American Football Headgear Impairs Visuomotor Drill Performance in Division I NCAA Football Athletes.

Background/Objectives: Previous evidence has shown that American football headgear (e.g., facemasks, visors/eye shields) differentially impairs reaction time (RT) to visual stimuli, most notably in peripheral fields of view. However, this has only been established with stationary RT testing, which may not translate to gameplay situations that require gross motor skills. Therefore, the purpose of this study was to build upon previous findings to elucidate the effects of various American football headgear on gross motor visuomotor drill performance. Methods: Division 1 NCAA football players (n = 16) with normal/corrected-to-normal vision participated and completed two experiments (EXP), each with differing conditions: EXP1- Varying facemask reinforcement and EXP2- Varying visor/eye shield light transmittance. In EXP1, participants completed an agility test for the following conditions: baseline/no helmet (BL), helmet + light (HL), helmet + medium (HM), and helmet + heavy (HH) face mask reinforcement. In EXP2, participants completed an agility test for the following conditions: baseline/no helmet (BL), helmet + clear visor (HCV), helmet + smoke-tinted visor (HSV), and helmet + mirrored visor (HMV). For each condition in EXP1 and EXP2, participants completed a reactive agility task using a FITLIGHT trainer system where five poles were equipped with a total of ten LED sensors and were placed in a semi-circle 1 m around a center point. Participants were asked to step and reach with their hands to hit each ten lights individually as fast as possible upon illumination. Each reactive agility test was repeated for a total of three attempts. Results: Average reaction time was analyzed and compared between conditions and according to visual fields of interest (e.g., central vs. peripheral). Results from EXP1 showed that compared to BL, reactive agility was worsened by HL (p = 0.030), HM (p = 0.034), and HH (p = 0.003) conditions. No differences between facemask conditions existed for overall performance (p > 0.05). For EXP2, HCV (p < 0.001), HSV (p < 0.001), and HMV (p < 0.001) conditions resulted in worsened reactive agility performance compared to BL. No differences between visor conditions existed for overall performance (p > 0.05). Conclusions: Overall, these findings suggest that American football headgear impairs reactive agility, which could result in worsened game performance and safety. Future studies investigating training strategies to overcome impairments are warranted.