Head Acceleration Events Measured by Instrumented Mouthguards in Elite Australian Football.

Background: The consequences of exposure to head acceleration events (HAEs) in collision sports, including Australian Rules football, are a growing concern. Instrumented mouthguards (iMGs) now enable accurate quantification of HAEs in sport; however, little is known about HAE incidence and mechanism...

Descripción completa

Detalles Bibliográficos
Publicado en:Sports Medicine - Open Vol. 12; no. 1; pp. 1 - 14
Autores principales: Evans, Lauren J., Hickey, James W., Reyes, Jonathan, Xie, Becca, Gillespie-Jones, Kate, Giesler, Lauren P., Shultz, Sandy R., O'Brien, Terence J., Makdissi, Michael, Willmott, Catherine, Mitra, Biswadev, O'Brien, William T., McDonald, Stuart J.
Formato: research tables/charts Journal Article
Publicado: Springer Nature 2/16/2026
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191605985&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 191605985
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        21991170
        HLUO
      jtl: Sports Medicine - Open
      issn: 21991170
      maglogo: N
    pubinfo:
      dt: 2/16/2026
      vid: 12
      iid: 1
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        191605985
        191605985
        191605985
        10.1186/s40798-026-00982-6
        191605985
      ppf: 1
      ppct: 13
      formats:
      tig:
        atl: Head Acceleration Events Measured by Instrumented Mouthguards in Elite Australian Football.
      aug:
        au:
          Evans, Lauren J.
          Hickey, James W.
          Reyes, Jonathan
          Xie, Becca
          Gillespie-Jones, Kate
          Giesler, Lauren P.
          Shultz, Sandy R.
          O'Brien, Terence J.
          Makdissi, Michael
          Willmott, Catherine
          Mitra, Biswadev
          O'Brien, William T.
          McDonald, Stuart J.
        affil: https://ror.org/02bfwt286 Department of Neuroscience, School of Translational Medicine, Monash University, 99 Commercial Road, 3004, Melbourne, VIC, Australia
      sug:
        subj:
          Acceleration
          Head Physiology
          Athletic Performance Evaluation
          Mouthguards
          Athletes, Elite
          Australian Football
          Athletes, Male
          Athletes, Female
          Sporting Events
          Predictive Value of Tests
          Funding Source
          Australia
          Human
          Prospective Studies
          Nonexperimental Studies
          Accelerometry
          Motion Analysis Systems
          Biomechanics
          Mann-Whitney U Test
          Chi Square Test
          Confidence Intervals
          Descriptive Statistics
          Kruskal-Wallis Test
          Post Hoc Analysis
          Pearson's Correlation Coefficient
          Data Analysis Software
          Comparative Studies
          False Positive Results
          Incidence
      ab: Background: The consequences of exposure to head acceleration events (HAEs) in collision sports, including Australian Rules football, are a growing concern. Instrumented mouthguards (iMGs) now enable accurate quantification of HAEs in sport; however, little is known about HAE incidence and mechanisms in Australian Rules football. We aimed to measure HAEs in elite Australian Rules football players, and evaluate the influence of playing position and match event on the incidence and magnitude of HAEs in men and women. iMG data were collected from Australian Football League (AFL) and AFL Women's (AFLW) players in 2023 utilising the HIT-IQ Nexus Gen III iMG, targeting 500 player-matches per sex. Match footage was synchronised with iMG data for video verification and match play coding. Results: Three hundred and eleven players contributed iMG data in the analyses, including 126 men (median matches per player: 3 (interquartile range [IQR: 2–6]) and 185 women (median: 3 [IQR: 1–4]). Men had a higher mean incidence of HAEs ≥ 8 g per match than women (5.7 [95% confidence interval CI: 5.0–6.4] vs. 3.0 [95% CI: 2.8–3.3]), however the incidence was comparable when adjusted for time (3.6/hour [95% CI: 3.2–4.1] vs. 3.1/hour [95% CI: 2.9–3.4]). Men recorded higher maximum single-impact peak linear acceleration (PLA; median 31 g vs. women: median 22 g; p < 0.001) and peak rotational acceleration (PRA; median 3.0 krad/s² vs. women: 2.4 krad/s²; p < 0.001) per match. Conversely, women experienced greater PRA per impact (median 1.4 krad/s² vs. men: 1.2 krad/s²; p < 0.001), while PLA was similar (men: median 14 g, women: median 13 g; p = 0.330). The leading match events resulting in HAEs were marking contests (1.0/hour) in men and contested ball situations (0.8/hour) in women. HAE incidence and magnitude were generally comparable across playing positions, except for men's rucks, who experienced significantly higher incidence of HAEs (6.5/hour) than forwards (3.6/hour), midfielders (3.2/hour), and defenders (2.7/hour). Conclusions: This study highlights differences in HAE incidence, magnitude, and mechanisms by sex, playing position, and match events in elite-level Australian Rules football. These findings provide insight into impact exposure patterns and may inform targeted skill development and policy adjustments to enhance player safety. Key Points: In elite-level Australian Rules football, men sustained more instrumented mouthguard-measured head acceleration events (HAEs) per match compared to women; however, incidence was similar after adjusting for time played. Men experienced higher maximum single-impact peak linear and rotational accelerations values per match, while women experienced greater peak rotational acceleration per HAE. Men's rucks had a significantly higher incidence of HAEs than defenders, midfielders, and forwards, primarily due to more frequent low-magnitude impacts from ruck and marking contests.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N