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Updated: Dec 8, 2025

A Neuroscientific Approach to the Examination of Concussions in Student-Athletes
Published on: December 8, 2014
Investigating Concussion Knowledge in US Born Versus Internationally Born Collegiate Student-Athletes in the United
Tricia Hoersten1, Ashley Gray2, Ellen K Payne2
1Wright State University Boonshoft School of Medicine, Dayton, Ohio.
Objective:
To compare concussion knowledge between US born and internationally born collegiate student-athletes. Furthermore, to investigate whether length of time in the United States impacted concussion knowledge.
Design:
Survey.
Setting:
Preparticipation physicals at a midwestern NAIA college.
Participants:
Three hundred one collegiate student-athletes.
Interventions:
Demographic questionnaire and the Rosenbaum Concussion Knowledge and Attitudes Survey (RoCKAS).
Main Outcome Measures:
t test was used to determine whether a difference in Concussion Knowledge Index (CKI) scores exists between US born and internationally born student-athletes. A one-way analysis of variance was used to determine significance for length of time in the United States.
Results:
A statistically significant difference was found for CKI scores between US born (19.22 ± 2.38) and internationally born student-athletes (18.01 ± 2.57) (t = 3.895, P = 0.000). Analysis of variance demonstrated statistically significant difference for CKI scores (F2,300 = 13.883, P = 0.001). Post hoc analysis found significant differences in CKI scores between US born (19.22 ± 2.38) and internationally born student-athletes in the United States less than 2 years (17.31 ± 2.52) (P = 0.000), and between internationally born student-athletes in the United States 2 or more years (19.15 ± 2.25) and internationally born student-athletes in the United States less than 2 years (17.31 ± 2.52) (P = 0.002).
Conclusion:
Among this sample, being born in the United States and length of time in the United States contribute to student-athletes' concussion knowledge.
Clinical Relevance:
Standardized guidelines are needed to assist health care professionals in properly educating student-athletes about concussions as the recognition and management of concussions can be affected by a student-athlete's knowledge.
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