Football

Helmetless Tackling Training Cuts Head Impacts by Up to 37% in High School Football

Study led by Dr. Gerard Gioia shows coaching reforms can dramatically reduce concussion risk while preserving sport benefits

A recent study published in the Journal of Athletic Training and honored with the 2025 Outstanding Research Manuscript Award reveals that a 12‑week helmet‑less tackling and blocking curriculum can slash head impacts by roughly one‑third in high school football. The research, led by Dr. Gerard Gioia of Children’s National, underscores how coaching methods directly shape the repetitive impacts linked to concussion risk and long‑term brain health.

A Data‑Driven Approach to Safer Play

The investigation tracked 496 varsity and junior varsity athletes from high schools on Oahu, Hawaii, over three seasons. Each player wore sensor‑equipped helmets that logged the frequency and force of every impact. During years two and three, participating teams integrated ten helmet‑less tackling drills drawn from rugby techniques, emphasizing proper body positioning and contact points.

Athletes who completed at least 60 % of the training experienced a 34 % to 37 % reduction in head impacts per athletic exposure compared with peers who did not undergo the program. The greatest gains were observed for impacts to the top and sides of the head, the regions most commonly associated with concussive events.

Scaling Up Safety Initiatives

Dr. Gioia, who directs concussion management for the Howard County Public School System, plans to roll out the HuTT program across all 13 district high schools. The effort is anchored in the SCORE program at Children’s National, which advances pediatric concussion care through tailored assessment tools, treatment strategies, and return‑to‑school protocols. Future work will explore which physical, behavioral, and cognitive traits enable children aged 8 to 13 to master safer tackling techniques most effectively.

Beyond the laboratory, the findings suggest that evidence‑based coaching can make football safer while preserving its physical, social, and developmental benefits for youth athletes. By coupling rigorous data collection with practical on‑field instruction, the study offers a replicable model for other districts seeking to protect young players without diluting the sport’s positive impact.

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