Demographic, Parental, and Personal Factors and Youth Athletes' Concussion-Related Knowledge and Beliefs

Register-Mihalik, Johna K.; Williams, Richelle M.; Linnan, Laura; Mihalik, Jason P.; Guskiewicz, Kevin M.; McLeod, Tamara C. Valovich

doi:10.4085/1062-6050-223-17

Cited by 47 publications

(54 citation statements)

References 41 publications

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“…Despite a recent focus on concussion education, underreporting still remains a factor even in youth football. 39 The injury metric presented here was modeled after GAMBIT, though the critical values for linear and rotational head acceleration were based on the average values associated with concussion and not on more serious brain injuries which have been observed in cadaver testing. 30 The average values for linear and rotational head acceleration associated with concussion represented the 96th percentile of head impacts experienced by youth athletes in this dataset.…”

Section: Discussionmentioning

confidence: 99%

Development of a Concussion Risk Function for a Youth Population Using Head Linear and Rotational Acceleration

et al. 2019

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Physical differences between youth and adults, which include incomplete myelination, limited neck muscle development, and a higher head-body ratio in the youth population, likely contribute towards the increased susceptibility of youth to concussion. Previous research efforts have considered the biomechanics of concussion for adult populations, but these known age-related differences highlight the necessity of quantifying the risk of concussion for a youth population. This study adapted the previously developed Generalized Acceleration Model for Brian Injury Threshold (GAMBIT) that combines linear and rotational head acceleration to model the risk of concussion for a youth population with the Generalized Acceleration Model for Concussion in Youth (GAM-CY). Survival analysis was used in conjunction with head impact data collected during participation in youth football to model risk between individuals who sustained medically-diagnosed concussions (n = 15). Receiver operator characteristic curves were generated for peak linear acceleration, peak rotational acceleration, and GAM-CY, all of which were observed to be better injury predictors than random guessing. GAM-CY was associated with an area under the curve of 0.89 (95% confidence interval: 0.82-0.95) when all head impacts experienced by the concussed players were considered. Concussion tolerance was observed to be lower for youth athletes, with average peak linear head acceleration of 62.4 ± 29.7 g compared to 102.5 ± 32.7 g for adults and average peak rotational head acceleration of 2609 ± 1591 rad/s 2 compared to 4412 ± 2326 rad/s 2. These data provide further evidence of age-related differences in concussion tolerance and may be used for the development of youth-specific protective designs.

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Section: Discussionmentioning

confidence: 99%

Development of a Concussion Risk Function for a Youth Population Using Head Linear and Rotational Acceleration

et al. 2019

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“…To date, we identified only 3 published articles 7,8,12 that systematically applied the socioecological framework to a sports medicine topic. Failing to use a structure to organize and apply the evidence on sport-related death for end users prevents a systematic approach to improving interventions and promoting the adoption of best practices.…”

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confidence: 99%

The Socioecological Framework: A Multifaceted Approach to Preventing Sport-Related Deaths in High School Sports

Scarneo

Kerr

Kroshus

et al. 2019

Journal of Athletic Training

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The socioecological framework is a multilevel conceptualization of health that includes intrapersonal, interpersonal, organizational, environmental, and public policy factors. The socioecological framework emphasizes multiple levels of influence and supports the idea that behaviors both affect and are affected by various contexts. At present, the sports medicine community's understanding and application of the socioecological framework are limited. In this article, we use the socioecological framework to describe potential avenues for interventions to reduce sport-related deaths among adolescent participants.

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“…19,20 The CCM also directs and provides educational training opportunities for school staff, including teachers, administrators, and nurses, as well as for parents to learn more about concussions and symptom recognition. 21,22 On a larger scale, TUKHS also has partnerships with college and professional athlete groups, using the expertise of the CCM team. These community partnerships enhance the CCM’s continuity of care, offer a streamlined connection for this care within TUKHS clinics, and promote safe practices, especially with groups where concussions typically go unreported or underreported.…”

Section: Other Pieces To the Puzzlementioning

confidence: 99%

Developing a Comprehensive, Interdisciplinary Concussion Program

Chen

Kouts

Rippee

et al. 2020

Health�Serv�Insights

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There has been a growing trend of local and national coverage of and interest in concussion injuries over the past 2 decades. Increasing public concern over potential catastrophic and unknown long-term effects of sports-related concussion injuries has led to an acknowledgment of the strong public health need for addressing all concussion injuries, regardless of mechanism of injury. In efforts to address this need for concussion prevention and management, both in sports and nonsports, The University of Kansas Health System initiated the interdisciplinary Center for Concussion Management program in 2012. The program was created as a virtual clinic concept and includes voluntary participation from various providers across the institution, limited budget, and space obstacles. Since its inception, the program has continued to operate as its initial design of a multidisciplinary team model outside the sole ownership of 1 department, and has expanded to include education and outreach to local and regional schools and groups.

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Demographic, Parental, and Personal Factors and Youth Athletes' Concussion-Related Knowledge and Beliefs

Cited by 47 publications

References 41 publications

Development of a Concussion Risk Function for a Youth Population Using Head Linear and Rotational Acceleration

Development of a Concussion Risk Function for a Youth Population Using Head Linear and Rotational Acceleration

The Socioecological Framework: A Multifaceted Approach to Preventing Sport-Related Deaths in High School Sports

Developing a Comprehensive, Interdisciplinary Concussion Program

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