Participation in pre-injury level sport one-year following sport-related concussion: A prospective, matched cohort study
| Autor: | John Ryan, Fionn Büttner, Eamonn Delahunt, Cailbhe Doherty, Catherine Blake, Grant L. Iverson, David R. Howell |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Poison control Physical Therapy Sports Therapy and Rehabilitation Athletic Performance Suicide prevention Occupational safety and health Cohort Studies Young Adult 03 medical and health sciences 0302 clinical medicine Injury prevention Concussion Confidence Intervals medicine Humans Orthopedics and Sports Medicine Prospective Studies 030212 general & internal medicine Prospective cohort study Brain Concussion biology Athletes business.industry Recovery of Function 030229 sport sciences Emergency department biology.organism_classification medicine.disease Return to Sport Case-Control Studies Physical therapy Female Emergency Service Hospital business human activities |
| Zdroj: | Journal of Science and Medicine in Sport. 24:561-566 |
| ISSN: | 1440-2440 |
| Popis: | Objectives To estimate the times taken to receive clearance to return to sporting activity and to return to pre-injury level of sport competition following sport-related concussion, and to estimate the proportion of athletes who were participating at their pre-injury level of sport competition six months and one-year following sport-related concussion. Design Prospective cohort study. Methods Amateur, adult athletes (16–38 years old) were diagnosed with sport-related concussion at a university-affiliated hospital emergency department. Participants were assessed within one-week, upon medical clearance to return to sporting activity, two weeks following return to sporting activity, six months, and 12 months following sport-related concussion. We assessed sex-, age-, and activity-matched non-injured, control participants at matched time-points. Participants were asked during each study assessment whether they were participating in any sport, in a different sport than before their sport-related concussion, in the same sport but at a lower level of competition than before their sport-related concussion, or in the same sport at the same level of competition than before their sport-related concussion. Results Fifty concussed participants and 50 non-injured, control participants completed the study. The median times taken to receive clearance to return to sporting activity and to return to pre-injury level of sport competition following sport-related concussion were 13 days (95%CI = 12,16) and 31 days (95%CI = 28,32), respectively. One-year following sport-related concussion, 52% of participants reported that they were no longer participating in the same sport and at the same level of competition as they were before their sport-related concussion, compared with only 24% of participants in the non-injured, control group (p = 0.003). Conclusions A greater percentage of athletes in the concussion group were not participating at their perceived pre-injury level of sport competition one-year following sport-related concussion compared with a non-injured control group. Factors that explain the lower proportion of amateur athletes participating at their pre-injury level of sport competition one-year after sport-related concussion are likely multifaceted and should be considered in future investigations. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect