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Evaluation of Neck Strength and Concussion Risk: A Systematic Review
Bradley Postula1, Alexander Hicks, James P Toldi
1Lincoln Memorial University, Orange Park, FL.
Current Sports Medicine Reports
|January 12, 2026
Summary
This meta-analysis found no significant link between neck strength and reduced concussion risk in athletes. More research is needed to determine if neck strengthening can prevent sports-related concussions.
Area of Science:
- Sports Medicine
- Neurology
- Biomechanics
Background:
- Concussions are a significant concern in contact sports.
- Neck strength is hypothesized to reduce head acceleration and thus concussion risk.
Purpose of the Study:
- To determine if increased neck strength reduces concussion risk in athletes through a meta-analysis.
Main Methods:
- A systematic review and meta-analysis of five relevant studies.
- Calculated standardized mean differences and 95% confidence intervals.
- Visualized data using a forest plot across five planes of motion.
Main Results:
- No statistically significant differences in neck strength were found across flexion, extension, and lateral flexion.
- A positive trend suggested increased neck strength may reduce concussion risk, indicating potential clinical significance.
Conclusions:
- Current evidence is inconclusive regarding the association between neck strength and concussion risk.
- Larger, randomized controlled trials are necessary to establish neck strengthening as a preventive strategy for concussions.
