BMJ: Research: Head and neck injury risks in heavy metal:

Young people at heavy metal concerts often report being dazed and confused, possible symptoms of mild traumatic brain injury. Little formal injury research has been conducted on the world wide phenomenon of head banging, even though case reports indicate the inherent risks in this activity, especially in head and neck injury. Head banging is a violent activity associated with hard rock and various subgenres of heavy metal. Over the past five years hard rock and heavy metal have contributed to about 30% of all record sales in the United States1 and, as of 2002, rock albums have outsold pop albums.2 The second highest selling album of all time is AC/DC’s Back in Black, which has sold about 42 million copies worldwide.3 Two slightly more recent albums, Bon Jovi’s Slippery When Wet and Guns N’ Roses’ Appetite for Destruction, have each sold about 28 million copies.4 5 Though exposure to head banging is enormous, opportunities are present to control this risk–for example, encouraging bands such as AC/DC to play songs like “Moon River” as a substitute for “Highway to Hell”; public awareness campaigns with influential and youth focused musicians, such as Sir Cliff Richard; labelling of music packaging with anti-head banging warnings, like the strategies used with cigarettes; training; and personal protective equipment.

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