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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
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Lower Extremity Musculoskeletal Injuries After Concussion in Collegiate Student-Athletes.

Thomas A Buckley1,2, Avinash Chandran3, Timothy C Mauntel4

  • 1Department of Kinesiology and Applied Physiology, University of Delaware, Newark, Delaware, USA.

The American Journal of Sports Medicine
|October 18, 2022
PubMed
Summary
This summary is machine-generated.

Concussion did not increase lower extremity musculoskeletal injury (LEMSKI) risk in collegiate athletes. Football players had higher odds of non-time loss LEMSKI but lower odds of time loss LEMSKI after concussion.

Keywords:
injury preventionmild traumatic brain injurypostural control

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Area of Science:

  • Sports Medicine
  • Epidemiology
  • Orthopedics

Background:

  • Previous studies suggest a link between concussion and lower extremity musculoskeletal injury (LEMSKI) in collegiate athletes.
  • Existing research is limited by small sample sizes and single-institution focus, hindering generalizability.

Purpose of the Study:

  • To determine the likelihood and timing of LEMSKI following concussion in US collegiate athletes.
  • Utilize the National Collegiate Athletic Association (NCAA) Injury Surveillance Program (ISP) for a comprehensive analysis.

Main Methods:

  • A descriptive epidemiology study analyzed NCAA ISP data from 2010-2011 to 2019-2020.
  • Examined frequency distributions of initial and subsequent injuries (bone, bursa, joint, ligament, muscle, tendon).
  • Employed multivariable logistic and random-effects Poisson regression models to assess odds and time intervals for time loss (TL) and non-time loss (NTL) LEMSKI, analyzing football and other sports separately.

Main Results:

  • Analysis included 31,556 initial injuries (11,900 football, 19,656 other sports).
  • Overall, initial injury type did not significantly predict subsequent LEMSKI.
  • In football, concussion was associated with higher odds of NTL LEMSKI (aOR, 1.56) and lower odds of TL LEMSKI (aOR, 0.71) compared to upper extremity musculoskeletal injury (UEMSKI).

Conclusions:

  • Concussion or upper extremity injury as a first injury was not linked to an increased risk of LEMSKI.
  • This study did not find elevated odds of LEMSKI after a concussion in collegiate athletes.
  • Football players showed increased odds of NTL LEMSKI and decreased odds of TL LEMSKI post-concussion.