Original ArticlesDoes age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes☆
Section snippets
Subjects
Study subjects were college and high school athletes. The college sample consisted of 370 male football and 23 female soccer players from four Division 1A programs: Michigan State University, East Lansing; the University of Utah, Salt Lake City; the University of California, Berkeley; and Arizona State University, Tempe. The high school sample consisted of 161 varsity male football players and 22 varsity male soccer players from 5 high schools in Shiawassee County, Michigan.
Program Protocol and Outcome Measures
All athletes in the
Demographic Data
Of the high school sample, 95% was white (n = 37) and 5% was nonwhite (1 black and 1 Asian). At the college level, 66% were white (n = 35), 25% were black (n = 13), and 9% were of either Hispanic, Asian, or Polynesian ancestry (n = 5). In the high school sample, 90% (n = 35) of the athletes were football players and approximately 10% (n = 4) were soccer players. At the college level, 96% (n = 51) of the athletes were male football players and 2 (4% of sample) were female soccer players.
The mean
Discussion
No area of sports medicine involves more clinical uncertainty and controversy than the treatment of concussion. Reasons for concern include an overall difficulty in measuring the phenomenon (CT scan and MRI are insensitive to injury), the enigmatic and complex pathophysiologic processes underlying concussion, and a failure to create evidence-based standards for return-to-play. On the basis of prevailing standards of care (ie, existing guidelines), it is assumed that the speed of recovery from
References (36)
- et al.
Recovery of function after neonatal or adult hemispherectomy in cats
Behav Brain Res
(1986) - et al.
Physiological pathophysiological roles of excitatory amino acids during central nervous system development
Brain Res Rev
(1990) - et al.
Neurotoxicity of N-methyl-D-aspartate is markedly enhanced in developing rat central nervous system
Brain Res
(1988) - et al.
Dynamic changes in local cerebral glucose utilization following cerebral concussion in rats: evidence of a hyper and subsequent metabolic state
Brain Res
(1991) - et al.
Increased vulnerability of the mildly traumatized rat brain to cerebral ischemia: the use of controlled secondary to ischemia as a research tool to identify common or different mechanisms contributing to mechanical and ischemic brain injury
Brain Res
(1989) Traumatic brain injury and concussion in sports [editorial]
JAMA
(1999)- et al.
Traumatic brain injury in high school athletes
JAMA
(1999) - et al.
Relationship between concussion and neuropsychological performance in college football players
JAMA
(1999) - et al.
Neuropsychological impairment in amateur soccer players
JAMA
(1999) Evaluation of the professional athlete
The management of minor closed head injury in children
Pediatrics
Practice parameter: the management of concussion in sports (summary statement)
Neurology
Neuropsychological assessment of the college football player
J Head Trauma Rehabil
Outcome from severe head injury in children and adolescents
J Neurosurg
Severe head injury in children: experience of the Traumatic Coma Data Bank
Neurosurgery
Diffuse brain swelling in severely head-injured children
J Neurosurg
Diffuse brain swelling after head injury: more often malignant in adults than children?
J Neurosurg
Vasoparalysis of the central nervous system, a characteristic syndrome: significance in the pathology of the central nervous system
Arch Neurol Psychiatry
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2022, Journal of Clinical NeuroscienceCitation Excerpt :There is significant debate if age at time of concussion diagnosis is associated with long-term effects and time to recovery. Several studies have been completed evaluating the connection between age and recovery with preliminary, non-conclusive data showing a longer average recovery time after concussion in younger athletes when compared to their older counterparts. [27–28] On the contrary, the NCAA-DOD Care Consortium data has demonstrated that repetitive head injury during early adolescence is unrelated to brain health later in life as measured by specific outcome measures.
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Reprint requests: Melvin Field, MD, Department of Neurological Surgery, University of Pittsburgh School of Medicine, PUH Suite B-400, 200 Lothrop St, Pittsburgh, PA 15213. E-mail: [email protected].