Association of lower extremity injuries and injury mechanism with previous concussion history in adolescent athletes.

Autor: Biese KM; Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, USA. Electronic address: kbiese@wisc.edu., Stamm JM; Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, USA., Wichman DM; Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, USA., Hetzel SJ; Department of Biostatistics and Medical Information, University of Wisconsin-Madison, Madison, WI, USA., Post EG; Department of Applied Medicine and Rehabilitation, Indiana State University, Terre Haute, IN, USA., Bell DR; Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, USA.
Jazyk: angličtina
Zdroj: Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine [Phys Ther Sport] 2021 Mar; Vol. 48, pp. 76-82. Date of Electronic Publication: 2020 Dec 30.
DOI: 10.1016/j.ptsp.2020.12.018
Abstrakt: Objective: Determine the association between concussion and subsequent contact, non-contact, and overuse lower extremity (LE) injuries in a cohort of adolescent athletes. Secondarily, to identify this association between males and females.
Study Design: Cross-sectional.
Setting: Summer athletic events with participants ages 12-18.
Main Outcome: Anonymous survey included sport-related injuries (injury month/year) and participants classified injuries as a contact, non-contact, overuse injury, or concussion. Multivariable logistic regression analyses were used to examine associations between a concussion event and a subsequent LE injury while controlling for age and any previous LE injury.
Results: A concussion was reported in 219 athletes (Female = 96, 44%) and were matched with 219 non-concussed athletes (438 total participants). Concussion was not association with a specific injury mechanism but was significant for any subsequent LE injury (OR = 1.58 95%CI = [1.03-2.41]; p < 0.05). Concussed females were more likely to report any subsequent LE injury compared to non-concussed female athletes (2.49[1.31, 4.74]; p < 0.01). This relationship was not observed between concussed and non-concussed males (1.11[0.62-1.99]; p > 0.5).
Conclusion: A history of concussion was associated with any subsequent LE injury, but not associated with a specific mechanism of injury. The association with concussion and a subsequent LE injury was different between males and females.
Competing Interests: Declaration of competing interest The authors have no potential conflicts of interest to disclose.
(Copyright © 2020 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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