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Return to Full Participation Following Concussion in the National Football League, 2015 Through 2020. | LitMetric

AI Article Synopsis

  • The study aimed to assess the impact of concussions on NFL players from 2015 to 2020, focusing on days and games missed, injury burden, and return-to-full-participation (RTFP) time.
  • Annually, an average of 3,639 player-days and 255 games were missed due to concussions, with players missing a median of 9 days before returning, showing slight variations by position.
  • The results indicated that 59% of players missed at least one game post-concussion, and none returned on the same day of injury, highlighting the need for further research into concussions that lead to longer recovery times.

Article Abstract

Objective: Quantify days missed, games missed, injury burden, and time to return to full participation (RTFP) among National Football League (NFL) players who sustained a concussion.

Design: Retrospective cohort study.

Setting: 2015 through 2020 NFL seasons.

Participants: National Football League players diagnosed with a concussion from 2015 to 2020.

Interventions: National Football League-mandated graduated RTFP protocol.

Main Outcome Measures: Days missed, games missed, burden, and time to RTFP, overall and by position.

Results: An annual average of 3639 player-days of participation and 255 games were missed across NFL because of concussion. Concussed players missed a median of 9 days (mean = 15.0), a relatively stable metric over 6 years, with slight variation by position. Offensive linemen, tight ends, running backs, and linebackers missed the most days per concussion; defensive secondary, offensive linemen, and wide receivers sustained the highest injury burden. Postconcussion, 59% of players missed one or more scheduled games. Among players concussed in a Sunday game, 38% played in a Sunday game one week later.

Conclusions: The 9-day median time missed post-concussion may be related to emphasis on graduated phase-based concussion management. No concussed player returned to competition on the day of injury, and less than 40% participated in games the following week. Further work is needed to better understand characteristics of concussions that take longer to return and movement through stages of return.

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Source
http://dx.doi.org/10.1097/JSM.0000000000001050DOI Listing

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