Concussion-related protocols and preparticipation assessments used for incoming student-athletes in national collegiate athletic association member institutions
Deutscher übersetzter Titel: | Protokolle aufgrund von Gehirnerschütterungen und Teilnahmebewertungen bei eingelieferten Studentensportlern in Institutionen der National College Athletic Assosiation angehören |
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Autor: | Kerr, Zachary Y.; Snook, Erin M.; Lynall, Robert C.; Dompier, Thomas P.; Sales, Latrice; Parsons, John T.; Hainline, Brian |
Erschienen in: | Journal of athletic training |
Veröffentlicht: | 50 (2015), 11, S. 1174-1181, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource Elektronische Ressource (online) |
Sprache: | Englisch |
ISSN: | 1062-6050, 0160-8320, 1938-162X |
DOI: | 10.4085/1062-6050-50.11.11 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201604002577 |
Quelle: | BISp |
Abstract des Autors
Context: National Collegiate Athletic Association (NCAA) legislation requires that member institutions have policies to guide the recognition and management of sport-related concussions. Identifying the nature of these policies and the mechanisms of their implementation can help identify areas of needed improvement.
Objective: To estimate the characteristics and prevalence of concussion-related protocols and preparticipation assessments used for incoming NCAA student-athletes.
Design: Cross-sectional study.
Setting: Web-based survey.
Patients or Other Participants: Head athletic trainers from all 1113 NCAA member institutions were contacted; 327 (29.4%) completed the survey.
Intervention(s): Participants received an e-mail link to the Web-based survey. Weekly reminders were sent during the 4-week window.
Main Outcome Measure(s): Respondents described concussion-related protocols and preparticipation assessments (eg, concussion history, neurocognitive testing, balance testing, symptom checklists). Descriptive statistics were compared by division and football program status.
Results: Most universities provided concussion education to student-athletes (95.4%), had return-to-play policies (96.6%), and obtained the number of previous concussions sustained by incoming student-athletes (97.9%). Fewer had return-to-learn policies (63.3%). Other concussion-history–related information (eg, symptoms, hospitalization) was more often collected by Division I universities. Common preparticipation neurocognitive and balance tests were the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT; 77.1%) and Balance Error Scoring System (46.5%). In total, 43.7% complied with recommendations for preparticipation assessments that included concussion history, neurocognitive testing, balance testing, and symptom checklists. This was due to moderate use of balance testing (56.6%); larger proportions used concussion history (99.7%), neurocognitive testing (83.2%), and symptom checklists (91.7%). More Division I universities (55.2%) complied with baseline assessment recommendations than Division II (38.2%, χ2 = 5.49, P = .02) and Division III (36.1%, χ2 = 9.11, P = .002) universities.
Conclusions: National Collegiate Athletic Association member institutions implement numerous strategies to monitor student-athletes. Division II and III universities may need additional assistance to collect in-depth concussion histories and conduct balance testing. Universities should continue developing or adapting (or both) return-to-learn policies.