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Patricia M. Kelshaw, Trenton E. Gould, Mark Jesunathadas, Nelson Cortes, Amanda Caswell, Elizabeth D. Edwards and Shane V. Caswell

Girls’ lacrosse participation and head injury rates have increased within the past decade. In response, optional headgear was implemented following the recently developed ASTM International lacrosse headgear performance standards. It remains unknown how lacrosse headgear responds to blunt impacts after use. Our purpose was to compare the peak linear acceleration between girls’ lacrosse headgear conditions (pristine and used) during blunt impacts. Pristine headgear (n = 10) were tested in their original condition and used headgear (n = 10) were worn for an entire competitive season. A Cadex Monorail Impactor impacted all headgear following ASTM standards (F1446-15b, F2220-15, and F3137-15) in the required testing locations. A 2 × 7 repeated-measures analysis of variance compared peak linear acceleration among headgear conditions and impact locations with a simple effects analysis planned comparison. There was no difference between headgear conditions for peak linear acceleration (pristine: 47.12 [13.92] g; used: 46.62 [14.84] g; F = 2.11, P > .05). A main effect for impact location (F = 983.52, P < .01), and an interaction effect of condition and impact location (F = 12.79, P < .01) were observed. All headgear, regardless of condition, met the ASTM performance standard. This suggests that headgear performance may not degrade subsequent to a single season of high school girls’ lacrosse.

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Patricia Kelshaw, Nelson Cortes, Amanda Caswell and Shane V. Caswell

A growing topic in research is that of cervical strength to potentially mitigate head impact kinematics (HIK) and concussion risk. The purpose of this research was two-fold: (a) Assess the effects of isometric cervical muscle strength (ICMS) on HIK in high school boys’ lacrosse, and (b) investigate the relationship between cervical anthropometrics and ICMS, to create greater feasibility to approximate ICMS. All participants wore accelerometers during the season, and had their ICMS measured. No significant differences existed among ICMS classifications and HIK measures (p > .05). Cervical circumference showed a positive, moderately strong relationship with ICMS in extension (r = .63, p = .02). Our findings do not support previous research that has identified ICMS as a modifiable risk factor for mitigating HIK.

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Shane V. Caswell, Matthew York, Jatin P. Ambegaonkar, Amanda M. Caswell and Nelson Cortes

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Shane Caswell, Jatin P. Ambegaonkar and Amanda M. Caswell

Edited by Christine Lauber

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Shannon Gunning, Amanda Caswell, Jatin P. Ambegaonkar, Polly A. Porter, Shane Caswell, David C. Johnson and Timothy S. Johnson

Edited by Monique Mokha