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Updated: Jun 30, 2026
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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
13.5K
The Association Among Clinical Profiles, Modifiers, and Prolonged Recovery in Adolescents With Sport-Related
Morgan Anderson1,2, Erin Reynolds3, Taylor Gilliland1,2
1Baylor Scott & White Sports Therapy and Research, Frisco, Texas.
Summary
Adolescents with sport-related concussion (SRC) and specific clinical profiles, particularly cognitive-fatigue, may experience longer recovery times if modifiers are present. Modifiers did not significantly predict prolonged recovery but impacted recovery duration in certain profiles.
Area of Science:
- Sports Medicine
- Neurology
- Pediatrics
Background:
- Sport-related concussion (SRC) recovery in adolescents is complex and influenced by various factors.
- Understanding clinical profiles and modifiers is crucial for predicting recovery trajectories.
Purpose of the Study:
- To determine the prevalence of clinical profiles and modifiers in adolescents with SRC.
- To analyze the association between clinical profiles and prolonged recovery.
- To investigate the interaction of clinical profiles and modifiers on prolonged recovery in adolescent SRC.
Main Methods:
- Retrospective, cross-sectional study of 299 adolescents (aged 12-19) diagnosed with SRC.
- Clinical profiles and modifiers were determined by expert clinical judgment.
- Prolonged recovery was defined as ≥28 days from injury to clearance.
Main Results:
- Migraine (34.8%) and cognitive-fatigue (23.4%) were the most common clinical profiles.
- No significant association was found between clinical profiles and prolonged recovery (P=0.21).
- Modifiers increased median recovery time by 10 days in the cognitive-fatigue profile (P=0.01).
Conclusions:
- While modifiers may not lead to prolonged recovery, they can extend recovery duration.
- Adolescents with SRC and a cognitive-fatigue profile plus a modifier experienced longer recovery.
- Further research into modifier impact on SRC recovery is warranted.
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