Concussion in Motorsport? Experience, Knowledge, Attitudes, and Priorities of Medical Personnel and Drivers

Adams, Stephanie; Turner, Anthony P.; Richards, Hugh; Hutchinson, Peter J.

doi:10.1097/jsm.0000000000000647

Cited by 9 publications

(8 citation statements)

References 35 publications

(55 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This evidence, demonstrating improvements in concussion knowledge following the workshop programme extends findings from cross-sectional motorsport survey data (24,43). The decrease in knowledge scores between posttest and follow-up is consistent with previous studies (8,44); however, importantly, follow-up levels remained statistically better than baseline, with large effect sizes.…”

Section: Concussion Knowledgesupporting

confidence: 77%

“…Terminology was adapted to suit the motorsport context (e.g. 'athletes' to 'drivers'; 'return to a game' to 'return to an event') (24). Knowledge and attitudes were also assessed qualitatively through semi-structured interviews.…”

Section: Concussion Knowledge and Attitudesmentioning

confidence: 99%

“…A population that could derive high benefit from a focus on NfC is motorsport (e.g., F1, rally, karting). The incidence of concussion in motorsport drivers is rising and high compared to other high-risk sports (24)(25)(26)(27). Reported incidence varies from 6.3% to 35% (26).…”

Section: Introductionmentioning

confidence: 99%

“…Further, despite the enormous G-forces exerted on the athletes (herein referred to as drivers), evident risks and highly publicized concern for driver safety (26,27), there is no published research on concussion education programs in motorsport. Unlike other sports where concussions are also common (e.g., rugby, football), motorsport drivers often travel to and from races independently without support (e.g., coach, family member), and the availability of onsite medical personnel/resources varies widely by region, race series, and level (24,27). Our survey research on concussion in UK motorsport evidences the need for concussion education in motorsport (24), with reported increases in incidence (26) but also a lack of knowledge and mixed attitudes in drivers (24).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Concussion Education Programme for Motorsport Drivers: A Field-Based Exploratory Pilot Study

et al. 2021

Self Cite

View full text Add to dashboard Cite

Objective: Concussion education strategies that improve knowledge and attitudes long term are needed. This exploratory study piloted an interactive concussion education program, adopting concepts from the learning sciences and attitude change literature, for the underserved and high-risk population of motorsports. Method: Forty UK motorsport drivers (ages 16-20 years) participated. The workshop group received a two-phased workshop-based program. The comparison group received a concussion leaflet. Participants completed an adapted version of the Rosenbaum Concussion Knowledge and Attitudes Survey (RoCKAS-ST) at pre-, post-and 2-month follow-up. Within-group analysis for the workshop group explored the differential effect of the individual difference variable, Need for Cognition (NfC), and effectiveness was explored through post-workshop questionnaires and interviews. Results: Unlike the comparison group, the workshop group showed a significant improvement in knowledge over time (F(2,58) = 45.49, p < .001, η2 p = .61). Qualitative data indicated workshop-program participants developed safer attitudes toward concussion following programming. Preliminary evidence suggested individuals' responses to concussion education aligned with differences in NfC. Conclusion:This study piloted the first concussion education program for motorsport drivers and explored whether aligning educational provision with the NfC construct may help to improve program effectiveness. Findings are relevant to addressing the public health issue of concussion through educational approaches.

show abstract

Section: Concussion Knowledgesupporting

confidence: 77%

Section: Concussion Knowledge and Attitudesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Concussion Education Programme for Motorsport Drivers: A Field-Based Exploratory Pilot Study

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

“…The identification of discrepancies between knowledge and attitudes and behaviors such as health care seeking reflects findings from other sports such as motorsports. For example, one study using qualitative interviews revealed discrepancies between drivers and medical personnel regarding concussion (26). In contrast, there appears to be a clearer link between concussion knowledge and behaviors such as concussion reporting (17).…”

