The Effect of Sex, Sport, and Preexisting Histories on Baseline Concussion Test Performance in College Lacrosse and Soccer Athletes.

Autor:	Mihalik JP; Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina, Chapel Hill, North Carolina.; Human Movement Science Curriculum, Department of Allied Health Sciences, School of Medicine, The University of North Carolina, Chapel Hill, North Carolina., Teel EF; School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada., Ford CB; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina., Amalfe SA; Department of Athletic Medicine, University Health Services, Princeton University, Princeton, New Jersey.; School of Psychology, Fairleigh Dickinson University, Teaneck, New Jersey., Barczak-Scarboro NE; Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina, Chapel Hill, North Carolina.; Human Movement Science Curriculum, Department of Allied Health Sciences, School of Medicine, The University of North Carolina, Chapel Hill, North Carolina., Lynall RC; Department of Kinesiology, University of Georgia, Athens, Georgia., Riegler KE; Department of Athletic Medicine, University Health Services, Princeton University, Princeton, New Jersey.; Department of Psychology, Pennsylvania State University, State College, Pennsylvania., Wasserman EB; Injury Surveillance and Analytics, IQVIA, Durham, North Carolina; and., Putukian M; Department of Athletic Medicine, University Health Services, Princeton University, Princeton, New Jersey.; Department of Family Medicine and Community Health, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, New Jersey.
Jazyk:	angličtina
Zdroj:	Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine [Clin J Sport Med] 2022 Sep 01; Vol. 32 (5), pp. e461-e468. Date of Electronic Publication: 2022 Feb 15.
DOI:	10.1097/JSM.0000000000001018
Abstrakt:	Objective: To study sex and sport differences in baseline clinical concussion assessments. A secondary purpose was to determine if these same assessments are affected by self-reported histories of (1) concussion; (2) learning disability; (3) anxiety and/or depression; and (4) migraine. Design: Prospective cohort. Setting: National Collegiate Athletic Association D1 Universities. Participants: Male and female soccer and lacrosse athletes (n = 237; age = 19.8 ± 1.3 years). Assessment of Risk Factors: Sport, sex, history of (1) concussion; (2) learning disability; (3) anxiety and/or depression; and (4) migraine. Main Outcome Measures: Sport Concussion Assessment Tool 22-item symptom checklist, Standardized Assessment of Concussion, Balance Error Scoring System (BESS), Generalized Anxiety Disorder 7-item scale, and Patient Health Questionnaire. Results: Female athletes had significantly higher total symptoms endorsed (P = 0.02), total symptom severity (P < 0.001), and BESS total errors (P = 0.01) than male athletes. No other sex, sport, or sex-by-sport interactions were observed (P > 0.05). Previous concussion and migraine history were related to greater total symptoms endorsed (concussion: P = 0.03; migraine: P = 0.01) and total symptom severity (concussion: P = 0.04; migraine: P = 0.02). Athletes with a migraine history also self-reported higher anxiety (P = 0.004) and depression (P = 0.01) scores. No other associations between preexisting histories and clinical concussion outcomes were observed (P > 0.05). Conclusions: Our findings reinforce the need to individualize concussion assessment and management. This is highlighted by the findings involving sex differences and preexisting concussion and migraine histories. Clinical Relevance: Clinicians should fully inventory athletes' personal and medical histories to better understand variability in measures, which may be used to inform return-to-participation decisions following injury. Competing Interests: M. Putukian reports being a (1) Senior Advisor, National Football League Head, Neck, and Spine Committee, (2) recent past Chair of the US Lacrosse Sport Science and Safety Committee, (3) member of the US Soccer Sports Medicine Committee, and (4) a consultant and Chief Medical Officer for Major League Soccer. The remaining authors report no conflicts of interest. The results of the study are presented clearly, honestly, and without fabrication, falsification, or inappropriate data manipulation. (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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