Do Guardian Caps Help Reduce Concussion?

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You may have noticed the large puffy extensions on some football helmets in recent years. They are kind of hard to miss. The NFL recommended the Guardian Caps to certain positions for preseason in 2022 and extended their use recently now allowing them for use in regular and postseason play for the 2024 season. While uptake was much lower in the regular season than preseason, the big question is, do they help reduce the likelihood of getting a concussion? As with most NFL data, we don’t have that readily publicly available, and it typically isn’t published.

With the NFL adopting something, that typically trickles down to the levels below. No question I’ve seen more high school and younger teams adopting the Guardian Caps as well. What do we know about concussions at that level? Today on the podcast I have the lead author from a recently published article which also won the award for the best research article at the AMSSM annual meeting in 2024 about Guardian Caps to discuss their findings.

 

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Links from this Episode:

— Dr. Mark Halstead: On the WebOn Twitter
— Hammer E, Mosiman S, Joachim MR, Taylor E, Cordum A, Brooks MA, McGuine T. The association between Guardian Cap use during practices and sport-related concussion risk in high school American football players. Br J Sports Med. 2025 Jan 28:bjsports-2024-108945. doi: 10.1136/bjsports-2024-108945. Epub ahead of print. PMID: 39875183. https://pubmed.ncbi.nlm.nih.gov/39875183/
— Sinnott AM, Chandler MC, Van Dyke C, Mincberg DL, Pinapaka H, Lauck BJ, Mihalik JP. Efficacy of Guardian Cap Soft-Shell Padding on Head Impact Kinematics in American Football: Pilot Findings. Int J Environ Res Public Health. 2023 Oct 28;20(21):6991. doi: 10.3390/ijerph20216991. PMID: 37947549; PMCID: PMC10650906. https://pubmed.ncbi.nlm.nih.gov/37947549/
— Quigley KG, Hopfe D, Fenner M, Pavilionis P, Owusu-Amankonah V, Islas A, Murray NG. Preliminary Examination of Guardian Cap Head Impact Kinematics Using Instrumented Mouthguards. J Athl Train. 2024 Jun 1;59(6):594-599. doi: 10.4085/1062-6050-0136.23. PMID: 37734732; PMCID: PMC11220776. https://pubmed.ncbi.nlm.nih.gov/37734732/
— Breedlove KM, Breedlove E, Nauman E, Bowman TG, Lininger MR. The Ability of an Aftermarket Helmet Add-On Device to Reduce Impact-Force Accelerations During Drop Tests. J Athl Train. 2017 Sep;52(9):802-808. doi: 10.4085/1062-6050-52.6.01. Epub 2017 Aug 3. PMID: 28771033; PMCID: PMC5634228. https://pubmed.ncbi.nlm.nih.gov/28771033/
— Stark NE, Begonia MT, Jung C, Rowson S. How Shell Add-On Products Influence Varsity Football Helmet Performance? Ann Biomed Eng. 2024 Nov;52(11):2923-2931. doi: 10.1007/s10439-024-03627-5. Epub 2024 Oct 2. PMID: 39356379; PMCID: PMC11511751. https://pubmed.ncbi.nlm.nih.gov/39356379/
— Bailey AM, Funk JR, Crandall JR, Myers BS, Arbogast KB. Laboratory Evaluation of Shell Add-On Products for American Football Helmets for Professional Linemen. Ann Biomed Eng. 2021 Oct;49(10):2747-2759. doi: 10.1007/s10439-021-02842-8. Epub 2021 Aug 10. PMID: 34378120. https://pubmed.ncbi.nlm.nih.gov/34378120/

 

 

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The Host of this Program:

Dr. Mark Halstead - Host of The Pediatric Sports Medicine Podcast - St. Louis, MOMark Halstead: 

Dr. Mark Halstead received his medical degree from the University of Wisconsin Medical School. He stayed at the University of Wisconsin for his pediatric residency, followed by a year as the chief resident. Following residency, he completed a pediatric and adult sports medicine fellowship at Vanderbilt University. He has been an elected member to the American Academy of Pediatrics (AAP) Council on Sports Medicine and Fitness and the Board of Directors of the American Medical Society for Sports Medicine (AMSSM). He has served as a team physician or medical consultant to numerous high schools, Vanderbilt University, Belmont University, Washington University, St. Louis Cardinals, St. Louis Blues, St. Louis Athletica, and St. Louis Rams. He serves and has served on many local, regional and national committees as an advisor for sports medicine and concussions. Dr. Halstead is a national recognized expert in sport-related concussions and pediatric sports medicine.

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The Guest Featured Inside this Program:

Erin Hammer - A Guest on The Pediatric Sports Medicine PodcastErin Hammer: 

Dr. Erin Hammer is an assistant professor in the Departments of Family Medicine and Orthopedics and Rehabilitation at the University of Wisconsin-Madison. She is a faculty member of the primary care sports medicine fellowship and directs the ultrasound curriculum for fellows at UW-Madsion. Dr. Hammer is the team physician for Badger football and wrestling. She also serves as a team physician for U.S. Ski and Snowboard’s cross-country ski team. Additionally, Dr. Hammer serves on the American Board of Family Medicine (ABFM) sports medicine Certificate of Added Qualifications (CAQ) exam writing committee. Her research interests include topics centered around health and safety promotion for athletes.

— Dr. Erin Hammer: On the Web