26. Shain KS, Madigan ML, Rowson S, et al. Analysis of the ability of catcher’s masks to attenuate head accelerations on impact with a baseball. Clin J Sport Med. 2010;20(6):422–7.

    Article  PubMed  Google Scholar 

  27. Marshall SW, Mueller FO, Kirby DP, et al. Evaluation of safety balls and faceguards for prevention of injuries in youth baseball. JAMA. 2003;289(5):568–74.

    Article  PubMed  Google Scholar 

  28. Lincoln AE, Hinton RY, Almquist JL, et al. Head, face, and eye injuries in scholastic and collegiate lacrosse: a 4-year prospective study. Am J Sports Med. 2007;35(2):207–15.

    Article  PubMed  Google Scholar 

  29. Hagel B, Meeuwisse W. Risk compensation: a “side effect” of sport injury prevention? Clin J Sport Med. 2004;14(4):193–6.

    Article  PubMed  Google Scholar 

  30. Kriz PK, Comstock RD, Zurakowski D, et al. Eye protection and risk of eye injuries in high school field hockey. Pediatrics. 2015;136(3):521–527.

    Google Scholar 

  31. U.S. Consumer Product Safety Commission. Sports and recreational eye injuries. Washington, DC: U.S. Consumer Product Safety Commission; 2000.

    Google Scholar 

  32. Cass SP. Ocular injuries in sports. Curr Sports Med Rep. 2012;11(1):11–5.

    Article  PubMed  Google Scholar 

  33. Kim T, Nunes AP, Mello MJ, et al. Incidence of sports-related eye injuries in the United States: 2001-2009. Graefes Arch Clin Exp Ophthalmol. 2011;249(11):1743–4.

    Article  PubMed  Google Scholar 

  34. American Academy of Pediatrics Committee on Sports Medicine and Fitness. Protective eyewear for young athletes. Pediatrics. 2004;113(3 Pt 1):619–22.

    Article  Google Scholar 

  35. Lincoln AE, Caswell SV, Almquist JL, et al. Effectiveness of the women's lacrosse protective eyewear mandate in the reduction of eye injuries. Am J Sports Med. 2012;40(3):611–4.

    Article  PubMed  Google Scholar 

  36. Knapik JJ, Marshall SW, Lee RB, et al. Mouthguards in sport activities: history, physical properties and injury prevention effectiveness. Sports Med. 2007;37(2):117–44.

    Article  PubMed  Google Scholar 

  37. Benson BW, Hamilton GM, Meeuwisse WH, et al. Is protective equipment useful in preventing concussion? A systematic review of the literature. Br J Sports Med. 2009;43 Suppl 1:i56–67.

    Article  PubMed  Google Scholar 

  38. Labella CR, Smith BW, Sigurdsson A. Effect of mouthguards on dental injuries and concussions in college basketball. Med Sci Sports Exerc. 2002;34(1):41–4.

    Article  PubMed  Google Scholar 

  39. Wisniewski JF, Guskiewicz K, Trope M, et al. Incidence of cerebral concussions associated with type of mouthguard used in college football. Dent Traumatol. 2004;20(3):143–9.

    Article  PubMed  Google Scholar 

  40. National Federation of State High School Associations. Position statement and recommendations for mouthguard use in sports. http://www.nfhs.org/sports-resource-content/position-statement-and-recommendations-for-mouthguard-use-in-sports/. Accessed 31 Aug 2014.

  41. Stuart MJ, Link AA, Smith AM, et al. Skate blade neck lacerations: a survey and case follow-up. Clin J Sport Med. 2009;19(6):494–7.

    Article  PubMed  Google Scholar 

  42. Loyd AM, Berglund L, Twardowski CP, et al. The most cut-resistant neck guard for preventing lacerations to the neck. Clin J Sport Med. 2015;25(3):254–9.

    Article  PubMed  Google Scholar 

  43. Di Benedetto M, Markey K. Electrodiagnostic localization of traumatic upper trunk brachial plexopathy. Arch Phys Med Rehabil. 1984;65(1):15–7.

