Epidemiology of Head Injuries Focusing on Concussions in Team Contact Sports: A Systematic Review

Prien, Annika; Grafe, Alexander; Rößler, Roland; Junge, Astrid; Verhagen, Evert

doi:10.1007/s40279-017-0854-4

Cited by 163 publications

(143 citation statements)

References 95 publications

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“…These studies report a large difference in concussion incidence and emphasize the use of a strict definition of concussion. In a recent review article on the incidence of SRC in contact sports, 28 studies on concussion in elite soccer for men and women were included and a concussion incidence of 0.44/1000 hours match play for men and 1.76/1000 hours match play for females was found . The incidence in our present study was 1.18 and 1.22 for male and female elite soccer players, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Sport‐related concussions (SRCs) are common in contact sports such as American football, rugby, ice hockey, and soccer . A concussion is defined as a traumatic brain injury initiating complex pathophysiologic processes that cause transient neurological symptoms .…”

Section: Introductionmentioning

confidence: 99%

“…Although soccer is the most popular sport in the world for both males and females, only few studies describe gender differences in elite soccer players. Renewed prospective incidence studies, investigating symptoms longitudinally after concussion, are warranted …”

Section: Introductionmentioning

confidence: 99%

“…Sport-related concussions (SRCs) are common in contact sports such as American football, rugby, ice hockey, and soccer. 1 A concussion is defined as a traumatic brain injury initiating complex pathophysiologic processes that cause transient neurological symptoms. 2 The potential adverse effects of SRCs are increasingly recognized, and the accumulating effects of repetitive SRCs may lead to long-term persistent symptoms that result in premature termination of an athlete´s career.…”

Section: Introductionmentioning

confidence: 99%

“…Previously, many studies on SRC in sports, including soccer, have suggested a higher incidence and worse outcome in females. 1,9,15,16 Although soccer is the most popular sport in the world for both males and females, only few studies describe gender differences in elite soccer players. Renewed prospective incidence studies, investigating symptoms longitudinally after concussion, are warranted.…”

Section: Introductionmentioning

confidence: 99%

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Concussion incidence and recovery in Swedish elite soccer — Prolonged recovery in female players

Vedung

Hänni

Tegner

et al. 2020

Scandinavian Med Sci Sports

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Objectives Sport‐related concussions are an increasingly recognized health problem. Soccer is the most popular sport in the world although recent studies on concussion incidence are scarce. Here, a nationwide prospective study on concussion incidence, symptom severity, risk factors, gender differences, and return‐to‐play after concussion was performed in 51 Swedish elite soccer teams during the 2017 season. Methods In the 1st and 2nd soccer leagues for men and women, a Sport Concussion Assessment Tool (SCAT)‐based questionnaire study was performed at preseason (baseline) and from 48 hours to 3 months post‐concussion. Results We followed 959 players (389 women, 570 men) for 25 146 player game hours (9867 hours for women, 15 279 hours for men). Concussion incidence (n = 36 concussions during the season) was 1.19/1000 player game hours (females 1.22/1000 hours, males 1.18/1000 hours; P = .85). Twenty‐seven percent of all players (8% of females, 40% of males) continued to play immediately after the concussion. When compared to male players, female players had worse initial symptom severity scores (median and IQR 30 (17‐50.5) vs 11 (4‐26.25), P = .02) on SCAT and longer return‐to‐play (P = .02). Risk factors for concussion were baseline symptoms and previous concussion. Conclusion In Swedish elite soccer, the concussion incidence was 1.19/1000 without gender differences. Most players recovered to play within 4 weeks post‐injury. Almost one third of players continued to play at time of concussion. Female players had worse initial symptoms and longer return‐to‐play time than males, and a prolonged recovery beyond 3 months was only observed among female players.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Concussion incidence and recovery in Swedish elite soccer — Prolonged recovery in female players

Vedung

Hänni

Tegner

et al. 2020

Scandinavian Med Sci Sports

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A concussion by any other name: Differences in willingness to risk brain injury by label and level of participation in high‐school and college sports

Garavito

Reyna

DeTello

2018

Applied Cognitive Psychology

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One factor in reducing the likelihood of sports-related brain injuries is the recognition of risks. However, using colloquial terms may deemphasize the severity of these risks.We hypothesized that using colloquial language to describe sports-related brain injuries will lead to greater willingness to take on the risk. We conducted two experiments, varying the label describing an injury (getting your bell rung, concussion, or brain injury) and assessing willingness of current athletes, former athletes, and nonathletes to accept this risk as part of sports participation. High-school and college athletes were willing to expose themselves to a high probability of risk, compared with nonathletes, when described colloquially. However, risk thresholds were low and indistinguishable across groups when using the term "brain injury." Findings remained significant when controlling for knowledge, age, and sensation seeking. These differences indicate that the term "getting your bell rung" should not be used to describe a brain injury.

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Gaze stabilization function does not predict injury incidence among collegiate athletes

et al. 2021

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Maintenance of visual acuity during head movement is essential for optimal performance in sport. While it seems reasonable to suspect that reduced gaze stabilization might impair physical performance on the playing field and contribute to increased incidence of injury, the relationship between gaze stabilization function and athletic injury has not been examined. The purpose of this study was to examine the influence of gaze stabilization on the incidence of injury in collegiate athletes. A total of 147 collegiate athletes were assessed using the Neurocom Invision gaze stabilization test (GST) prior to season of play in the horizontal plane. Injury reports for each athlete were recorded during the fall season, and then, comparisons between GST performance for those injured versus not were performed. Fifty‐eight percent of the athletes were injured during the season. There was no difference in average GST scores or asymmetry between athletes who sustained injury during season and those who did not. Lower horizontal gaze stabilization function does not appear to be associated with an increase in injury incidence in collegiate athletes. Baseline gaze stabilization testing is not recommended for identification of athletes at risk but could be utilized to establish baseline function.

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Epidemiology of Head Injuries Focusing on Concussions in Team Contact Sports: A Systematic Review

Abstract: Future research should focus on concussion in women's contact sports, as there is little evidence available in this area. Methodological deficits are frequent in the current literature, especially regarding sample size and study power, and should be avoided.

Cited by 163 publications

References 95 publications

Concussion incidence and recovery in Swedish elite soccer — Prolonged recovery in female players

Concussion incidence and recovery in Swedish elite soccer — Prolonged recovery in female players

A concussion by any other name: Differences in willingness to risk brain injury by label and level of participation in high‐school and college sports

Gaze stabilization function does not predict injury incidence among collegiate athletes

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