Limited Knowledge of Concussion Symptoms in College Athletes

Fedor, Andrew; Gunstad, John

doi:10.1080/23279095.2013.860604

Cited by 41 publications

(36 citation statements)

References 17 publications

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“…Indeed, athletes are known to suppress symptom reports as they may be unaware they are related to concussion, or they have a strong desire to return to play prior to recovery [18, 34, 41, 44, 55]. In addition, the media has reported on athletes intentionally performing poorly on baseline assessments [33] to mask postconcussion deficits, and the reliability of both neurocognitive and postural control assessments may be less than optimal for clinical purposes [5, 9, 49, 53].…”

Section: Introductionmentioning

confidence: 99%

Investigating a Novel Measure of Brain Networking Following Sports Concussion

et al. 2016

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Clinicians managing sports-related concussions are left to their clinical judgment in making diagnoses and return-to-play decisions. This study was designed to evaluate the utility of a novel measure of functional brain networking for concussion management. 24 athletes with acutely diagnosed concussion and 21 control participants were evaluated in a research laboratory. At each of the 4 post-injury time points, participants completed the Axon assessment of neurocognitive function, a self-report symptom inventory, and the auditory oddball and go/no-go tasks while electroencephalogram (EEG) readings were recorded. Brain Network Activation (BNA) scores were calculated from EEG data related to the auditory oddball and go/no-go tasks. BNA scores were unable to differentiate between the concussed and control groups or by self-report symptom severity. These findings conflict with previous work implementing electrophysiological assessments in concussed athletes, suggesting that BNA requires additional investigation and refinement before clinical implementation.

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Section: Introductionmentioning

confidence: 99%

Investigating a Novel Measure of Brain Networking Following Sports Concussion

et al. 2016

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“…For example, anecdotal accounts suggest that some athletes may inflate baseline symptom reports to mask elevated postinjury scores. Others may not recognize concussive signs and symptoms or intentionally not report them once the injury occurs [30][31][32][33] because of influence from teammates, friends, coaches, or parents. Furthermore, some athletes may be motivated to inflate symptom reports or continue reporting symptoms despite injury resolution as a means to leave a sport.…”

Section: The Symptom Evaluationmentioning

confidence: 99%

If You're Not Measuring, You're Guessing: The Advent of Objective Concussion Assessments

Broglio

Guskiewicz

Norwig³

2017

Journal of Athletic Training

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Sport-related concussion remains one of the most complex injuries presented to sports medicine professionals. Although the injury has been recognized since ancient times, the concussion-assessment process has seen significant advances over the last 30 years. This review outlines the addition of objective measures to the clinical evaluation of the concussed athlete, beginning in the 1980s and continuing through the modern age. International and domestic organizations now describe standardized symptom reports, neurostatus and neurocognitive-function evaluations, and postural-control measures as standards of medical care, a significant shift from a short time ago. Despite this progression, much about the injury remains unknown, including new clinical and research-based assessment techniques and how the injury may influence the athlete's cognitive health over the long term.

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“…Physical signs and symptoms include headaches, visual disturbances, and fatigue; cognitive signs and symptoms include memory loss and attention difficulties, and behavioral signs and symptoms include depression and changes in mood [1,[7][8][9][10]. Behavioral and cognitive concussion symptoms are less commonly recognized than physical symptoms [11][12][13][14]. Serious long-term health effects that have been found in athletes with a history of concussions include long-term cognitive deficits, dementia, depression, and chronic traumatic encephalopathy [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

“…The vulnerability of youth to the effects of concussion give rise to the need for concussion education and awareness among student athletes. Despite increased efforts in this area, studies have demonstrated deficits in student-athletes' knowledge of concussion symptoms, especially behavioral symptoms [11][12][13]22].…”

Section: Introductionmentioning

confidence: 99%

Effects of Legislative Mandates, Education Type, and Education Provider on Concussion Education for Student Athletes

Carroll-Alfano¹,

DePompei²,

Nelson³

2019

AJSS

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Most states in the United States have enacted legislation mandating concussion education for student-athletes; however, it is not clear if such legislation leads to all students receiving the mandated education or if this education is associated with greater awareness of concussion symptoms. This work investigates whether collegiate student-athletes report receiving legislatively-mandated concussion education, and whether this varies by gender and sport. This study also investigates what methods are being used to deliver education, who is providing the education, and if receiving education is associated with an increase in ability to name the various signs and symptoms of concussion. One hundred and fifty-seven collegiate athletes from a private Midwestern university completed anonymous surveys asking about participation in high school concussion education programs, the type of education received, and who provided it. Participants were also asked to name concussion symptoms. Despite legislative mandates, 20% of student-athletes reported not receiving concussion education in high school, with women more likely to report not receiving education relative to men. The percentage reporting not receiving legislatively-mandated concussion education did not decrease over the five year period since legislation went into effect. The most common education method reported was casual conversation, and the most common providers were athletic trainers and coaches. Athletes reporting education showed no difference in ability to name concussion signs and symptoms, compared to those who reported no education. The type of education provided and the role of the person providing the education was not associated with ability to name a cognitive or behavioral signs and symptom. Legislatively-mandated concussion education is either not being delivered to all student-athletes or is not being delivered in a manner that can be remembered and reported. Education as currently being delivered is not effective in increasing awareness of diverse cognitive and behavioral signs and symptoms of concussion.

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Limited Knowledge of Concussion Symptoms in College Athletes

Cited by 41 publications

References 17 publications

Investigating a Novel Measure of Brain Networking Following Sports Concussion

Investigating a Novel Measure of Brain Networking Following Sports Concussion

If You're Not Measuring, You're Guessing: The Advent of Objective Concussion Assessments

Effects of Legislative Mandates, Education Type, and Education Provider on Concussion Education for Student Athletes

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