Section: Seeking Medical Treatmentmentioning

confidence: 99%

Knowledge, attitudes, and behavior toward concussion in adult cyclists

et al. 2020

View full text Add to dashboard Cite

Objective: To determine knowledge, attitudes, and behavior toward concussion in cyclists and to identify predictors of concussion knowledge. Methods: Cycling organizations sent members a web link to online information about the study and a questionnaire. Anyone aged >16 years, living in New Zealand and engaged in a cycling activity was invited to participate. The 36-item questionnaire included sociodemographics, knowledge about concussion, helmet use, and personal concussion history. Data were collected between 15/05/19 and 30/06/19. A multiple linear regression model identified factors associated with levels of concussion knowledge. Results: The questionnaire was completed by 672 participants aged between 16 and 82 years (x̄ = 48.6 years). Knowledge of concussion was high. However, knowledge that helmets are not able to prevent concussion was low and time to return to sport after injury was variable. Knowledge did not always translate to seeking of medical attention or replacement of helmet behavior. Younger age and having sustained at least one prior concussion were associated with higher levels of concussion knowledge F(df = 3) = 8.81, p < .001. Conclusions: Knowledge and attitudes toward concussion were positive. However, knowledge gaps and discrepancies between attitudes and behavior were identified. Consistent, clear messages are needed around return to sport timeframes.

show abstract

Longitudinal Outcomes of Cumulative Impact Exposure on Oculomotor Functioning in Professional Motorsport Drivers

et al. 2023

View full text Add to dashboard Cite

ImportanceProfessional motorsport drivers are regularly exposed to biomechanical forces comparable with those experienced by contact and collision sport athletes, and little is known about the potential short-term and long-term neurologic sequelae.ObjectiveTo determine whether cumulative impact exposure is associated with oculomotor functioning in motorsport drivers from the INDYCAR professional open-wheel automobile racing series.Design, Setting, and ParticipantsThis is a longitudinal retrospective cohort study conducted across 3 racing seasons (2017-2019). Statistical analyses were conducted in November 2021. Data were retrieved from a secondary care setting associated with the INDYCAR series. INDYCAR series drivers who participated in 3 professional level racing seasons and were involved in at least 1 contact incident (ie, crash) in 2 of the 3 seasons were included in the study.ExposureCumulative acceleration and deceleration forces and total contact incidents (ie, crashes) measured via accident data recorder third generation chassis and ear accelerometers.Main Outcomes and MeasuresPostseries oculomotor performance, including predictive saccades, vergence smooth pursuit, and optokinetic nystagmus, was measured annually with a head-mounted, clinical eye tracking system (Neurolign Dx 100).ResultsThirteen drivers (mean [SD] age, 29.36 [7.82] years; all men) sustained median resultant acceleration forces of 38.15 g (observed range, 12.01-93.05 g; 95% CI, 30.62-65.81 g) across 81 crashes. A 2-way multivariate analysis of variance did not reveal a statistically significant association between ear and chassis average resultant g forces, total number of contact incidents, and racing season assessed (F9,12 = 0.955; P = .54; Wilks Λ = 0.44).Conclusions and RelevanceIn this cohort study of professional drivers from the INDYCAR series, there were no statistically significant associations among cumulative impact exposure, racing season assessed, and oculomotor performance. Longitudinal studies across racing seasons using multidimensional examination modalities (eg, neurocognitive testing, advanced imaging, biomarkers, and physical examination) are critical to understand potential neurological and neurobehavioral sequelae and long-term consequences of cumulative impact exposure.

show abstract

Concussion in Motorsport? Experience, Knowledge, Attitudes, and Priorities of Medical Personnel and Drivers

Cited by 9 publications

References 35 publications

A Concussion Education Programme for Motorsport Drivers: A Field-Based Exploratory Pilot Study

A Concussion Education Programme for Motorsport Drivers: A Field-Based Exploratory Pilot Study

Knowledge, attitudes, and behavior toward concussion in adult cyclists

Longitudinal Outcomes of Cumulative Impact Exposure on Oculomotor Functioning in Professional Motorsport Drivers

Contact Info

Product

Resources

About