“Playing through it”: delayed reporting and removal from athletic activity after concussion predicts prolonged recovery

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Deutscher übersetzter Titel:"Durchspielen" : verzögerte Beendigung der sportlichen Aktivität nach Gehirnerschütterung verlängert die Erholungsphase
Autor:Asken, Breton M.; McCrea, Michael A.; Clugston, James R.; Snyder, Aliyah R.; Houck, Zachary M.; Bauer, Russell M.
Erschienen in:Journal of athletic training
Veröffentlicht:51 (2016), 4, S. 329-335, Lit.
Format: Literatur (SPOLIT)
Publikationstyp: Zeitschriftenartikel
Medienart: Elektronische Ressource (online) Gedruckte Ressource
Sprache:Englisch
ISSN:1062-6050, 0160-8320, 1938-162X
Schlagworte:
Online Zugang:
Erfassungsnummer:PU201607004307
Quelle:BISp
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last_indexed 2016-09-05T12:20:27Z
first_indexed 2016-07-01T22:02:10Z
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hierarchy_top_id JO00000000720
hierarchy_parent_id JOI201600040000720
hierarchy_top_title Journal of athletic training
hierarchy_parent_title Journal of athletic training, 2016, 4
is_hierarchy_id PU201607004307
is_hierarchy_title “Playing through it”: delayed reporting and removal from athletic activity after concussion predicts prolonged recovery
hierarchy_sequence 0329
recordtype bisparticle
publishDate 2016
publishDate_facet 2016
language eng
title “Playing through it”: delayed reporting and removal from athletic activity after concussion predicts prolonged recovery
spellingShingle “Playing through it”: delayed reporting and removal from athletic activity after concussion predicts prolonged recovery
Analyse
College
Collegesport
Epidemiologie
Erholung
Gehirn
Gehirnerschütterung
Gehirnerschütterung
Prävention
Rehabilitation, posttraumatische
Risikofaktor
Schädelhirnverletzung
Schädelverletzung
Sportmedizin
Sportverletzung
Sportwissenschaft
Untersuchung, vergleichende
Verletzungsart
Verletzungsmuster
Verletzungsursache
Zustand, posttraumatischer
title_sort “playing through it” delayed reporting and removal from athletic activity after concussion predicts prolonged recovery
title_short “Playing through it”: delayed reporting and removal from athletic activity after concussion predicts prolonged recovery
title_alt "Durchspielen" : verzögerte Beendigung der sportlichen Aktivität nach Gehirnerschütterung verlängert die Erholungsphase
title_alt_lang deu
media_type Elektronische Ressource (online)
Gedruckte Ressource
city Dallas (Tex)
abstract 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.
abstract_lang eng
abstract_type author
author2 Asken, Breton M.
McCrea, Michael A.
Clugston, James R.
Snyder, Aliyah R.
Houck, Zachary M.
Bauer, Russell M.
author_facet Asken, Breton M.
McCrea, Michael A.
Clugston, James R.
Snyder, Aliyah R.
Houck, Zachary M.
Bauer, Russell M.
author2-role Autor
Autor
Autor
Autor
Autor
Autor
author2-authorityid





author_author_facet Asken, Breton M.
McCrea, Michael A.
Clugston, James R.
Snyder, Aliyah R.
Houck, Zachary M.
Bauer, Russell M.
author2-synonym





author2_hierarchy_facet 0/Autor/
1/Autor/Asken, Breton M./
0/Autor/
1/Autor/McCrea, Michael A./
0/Autor/
1/Autor/Clugston, James R./
0/Autor/
1/Autor/Snyder, Aliyah R./
0/Autor/
1/Autor/Houck, Zachary M./
0/Autor/
1/Autor/Bauer, Russell M./
url http://natajournals.org/doi/pdf/10.4085/1062-6050-51.5.02
url-type fulltext
url-free 1
free_access 1
issn 1062-6050
0160-8320
1938-162X
spelling 1062-6050
0160-8320
1938-162X
1202960-9
Analyse
College
Collegesport
Epidemiologie
Erholung
Gehirn
Gehirnerschütterung
Gehirnerschütterung
Prävention
Rehabilitation, posttraumatische
Risikofaktor
Schädelhirnverletzung
Schädelverletzung
Sportmedizin
Sportverletzung
Sportwissenschaft
Untersuchung, vergleichende
Verletzungsart
Verletzungsmuster
Verletzungsursache
Zustand, posttraumatischer
analysis
brain
college
college sport
comparative study
concussion of the brain
coomotio cerebri
craniocerebral injury
epidemiology
injury, type of
injury cause
post-traumatic rehabilitation
posttraumatic state
prevention
recovery
risk factor
skull injury
sport injury
sport science
sports medicine
Theorie der Körpererziehung
Theorie der Leibesübungen
Theorie der Leibeserziehung
Analyse, methodische
Vergleich
Medizin
Geschichte der Medizin
Untersuchung, sportmedizinische
Wasserdampf
Verletzung
Verletzung, sportartspezifische

