Multiple Past Concussions in High School Football Players.
Background: There is increasing concern about the possible long-term effects of multiple concussions, particularly on the developing adolescent brain. Whether the effect of multiple concussions is detectable in high school football players has not been well studied, although the public health implic...
| Publicado en: | American Journal of Sports Medicine Vol. 44; no. 12; pp. 3243 - 3252 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Dec2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119960303&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 119960303 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03635465 ASM jtl: American Journal of Sports Medicine issn: 03635465 maglogo: Y pubinfo: dt: Dec2016 vid: 44 iid: 12 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 119960303 119960303 119960303 10.1177/0363546516655095 119960303 ppf: 3243 ppct: 9 formats: tig: atl: Multiple Past Concussions in High School Football Players. aug: au: Brooks, Brian L. Mannix, Rebekah Maxwell, Bruce Zafonte, Ross Berkner, Paul D. Iverson, Grant L. affil: Neurosciences Program (Brain Injury and Rehabilitation), Alberta Children’s Hospital, Calgary, Alberta, Canada sug: subj: Football Injuries In Adolescence Brain Concussion Complications Cognition In Adolescence Brain Concussion Symptoms Reinjury In Adolescence Human Maine Funding Source Adolescence Adolescent Health Athletes, High School Male Descriptive Statistics Neuropsychological Tests Cross Sectional Studies Descriptive Research Data Analysis Software Analysis of Variance Multivariate Analysis of Covariance Analysis of Covariance Mann-Whitney U Test Spearman's Rank Correlation Coefficient Multivariate Analysis Linear Regression Effect Size Odds Ratio Confidence Intervals Kruskal-Wallis Test Adolescent: 13-18 years Male ab: Background: There is increasing concern about the possible long-term effects of multiple concussions, particularly on the developing adolescent brain. Whether the effect of multiple concussions is detectable in high school football players has not been well studied, although the public health implications are great in this population. Purpose: To determine if there are measureable differences in cognitive functioning or symptom reporting in high school football players with a history of multiple concussions. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Participants included 5232 male adolescent football players (mean [±SD] age, 15.5 ± 1.2 years) who completed baseline testing between 2009 and 2014. On the basis of injury history, athletes were grouped into 0 (n = 4183), 1 (n = 733), 2 (n = 216), 3 (n = 67), or ≥4 (n = 33) prior concussions. Cognitive functioning was measured by the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) battery, and symptom ratings were obtained from the Post-Concussion Symptom Scale. Results: There were no statistically significant differences between groups (based on the number of reported concussions) regarding cognitive functioning. Athletes with ≥3 prior concussions reported more symptoms than did athletes with 0 or 1 prior injury. In multivariate analyses, concussion history was independently related to symptom reporting but less so than developmental problems (eg, attention or learning problems) or other health problems (eg, past treatment for psychiatric problems, headaches, or migraines). Conclusion: In the largest study to date, high school football players with multiple past concussions performed the same on cognitive testing as those with no prior concussions. Concussion history was one of several factors that were independently related to symptom reporting. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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