Objectives: To estimate the times taken to receive clearance to return to sporting activity and to return to pre-injury level of sport competition following sport-related concussion, and to estimate the proportion of athletes who were participating at their pre-injury level of sport competition six months and one-year following sport-related concussion.
Design: Prospective cohort study.
Methods: Amateur, adult athletes (16-38 years old) were diagnosed with sport-related concussion at a university-affiliated hospital emergency department. Participants were assessed within one-week, upon medical clearance to return to sporting activity, two weeks following return to sporting activity, six months, and 12 months following sport-related concussion. We assessed sex-, age-, and activity-matched non-injured, control participants at matched time-points. Participants were asked during each study assessment whether they were participating in any sport, in a different sport than before their sport-related concussion, in the same sport but at a lower level of competition than before their sport-related concussion, or in the same sport at the same level of competition than before their sport-related concussion.
Results: Fifty concussed participants and 50 non-injured, control participants completed the study. The median times taken to receive clearance to return to sporting activity and to return to pre-injury level of sport competition following sport-related concussion were 13 days (95%CI=12,16) and 31 days (95%CI=28,32), respectively. One-year following sport-related concussion, 52% of participants reported that they were no longer participating in the same sport and at the same level of competition as they were before their sport-related concussion, compared with only 24% of participants in the non-injured, control group (p=0.003).
Conclusions: A greater percentage of athletes in the concussion group were not participating at their perceived pre-injury level of sport competition one-year following sport-related concussion compared with a non-injured control group. Factors that explain the lower proportion of amateur athletes participating at their pre-injury level of sport competition one-year after sport-related concussion are likely multifaceted and should be considered in future investigations.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jsams.2020.12.014 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Factors Affecting Sport-Related Concussion Non-Disclosure in Women's Rugby-A Multi-Country Qualitative Analysis.
J Funct Morphol Kinesiol
December 2024
Department of Exercise Science, Thomas Jefferson University, Philadelphia, PA 19144, USA.
Collision-sport athletes, such as rugby players, are at risk of sport-related concussion (SRC). Women are known to be at higher risk of SRC and may experience more severe and chronic symptomology than men. Knowledge of the factors that affect a player's disclosure of their concussive symptoms could help to inform strategies to improve compliance with reporting and management of head injuries.
View Article and Find Full Text PDFQuantitative pupillometry as a potential biomarker in early concussion assessment.
J Clin Neurosci
December 2024
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA. Electronic address:
Background: There are limited objective methods when it comes to identifying and diagnosing concussion. Pupil assessment is performed routinely as a standard-of-care following traumatic brain injury (TBI). Unlike the highly subjective and limited reliability of pupil assessment using penlights and flashlights, Quantitative pupillometry (QP) is an established, valid, and reliable method of pupillary assessment.
View Article and Find Full Text PDFPrevailing theories describing sports-related concussion symptom reporting intent and behavior among adolescent athletes: a scoping review.
Child Neuropsychol
December 2024
Research Service, VA San Diego Healthcare System (VASDHS), San Diego, CA, USA.
Diagnosis of sports-related concussion (SRC) primarily relies on an athlete's self-report of injury and associated symptoms. Social pressures and attitudes surrounding SRC influence athlete reporting behavior. Unfortunately, underreporting of SRC symptoms is an issue among adolescent athletes.
View Article and Find Full Text PDFA tackler correctly adhering to the tackle instruction in a front-on, one-on-one torso tackle alters the peak inertial head kinematics of the ball carrier but not the tackler.
J Sci Med Sport
November 2024
World Rugby, Pty (Ltd), Ireland. Electronic address: https://twitter.com/Scienceofsport.
Objectives: To evaluate if the tackler correctly adhering, or not, to four different instructions of legal front-on one-on-one torso tackles altered the tackler and/or ball carrier peak inertial head kinematics.
Design: Controlled laboratory study.
Methods: Fifteen rugby-code players measured with three-dimensional optoelectronic motion capture performed two tackle instructions from the Australian National Rugby League coaching manual on under (Dominant National Rugby League) and over (Smother National Rugby League) the ball tackles, and two novel variants of these (under, Dominant, Torso Stick; over, Smother, Pop, Lock).
Sports Medicine Physician Confidence in Concussion Assessments for Postconcussion Return-to-Play Decisions.
Clin J Sport Med
December 2024
Sanford Orthopedics and Sports Medicine, Sanford Health, Sioux Falls, South Dakota.
Objective: To identify sport-related concussion (SRC) assessments sports medicine physicians perform and in which they place confidence when making return-to-play (RTP) decisions.
Design: Cross-sectional study.
Setting: Online survey.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!