Relationship Between Concussion Symptom Clusters and Return-to-play Time in College Athletes with Sports-related Concussions

Relationship Between Concussion Symptom Clusters and Return-to-play Time in College Athletes with Sports-related Concussions
Author: Adrian Joseph Boltz
Publisher:
Total Pages:
Release: 2018
Genre: Brain -- Concussion
ISBN:

Objectives: To examine the relationship between Concussion Symptom Clusters (CSCs) and return-to-play time using a representative sample of U.S. college athletes with sports-related concussions. Background Recent evidence regarding concussion symptoms have been observed to be an important element of concussion severity, and potentially a predictor of return-to-play time. However, there is a paucity of data examining the associations between Concussion Symptom Clusters (CSCs) and return-to-play time in the U.S. college athlete population. Methods: Data from the 2009-2010 to 2013-2014 academic years (n=1670) were obtained from the Datalys Center for Sports Injury and Prevention Inc. database. Exploratory factor analytic methods were applied, and the resulting factors were used in multinomial regression modeling to identify associations between CSCs and return-to-play time. Results: A 4-factor solution accounted for 48.8% of the variance and included: audio-vestibular, somatic, amnesic, and affective factor structure. Audio-vestibular symptoms were associated with increased odds of prevented participation at 7-13 days, 14-29 days, greater than 30 days, and out for remainder of season, respectively (p

Sports-Related Concussions in Youth

Sports-Related Concussions in Youth
Author: National Research Council
Publisher: National Academies Press
Total Pages: 215
Release: 2014-02-04
Genre: Medical
ISBN: 0309288037

In the past decade, few subjects at the intersection of medicine and sports have generated as much public interest as sports-related concussions - especially among youth. Despite growing awareness of sports-related concussions and campaigns to educate athletes, coaches, physicians, and parents of young athletes about concussion recognition and management, confusion and controversy persist in many areas. Currently, diagnosis is based primarily on the symptoms reported by the individual rather than on objective diagnostic markers, and there is little empirical evidence for the optimal degree and duration of physical rest needed to promote recovery or the best timing and approach for returning to full physical activity. Sports-Related Concussions in Youth: Improving the Science, Changing the Culture reviews the science of sports-related concussions in youth from elementary school through young adulthood, as well as in military personnel and their dependents. This report recommends actions that can be taken by a range of audiences - including research funding agencies, legislatures, state and school superintendents and athletic directors, military organizations, and equipment manufacturers, as well as youth who participate in sports and their parents - to improve what is known about concussions and to reduce their occurrence. Sports-Related Concussions in Youth finds that while some studies provide useful information, much remains unknown about the extent of concussions in youth; how to diagnose, manage, and prevent concussions; and the short- and long-term consequences of concussions as well as repetitive head impacts that do not result in concussion symptoms. The culture of sports negatively influences athletes' self-reporting of concussion symptoms and their adherence to return-to-play guidance. Athletes, their teammates, and, in some cases, coaches and parents may not fully appreciate the health threats posed by concussions. Similarly, military recruits are immersed in a culture that includes devotion to duty and service before self, and the critical nature of concussions may often go unheeded. According to Sports-Related Concussions in Youth, if the youth sports community can adopt the belief that concussions are serious injuries and emphasize care for players with concussions until they are fully recovered, then the culture in which these athletes perform and compete will become much safer. Improving understanding of the extent, causes, effects, and prevention of sports-related concussions is vitally important for the health and well-being of youth athletes. The findings and recommendations in this report set a direction for research to reach this goal.

Return to Play and Class for Concussed College Athletes Predicted from Post-concussion Symptom Domains

Return to Play and Class for Concussed College Athletes Predicted from Post-concussion Symptom Domains
Author: Jazmin N. Mogavero
Publisher:
Total Pages: 98
Release: 2021
Genre:
ISBN:

