Factors Associated With Musculoskeletal Injuries in Children and Adolescents With Attention-Deficit/Hyperactivity Disorder

Guy, Jeffrey A.; Knight, Lisa; Wang, Yinding; Jerrell, Jeanette M.

doi:10.4088/pcc.16m01937

Cited by 11 publications

(7 citation statements)

References 34 publications

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“…Dual-task neuromuscular deficits often go unrecognized as they are not a part of routine clinical care [6]. Because neuromuscular [47, 48] and attention [49] deficits are established risk factors for future injury, persistent neuromuscular control and/or attentional deficits that exist after a concussion may be modulating risk factors for sustaining a musculoskeletal injury upon returning to full athletic participation.…”

Section: Discussionmentioning

confidence: 99%

“…Deficits in neuromuscular control [47, 48] and attention [49] have been linked to an increased risk of musculoskeletal injury independent of concussion. These abilities are not routinely assessed in return-to-play evaluations [5, 6] and residual deficits have been frequently identified using instrumented measures after clinical recovery [30, 31, 42, 50–53].…”

Section: Introductionmentioning

confidence: 99%

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Neuromuscular Control Deficits and the Risk of Subsequent Injury after a Concussion: A Scoping Review

et al. 2018

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An emerging area of research has identified that an increased risk of musculoskeletal injury may exist upon returning to sports after a sport-related concussion. The mechanisms underlying this recently discovered phenomenon, however, remain unknown. One theorized reason for this increased injury risk includes residual neuromuscular control deficits that remain impaired despite clinical recovery. Thus, the objectives of this review were: (1) to summarize the literature examining the relationship between concussion and risk of subsequent injury and (2) to summarize the literature for one mechanism with a theorized association with this increased injury risk, i.e., neuromuscular control deficits observed during gait after concussion under dual-task conditions. Two separate reviews were conducted consistent with both specified objectives. Studies published before 9 December, 2016 were identified using PubMed, Web of Science, and Academic Search Premier (EBSCOhost). Inclusion for the objective 1 search included dependent variables of quantitative measurements of musculoskeletal injury after concussion. Inclusion criteria for the objective 2 search included dependent variables pertaining to gait, dynamic balance control, and dual-task function. A total of 32 studies were included in the two reviews (objective 1 n = 10, objective 2 n = 22). According to a variety of study designs, athletes appear to have an increased risk of sustaining a musculoskeletal injury following a concussion. Furthermore, dual-task neuromuscular control deficits may continue to exist after patients report resolution of concussion symptoms, or perform normally on other clinical concussion tests. Therefore, musculoskeletal injury risk appears to increase following a concussion and persistent motor system and attentional deficits also seem to exist after a concussion. While not yet experimentally tested, these motor system and attentional deficits may contribute to the risk of sustaining a musculoskeletal injury upon returning to full athletic participation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Neuromuscular Control Deficits and the Risk of Subsequent Injury after a Concussion: A Scoping Review

et al. 2018

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“…Local epidemiological studies have shown that depressive symptomatology is related with musculoskeletal disorders and pain [3,28]. Contrary to what may be expected, ADHD was inversely related with age-adjusted DALYs due to MSK disorders [29,30]. The latter could be attributed to the application of univariate correlation analysis that did not take into account the effect of other confounders such as ADHD medication and other medical conditions.…”

Section: Discussionmentioning

confidence: 89%

Mental Disorders, Musculoskeletal Disorders and Income-Driven Patterns: Evidence from the Global Burden of Disease Study 2017

Tyrovolas

Moneta

Giné-Vázquez

et al. 2020

JCM

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Background: The aim of the present study was to use the extensive Global Burden ofDiseases, Injuries, and Risk Factors Study (GBD) database from 1990–2017 to evaluate the levels andtemporal correlation trends between disability adjusted life years (DALYs) attributed tomusculoskeletal (MSK) disorders, all mental disorders collectively and by mental disorder subcategory.Methods: We utilized results of the GBD 2017 to describe the correlation patterns betweenDALYs due to MSK disorders, mental disorders and other diseases among 195 countries. Mixedmodel analysis was also applied. Results: A consistent relation was reported between age-adjustedDALYs attributed to MSK and mental disorders (in total) among the 195 countries, in both sexes,for 1990 to 2017 (1990 Rho = 0.487; 2017 Rho =0.439 p < 0.05). Distinct regional and gender correlationpatterns between age-adjusted DALYs due to MSK and mental disorders were reported. Nocorrelation was reported between DALYs due to MSK and all mental disorders collectively, amongLow- or Middle-income countries. However, in High-income countries (HICs), the correlation wasstrong and consistent between 1990 and 2017 (1990 Rho = 0.735; 2017 Rho = 0.727, p < 0.05).Conclusions: The reported correlation patterns call for targeted preventive strategies andintervention policies for mental and MSK disorders internationally. Special attention is neededamong HICs.

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“…Among the categories of overuse injuries, specific arthropathies and connective tissue disorders have been identified in 29.1% of individuals with ADHD. 26 These studies showed that ADHD was a significant risk factor for acute injuries. However, we be- lieve that children with ADHD are prone to both acute injuries and chronic repetitive injuries.…”

Section: Resultsmentioning

confidence: 99%

The Role of Attention-Deficit/Hyperactivity Disorder in the Etiology of Osgood Schlatter Disease

Ordahan¹,

Uğurlu²

2020

J PMR Sci

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Osgood-Schlatter's disease (OSD) is an overuse injury caused by tension on the patellar tendon placed on the anterior tibial tubercle. It presents with local pain, swelling and tenderness over the tibial tuberosity and most frequently occurs in girls between the age of 11 to 13 years and in boys between 13 and 15 years. The symptoms are usually exacerbated with sporting activities that especially involve jumping, running or stair climbing. 1-3 Radiologic studies have led to the theory that OSD may be caused by chronic tensile stress on the patellar tendon within the growth plate, which leads to irritation and inflammation. Inflammation results from micro-trauma to the growth plate with repetitive use before closure of the epiph

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Factors Associated With Musculoskeletal Injuries in Children and Adolescents With Attention-Deficit/Hyperactivity Disorder

Abstract: Comorbid hypertension, substance use disorders, and thyroid disorders deserve increased clinical surveillance in children and adolescents with ADHD because they may be associated with an increased risk of more than one musculoskeletal injury.

Cited by 11 publications

References 34 publications

Neuromuscular Control Deficits and the Risk of Subsequent Injury after a Concussion: A Scoping Review

Neuromuscular Control Deficits and the Risk of Subsequent Injury after a Concussion: A Scoping Review

Mental Disorders, Musculoskeletal Disorders and Income-Driven Patterns: Evidence from the Global Burden of Disease Study 2017

The Role of Attention-Deficit/Hyperactivity Disorder in the Etiology of Osgood Schlatter Disease

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