Would neck strengthening prevent brain damage in young soccer players?

The long-term effects of heading the ball on the brain have been fiercely debated. One study looking at the ball’s impact on the head equated the force to that of a punch to the head. Studies looking at the players themselves and the act of heading the ball have shown conflicting data.

Concussions are increasingly recognized as a concern in soccer, especially in girls’ soccer. The effects of concussions are believed to be worse for younger soccer players as well.

One of the theories as to why heading in particular would be worrisome for young soccer players is that they have less neck strength than older players. Would a cervical muscle strengthening program help protect young players from the effects of heading a soccer ball?

Also read:
Traumatic brain injuries in sports are on the rise
Are Abby Wambach’s headers dangerous to emulate?

Effect of neck strength and heading

Heading soccer ballA new study in the journal Sports Health looked at neck strength in college soccer players. Zachary Dezman, MD and colleagues measured players’ neck flexion and extension strength while they headed a soccer ball in a lab.

They found that players with balanced or symmetrical strength between their neck extension muscles and neck flexion muscles experience lower head acceleration at low ball velocities. In theory, balanced neck muscle strength might lessen the sudden flexion and extension movements the head makes during heading. Potentially it could decrease any long-term trauma on the brain.

Now it is worth pointing out that this study was performed on college athletes and not youth players. It does at least suggest, though, that there might be a role for a basic neck strengthening program as part of an overall injury prevention program in youth soccer.

Also read:
Repetitive heading in soccer: Does it cause brain damage after all?
Are soccer headers equal to punches to the head?


Soccer headerCoaches and parents should also consider a number of strategies to minimize risks from heading the ball.

• Teach proper heading techniques.
• Use the correct size balls for the ages of the players and don’t over inflate them.
• Give kids two to three months away from soccer each year.

The idea of taking a few months off of soccer might seem counterproductive to parents seeking soccer achievement and advancement for the kids. But that time out of soccer can decrease the repetitive stress on the bones and joints of the lower body. It can also give these young soccer players’ brains time to rest and recover.

Does heading the ball worry you? Should we prevent heading under a certain age? Or are there other steps we can take to make it safer? Share your thoughts below!

Dezman ZDW, Ledet EH, Kerr HA. Neck Strength Imbalance Correlates With Increased Head Acceleration in Soccer Heading. Sports Health. Published online before print March 20, 2013.

5 Responses to Would neck strengthening prevent brain damage in young soccer players?

    • I’m from Spain. As you know Europeans play futbol and more futbol since they are little. Right now 3/4 of Europeans should have any type of brain injury.
      This research paper only did flexion and extension of the cervical spine.
      A more complete head-spine-core program should be performed. In addition, reaction time program should be added to the strength program in order to create strength an stiffness to the spine when the ball is hitting with the head.

Leave a reply

Please note: I cannot and will not provide specific medical information within these comments, just as I won't anywhere else. Also, I reserve the right to delete comments that are offensive, off-topic, or spam. If you have questions, please read My Comments Policy.

david-headshot I am an orthopaedic surgeon and sports medicine specialist in Charleston, South Carolina.

On this blog, on my podcast, and in articles for numerous publications and in media interviews, I aim to provide you leading commentary and education on injury treatment and prevention to keep you performing at your best! Learn more about me >>


I'm excited to help with information and interviews for print, radio, television, and online media. Media information >>


Writing I write articles and columns for a number of publications and organizations. Writing information >>
Sports Medicine Simplified: A Glossary of Sports Injuries, Treatments, Prevention and Much More

Learn more about the glossary >>
© 2017 Dr. David Geier Enterprises, LLC

Site Designed by Launch Yourself