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Concussion risks for women footballers are greater than men: why, and what can be done?

Since the inception of the Australian Football League Women’s (AFLW) competition in 2017, women’s football participation has increased rapidly, from about 380,000 in 2016 to .

Authors


  • Hunter Bennett

    Lecturer in Exercise Science, University of South Australia


  • Joel Garrett

    Lecturer in Exercise Science and Physiology, Griffith University

Women now represent approximately nationally.

During this time, the AFLW has evolved dramatically.

In 2017, it started with eight teams playing a short eight-round competition. Next season, which begins on Friday night, 18 teams will play across a 15-round campaign.

By 2026, the competition will feature a full 17-round season, with female AFLW players like the men.

The impact of injuries

Team success and career longevity rely heavily on one critical factor – staying healthy.

Teams with lots of injuries , and injured players often .

This is why injury prevention is one of the most heavily researched topics around the globe.

The first step in any good injury prevention plan is .

Injury surveillance is the process of observing and tracking injuries to identify which are most common and result in the most missed matches.

By identifying the areas of greatest need, targeted injury prevention strategies can be created.

examining the most common injuries in male Australian football at all levels (including community, sub-elite and elite).

This research is often used to guide injury prevention strategies for women’s football.

However, this has an issue – we don’t know if women have the same injury patterns as men.

This is important when we consider there are key differences between how men’s and women’s Australian football is played.

At some levels (such as elite and sub-elite), woman’s football is currently played with 16 players on the field, rather than 18.

It has a than the men’s competition, which can affect the speed of the game and the fatigue players experience.

Finally, stoppages occur 30% more often in women’s football, and women’s teams have more than twice as many contested possessions and tackles , highlighting it has more frequent player-to-player contact.

Key differences between men and women

Researchers from the University of South Australia recently conducted the of the injury patterns of sub-elite women’s football to date, tracking the injures experienced by seven clubs competing in the South Australian ³Ô¹ÏÍøÕ¾ Football League Women’s competition during the 2023 season.

Ankle sprains, concussions and anterior cruciate ligament (ACL) injuries were the most common and burdensome. Conversely, there were very few muscle strains.

Most injuries occurred during matches (rather than at training), and more than two-thirds occurred in a contact situation (such as during a tackle or a marking contest).

Importantly, these injury patterns were notably different from those often seen in males.

First, hamstring muscle strains were one of the least common injuries, despite being one of the .

Second, ACL injuries in women than men.

Finally, and arguably most notably, concussion rates were than men – something that has been seen in prior seasons at the .

Similar observations have been made in other contact sports such as rugby, where women not only experience higher rates of concussion, but also get concussed to men.

Not only does this suggest women require different injury prevention strategies than men, but that concussion injuries should be a key prevention focus for all competition levels.

What could be done to fix the issue?

There are some possible concussion prevention strategies that could be considered for women footballers.

Tackles with an upright body position have been shown to increase the likelihood of the tackler’s head contacting their opponent’s shoulder, .

So specific tackle skill training to ensure athletes keep a low body position and contact the opposition’s mid-section could be an option to help reduce the rate of tackle-related concussion.

has indicated neck strength might protect against concussions and that injury prevention programs that include neck exercises can reduce the number of .

As such, exercises to improve neck strength could be a great introduction to pre-season training, in conjunction with normal upper and lower body strength training.

Similarly, a from a range of sports (including soccer and volleyball) suggested improving core muscle strength and stability may reduce the risk of concussion, which could be trained easily throughout the entire season.

Finally, rule changes could reduce the opportunity for contact concussions to occur. Some common suggestions have included banning “” to reduce shoulder to head contact, and limiting the number of players allowed on one side of the field during a kick in to reduce congestion.

The Conversation

The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

/Courtesy of The Conversation. View in full .