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Updated: Jan 4, 2026

A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
The association between multiple prior concussions, cognitive test scores, and symptom reporting in youth rugby
Andrew J Gardner1, David R Howell2, Grant L Iverson3
1Hunter New England Local Health District Sport Concussion Program; Centre for Stroke and Brain Injury, School of Medicine and Public Health, Faculty of Health & Medicine, University of Newcastle, Callaghan, Australia.
Abstract:
Objective: To examine the effect of prior concussion history on cognitive test performance and concussion symptom reporting among adolescent youth rugby league athletes.Participants: Participants were male elite level youth rugby league players (N = 73; Mean Age = 15.8; SD = 0.9; range = 14-18 years).Main Outcome Measure: CogSport performance based on participants group; those who reported no previous concussions (n = 30),1-2 previous concussions (n = 19), and ≥3 previous concussions (n = 29).Results: 73 participants with valid CogSport scores were included in the cognitive analyses. All participants were included in the symptom analyses. There were no differences between the groups with 0,1-2, or ≥3 previous concussions for processing speed, attention, learning, or working memory. There was atrend for those with multiple prior concussions to report more baseline preseason symptoms.Conclusions: There were no differences in scores on the CogSport test among those with ahistory of 0,1-2, or ≥3 prior concussions. Consistent with prior studies, youth with ahistory of multiple past concussions are more likely to endorse baseline preseason symptoms.
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