Dataset Information

Exercise in the first week following concussion among collegiate athletes: Preliminary findings.

ABSTRACT:

Objectives

Our purpose was to examine the association between exercise after concussion with symptom severity, postural control, and time to symptom-resolution.

Design

Longitudinal cohort.

Methods

Collegiate athletes (n?=?72; age?=?20.2?±?1.3 years; 46% female) with concussion completed a symptom questionnaire at initial (0.6?±?0.8 days post-injury) and follow-up (2.9?±?1.4 days post-injury) evaluations, and a postural control assessment at follow-up. Participants were grouped into those who exercised in between the time of injury and the follow-up evaluation and those who did not. Decisions regarding post-concussion exercise were made by a sports medicine team consisting of a single team physician and athletic trainers.

Results

Thirteen athletes were not included in the current study, resulting in an 85% response rate. Thirteen of the athletes who completed the study exercised between evaluations (18%). There was no symptom resolution time difference between groups (median?=?13 [IQR?=?7-18] days vs. 13 [7-23] days; p?=?0.83). Symptom ratings were similar between groups at the acute post-injury assessment (median PCSS?=?18.5 [7.5-26] vs. 17 [14-40]; p?=?0.21), but a main effect of group after adjusting for time from injury to assessment indicated the exercise group reported lower symptom severity than the no exercise group across both assessments (p?=?0.044). The dual-task gait speed of the exercise group was higher than the no exercise group (0.90?±?0.15 vs. 0.78?±?0.16?m/s; p?=?0.02).

Conclusions

Athletes who were recommended aerobic exercise after concussion did not have worse outcomes than those who were not. Exercise within the first week after concussion does not appear to be associated with detrimental clinical outcomes.

SUBMITTER: Howell DR

PROVIDER: S-EPMC6954960 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Publications

Exercise in the first week following concussion among collegiate athletes: Preliminary findings.

Howell David R DR Brilliant Anna N AN Oldham Jessie R JR Berkstresser Brant B Wang Francis F Meehan William P WP

Journal of science and medicine in sport 20190907 2

<h4>Objectives</h4>Our purpose was to examine the association between exercise after concussion with symptom severity, postural control, and time to symptom-resolution.<h4>Design</h4>Longitudinal cohort.<h4>Methods</h4>Collegiate athletes (n = 72; age = 20.2 ± 1.3 years; 46% female) with concussion completed a symptom questionnaire at initial (0.6 ± 0.8 days post-injury) and follow-up (2.9 ± 1.4 days post-injury) evaluations, and a postural control assessment at follow-up. Participants were grou ...[more]

PMID: 31522997

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Project description:ContextMandated concussion education has aimed to improve student-athlete knowledge; however, some collegiate student-athletes continue to not disclose concussion. Concussion knowledge may not be the only factor influencing reporting, as student-athlete sex, sport, and pressure from external stakeholders (eg, coaches, teammates, fans, parents or family) have all been documented as influencing collegiate concussion-reporting behavior.ObjectiveTo examine factors associated with concussion nondisclosure in collegiate student-athletes.DesignCross-sectional study.SettingFour National Collegiate Athletic Association Division I and two Division II universities.Patients or other participantsA total of 1125 collegiate student-athletes completed the survey, and 741 provided viable responses and were included for data analysis.Main outcome measure(s)We used a 10- to 15-minute electronic or paper-and-pencil survey that asked about personal and sport demographics, diagnosed concussions and nondisclosed concussion history, concussion knowledge, and level of agreement regarding pressure to play after a head impact experienced during collegiate sport participation. Significant univariable factors were entered into a multivariable logistic regression analysis.ResultsSex (P = .005), sport-risk type (P < .001), diagnosed concussion history (P < .001), concussion knowledge (P = .017), and pressure from coaches (P < .001), teammates (P < .001), fans (P = .024), and parents or family (P = .003) were factors associated with concussion nondisclosure in individual univariable logistic regressions. After we conducted multivariable analyses, male sex (P = .001), high concussion-risk sport participation (P = .048), diagnosed concussion history (P < .001), increased concussion knowledge (P = .013), and experiencing pressure from coaches to continue playing after sustaining a hit to the head (P = .002) were factors associated with concussion nondisclosure in collegiate student-athletes.ConclusionsOur results suggest that concussion-education programs should go beyond the identification of signs and symptoms to include the dangers of continuing to play, long-term consequences, and transparency about concussion protocols. Comprehensive concussion-education programs should involve coaches and athletes to improve the reporting culture.

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Dataset Information

Exercise in the first week following concussion among collegiate athletes: Preliminary findings.

Objectives

Design

Methods

Results

Conclusions

Publications

Exercise in the first week following concussion among collegiate athletes: Preliminary findings.

Similar Datasets

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