Musculoskeletal Injuries and Their Association With Previous Concussion History: A Prospective Study of High School Volleyball and Soccer Players

Biese, Kevin; Kliethermes, Stephanie; Watson, Andrew; McGuine, Timothy A.; Lang, Pamela J.; Bell, David R.; Brooks, M. Alison

doi:10.1177/0363546521997116

Cited by 12 publications

(6 citation statements)

References 41 publications

(82 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Investigation of previous sport-related injury or concussion as a potential injury risk factor has been previously outlined in various studies and a systematic review regarding youth sports, specifically. [23][24][25] Studies considering the health of athletes at the time of their return to play after shoulder injury could serve to prevent some potential injury cases. This study serves to describe current shoulder-related injury trends in Canadian youth ice hockey.…”

Section: Discussionmentioning

confidence: 99%

Shoulder Check: Investigating Shoulder Injury Rates, Types, Severity, Mechanisms, and Risk Factors in Canadian Youth Ice Hockey

Gibson

Eliason

West

et al. 2023

Clinical Journal of Sport Medicine

View full text Add to dashboard Cite

Objective: To describe shoulder-related injury rates (IRs), types, severity, mechanisms, and risk factors in youth ice hockey players during games and practices. Design: Secondary analysis of data from a 5-year prospective cohort study, Safe-to-Play (2013-2018). Setting: Canadian youth ice hockey. Participants: Overall, 6584 player-seasons (representing 4417 individual players) participated. During this period, 118 shoulder-related games and 12 practice injuries were reported. Assessment of Risk Factors: An exploratory multivariable mixed-effects Poisson regression model examined the risk factors of body checking policy, weight, biological sex, history of injury in the past 12 months, and level of play. Main Outcome Measures: Injury surveillance data were collected from 2013 to 2018. Injury rates with 95% confidence interval (CI) were estimated using Poisson regression. Results: The shoulder IR was 0.35 injuries/1000 game-hours (95% CI, 0.24-0.49). Two-thirds of game injuries (n = 80, 70%) resulted in >8 days of time-loss, and more than one-third (n = 44, 39%) resulted in >28 days of time-loss. An 83% lower rate of shoulder injury was associated with policy prohibiting body checking compared with leagues allowing body checking (incidence rate ratio [IRR], 0.17; 95% CI, 0.09-0.33). A higher shoulder IR was observed for those who reported any injury in the last 12-months compared with those with no history (IRR, 2.00; 95% CI, 1.33-3.01). Conclusions: Most shoulder injuries resulted in more than 1 week of time-loss. Risk factors for shoulder injury included participation in a body-checking league and recent history of injury. Further study of prevention strategies specific to the shoulder may merit further consideration in ice hockey.

show abstract

Section: Discussionmentioning

confidence: 99%

Shoulder Check: Investigating Shoulder Injury Rates, Types, Severity, Mechanisms, and Risk Factors in Canadian Youth Ice Hockey

Gibson

Eliason

West

et al. 2023

Clinical Journal of Sport Medicine

View full text Add to dashboard Cite

show abstract

“…Lack of access to complete medical records typically makes survey acquisition of self-reported HxC and self-ratings of various aspects of physical, emotional, and sleep-related well-being the only feasible means to document the existence of potential contributors to elevated injury risk. Several previous studies have confirmed an association between HxC and subsequent musculoskeletal injury among adolescent athletes ( 22 , 25 , 42 , 43 ), but only one study has been focused on the identification of perceptual–motor deficiencies that may elevate their injury susceptibility ( 23 ). Thus, the purpose of this prospective cohort study was to identify factors derived from survey responses and a VR test of perceptual–motor performance and possible interactions between factors that most strongly predict the subsequent occurrence of a core or lower extremity injury (CLEI) among male and female high school athletes.…”

Section: Introductionmentioning

confidence: 99%

Concussion history and virtual reality metrics predict core or lower extremity injury occurrence among high school athletes