Each year approximately 1.6 to 3.8 million people suffer a sports-related traumatic brain injury (Langlois, Rutland-Brown, & Wald, 2006). Concussions, a common form of mild traumatic brain injury, account for 75% of total brain injuries in the United States (Faul, Xu, Wald, & Coronado, 2010). In sports, concussions account for 1 of every 10 injuries (Marar, McIlvain, Fields, & Comstock, 2012). Overall, concussion symptoms typically remit within one to four weeks from injury (McCrea, 2007); however, conflict exists surrounding the duration of time that would be safe for a concussed student-athlete to return to functioning, both to sport and to class. According to the most recent evidence on concussion recovery and return to play statistics in a collegiate student-athlete population, an athlete, on average, will return to functioning within 16.1 days (McCrea et al, 2019). The primary role in evaluating collegiate sports-related concussions is to determine when and how a student-athlete should return to physical and cognitive activity. Concussions are known to result in a wide array of neurologic, somatic, cognitive, and behavioral deficits. The diagnosis of a concussion is determined by the athlete's presentation of symptoms; however, many of these symptoms are both subjective and ubiquitous. When athletes are concussed, they undergo a series of tests including a self-reported inventory of symptoms. Previous research has identified four distinct domains of symptoms endorsed by athletes on the Post-Concussion Symptom Scale (PCSS) consisting of cognitive, physical, affective, and sleep symptoms (Merritt & Arnett, 2014). The aim of this study is to critically examine post-concussive symptoms within a collegiate athlete sample and identify existing relationships between symptom clusters and recovery times. Identifying such relationships could be the first step in understanding symptom-based markers of concussion duration, which would inform the challenging return to play and return to class decisions.

Sports-Related Concussion

Sports-Related Concussion
Author: Brian Sindelar
Publisher: CRC Press
Total Pages: 448
Release: 2017-11-22
Genre: Medical
ISBN: 1351649663

This new edition reflects the explosion of knowledge in basic science and clinical care for athletes with mild traumatic brain injury or concussion. Interest in management and methodology for making diagnoses and improving the clinical outcomes have changed dramatically. All U.S. states have laws dictating how sports concussion patients are cared for and require return to play decisions be coordinated with best practice methods. Epidemiology, classification, and biology of sports concussion, as well as, brain imaging,assessment tests, neuropsychological measures, and management strategies are covered. Illustrative clinical cases, correlative examples, and historical insights are featured.

Back in the Game

Back in the Game
Author: Jeffrey S. Kutcher
Publisher: Oxford University Press
Total Pages: 273
Release: 2017
Genre: Health & Fitness
ISBN: 0190226609

The word concussion was unheard of in youth sports a decade ago. The injury was indeed occurring, but youth athletes were often told to "shake it off" after "getting their bell rung". Science and increased awareness about concussion and brain health have transformed the way youth parents, coaches, and players pursue athletics. Fear of incurring concussions, as well as incomplete or incorrect information, is leading some parents to keep their children out of contact sports, such as football and soccer, where concussion is more prevalent. Back in the Game: Why Concussion Doesn't Have to End Your Athletic Career does not dwell on perpetuating fears but, rather, provides the most up-to-date understanding of the condition. This is a real-world discussion of what science and medicine know, what parents and coaches need to understand about concussion, evaluation and treatment, and what possible post-concussive issues exist. The expertise and experiences of noted sports neurologist Jeffrey S. Kutcher, MD, along with reporting and interviews by award-winning sports journalist Joanne C. Gerstner, make this book a timely, relevant, and real discussion about concussions in youth sports. Athletes and professional coaches who have participated in the formation of this book include two-time Olympic gold medalist soccer player Kate Markgraf, former NHL/Team Canada head coach Andy Murray, champion X-Games snowboarder Ellery Hollingsworth, along with an array of youth parents, coaches, and athletes from across the country.

Psychological Aspects of Sport-Related Concussions

Psychological Aspects of Sport-Related Concussions
Author: Gordon Bloom
Publisher: Routledge
Total Pages: 320
Release: 2019-03-13
Genre: Medical
ISBN: 1351200496

Recognition of concussion as a serious injury, informed by neurological and physiological research, is now commonplace in sport. However, research on the psychology of concussive injury—its psychological implications and outcomes, and psychological interventions for prevention and recovery—has largely been overlooked. This is the first book to explicitly and authoritatively set out the psychological aspects of sport-related concussion from a multidisciplinary and global perspective The book attempts to offer a global understanding of the injury by presenting an historical overview; exploring the psychological implications of sport-related concussion and the influence of gender and sociocultural context on concussive injury and recovery; setting out practical guidance on working with special populations suffering from concussive injuries; and discussing the theoretical and methodological considerations for research on concussion and future directions for this research. Written by a group of leading international experts and offering a hitherto underdeveloped perspective on this crucial area of sports injury research, this book is crucial reading for any upper-level student, researcher, sport scientist, coach, or allied health professional working on sport-related concussion. It is also valuable reading for students and researchers interested in the psychosocial processes that impact injury and recovery or general professional practice in sport psychology.

