Head contact and suspected concussion rates in university basketball: Are head contact penalties a target for prevention?

Christy Fehr, Stephen West, Brent Hagel, Claude Goulet, Carolyn Emery

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To compare head contact (HC) and suspected concussion incidence rates (IRs) in male and female university basketball players and describe associated game event and court location.

Design: Cross-sectional.

Setting: Canadian basketball courts.

Participants: Players from five male and five female 2019-2020 regular season basketball games.

Assessment of Risk Factors: Pre-recorded game footage was analyzed using Dartfish video analysis software to compare sexes.

Main Outcome Measures: Poisson regression analysis was used to estimate IRs and incidence rate ratios (IRRs) for HCs and suspected concussions. HCs were classified as HC1 (direct, player-to-player) or HC2 (indirect, player-to-environment). Game event, court location, and penalization of HCs were reported. Results: 230 HCs (88.7% HC1s, 11.3% HC2s) were observed. The HC1 IR was higher in males than females (IRR= 1.55; 95% CI: 1.16-2.06). Most HCs occurred within the key. Shooting was the primary offensive game event for males and females for receiving HC1s (24.6% and 20.0%, respectively). Defensively, HC1s occurred most frequently while guarding an attacker for males (40.6%) and rebounding for females (31.0%). The suspected concussion IR was not significantly different between males and females (IRR= 2.00; 95% CI: 0.20-19.8). 11.2% of HC1s to defenders and 25.7% of HC1s to offensive players were assessed as a foul.

Conclusion: HC rates were higher for male varsity basketball players compared with females; however, suspected concussion rates did not differ. Game event and court locations differed by sex. A priority target for injury prevention is penalization of HCs, as most HCs in competition went unpenalized.
Original languageEnglish
JournalClinical Journal of Sport Medicine
Publication statusAcceptance date - 20 Feb 2024

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