Concussion May Increase the Risk of Subsequent Lower Extremity Musculoskeletal Injury in Collegiate Athletes

被引:128
作者
Herman, Daniel C. [1 ]
Jones, Debi [3 ]
Harrison, Ashley [4 ]
Moser, Michael [1 ,2 ]
Tillman, Susan [3 ]
Farmer, Kevin [1 ,2 ]
Pass, Anthony [5 ]
Clugston, James R. [2 ,6 ]
Hernandez, Jorge [7 ]
Chmielewski, Terese L. [8 ,9 ]
机构
[1] Univ Florida, Dept Orthopaed & Rehabil, POB 112727, Gainesville, FL 32611 USA
[2] Univ Florida, Univ Florida Athlet Assoc, Gainesville, FL USA
[3] Orthopaed & Sports Med Inst, UF Hlth Rehab Ctr, Gainesville, FL USA
[4] ProFormPT, Maitland, FL USA
[5] Univ Texas Athlet, Austin, TX USA
[6] Univ Florida, Dept Community Hlth & Family Med, Student Hlth Care Ctr, Gainesville, FL USA
[7] Univ Florida, Coll Vet Sci, Gainesville, FL USA
[8] TRIA Orthoped Ctr, Bloomington, MN USA
[9] Univ Florida, Dept Phys Therapy, Gainesville, FL USA
基金
美国国家卫生研究院;
关键词
CRUCIATE LIGAMENT RECONSTRUCTION; SPORT-RELATED CONCUSSION; TRAUMATIC BRAIN-INJURY; NEUROMUSCULAR CONTROL; PERSISTENT INFLUENCE; COGNITIVE CONTROL; FOOTBALL PLAYERS; BALANCE CONTROL; GAIT; PREVENTION;
D O I
10.1007/s40279-016-0607-9
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Background Laboratory-based studies on neuromuscular control after concussion and epidemiological studies suggest that concussion may increase the risk of subsequent musculoskeletal injury. Objective The purpose of this study was to determine if athletes have an increased risk of lower extremity musculoskeletal injury after return to play from a concussion. Methods Injury data were collected from 2006 to 2013 for men's football and for women's basketball, soccer and lacrosse at a National Collegiate Athletic Association Division I university. Ninety cases of in-season concussion in 73 athletes (52 male, 21 female) with return to play at least 30 days prior to the end of the season were identified. A period of up to 90 days of in-season competition following return to play was reviewed for time-loss injury. The same period was studied in up to two control athletes who had no concussion within the prior year and were matched for sport, starting status and position. Results Lower extremity musculoskeletal injuries occurred at a higher rate in the concussed athletes (45/90 or 50 %) than in the non-concussed athletes (30/148 or 20 %; P < 0.01). The odds of sustaining a musculoskeletal injury were 3.39 times higher in the concussed athletes (95 % confidence interval 1.90-6.05; P < 0.01). Overall, the number of days lost because of injury was similar between concussed and non-concussed athletes (median 9 versus 15; P = 0.41). Conclusions The results of this study demonstrate a relationship between concussion and an increased risk of lower extremity musculoskeletal injury after return to play, and may have implications for current medical practice standards regarding evaluation and management of concussion injuries.
引用
收藏
页码:1003 / 1010
页数:8
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