    PubMed  Google Scholar 

  44. Markey KL, Di Benedetto M, Curl WW. Upper trunk brachial plexopathy. The stinger syndrome. Am J Sports Med. 1993;21(5):650–5.

    Article  CAS  PubMed  Google Scholar 

  45. Gorden JA, Straub SJ, Swanik CB, et al. Effects of football collars on cervical hyperextension and lateral flexion. J Athl Train. 2003;38(3):209–15.

    PubMed Central  PubMed  Google Scholar 

  46. Sallis RE, Jones K, Knopp W. Burners: offensive strategy for an underreported injury. Phys Sportsmed. 1992;20(11):47–55.

    Google Scholar 

  47. Borden S. Helmet? Check. Shoulder pads? Check. Cup? No thanks. http://www.nytimes.com/2012/12/09/sports/football/helmet-check-shoulder-pads-check-cup-no-thanks.html?_r=0. Accessed 31 Aug 2014.

  48. Raaii F, Vaidya N, Vaidya K, et al. Patterns of mouthguard utilization among atom and pee wee minor ice hockey players: a pilot study. Clin J Sport Med. 2011;21(4):320–4.

    Article  PubMed  Google Scholar 

  49. Hawn KL, Visser MF, Sexton PJ. Enforcement of mouthguard use and athlete compliance in National Collegiate Athletic Association men’s collegiate ice hockey competition. J Athl Train. 2002;37(2):204–8.

    PubMed Central  PubMed  Google Scholar 

  50. National Federation of State High School Associations. NFHS field hockey rules committee—eyewear ruling. https://nfhs-fieldhockey.arbitersports.com/Groups/105408/Library/files/Field%20Hockey%20Eyewear%20Press%20Release.pdf. Accessed 31 Aug 2014.

  51. National Collegiate Athletic Association. NCAA field hockey rule modifications 2014. http://www.ncaa.org/sites/default/files/2014_NCAA_Field_Hockey_Rules_Modifications_072214.pdf. Accessed 31 Aug 2014.

  52. USA Field Hockey. Approved FIH and USA field hockey protective eyewear. http://www.teamusa.org/USA-Field-Hockey/Features/2011/April/22/Approved-FIH-and-USA-Field-Hockey-protective-eyewear.aspx. Accessed 31 Aug 2014.

  53. Boucicaut JR. Press release concerning Cascade M11 concussion claims. http://modsquadhockey.com/forums/index.php/topic/53357-press-release-concerning-cascade-m11-concussion-claims/. Accessed 31 Aug 2014.

  54. Federal Trade Commission. FTC approves final order settling charges against marketer Brain-Pad, Inc. for allegedly deceptive claims that its mouthguards can reduce risk of concussions. http://www.ftc.gov/news-events/press-releases/2012/11/ftc-approves-final-order-settling-charges-against-marketer-brain. Accessed 31 Aug 2014.

  55. U.S. Senate Committee on Commerce, Science, and Transportation. Commerce Committee passes youth sports concussions bill. http://www.commerce.senate.gov/public/index.cfm?p=PressReleases&ContentRecord_id=bf3be696-553f-41d0-93a3-e95136cc1fbd&ContentType_id=77eb43da-aa94-497d-a73f-5c951ff72372&Group_id=1d6521ef-f1d5-407b-a471-1ae71d0935b3. Accessed 31 Aug 2014.

  56. Benson BW, McIntosh AS, Maddocks D, et al. What are the most effective risk-reduction strategies in sport concussion? Br J Sports Med. 2013;47(5):321–6.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Peter Kriz MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Dolan, E., Kriz, P. (2016). Protective Equipment. In: O'Brien, M., Meehan III, W. (eds) Head and Neck Injuries in Young Athletes. Contemporary Pediatric and Adolescent Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-23549-3_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-23549-3_2

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23548-6

  • Online ISBN: 978-3-319-23549-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics