{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T06:47:24Z","timestamp":1787726844957,"version":"build-2784847793"},"reference-count":62,"publisher":"National Athletic Trainers' Association","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:sec><jats:title>Context<\/jats:title><jats:p>The neurocognitive health effects of repetitive head impacts have been examined in many sports. However, characterizations of head impacts for sliding-sport athletes are lacking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe head impact kinematics and injury epidemiology in elite athletes during the 2021\u20132022 Bobsleigh World Cup season.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross-sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>On-track training and competitions during the Bobsleigh World Cup season.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients or Other Participants<\/jats:title><jats:p>Twelve elite bobsleigh athletes (3 pilots [1 female], 9 push athletes [5 females]; age = 30 \u00b1 5 years; female height and weight = 173 \u00b1 8 cm and 75 \u00b1 5 kg, respectively; male height and weight = 183 \u00b1 5 cm and 101 \u00b1 5 kg, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measure(s)<\/jats:title><jats:p>Athletes wore an accelerometer-enabled mouthguard to quantify 6-degrees-of-freedom head impact kinematics. Isometric absolute and relative neck strength, number of head acceleration events (HAEs), workload (J), peak linear velocity (m\u00b7s\u22121), peak angular velocity (rad\u00b7s\u22121), peak linear acceleration (g), and peak angular acceleration (rad\u00b7s\u22122) were derived from mouthguard manufacturer algorithms. Linear mixed-effect models tested the effects of sex (male versus female), setting (training versus competition), and position (pilot versus push athlete) on the kinematic variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1900 HAEs were recorded over 48 training and 53 competition days. No differences were found between the number of HAEs per run per athlete by sex (incidence rate ratio [IRR] = 0.82, P = .741), setting (IRR = 0.94, P = .325), or position (IRR = 1.64, P = .463). No sex differences were observed for workload (mean \u00b1 SD: males = 3.3 \u00b1 2.2 J, females = 3.1 \u00b1 1.9 J; P = .646), peak linear velocity (males = 1.1 \u00b1 0.3 m\u00b7s\u22121, females = 1.1 \u00b1 0.3 m\u00b7s\u22121; P = .706), peak angular velocity (males = 4.2 \u00b1 2.1 rad\u00b7s\u22121, females = 4.7 \u00b1 2.5 rad\u00b7s\u22121; P = .220), peak linear acceleration (male = 12.4 \u00b1 3.9g, females = 11.9 \u00b1 3.5g; P = .772), or peak angular acceleration (males = 610 \u00b1 353 rad\u00b7s\u22122, females = 680 \u00b1 423 rad\u00b7s\u22122; P = .547). Also, no effects of setting or position on any kinematic variables were seen. Male athletes had greater peak neck strength than female athletes for all neck movements, aside from right-side flexion (P = .085), but no sex differences were noted in relative neck strength.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We provide a foundational understanding of the repetitive HAEs that occur in bobsleigh athletes. Future authors should determine the effects of repetitive head impacts on neurocognitive function and mental health.<\/jats:p><\/jats:sec>","DOI":"10.4085\/1062-6050-0014.23","type":"journal-article","created":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T23:14:05Z","timestamp":1693437245000},"page":"584-593","source":"Crossref","is-referenced-by-count":6,"title":["Head Kinematics and Injury Analysis in Elite Bobsleigh Athletes Throughout a World Cup Tour"],"prefix":"10.4085","volume":"59","author":[{"given":"April L.","family":"McPherson","sequence":"first","affiliation":[{"name":"* Department of Sports Medicine, United States Olympic & Paralympic Committee, Colorado Springs"},{"name":"\u2020 United States Coalition for the Prevention of Illness and Injury in Sport, Colorado Springs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis","family":"Anderson","sequence":"additional","affiliation":[{"name":"* Department of Sports Medicine, United States Olympic & 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