Performance of sport at elite level creates enormous demands on the physiology. However, unless damage obviously impacts on performance, it can be ignored in preference to the resolution of the more noticeable problems. We have shown the impact of this in relation to changes in the functional capacity of the cervical spine in rugby (Lark and McCarthy; 2007, 2010). The study presented here initially arose from observations when sourcing suitable control groups for the rugby study. The protocol used in this study is the same as that described previously (Lark and McCarthy, 2007). Over the period spring 2012 to autumn 2014 elite participants in a range of sports (see Table 1) were invited, via their coaches, to take part in this study. Exclusion criteria included: current neck pain or trauma, previous surgery, current or previous serious pathology/trauma to the cervical spine. A cervical range of motion device (CROM device; Performance Attainment Associates, Minnesota, USA: Capuano-Pucci et al., 1991) was used to measure active cervical range of motion (ACROM) following a standardised warm up procedure. Full flexion and full extension were measured from the subject’s neutral point, in alternating order, to reduce potential order effects. Ethical approval was granted by the Faculty of Health Science and Sport’s Ethics Committee, University of Glamorgan, written informed consent was obtained from each participant. These findings confirm that playing elite contact sports such as rugby, both union and league and ice hockey can be associated with a decrease in ACROM. Swimmers appear to generally have the greater ACROM. In the case of helmet wearing sports such as American Football and Ice Hockey, these players appear to have an altered head neutral position.