Children Sports Concussion Program; & Home Base, A Red Sox Foundation and Massachusetts ... SCAT3 baseline and post-injury testing has been mandatory.
5th International Consensus Conference on Concussion in Sport – Berlin 2016
Objective & Design ü To examine the relation between day of injury concussion symptomology and prolonged recovery. ü Prospective cohort
Participants
Main Results
ü SCAT3 baseline and post-injury testing has been mandatory in the Finnish ice hockey league since 2013. ü Of the reported injuries, between seasons 2013-2016, all cases with a day of injury SCAT3 symptom scale completed were selected. ü The teams’ medical staff confirmed 28 concussions, which were assessed on the day of injury.
ü All concussed players (n=28) were Caucasian. Variable Age, yrs Symptom Score Symptom Severity RTP, days*
Mean (SD) 26.4 (4.3) 12.1 (4.3) 26.4 (13.5) 9 (4-248)
* md, range
ü Of the concussed players, 36% were out of play for more than 10 days.
Outcome Measures
ü There was a significant correlation between Symptom Severity and RTP (p=0.046).
ü The SCAT3 symptom scale was completed on the day of injury.
ü Symptom Score was not related to RTP.
ü All 22 symptoms were analyzed separately. ü Team medical staff followed up all concussed players and the day of return to play (RTP) was recorder for each athlete. ü Concussion recovery was considered prolonged if the time of RTP was over 10 days. ü RTP was analyzed as a continuous and a dichotomized variable.
ü Dizziness was the only symptom with a consistent statistical relation to longer RTP ü Spearman rho=0.4, p=0.02, ü Mann-Whitney U=4.9, p=0.038, ü Binary univariate logistic regression: ü OR=2.6, 95% CI=1.0-6.5 ü p=0.04
Conclusion ü Acute day of injury dizziness was related to prolonged recovery following concussion.
1 Department
of Neurosurgery, Tampere University Hospital, Tampere, Finland 2 Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, Tampere, Finland 3 International Ice Hockey Federation (IIHF) / Medical Committee; Finnish Ice Hockey Association & Medisport Inc, Tampere, Finland 4 Department of Physical Medicine and Rehabilitation, Harvard Medical School; Spaulding Rehabilitation Hospital; MassGeneral Hospital for Children Sports Concussion Program; & Home Base, A Red Sox Foundation and Massachusetts General Hospital Program, Boston, MA, USA 5 Institute of Behavioural Sciences, Division of Cognitive Psychology and Neuropsychology, University of Helsinki, Helsinki, Finland
For more info and contacts:
