TY  - JOUR
AU  - Asken, Breton M.
A2  - Asken, Breton M.
A2  - McCrea, Michael A.
A2  - Clugston, James R.
A2  - Snyder, Aliyah R.
A2  - Houck, Zachary M.
A2  - Bauer, Russell M.
DB  - BISp
DP  - BISp
KW  - Analyse
KW  - College
KW  - Collegesport
KW  - Epidemiologie
KW  - Erholung
KW  - Gehirn
KW  - Gehirnerschütterung
KW  - Prävention
KW  - Rehabilitation, posttraumatische
KW  - Risikofaktor
KW  - Schädelhirnverletzung
KW  - Schädelverletzung
KW  - Sportmedizin
KW  - Sportverletzung
KW  - Sportwissenschaft
KW  - Untersuchung, vergleichende
KW  - Verletzungsart
KW  - Verletzungsmuster
KW  - Verletzungsursache
KW  - Zustand, posttraumatischer
LA  - eng
TI  - “Playing through it”: delayed reporting and removal from athletic activity after concussion predicts prolonged recovery
TT  - "Durchspielen" : verzögerte Beendigung der sportlichen Aktivität nach Gehirnerschütterung verlängert die Erholungsphase
PY  - 2016
N2  - Context: Preclinical research has demonstrated a window of vulnerability in the immediate aftermath of concussion wherein continued activity and stimulation can impair or prolong neurobehavioral recovery. However, this concept has not been quantified in a human population. Objective: To examine the effect of delayed reporting and removal from athletic activity after concussion on recovery time. Design: Cross-sectional study. Setting: A National Collegiate Athletic Association Division I university. Patients or Other Participants: Ninety-seven athletes who sustained a sport-related concussion between 2008 and 2015 were analyzed (age = 20.4 ± 1.3 years). Athletes were grouped as immediate removal from activity (I-RFA) or delayed removal from activity (D-RFA). Main Outcome Measure(s): Days missed was defined as the number of days between the concussion-causing event and clearance for return to contact. Associations between RFA group and prolonged (8 or more days') versus normal (7 or fewer days') recovery were also analyzed. Results: Fifty (51.5%) of the 97 athletes did not immediately report concussion symptoms. The D-RFA athletes averaged 4.9 more days missed than the I-RFA athletes. Membership in the specific RFA group predicted days missed even after controlling for sex, concussion history, learning disability or attention-deficit/hyperactivity disorder diagnosis, diagnosed psychological disorder, and acute symptom severity (R 2 change = 0.097, β = .319, P = .002). The D-RFA athletes were approximately 2.2 times more likely to have a prolonged recovery (8 or more days) compared with the I-RFA athletes (χ2 = 10.268, P = .001, ϕ = 0.325). Conclusions: Athletes who do not immediately report symptoms of a concussion and continue to participate in athletic activity are at risk for longer recoveries than athletes who immediately report symptoms and are immediately removed from activity. Continuing to participate in athletic activity during the immediate aftermath of a concussion potentially exposes the already injured brain to compounded neuropathophysiologic processes.
L2  - http://natajournals.org/doi/pdf/10.4085/1062-6050-51.5.02
SP  - S. 329-335
SN  - 1062-6050
JO  - Journal of athletic training
IS  - 4
VL  - 51
M3  - Elektronische Ressource (online)
M3  - Gedruckte Ressource
ID  - PU201607004307
ER  -