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Updated: Jul 1, 2025
10:31
A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
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The Adolescent Patient Perspective on Activity Limitations After Sport-Related Concussion.
Tamara C Valovich McLeod1,2, Richelle M Williams3, Alison R Snyder Valier1,2
1Department of Athletic Training, A.T. Still University, Mesa, AZ.
Journal of Athletic Training
|March 13, 2024
Summary
Sport-related concussions (SRC) significantly impact adolescent athletes, affecting daily activities, schoolwork, and sports participation. Understanding these limitations is crucial for effective recovery and return to play.
Area of Science:
- Sports Medicine
- Pediatric Sports Medicine
- Rehabilitation Science
Background:
- Patient-reported outcome measures are increasingly used in sport-related concussion (SRC) assessment.
- Limited understanding exists regarding the specific health limitations most impactful for adolescents post-SRC.
Purpose of the Study:
- To explore activity limitations perceived by adolescent athletes following SRC.
- To track these limitations throughout the recovery process until return to play.
- To map identified limitations using the International Classification of Functioning, Disability, and Health (ICF) model.
Main Methods:
- A longitudinal study design was employed.
- Fifty adolescent athletes (mean age 14.9 years) with medically diagnosed SRC participated.
- The Patient Specific-Functional Scale (PSFS) assessed activity limitations at 3 days (D3), 10 days (D10), and return to play; data were mapped to the ICF.
Main Results:
- At D3, all 50 patients reported activity limitations, primarily in sports and physical activity (SPA) and cognitive/school (COG) domains.
- At D10, 60% of patients still reported limitations, predominantly in COG and SPA.
- All reported limitations mapped to the ICF, with 75% falling within the activities and participation domain.
Conclusions:
- Sport-related concussion affects multiple aspects of adolescent athletes' lives.
- Adolescent athletes predominantly identify activity restrictions related to physical activity and sports participation post-concussion.
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