Age of First Concussion and Cognitive, Psychological, and Physical Outcomes in NCAA Collegiate Student Athletes

Moody, Jena N; Hayes, Jasmeet P.; Buckley, Thomas A.; Schmidt, Julianne D.; Broglio, Steven P.; McAllister, Thomas W.; McCrea, Michael; Pasquina, Paul F.; Caccese, Jaclyn B.

doi:10.1007/s40279-022-01719-7

Cited by 5 publications

(4 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a large study of children and adolescents, concussion history, per se, was not a strong predictor of having symptoms lasting more than a month—but having a prior concussion with symptom duration greater than 7 days was an independent risk factor for having prolonged symptoms with their current concussion [ 46 ]. Additional data that might have prognostic value include the age at time of first concussion [ 47 , 48 ], prior concussion injury mechanisms [ 49 ], and acute symptom severity of prior concussions [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcome Following Concussion Among College Athletes with a History of Prior Concussion: A Systematic Review

et al. 2022

View full text Add to dashboard Cite

Background There is long-standing interest in, and concern about, whether collegiate athletes with a history of concussion will experience worse clinical outcomes, or prolonged recovery, should they sustain a subsequent concussion. Objectives This systematic review examined the association between prior concussion history and clinical outcomes following a subsequent sport-related concussion among college-age student athletes. Study Design Systematic review. Methods We screened 5,118 abstracts and 619 full-text articles that were appraised to determine whether they met inclusion criteria. We utilized a likelihood heuristic to assess the probability of observing a specific number of statistically significant and nonsignificant studies reporting an association between concussion history and clinical outcomes. We conducted a narrative synthesis of the study findings. Results Sixteen studies met the inclusion criteria. Thirteen studies reported the number of participants with a history of prior concussions (≥ 1), which totaled 1690 of 4573 total participants (on average 37.0% of study participants; median = 46.0%, range 5.6–63.8%). On the Newcastle–Ottawa Quality Assessment Scale, the risk of bias ratings ranged from 3 to 9 (mean = 5.4, SD = 1.4). Across all studies, 43.8% (k = 7/16) reported at least one statistically significant result among primary analyses showing an association between concussion history and worse clinical outcome. A minority of studies reporting on symptom duration (4/13, 30.8%) and time to return to play (2/7, 28.6%) found an association between concussion history and worse outcome. Studies included in the review reported limited information pertaining to the characteristics of prior concussions, such as presence or duration of loss of consciousness or posttraumatic amnesia, age at first lifetime concussion, time since most recent past concussion, or length of recovery from prior concussions. Conclusion The question of whether college athletes with a prior history of concussion have worse clinical outcome from their next sport-related concussion remains unresolved. The published results are mixed and in aggregate show modest evidence for an association. Many studies have small samples, and only three studies were designed specifically to address this research question. Important outcomes, such as time to return to academics, have not been adequately studied. Larger hypothesis-driven studies considering the number of prior concussions (e.g., 3 or more) are needed. Trial registration: PROSPERO CRD42016041479, CRD42019128300.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical Outcome Following Concussion Among College Athletes with a History of Prior Concussion: A Systematic Review

et al. 2022

View full text Add to dashboard Cite

show abstract

“…1 Researchers have suggested the use of existing postconcussion scales as screeners to identify athletes with preinjury mental health concerns. 1,14,15,[37][38][39][40][41] Reliable change indices from baseline to postconcussion have been reported for an affective symptom cluster (ie, irritability, sadness, nervousness, and feeling more emotional) in the Post-Concussion Symptom Scale (PCSS) from the Immediate Postconcussion Assessment and Cognitive Testing (ImPACT) 42 which could help identify athletes at risk for affective problems postconcussion. 43 Although promising, the aforementioned study had a small sample size (N 5 38) making it difficult to reliably use these data to identify mental health problems.…”

