Abstract:
OBJECTIVES:To compare new versus recurrent concussions with respect to constellation of symptoms, symptom severity, symptom resolution; evaluate potential subset differences with respect to gender and sport; and to compare mechanisms and activities associated with new versus recurrent concussions. METHODS:Sports-related injury and exposure data were collected for nine sports from 2005 to 2010 from 100 nationally representative US high schools. RESULTS:Nationally, an estimated 732,805 concussions occurred. Of these reported concussions, 13.2% were recurrent. The rate of new concussions was 22.2 per 100,000 athletic exposures while the rate of recurrent concussions was 3.1 per 100,000 athletic exposures (RR 7.23, 95% CI 6.39 to 8.17, p<0.001). While 0.6% of new concussion symptoms took >1 month to resolve, 6.5% of recurrent concussion symptoms took >1 month to resolve (IPR 10.35; 95% CI 4.62 to 23.16; p<0.001). Loss of consciousness was reported more often with recurrent (7.7%) than new concussions (4.4%) (IPR 1.76; 95% CI 1.02 to 3.03; p=0.043). A greater proportion of athletes sustaining recurrent concussions returned to play in >3 weeks (7.5%) or were medically disqualified (16.2%) than athletes sustaining new concussions (3.8%; IPR 1.95; 95% CI 1.01 to 3.77; p=0.047 and 2.9%; IPR 5.58; 95% CI 3.50 to 8.88; p<0.001, respectively). The majority of new and recurrent concussions resulted from contact with another person (73.4% and 77.9%, respectively). CONCLUSIONS:Athletes sustaining recurrent concussions had longer symptom resolution times, were kept out of play longer and reported loss of consciousness more frequently than athletes sustaining new concussions. With the possibility of long-term impairment and other negative sequelae, proper management and prevention of concussions at the high school level is imperative.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Castile L,Collins CL,McIlvain NM,Comstock RDdoi
10.1136/bjsports-2011-090115subject
Has Abstractpub_date
2012-06-01 00:00:00pages
603-10issue
8eissn
0306-3674issn
1473-0480pii
bjsports-2011-090115journal_volume
46pub_type
杂志文章abstract:BACKGROUND:Musculotendinous overuse injuries are prevalent in people with type 2 diabetes. Non-enzymatic glycosylation of collagen resulting in tendon stiffening may play a role. In this case-control study we determined whether patients with diabetes had poorer ultrasonographic structure in their Achilles tendons compa...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2014-093696
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVES:The authors studied the association of leisure-time physical activity (LTPA) with clustered and individual metabolic risk factors in adolescents taking into account diet and pubertal status. The authors also studied whether screen time was associated with clustered risk. METHODS:Self-reported LTPA and scree...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2010.073239
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abstract::Injuries related to weight training are becoming increasingly common as the trend for body resistance training grows. There have been numerous injuries related to repeated stress, but this appears to be the first reported case of a fracture of the shaft of clavicle related to violent muscular contraction. It occurred ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
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更新日期:2004-10-01 00:00:00
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journal_title:British journal of sports medicine
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journal_title:British journal of sports medicine
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更新日期:2019-05-01 00:00:00
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doi:10.1136/bjsm.2003.009761
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journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
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更新日期:2011-11-01 00:00:00
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doi:10.1136/bjsm.2006.027276
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pub_type: 杂志文章,多中心研究
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更新日期:2014-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/bjsm.34.4.273
更新日期:2000-08-01 00:00:00
abstract::The effect of time of day on all-out swim performances was examined. Fourteen subjects performed maximal front crawl swim tests on separate days over 100 m. and 400 m. at 5 different times of day between 06.30 h. and 22.00 h. Performance showed a significant linear trend with time of day in close though not exact asso...
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更新日期:1983-06-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bjsports-2016-096197
更新日期:2018-07-01 00:00:00
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更新日期:2007-10-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章
doi:10.1136/bjsm.33.5.352
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:Athletic groin pain (AGP) is an encompassing term for the multitude of chronic conditions presenting as pain in the inguinal region. The purpose of this review was to compare the return to play rates (RTPrate) and return to play times (RTPtime) between surgical and rehabilitation interventions in the treatme...
journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.19.4.199
更新日期:1985-12-01 00:00:00
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更新日期:2006-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/bjsports-2011-090230
更新日期:2011-12-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
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更新日期:2013-12-01 00:00:00
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.24.1.55
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of varying interdental bite platform thickness of the scuba mouthpiece on airway efficiency. METHODS:10 male divers had their mean peak flow measured for free breathing, maximum flow with diving mouthpiece, teeth in occlusion, and for five experimental mouthpieces with different thi...
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更新日期:1996-06-01 00:00:00
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更新日期:2017-07-01 00:00:00
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更新日期:2001-02-01 00:00:00
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更新日期:1988-03-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2015-12-01 00:00:00