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Updated: Jul 28, 2026
A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
Impact of knowledge and attitude on inappropriate post-concussion behaviors in competitive cyclists
Yudai Sasaki1,2, Junji Inoue1,3, Toshihiro Maemichi4,5
1Graduate School of Sport Sciences, Waseda University, Tokorozawa, Japan.
Objectives:
To measure epidemiological data on concussions and examine the association between knowledge and attitudes about concussions and inappropriate post-injury behavior.
Design:
Descriptive, cross-sectional study.
Setting:
Online survey.
Participants:
A total of 365 competitive cyclists in Japan.
Main Outcome Measures:
Survey items included participant information, the experience of concussion-like symptoms, concussion knowledge index (CKI) score, concussion attitude index (CAI) score, and inappropriate behavior post-concussion injury.
Results:
The prevalence of concussion-like symptoms among all competitive cyclists was 45.8%. CKI and CAI scores for all participants were 21.7 ± 3.4 and 10.5 ± 3.4, respectively. No significant differences were identified in CKI and CAI scores based on concussion-like symptom experience. After adjusting for covariates, we found that the risk of 'returning to training without rest after injury' decreased by 20% for each 1-point increase in CKI score. In contrast, the risk of 'returning to training with symptoms remaining' decreased by 13% for each 1-point increase in CAI.
Conclusions:
An association was found between concussion knowledge and return to competition without a period of rest post-injury, as well as between attitude toward concussion and return to competition with symptoms. Therefore, these findings can contribute to concussion education among cyclists.
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