Hirnszintigraphie
Hirnkontusion
Recreation
Ruhe
Rekreation
Gesundheitsvorsorge
Maßnahme, präventive
Präventivmedizin
Prophylaxe
Vorbeugung
Gesundheitsförderung
exercise science
sport and exercise science
comparative investigation
cause of injury
brain concussion
cerebral commotion
commotio cerebri
post-exercise rest
cranial injury
injury of the skull
injury of the cranium
“Playing through it”: delayed reporting and removal from athletic activity after concussion predicts prolonged recovery
PU201607004307
201607004307
zdb 1202960-9
location_hierarchy_facet 0/USA/
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0/USA/
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1/USA/Texas/
0/USA/
1/USA/Texas/
0/USA/
1/USA/Texas/
0/USA/
1/USA/Texas/
0/USA/
1/USA/Texas/
0/USA/
1/USA/Texas/
topic Analyse
College
Collegesport
Epidemiologie
Erholung
Gehirn
Gehirnerschütterung
Gehirnerschütterung
Prävention
Rehabilitation, posttraumatische
Risikofaktor
Schädelhirnverletzung
Schädelverletzung
Sportmedizin
Sportverletzung
Sportwissenschaft
Untersuchung, vergleichende
Verletzungsart
Verletzungsmuster
Verletzungsursache
Zustand, posttraumatischer
topic_facet Analyse
College
Collegesport
Epidemiologie
Erholung
Gehirn
Gehirnerschütterung
Gehirnerschütterung
Prävention
Rehabilitation, posttraumatische
Risikofaktor
Schädelhirnverletzung
Schädelverletzung
Sportmedizin
Sportverletzung
Sportwissenschaft
Untersuchung, vergleichende
Verletzungsart
Verletzungsmuster
Verletzungsursache
Zustand, posttraumatischer
topic_en analysis
brain
college
college sport
comparative study
concussion of the brain
coomotio cerebri
craniocerebral injury
epidemiology
injury, type of
injury cause
post-traumatic rehabilitation
posttraumatic state
prevention
recovery
risk factor
skull injury
sport injury
sport science
sports medicine
topic_en_facet analysis
brain
college
college sport
comparative study
concussion of the brain
coomotio cerebri
craniocerebral injury
epidemiology
injury, type of
injury cause
post-traumatic rehabilitation
posttraumatic state
prevention
recovery
risk factor
skull injury
sport injury
sport science
sports medicine
synonym Theorie der Körpererziehung
Theorie der Leibesübungen
Theorie der Leibeserziehung
Analyse, methodische
Vergleich
Medizin
Geschichte der Medizin
Untersuchung, sportmedizinische
Wasserdampf
Verletzung
Verletzung, sportartspezifische

Hirnszintigraphie
Hirnkontusion
Recreation
Ruhe
Rekreation
Gesundheitsvorsorge
Maßnahme, präventive
Präventivmedizin
Prophylaxe
Vorbeugung
Gesundheitsförderung
synonym_en exercise science
sport and exercise science
comparative investigation
cause of injury
brain concussion
cerebral commotion
commotio cerebri
post-exercise rest
cranial injury
injury of the skull
injury of the cranium
journal_facet Journal of athletic training
container_title Journal of athletic training
container_volume 51
container_issue 4
container_start_page S. 329-335
has_references 1
institution BISp
journal_fac JO00000000720
journal_year 2016
journal_issue 4
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