Which Youth Sports Cause the Most Concussions (2024)

A Prospective 11-Year Study

Background: Understanding the risk and trends of sports-related concussion among 12 scholastic sports may contribute to concussion detection, treatment, and prevention.

Purpose: To examine the incidence and relative risk of concussion in 12 high school boys' and girls' sports between academic years 1997-1998 and 2007-2008.

Study Design: Descriptive epidemiology study.

Methods: Data were prospectively gathered for 25 schools in a large public high school system. All schools used an electronic medical record-keeping program. A certified athletic trainer was on-site for games and practices and electronically recorded all injuries daily.

Results: In sum, 2651 concussions were observed in 10 926 892 athlete-exposures, with an incidence rate of 0.24 per 1000. Boys' sports accounted for 53% of athlete-exposures and 75% of all concussions. Football accounted for more than half of all concussions, and it had the highest incidence rate (0.60). Girls' soccer had the most concussions among the girls' sports and the second-highest incidence rate of all 12 sports (0.35). Concussion rate increased 4.2-fold (95% confidence interval, 3.4-5.2) over the 11 years (15.5% annual increase). In similar boys' and girls' sports (baseball/softball, basketball, and soccer), girls had roughly twice the concussion risk of boys. Concussion rate increased over time in all 12 sports.

Conclusion: Although the collision sports of football and boys' lacrosse had the highest number of concussions and football the highest concussion rate, concussion occurred in all other sports and was observed in girls' sports at rates similar to or higher than those of boys' sports. The increase over time in all sports may reflect actual increased occurrence or greater coding sensitivity with widely disseminated guidance on concussion detection and treatment. The high-participation collision sports of football and boys' lacrosse warrant continued vigilance, but the findings suggest that focus on concussion detection, treatment, and prevention should not be limited to those sports traditionally associated with concussion risk.

Which Youth Sports Cause the Most Concussions (2024)

FAQs

Which Youth Sports Cause the Most Concussions? ›

Football is the high school sport that has the most concussions. Per 10,000 athletic exposures, high school football players will have an average of 11.2 concussions. This is a higher rate than both college and professional football players.

What youth sport causes the most concussions? ›

In the United States, football is consistently the sport with the highest overall number and rate of concussions. This is true across all levels of play. Each season, around one in twenty youth players under age 14 sustain a concussion each season.

What sport has the highest rate of concussions in children? ›

Though football has the highest concussion rate of any American youth sport, many sports — some of which may surprise you — significantly increase youth athletes' risk of brain injury. Understanding and preventing sports-related youth concussions is important to the health of our athletes.

What sport causes the most concussions? ›

In what sports are concussions most often reported? Concussions occur in all sports with the highest incidence in football, hockey, rugby, soccer and basketball.

What sports are related to concussions in children? ›

Sports-related concussions often result in mental and physical symptoms (e.g., inability to concentrate, forgetfulness, headache, fatigue, dizziness). For many athletes, the symptoms disappear after about 10 days, and they typically do not last more than several months.

What are the three sports with the highest concussion rates? ›

Based on the national estimate, the majority of concussions resulted from participation in football (40.5%, n = 55 007), followed by girls' soccer (21.5%, n = 29 167), boys' soccer (15.4%, n = 20 929), and girls' basketball (9.5%, n = 12 923).

What causes concussions in youth sports? ›

They generally occur with any sudden or repeated impact to the head that causes the brain to move back and forth. Boy's tackle football leads the way in causes of concussion; however, concussions also are prevalent in boy's and girl's lacrosse, soccer, field hockey and basketball.

What is the safest sport for youth? ›

The index determined the safest sport any high school athlete can play is tennis. Overall, tennis was found to lead to low injuries, concussions, time loss due to injuries, surgery and catastrophic injuries in high school athletes.

What sports do high schoolers get concussions in? ›

The average number of head/neck injury fatalities over the entire time period was nine per year. Seventeen high school athletes died from head trauma after sustaining concussions in the days or weeks prior to their death.

What high school sports are most concussed? ›

Boys Football has the most concussion rates

Per 10,000 athletic exposures, high school football players will have an average of 11.2 concussions. This is a higher rate than both college and professional football players.

What are the top 5 sports that cause concussions? ›

Concussions occur in all sports with the highest incidence in American football, ice hockey, rugby, soccer, and basketball. In addition to concussions caused by a single severe impact, multiple minor impacts may also cause brain injury.

What sports have bad concussions? ›

The top 10 sports-related head injury categories among children ages 14 and younger:
  • Playground Equipment: 35,058.
  • Football: 31,277.
  • Basketball: 20,242.
  • Cycling: 19,921.
  • Baseball and Softball: 12,065.
  • Soccer: 12,709.
  • Swimming: 9,265.
  • Trampolines: 7,921.

How common are concussions in youth football? ›

Youth football concussion rate is 5%, study finds.

Are concussions common in youth sports? ›

One of the most common ways children and adolescents get concussions is through sports injuries. A recent review estimated that up to 3.8 million recreation- and sports-related concussions occur each year in the United States. The sport with the highest risk of concussion in high school is football.

Why are kids more at risk for concussions? ›

Children's brains do not have the amount of coating, or myelination, as adult brains. Additionally, nerve fibers in children allow more acceleration of the brain with a big hit, and because the brain is lighter than an adult brain, it can move more easily.

What is the concussion rate for youth sports? ›

The overall incidence of concussion among youth athletes was 1,250 (12.1%). The relative risk for a concussion was almost two times greater in 18-year olds than in 13-year-old athletes.

What high school sport has the highest concussion rate? ›

Football. Football is where most high school concussions happen by a wide margin. About half of those concussions in high school football occur during running plays. About 31% occur when a player is being tackled by another player, and 23% happen to a player as he tackles an opponent.

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