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Updated: May 15, 2025
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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
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Recovery From Adolescent Sports Concussion During the School Year Compared With Summer
Sean C Rose1, Jason Benedict2, Thomas L Pommering3
1Division of Child Neurology, Nationwide Children's Hospital, Columbus, Ohio; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio.
Pediatric Neurology
|April 24, 2025
Summary
Adolescents recover slower from concussion during the school year than summer break. This suggests academic accommodations may need enhancement for better concussion recovery in students.
Area of Science:
- Pediatric sports medicine
- Adolescent neurology
- Concussion research
Background:
- Adolescents with acute concussion often experience symptom exacerbation upon school return.
- The impact of academic schedules on concussion recovery time is a significant clinical concern.
Purpose of the Study:
- To compare concussion resolution timelines between adolescents injured during the academic school year versus summer break.
- To identify factors influencing concussion recovery duration in adolescent populations.
Main Methods:
- Retrospective chart review of adolescents (13-18 years) diagnosed with concussion.
- Categorization into 'school' or 'summer' concussion groups based on injury timing relative to school calendars.
- Primary outcome: days to concussion resolution; secondary analysis of symptom scores and influencing variables.
Main Results:
- Adolescents with school-year concussions took longer to resolve (15 days) compared to summer concussions (12 days).
- School-year concussions were associated with higher initial symptom scores and greater somatic, cognitive, and sleep disturbances.
- Factors prolonging recovery included female sex, initial symptom severity, prior concussions, and amnesia.
Conclusions:
- Concussion recovery is significantly longer for adolescents during the academic school year.
- Current academic accommodations may be insufficient to normalize recovery.
- Early intervention and targeted treatments for somatic, cognitive, and sleep symptoms are recommended.
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