Return to play and risk of repeat concussion in collegiate football players: comparative analysis from the NCAA Concussion Study (1999–2001) and CARE Consortium (2014–2017)
| Autor: | Maria Kudela, Michael McCrea, Thomas W. McAllister, Lindsay D. Nelson, Barry P. Katz, Steven P. Broglio, Jaroslaw Harezlak, Shi Zhao, Stephen W. Marshall, Timothy B. Meier, Kevin M. Guskiewicz, Wenxian Zhou |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Adolescent Football Poison control Physical Therapy Sports Therapy and Rehabilitation Suicide prevention Occupational safety and health Young Adult 03 medical and health sciences 0302 clinical medicine Recurrence Risk Factors Injury prevention Concussion Humans Medicine Orthopedics and Sports Medicine Brain Concussion biology business.industry Athletes Human factors and ergonomics 030229 sport sciences General Medicine medicine.disease biology.organism_classification Return to Sport Physical therapy Female business 030217 neurology & neurosurgery |
| Zdroj: | British Journal of Sports Medicine. 54:102-109 |
| ISSN: | 1473-0480 0306-3674 |
| Popis: | ObjectiveWe compared data from the National Collegiate Athletic Association (NCAA) Concussion Study (1999–2001) and the NCAA-Department of Defense Concussion Assessment, Research and Education (CARE) Consortium (2014–2017) to examine how clinical management, return to play (RTP) and risk of repeat concussion in collegiate football players have changed over the past 15 years.MethodsWe analysed data on reported duration of symptoms, symptom-free waiting period (SFWP), RTP and occurrence of within-season repeat concussion in collegiate football players with diagnosed concussion from the NCAA Study (n=184) and CARE (n=701).ResultsCARE athletes had significantly longer symptom duration (CARE median=5.92 days, IQR=3.02–9.98 days; NCAA median=2.00 days, IQR=1.00–4.00 days), SFWP (CARE median=6.00 days, IQR=3.49–9.00 days; NCAA median=0.98 days, IQR=0.00–4.00 days) and RTP (CARE median=12.23 days, IQR=8.04–18.92 days; NCAA median=3.00 days, IQR=1.00–8.00 days) than NCAA Study athletes (all pConclusionOur findings indicate that concussion in collegiate football is managed more conservatively than 15 years ago. These changes in clinical management appear to have reduced the risk of repetitive concussion during the critical period of cerebral vulnerability after sport-related concussion (SRC). These data support international guidelines recommending additional time for brain recovery before athletes RTP after SRC. |
| Databáze: | OpenAIRE |
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