Concussion in Sports, An Issue of Clinics in Sports Medicine

Concussion in Sports, An Issue of Clinics in Sports Medicine
Author: William P. Meehan
Publisher: Elsevier Health Sciences
Total Pages: 236
Release: 2011-01-28
Genre: Medical
ISBN: 1455709565

This issue of Clinics in Sports Medicine will explore all aspects of sports-related concussion, such as the biomechanics and epidemiology of concussions,as well as special considerations for female and pediatric athletes. The issue will also include articles on return-to-play and retiring decisions after sports-related concussions.

Concussions in Athletics

Concussions in Athletics
Author: Semyon M. Slobounov
Publisher: Springer Science & Business Media
Total Pages: 420
Release: 2014-02-20
Genre: Medical
ISBN: 1493902954

Concussions in Athletics: From Brain to Behavior is a timely and major contribution to the literature that comprehensively addresses the neuromechanisms, predispositions, and latest developments in the evaluation and management of concussive injuries. Also known as mild traumatic brain injury, concussion in athletics is a growing public health concern with increased attention focusing on treatment and management of this puzzling epidemic. Despite the increasing occurrence and prevalence of concussions in athletics, there is no universally accepted definition, or “gold standard,” for its assessment. Concussion in Athletics: From Brain to Behavior provides a range of major findings that may shed important light on current controversy within the field. The book is organized in five parts: Evaluation of Concussion and Current Development; Biomechanical Mechanisms of Concussion and Helmets; Neural Substrates, Biomarkers and Brain Imaging of Concussion Research; Pediatric Sport-related Concussions; and Clinical Management and Rehabilitation of Concussions. An invaluable contribution to the literature, Concussions in Athletics: From Brain to Behavior is a state-of-the-art reference that will be of significant interest to a wide range of clinicians, researchers, administrators, and policy makers.

Sports Medicine and Neuropsychology

Sports Medicine and Neuropsychology
Author: Eric A. Zillmer
Publisher: Psychology Press
Total Pages: 122
Release: 2016-04-15
Genre: Psychology
ISBN: 1317708016

The focus of Sports Medicine and Neuropsychology is the question of what role the neuropsychologist should have in the diagnosis, treatment, and management of sports-related concussions. The goal of this special issue is to examine the most current issues facing this growing and dynamic field of neuropsychology. The first article is dedicated to reviewing current issues in the neuropsychological assessment of concussions in sports-related events. The next paper examines data on over six million practice-and-game-exposures among athletes participating in the NCAA's Injury Surveillance System. Two contributions examine the empirical role that neuropsychologists can have in the area of concussion research. The final two papers review the advantages and limitations on computer-based assessment of sports-related concussions and discuss neuropsychology's role in return-to-play decisions following them.

Youth Sports Concussions, An Issue of Physical Medicine and Rehabilitation Clinics

Youth Sports Concussions, An Issue of Physical Medicine and Rehabilitation Clinics
Author: Stanley A. Herring
Publisher: Elsevier Health Sciences
Total Pages: 191
Release: 2011-11-28
Genre: Medical
ISBN: 1455709476

Epidemiology of Sports Concussions, Pathophysiology of Concussion in Youth, On the Field Identification and Sideline Management of Concussion, Return to Play Decisions, Diagnosis of Concussion: The Role of Imaging Now and In Future, Use of Neuropsychological Examinations, Subacute Management of Concussion Related Symptoms, Long Term Consequences: Effects on Normal Development Profile After Concussion, School and the Concussed Youth, Community Response to Concussion: Legislative Updates, Best Practices in Concussion Education and PreventionEpidemiology of Sports Concussions, Pathophysiology of Concussion in Youth, On the Field Identification and Sideline Management of Concussion, Return to Play Decisions, Diagnosis of Concussion: The Role of Imaging Now and In Future, Use of Neuropsychological Examinations, Subacute Management of Concussion Related Symptoms, Long Term Consequences: Effects on Normal Development Profile After Concussion, School and the Concussed Youth, Community Response to Concussion: Legislative Updates, Best Practices in Concussion Education and Prevention