Section: Introductionmentioning

confidence: 99%

Screening for Anxiety and Depression Symptoms Using Concussion Symptom Scales Among Varsity Athletes

Roberts

Champigny

Feldman

et al. 2023

Clinical Journal of Sport Medicine

View full text Add to dashboard Cite

Objective: This study examined associations between Sport Concussion Assessment Tool-5 (SCAT-5) symptom reporting and gold-standard measures of anxiety and depression, and explored the utility SCAT-5 symptom subscales to identify anxiety and depression symptomology. Design: Prospective cross-sectional study. Setting: York University in Toronto, Canada. Participants: Preseason data were collected for varsity athletes (N = 296) aged between 17 and 25 years (M = 20.01 years, SD = 1.69 years; 52% male). Main Outcome Measures: The SCAT-5 symptom evaluation scale was used to assess baseline symptoms. The Generalized Anxiety Disorder Index-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) were used to assess symptoms of anxiety and depression, respectively. Results: Endorsement of SCAT-5 symptoms of feeling anxious, sadness, irritability, and feeling more emotional had the strongest correlations with the GAD-7 (r’s > 0.400; P’s < 0.001). Sadness, trouble falling asleep, concentration problems, feeling slowed down, anxious, irritability, mental fog, fatigue, and memory problems had the highest correlations with the PHQ-9 (r’s >0 .400; P’s < 0.001). The Emotional subscale from the SCAT-5 predicted mild to severe anxiety on the GAD-7 (P < 0.001). The Sleep, Cognitive, and Emotional subscales predicted mild to severe depression on the PHQ-9 (P’s < 0.05). Conclusions: These findings provide better delineation of symptoms endorsed on the SCAT-5 symptoms that aid in identification of athletes with symptoms of anxiety or depression who may be at risk for developing a clinical disorder or experiencing persistent symptoms after a concussion.

show abstract

“…If so, they may not have reported their symptoms to their parents or coaches and as a result concussion might be overlooked. Later age of first concussion is associated with less severe clinical outcomes (psychological and somatic distress) [ 13 ]. Despite the positive impact of sport on wellbeing, adult soccer players are at greater risk of developing depressive symptoms or burnout [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Primary Headaches and Physical Performance: A Professional Youth Female Soccer Team Study

et al. 2022

View full text Add to dashboard Cite

The vast majority of the research on acute post-traumatic incidents in athletes focuses on migraines. Physical exercise might reduce the frequency of migraines as well as trigger a migraine attack. The objectives of the study were to evaluate primary headache prevalence in professional young female soccer players and to assess whether headaches are related to physical performance. To the best of our knowledge, this is the first study that has considered the relationship between primary headaches and physical performance assessment. The research was conducted in 19 females aged 12–17 from a professional youth soccer academy. Players completed a questionnaire about health status and then performed laboratory physical tests (e.g., cardiopulmonary tests, countermovement and squat jumps, handgrip, sit-and-reach tests). Subsequently, players were separated into a headache group and a headache-free control group. In the analysed group, eight female players (42%) suffered from primary headaches. Among the performance parameters, a significant result was found in terms of flexibility. Females from the headache group had higher results in the sit-and-reach test than females from the control group (p = 0.029). Flexibility as well as mobility in migraine patients is an area with significant potential for further investigation, as little research has been conducted to date.

show abstract

Age of First Concussion and Cognitive, Psychological, and Physical Outcomes in NCAA Collegiate Student Athletes

Cited by 5 publications

References 50 publications

Clinical Outcome Following Concussion Among College Athletes with a History of Prior Concussion: A Systematic Review

Clinical Outcome Following Concussion Among College Athletes with a History of Prior Concussion: A Systematic Review

Screening for Anxiety and Depression Symptoms Using Concussion Symptom Scales Among Varsity Athletes

Primary Headaches and Physical Performance: A Professional Youth Female Soccer Team Study

Contact Info

Product

Resources

About