Final Comment: Return‐to‐Play Decision Making: Does Level of Competition Make a Difference?

Liem, Brian; Olafsen, Nathan P.; Harrast, Mark A.; Herring, Stanley A.

doi:10.1016/j.pmrj.2015.09.021

Cited by 4 publications

(3 citation statements)

References 39 publications

(50 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For football, shorter SRT and RTP combined with a higher number of symptoms among Varsity athletes compared with other levels of play could indicate that as the level of competition increases, there may be increased pressure for athletes to be medically cleared to play sooner. This is consistent with studies that show that RTP may be impacted by the perceived urgency and/or pressure of the athletes, coaches, teammates, and parents for the athlete to RTP 46–48. Alternatively, because ATs are more readily available in Varsity sports,36 this potentially results in more comprehensive and consistent injury management leading to shorter SRT and quicker clearance to RTP.…”

Section: Discussionsupporting

confidence: 84%

“…This is consistent with studies that show that RTP may be impacted by the perceived urgency and/or pressure of the athletes, coaches, teammates, and parents for the athlete to RTP. [46][47][48] Alternatively, because ATs are more readily available in Varsity sports, 36 this potentially results in more comprehensive and consistent injury management leading to shorter SRT and quicker clearance to RTP. In addition, parents of varsity football athletes may be more motivated to seek RTP clearance and medical appointments more quickly.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Role of Level of Play in Concussions in High School Athletes

Waltzman,

DePadilla,

Breiding

et al. 2023

Journal of Public Health Management and Practice

View full text Add to dashboard Cite

Objectives: To examine level of play (LOP) as a risk factor for concussion severity and recovery-related outcomes among high school athletes, stratified by sex, and among boys, by sport (football, non-football male sports). Design/Setting: Secondary analysis of data collected through the High School Reporting Information Online surveillance system for academic years 2007-2008 through 2018-2019. Participants: A total of 9916 concussions were reported between the academic years 2007-2008 and 2018-2019 from 9 sports (5189 from football; 2096 from non-football male sports; 2631 from female sports). Main Outcome Measure: Examined the association between LOP (Freshman, Junior Varsity [JV], and Varsity teams) and concussion outcomes (number of concussion symptoms, symptom resolution time [SRT], and time to return to play [RTP]). Results: Compared with Varsity football athletes, concussed JV football athletes had on average 0.19 fewer concussion symptoms, longer SRT (>1 week vs <1 week: odds ratio [OR] = 1.3; 95% confidence interval [CI], 1.1-1.5), and longer RTP (1-3 weeks vs <1 week: OR = 1.5; 95% CI, 1.2-1.9; >3 weeks vs <1 week: OR = 1.6; 95% CI, 1.1-2.3). Compared with Varsity football athletes, Freshman football athletes had on average 0.48 fewer concussion symptoms, longer SRT (OR = 1.3; 95% CI, 1.1-1.5), and longer RTP (1-3 weeks vs <1 week: OR = 1.5; 95% CI, 1.1-2.0; >3 weeks vs <1 week: OR = 2.0; 95% CI, 1.3-3.0). Similarly, compared with female athletes on Varsity teams, concussed JV female athletes had longer RTP (1-3 weeks vs <1 week: OR = 1.8; 95% CI, 1.2-2.7). Trend analyses revealed an increase in the number of concussion symptoms between 2015-2016 and 2018-2019, a decrease between 2009-2010 and 2018-2019 for SRT of less than 1 week, and an increase between 2014-2015 and 2018-2019 for RTP of less than 1 week among Varsity football athletes. Among Varsity female athletes, there was a linear decrease during the study period for RTP of less than 1 week. Conclusions: Despite a higher number of symptoms overall and in recent years, Varsity football players had shorter RTP than Freshman and JV athletes.

show abstract

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

The Role of Level of Play in Concussions in High School Athletes

Waltzman,

DePadilla,

Breiding

et al. 2023

Journal of Public Health Management and Practice

View full text Add to dashboard Cite

show abstract

“…In the case of RTP decisions for young athletes, some argue that it is ultimately the duty of a sports medicine physician to make the appropriate assessment of recovery time, assess the level of acceptable risk, and provide the final return to play clearance (Liem, Olafsen, Harrast, & Herring, 2016). For instance, in Serrell v. Connetquot Central High School District of Islip, the Court "ultimately placed the responsibility for determinations concerning injuries and the return to play after an injury on the medical personnel examining and/or treating the injured student" when the school and district had promulgated rules concerning head injuries (Serrell, 2001).…”

Section: B Physiciansmentioning

confidence: 99%

Overuse Injuries in Youth Sports: Legal and Social Responsibility

Friesen

Saul

Kearns³

et al. 2018

JLAS

View full text Add to dashboard Cite

Youth sports-related injuries represent a major public health challenge, and overuse injuries, which result from repetitive microtrauma and insufficient rest, are a particular and growing concern. Overuse injuries are increasingly prevalent within youth sports, can lead to lifelong disabilities, and are almost entirely preventable. We explore the question of whether parents, who have been shown to significantly influence their children’s sports experiences and behaviors, can be held responsible for overuse injuries. We also discuss the role of other actors, including medical practitioners and coaches, and the duties that they may have to prevent such injuries to child athletes. We argue that, in many cases, contributions to overuse injuries are the result of non-culpable ignorance, and that a better way to help prevent overuse injuries may be to enact policies that educate parents, as well as schools, coaches, and organizations, about overuse injuries.

show abstract