Concussions in Wheelchair Basketball

Wessels, Karla K.; Broglio, Steven P.; Sosnoff, Jacob J.

doi:10.1016/j.apmr.2011.09.009

Cited by 32 publications

(37 citation statements)

References 9 publications

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“…Two studies found no significant difference between male and female soccer players49 53 but included only 5 and 29 concussions, respectively, and therefore lacked statistical power. Women had a 1.5-fold and 3-fold higher concussion risk in the five studies on basketball populations 38 39 42 43 46. Four studies compared female softball and male baseball players with three studies reporting greater risk in softball players 38 40 41 43.…”

Section: Resultsmentioning

confidence: 95%

“…Four studies found men to be at increased risk,34 – 37 10 studies showed that women had a greater risk of concussion33 38 – 46 and nine studies found no association 47 – 55…”

Section: Resultsmentioning

confidence: 99%

“…Risk factors that were only assessed by a single study are discussed below21 27 28 46 63 83 101 127(see online supplementary table S1.14). Rugby union players with less training and below average body mass index had higher concussion rates 63.…”

Section: Resultsmentioning

confidence: 99%

“…This may be due to the aggressive nature of ice hockey in which players use their own body weight to gain advantage resulting in heavier players often knocking down their lighter opponents. In wheelchair basketball, players who used a wheelchair as their primary form of locomotion sustained less concussions, leading to speculation that those with less severe disability and more physical ability travelled faster potentially increasing concussion risk 46. It has been proposed that athletes with low physical fitness become fatigued earlier in the game, leading to inability to react efficiently to the dynamic game environment and increasing injury risk 28.…”

Section: Resultsmentioning

confidence: 99%

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Risk factors for sports concussion: an evidence-based systematic review

et al. 2013

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SA and SM contributed equally to this work. AbstractConcussion is a common sports injury with approximately 1.6 -3.8 million sport-related concussions reported in the US annually. Identifying risk factors may assist in preventing these injuries. This systematic review aims to identify such risk factors. Three electronic databases; ScienceDirect, PubMed and SpringerLink, were searched using the keywords "RISK FACTORS" or "PREDISPOSITION" in conjunction with "SPORT" and "CONCUSSION". 2Based on the inclusion and exclusion criteria, 13 628 identified titles were independently analysed by two of the authors to a final list of 86 articles. Only articles with a level of evidence of I, II and III were included according to robust study design and data analysis. The level of certainty for each risk factor was determined. A high level of certainty for increased risk of a subsequent concussion in athletes sustaining more than one previous concussion was reported in 10 of 13 studies. Further, a high level of certainty was assigned to match play with all 29 studies reporting an increased concussion risk during matches. All other risk factors were evaluated as having a low level of certainty. Although several risk factors were identified from the appraised studies, prospective cohort studies, larger sample sizes, consistent and robust measures of risk should be employed in future research.

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Section: Resultsmentioning

confidence: 95%

“…Four studies found men to be at increased risk,34 – 37 10 studies showed that women had a greater risk of concussion33 38 – 46 and nine studies found no association 47 – 55…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Risk factors for sports concussion: an evidence-based systematic review

et al. 2013

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“…For example, wheelchair track racing produces some spectacular crashes with documented head injuries. Over one season, 6.1% of American wheelchair basketball players reported experiencing a concussion and of those, 44% did not report it, largely because they did not want to be removed from competition, a response similar to able-bodied athletes 5. It is well established that concussions often go unreported or unrecognised for reasons including lack of knowledge of signs and symptoms, athletes’ tendency to mask symptoms to avoid being held from competition or minimisation of the gravity of concussion.…”

mentioning

confidence: 99%

Heads up on concussion in para sport

et al. 2017

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Health‐Related Incidents among Intercollegiate Wheelchair Basketball Players

Kasitinon

Royston

Wernet

et al. 2020

PM&R

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Background Studies have revealed a higher incidence of injury and illness among elite adaptive athletes when compared to non‐disabled athletes in the Paralympics and Olympics. However, sport‐specific health care incidence rates and patterns outside of the Paralympics have been poorly described. To date, there are no prospective studies focused on injury or illness rates among intercollegiate wheelchair basketball players. Objective To determine the incidence of sports‐related injuries and illnesses among men's and women's intercollegiate wheelchair basketball teams throughout a season. We hypothesized that injury rates among the intercollegiate wheelchair basketball players would be similar to or greater than those of previously published National Collegiate Athletic Association (NCAA) nondisabled basketball players and that injuries would most commonly affect the upper extremities. Design Prospective surveillance study. Setting Men's and women's intercollegiate wheelchair basketball teams in Arlington, Texas. Participants Twenty‐eight (14 male, 14 female) of the 29 (15 male, 14 female) eligible adult athletes playing on an intercollegiate men's or women's wheelchair basketball team during the 2018‐2019 season. Interventions Completion of a repeatable, electronic, web‐app injury and illness survey during the season, as well as separate pre‐ and post‐season injury and illness surveys. Main Outcome Measures Injury rates throughout the season based on athlete‐exposures and relative risk (RR) of injury of intercollegiate wheelchair basketball players compared to NCAA nondisabled basketball players. Description of onset, location, diagnosis, medical evaluation, and missed time from sport related to injuries and illnesses. Results Sixty‐two health‐related incidents, including 48 injuries and 14 illnesses, were prospectively reported during the season. Overall injury incidence rates were 12.2 (95% confidence interval [95% CI] 7.4 to 17.4) and 13.1 (95% CI 7.8 to 18.4) injuries per 1000 athlete‐exposures among male and female athletes, respectively. These equated to RRs of 1.53 (95% CI 1.03 to 2.27) (male) and 2.01 (95% CI 1.34 to 3.02) (female) when compared to the rates published previously on NCAA nondisabled basketball players, indicating a statistically significant increase in injury risk. Injuries most commonly involved the upper extremities (56.3%). Illnesses commonly involved the gastrointestinal (35.7%) or respiratory (21.4%) systems. Conclusions This is the first prospective study to report incidence of sports‐related injuries and illnesses throughout an intercollegiate wheelchair basketball season. Overall injury rates reported were higher than prior NCAA nondisabled intercollegiate basketball reports. This reinforces the need to establish an accessible network of health care support and injury prevention strategies for these athletes.

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Concussions in Wheelchair Basketball

Cited by 32 publications

References 9 publications

Risk factors for sports concussion: an evidence-based systematic review

Risk factors for sports concussion: an evidence-based systematic review

Heads up on concussion in para sport

Health‐Related Incidents among Intercollegiate Wheelchair Basketball Players

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