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51 (5B) Instrumented mouthguard-measured head kinematics and associations with head injury assessment outcomes in elite men’s and women’s Australian football

2025· article· en· W4410951515 on OpenAlexaff
James W. Hickey, Becca Xie, Jonathan Reyes, Lauren Evans, William T. O’Brien, Kate Gillespie-Jones, Lauren P. Giesler, Sandy R. Shultz, Terence J. O’Brien, Michael Makdissi, Biswadev Mitra, Catherine Willmott, Stuart J. McDonald

Bibliographic record

Venuenot available
Typearticle
Languageen
FieldMedicine
TopicTraumatic Ocular and Foreign Body Injuries
Canadian institutionsVancouver Island University
Fundersnot available
KeywordsMouthguardFootballKinematicsHead (geology)ConcussionEliteFootball playersPhysical medicine and rehabilitationMedicinePhysical therapyPoison controlInjury preventionGeologyPhysicsMedical emergencyGeographyPolitical science

Abstract

fetched live from OpenAlex

Purpose To compare instrumented mouthguard (iMG)-measured head kinematics between elite Australian football players who undergo a head injury assessment (HIA), and are either medically cleared (HIA−) or diagnosed with concussion (HIA+).Methods Head kinematic data were collected over four men’s and women’s seasons, with impacts leading to an HIA verified through video and timekeeper records. Peak linear acceleration (PLA) and peak rotational acceleration (PRA) were compared between HIA− and HIA+ cases.Results Five-hundred and nine men and 612 women had an iMG fitted and participated in at least one season. Twenty-nine HIA+ cases (17 men, 12 women) and 86 HIA− cases (24 men, 62 women) had kinematic data verified. In men, HIA+ cases had higher median PLA than HIA− cases (68 g [interquartile range (IQR): 49–87] vs. 41 g [IQR: 28–71]; p=0.04), with area under the curve (AUC) analysis indicating fair discriminative ability (AUC = 0.69). Similarly, HIA+ cases had higher PRA (6.6 krad/s² [IQR: 4.6–9.0] vs. 3.7 krad/s² [IQR: 2.3–6.2]; p=0.01), with an AUC of 0.73. In women, HIA+ cases had higher median PLA (62 g [IQR: 48–85] vs. 36 g [IQR: 23–55]; p=0.001) and PRA (6.7 krad/s² [IQR: 4.1–8.8] vs. 3.0 krad/s² [IQR: 1.8–4.7]; p=0.001), both with an AUC of 0.78.Conclusion Higher PLA and PRA measurements were observed in athletes diagnosed with concussion compared to those who were cleared following HIA. Ultimately, iMG kinematics may assist in the identification of players at risk of concussion who require medical screening.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.026
Threshold uncertainty score0.052

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0010.000
Open science0.0000.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0040.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.017
GPT teacher head0.330
Teacher spread0.312 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2025
Admission routes1
Has abstractyes

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