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Updated: Apr 13, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Sex Differences and Self-Reported Attention Problems During Baseline Concussion Testing.

Brian L Brooks^1,2,3, Grant L Iverson^4,5,6, Joseph E Atkins⁷

¹a Neurosciences Program (Brain Injury and Rehabilitation) , Alberta Children's Hospital , Calgary , Alberta , Canada.

Applied Neuropsychology. Child

|April 30, 2015

Summary

This summary is machine-generated.

Preexisting attention problems impact concussion assessments differently in male and female athletes. Understanding these sex-based differences is crucial for accurate concussion management in young athletes.

Keywords:

TBI adolescents baseline children gender return to play

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Area of Science:

Sports Medicine
Neuropsychology
Adolescent Health

Background:

Computerized cognitive testing is common in concussion management for amateur athletes.
Preexisting attention problems can negatively affect baseline cognitive performance and symptom reporting in athletes.

Purpose of the Study:

To investigate if attention problems differentially impact cognitive assessments and symptom reporting in male versus female adolescent athletes.
To inform concussion assessment and management strategies by considering sex and attention status.

Main Methods:

Utilized data from 6,840 adolescents who completed Immediate Postconcussion Assessment and Cognitive Testing (ImPACT) at baseline.
Matched a sample of 249 boys and 100 girls with attention problems to controls based on sex, age, concussion history, and sport.

Main Results:

Boys with attention problems showed slower reaction times compared to controls.
Girls with attention problems exhibited slower visual-motor speed.
Athletes with attention problems reported more symptoms, with specific differences in symptom clusters between sexes.

Conclusions:

Sex and preinjury attention problems are important factors influencing cognitive test results and symptom reporting in adolescent athletes undergoing concussion evaluation.
Tailoring concussion assessment and management to account for these individual differences is recommended.