Girls Playing High School Sports More at Risk for Brain Injuries Than Boys


Randolph, Mass. – Parents are often the strongest supporters and biggest fans of their teenagers who play competitive high school sports. Many, however, might be surprised to learn that their daughters who play high school soccer are more at risk for sustaining debilitating brain injuries than their sons who play football.

A recent study conducted at MedStar Research Institute and published in The American Journal of Sports Medicine examined three high school sports that are most similar for boys and girls – basketball, soccer, and baseball/softball – and reported that girls consistently suffered twice as many concussions as boys.

Several factors may contribute to this statistic including gender differences in head size and neck strength and girth, and the fact that girls may be more likely to report injuries.

Investigators noted that although boys’ football and lacrosse had the highest number of concussions – and football had the highest concussion rate – the concussion rates observed in girls’ sports were similar to or higher than those of boys’ sports.

Girl’s soccer had the most concussions and the second-highest incidence rate for concussion of all 12 sports that were studied. The next highest number of concussions in girls’ sports occurred in cheerleading, basketball, and lacrosse, respectively.

Concussion: A mild brain injury
“Concussion is a type of mild traumatic brain injury (TBI) caused by a bump, blow, or jolt to the head,” explains Gary Pace, Ph.D., Supervising Psychologist for May Institute’s school for children and adolescents with brain injury. “Approximately 300,000 sports-related concussions occur annually, and more than 60,000 of those occur in high school contact sports.”

The MedStar study reported an annual 16.5% increase in concussions over the past decade in both boys’ and girls’ sports, with a substantial increase beginning in 2005.

“This is an alarming trend and one that athletes, parents, coaches, and medical professionals must take seriously,” says Dr. Pace. “Few people realize how pervasive sports concussions have become, especially in younger athletes and female athletes.”

Diagnosing concussion
According to the Brain Injury Association of Massachusetts, concussion can be difficult to diagnosis, especially if an athlete never loses consciousness and does not exhibit obvious symptoms. Neurological exams such as CAT (computerized axial tomography) scans, MRIs (magnetic resonance imaging) or EEGs (electroencephalograms) cannot always detect mild brain injuries. Neuropsychological testing is one of the most effective ways to identify concussion.

Athletes with concussion may experience a wide variety of cognitive, emotional, and physical problems. Common symptoms include:

• Headache or nausea
• Balance problems or confusion
• Memory problems
• Loss of consciousness
• Double or fuzzy vision
• Sensitivity to light or noise
• Sluggish or foggy feeling
• Changes in sleep pattern
• Memory problems

Parents and coaches may notice that the athlete:

• Appears dazed, stunned, or confused
• Moves clumsily
• Forgets events prior to play or after being hit
• Answers questions slowly
• Shows behavior or personality change

It is important to note that boys and girls who have concussions may experience different symptoms. A study published in the Journal of Athletic Training in 2010 found that although the most common symptom of concussion for both sexes is headache, boys and girls complained of different secondary symptoms. For example, boys were more than twice as likely than girls to report amnesia as one of their symptoms; girls were three times more likely than boys to complain of sensitivity to noise after being hit in the head.

“Learning the facts about concussions – including what signs and symptoms to watch for in girls and boys – is the first step in protecting these youngsters from permanent brain damage or death,” Dr. Pace says. “Any athlete who has experienced a TBI – even a mild one – needs prompt attention and rehabilitative treatment in order to recover fully.”

Dr. Gary Pace is Senior Vice President of May Institute’s Neurorehabilitative Services and Supervising Psychologist for the Institute’s school for children and adolescents with brain injury in Brockton, Mass. He can be contacted at (508) 588-8800. For more information, contact the May Institute at 800-778-7601 or

Facebook Twitter LinekdIn YouTube Flickr Issuu


May Institute does not discriminate on the basis of race, color, religion, ancestry, national origin, age, physical or mental disability, sex/gender, gender identity, sexual orientation, military status, veteran status, genetic information, pregnancy, pregnancy-related conditions, marital status, socioeconomic status, homelessness, or any other category protected under applicable law in treatment or employment at the Institute, admission or access to the Institute, or any other aspect of the educational programs and activities that the Institute operates. The Institute is required by Title VI of the Civil Rights Act of 1964 (Title VI), Section 504 of the Rehabilitation Act of 1973 (Section 504), Title IX of the Education Amendments of 1972 (Title IX), the Age Discrimination Act of 1975 (Age Act), and their respective implementing regulations at 34 C.F.R. Parts 100, 104, 106 and 110, not to discriminate on the basis of race, color, or national origin (Title VI); disability (Section 504); sex (Title IX); or age (Age Act). Inquiries concerning the application of each of these statutes and their implementing regulations to the Institute may be referred to the U.S. Department of Education, Office for Civil Rights, at (617) 289-0111 or 5 Post Office Square, 8th Floor, Boston, MA 02109-3921, or to Terese Brennan - Compliance Officer, at 1-888-664-9870 or or May Institute 14 Pacella Park Drive, Randolph, MA 02368.