Wilkerson,

Wynn,

Dill

et al. 2024

Front. Sports Act. Living

View full text Add to dashboard Cite

IntroductionA history of concussion is recognized as a risk factor for musculoskeletal injury, which is likely associated with physiological effects that warrant better understanding. This study aimed to assess the potential of measurements obtained from an immersive virtual reality (VR) test to identify a subtle perceptual–motor impairment that may be prospectively associated with the occurrence of a core or lower extremity sprain or strain.MethodsA cohort of 68 high school athletes (41 female soccer players and 27 male football players) provided survey responses and completed an immersive VR test several days prior to the initiation of preseason practice sessions. Measurements of eye, neck, arm, and whole-body displacements were obtained during 40 successive lunging/reaching responses to visual stimuli moving horizontally across the VR headset display. Injury occurrences were electronically documented from the initial preseason practice session to the final game of the season.ResultsA statistically significant and intrinsically credible two-factor prediction model for core or lower extremity injury occurrence included an interaction between female sex and a self-reported history of two or more concussions, along with slow response time (RT) for arm reach (OR = 4.67; 95% CI, 1.51–14.43). Follow-up analyses identified sex-specific cut points for arm reach RT associated with elevated injury risk, which were ≥1.385 s for females and ≥1.257 s for males.DiscussionHigh school female soccer players who have sustained more than one concussion appear to be highly vulnerable to core or lower extremity sprain or strain, with the risk of injury compounded by a slow arm reach RT. Male football players as a group demonstrated significantly faster arm reach RT than that of female soccer players, but slow perceptual–motor RT for arm reach was also identified as a potentially important injury risk factor for male players. Immersive VR appears to provide precise measurements of behavioral performance characteristics that depend on brain processing efficiency. Given that the speed, accuracy, and consistency of perceptual–motor responses may be modifiable, future research should explore the potential benefits of VR training for reducing the risk of sport-related injuries.

show abstract

“…With an estimated global incidence of 600 cases per 100 000 people annually,1 concussions present a significant financial burden on those seeking appropriate healthcare 2. Emerging evidence has recognised an elevated risk of lower extremity musculoskeletal injury (LEMI) following concussion in high school,3 4 collegiate5–7 and professional athletes8 after sport resumption, with 1.6 times higher LEMI incidence in athletes with a concussion history than in their non-concussed counterparts 9. While the underlying mechanism for the elevated LEMI risk remains uncertain, previous research has suggested the full recovery of neuromuscular control following concussion10–12 may extend beyond the clinically defined recovery period 10 13.…”

Section: Introductionmentioning

confidence: 99%

Does prior concussion lead to biomechanical alterations associated with lateral ankle sprain and anterior cruciate ligament injury? A systematic review and meta-analysis

Chou,

Huang,

Leung

et al. 2023

Br J Sports Med

View full text Add to dashboard Cite

ObjectiveTo determine whether individuals with a prior concussion exhibit biomechanical alterations in balance, gait and jump-landing tasks with and without cognitive demands that are associated with risk of lateral ankle sprain (LAS) and anterior cruciate ligament (ACL) injury.DesignSystematic review and meta-analysis.Data sourcesFive electronic databases (Web of Science, Scopus, PubMed, SPORTDiscus and CiNAHL) were searched in April 2023.Eligibility criteriaIncluded studies involved (1) concussed participants, (2) outcome measures of spatiotemporal, kinematic or kinetic data and (3) a comparison or the data necessary to compare biomechanical variables between individuals with and without concussion history or before and after a concussion.ResultsTwenty-seven studies were included involving 1544 participants (concussion group (n=757); non-concussion group (n=787)). Individuals with a recent concussion history (within 2 months) had decreased postural stability (g=0.34, 95% CI 0.20 to 0.49, p<0.001) and slower locomotion-related performance (g=0.26, 95% CI 0.11 to 0.41, p<0.001), both of which are associated with LAS injury risk. Furthermore, alterations in frontal plane kinetics (g=0.41, 95% CI 0.03 to 0.79, p=0.033) and sagittal plane kinematics (g=0.30, 95% CI 0.11 to 0.50, p=0.002) were observed in individuals approximately 2 years following concussion, both of which are associated with ACL injury risk. The moderator analyses indicated cognitive demands (ie, working memory, inhibitory control tasks) affected frontal plane kinematics (p=0.009), but not sagittal plane kinematics and locomotion-related performance, between the concussion and non-concussion groups.ConclusionFollowing a recent concussion, individuals display decreased postural stability and slower locomotion-related performance, both of which are associated with LAS injury risk. Moreover, individuals within 2 years following a concussion also adopt a more erect landing posture with greater knee internal adduction moment, both of which are associated with ACL injury risk. While adding cognitive demands to jump-landing tasks affected frontal plane kinematics during landing, the altered movement patterns in locomotion and sagittal plane kinematics postconcussion persisted regardless of additional cognitive demands.PROSPERO registration numberCRD42021248916.

show abstract

Musculoskeletal Injuries and Their Association With Previous Concussion History: A Prospective Study of High School Volleyball and Soccer Players

Cited by 12 publications

References 41 publications

Shoulder Check: Investigating Shoulder Injury Rates, Types, Severity, Mechanisms, and Risk Factors in Canadian Youth Ice Hockey

Shoulder Check: Investigating Shoulder Injury Rates, Types, Severity, Mechanisms, and Risk Factors in Canadian Youth Ice Hockey

Concussion history and virtual reality metrics predict core or lower extremity injury occurrence among high school athletes

Does prior concussion lead to biomechanical alterations associated with lateral ankle sprain and anterior cruciate ligament injury? A systematic review and meta-analysis

Contact Info

Product

Resources

About