The effect of repeated concussions on clinical and neurocognitive symptom severity in different contact sports.

Autor: Glaser J; Concussion Center Hamburg, Neurozentrum, BG Klinikum Hamburg, Hamburg, Germany., Jaeckle S; Concussion Center Würzburg, Praxis für Sport-Neuropsychologie Würzburg, Wuerzburg, Germany., Beblo T; Evangelisches Klinikum Bethel gGmbH, University Hospital of Psychiatry and Psychotherapy, Bielefeld University, Bielefeld, Germany., Mueller G; Concussion Center Würzburg, Praxis für Sport-Neuropsychologie Würzburg, Wuerzburg, Germany., Eidenmueller AM; Concussion Center Würzburg, Praxis für Sport-Neuropsychologie Würzburg, Wuerzburg, Germany., Schulz P; Evangelisches Klinikum Bethel gGmbH, University Hospital of Psychiatry and Psychotherapy, Bielefeld University, Bielefeld, Germany., Schmehl I; Concussion Center Berlin, Klinik für Neurologie, BG Klinikum Unfallkrankenhaus Berlin GmbH, Berlin, Germany., Rogge W; Concussion Center Berlin, Klinik für Neurologie, BG Klinikum Unfallkrankenhaus Berlin GmbH, Berlin, Germany., Hollander K; Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany., Toepper M; Evangelisches Klinikum Bethel gGmbH, University Hospital of Psychiatry and Psychotherapy, Bielefeld University, Bielefeld, Germany., Gonschorek AS; Concussion Center Hamburg, Neurozentrum, BG Klinikum Hamburg, Hamburg, Germany.
Jazyk: angličtina
Zdroj: Scandinavian journal of medicine & science in sports [Scand J Med Sci Sports] 2024 Apr; Vol. 34 (4), pp. e14626.
DOI: 10.1111/sms.14626
Abstrakt: Introduction: The potential consequences of repeated concussions in sport are well documented. However, it remains unclear whether the cumulative impact of sports-related concussions differs between different contact sports. Therefore, the aim of the current study was to investigate the cumulative effects of sports-related concussions on clinical and neurocognitive health in different contact sports.
Materials and Methods: In a prospective multicenter study, we examined 507 (74 females) active professional athletes between 18 and 40 years of age from five different contact sports (soccer, handball, American football, basketball, and ice hockey). Data collection involved concussion history, clinical symptom evaluation, neurocognitive assessment, and the collection of other sports-related information. Composite scores were built for clinical symptoms (such as neck pain and balance disturbances) and for neurocognitive symptoms (such as memory and attention impairments).
Results: Athletes having suffered 3+ concussions in the past showed disproportionally higher clinical symptom severity than athletes with less than three concussions across all sports. The level of clinical symptom burden in athletes with 3+ concussions indicated mild impairment. The number of past concussions did not affect neurocognitive performance.
Discussion: Repeated sports-related concussions appear to have a cumulative impact on clinical-but not cognitive-symptom severity. Although clinical symptom burden in athletes with 3+ concussions in the past was not alarmingly high yet in our sample, increased caution should be advised at this point. Despite few exceptions, results are similar for different contact sports, suggesting a similar multidisciplinary concussion management across all types of sport.
(© 2024 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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