Estimated Duration of Continued Sport Participation Following Concussions and Its Association with Recovery Outcomes in Collegiate Athletes: Findings from the NCAA/DoD CARE Consortium

Eagle, Shawn R.; Asken, Breton M; Trbovich, Alicia; Houck, Zachary M; Bauer, Russell M.; Clugston, James R.; Broglio, Steven P.; McAllister, Thomas W.; McCrea, Michael; Pasquina, Paul F.; Collins, Michael W.; Kontos, Anthony P.

doi:10.1007/s40279-022-01668-1

Cited by 8 publications

(4 citation statements)

References 27 publications

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“…29,38 It is crucial that coaches and health care providers remain highly vigilant for concussive symptoms, as gymnasts may play through pain, worsening their symptoms and ultimately prolonging their recovery time. 2,9 All concussions resulted in missed time, but in 73.9% of concussions, the athlete was able to return the same season. Return to sport after concussion for gymnasts may be particularly challenging, as the athlete must return to not only high-impact activities, but also activities that involve positions of inversion, twisting, and air awareness, all of which can worsen postconcussive symptoms.…”

Section: Discussionmentioning

confidence: 99%

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Multicenter Analysis of the Epidemiology of Injury Patterns and Return to Sport in Collegiate Gymnasts

Trikha

Greig

Shi

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Gymnastics requires intense year-round upper and lower extremity strength training typically starting from an early age. As such, the injury patterns observed in these athletes may be unique. Purpose: To characterize the types of injuries and provide return-to-sport data in male and female collegiate gymnasts. Study Design: Descriptive epidemiology study. Methods: A conference-specific injury database was utilized to perform a retrospective review of injuries for male and female National Collegiate Athletic Association (NCAA) Division I gymnasts within the Pacific Coast Conference between 2017 and 2020 (N = 673 gymnasts). Injuries were stratified by anatomic location, sex, time missed, and injury diagnoses. Relative risk (RR) was used to compare results between sexes. Results: Of the 673 gymnasts, 183 (27.2%) experienced 1093 injuries during the study period. Injuries were sustained in 35 of 145 male athletes (24.1%) as compared with 148 of 528 female athletes (28.0%; RR, 0.86 [95% CI, 0.63-1.19]; P = .390). Approximately 66.1% (723/1093) of injuries occurred in a practice setting, compared with 84 of 1093 injuries (7.7%) occurring during competition. Overall, 417 of 1093 injuries (38.2%) resulted in no missed time. Shoulder injuries and elbow/arm injuries were significantly more common in male versus female athletes (RR, 1.99 [95% CI, 1.32-3.01], P = .001; and RR, 2.08 [95% CI, 1.05-4.13], P = .036, respectively). In total, 23 concussions affected 21 of 673 athletes (3.1%); 6 concussions (26.1%) resulted in the inability to return to sport during the same season. Conclusion: For the majority of musculoskeletal injuries, the gymnasts were able to return to sport during the same season. Male athletes were more likely to experience shoulder and elbow/arm injuries, likely because of sex-specific events. Concussions occurred in 3.1% of the gymnasts, highlighting the need for vigilant monitoring. This analysis of the incidence and outcomes of injuries observed in NCAA Division I gymnasts may guide injury prevention protocols as well as provide important prognostic information.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Multicenter Analysis of the Epidemiology of Injury Patterns and Return to Sport in Collegiate Gymnasts

Trikha

Greig

Shi

et al. 2023

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

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“… 5 , 6 Prior research has shown that cognition, balance, and mobility all suffer after sustaining concussion injuries and do so at varying rates. 7 , 8 …”

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confidence: 99%

“…5,6 Prior research has shown that cognition, balance, and mobility all suffer after sustaining concussion injuries and do so at varying rates. 7,8 Three distinct sensory systems-somatosensory, visual, and vestibular-are integrated to maintain balance, which is a complex task. Normal balancing can be preserved even when one sensory system is disabled.…”

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confidence: 99%

Characteristics of the Functional Gait Assessment in adolescents with concussion

Alkathiry

2023

NSJ

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Objectives: To assesse the characteristics and validity of the Functional Gait Assessment (FGA). Concussion is a frequent brain injury that affect cognition, balance, and mobility. Prediction of the course of recovery after concussion could be achieved using a multidimensional examination. The FGA has been used to assess balance of individuals with concussion. Methods: A prospective cross-sectional study was commenced between 2015-2020 in Pittsburgh, PA, USA, including 27 high schoolers with current complaints of concussion and 86 healthy controls. Participants in both groups provided demographics and completed FGA, Gait Disorientation Test (GDT), and Gait Speed (GS) tests. Results: The FGA test correlated significantly with the GS and GDT. The FGA score in adolescents with concussion was significantly lower than healthy controls (U=1574.5, p =0.004). An FGA score less than 27 indicated a positive concussion injury with a sensitivity of 0.33 and a specificity of 0.92. The FGA showed a diagnostic odds ratio of 5.64. The positive and the negative likelihood ratios were of 3.03 and 0.54, respectively. For adolescents with concussion, the FGA showed no floor effect; however, a small ceiling effect (11.1%) was observed. Conclusion: The FGA was valid and feasible to assess concussion injuries. It should be noted that a full score on the FGA should not be interpreted as full recovery from a concussion injury.

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The Interval Between Concussions Does Not Influence Time to Asymptomatic or Return to Play: A CARE Consortium Study

Shumski,

Eagle,

Kontos

et al. 2024

Sports Med

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Estimated Duration of Continued Sport Participation Following Concussions and Its Association with Recovery Outcomes in Collegiate Athletes: Findings from the NCAA/DoD CARE Consortium

Cited by 8 publications

References 27 publications

Multicenter Analysis of the Epidemiology of Injury Patterns and Return to Sport in Collegiate Gymnasts

Multicenter Analysis of the Epidemiology of Injury Patterns and Return to Sport in Collegiate Gymnasts

Characteristics of the Functional Gait Assessment in adolescents with concussion

The Interval Between Concussions Does Not Influence Time to Asymptomatic or Return to Play: A CARE Consortium Study

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