A - 36 Long-Term Psychological Symptoms Following Concussion in Adolescent Ice Hockey Players

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
C. David, M. Mrazik, K. O. Yeates, J-M Galarneau, C. A. Emery
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引用次数: 0

Abstract

Concussion symptoms typically resolve within 30 days from injury; however, in up to 35% of cases, symptoms may be prolonged and continue months, or even years, and may be associated with longer-term mental health problems. This study aimed to assess long-term psychological and emotional symptoms in adolescent youth ice hockey players after medical clearance to return to play. This study used data collected prospectively as part of a larger longitudinal cohort study involving injury surveillance in hockey players (11-18 years), conducted over five seasons from 2013 through 2018. Pre-season baseline measures of psychological and emotional functioning were compared across two consecutive time points, for youth with an intervening concussion, musculoskeletal. (MSK) injury, or no intervening injury. Random intercept models with players nested by team and individuals, captured the effects of players contributing to the analysis multiple times. Covariates included age, sex, and body checking policy. Adolescent ice hockey players who sustained a concussion showed no evidence of worsening self-reported psychological and emotional symptoms after injury, compared to youth with MSK injury or no injury. Compared to athletes with MSK or no injury, athletes who sustained a concussion also showed no worsening symptoms based on parent ratings. The present study found no evidence of worsening psychological and emotional symptoms among adolescent ice hockey players up to one-year post-concussion, compared to youth with MSK injury or no injury. These findings support the expected recovery trajectory timeline of concussions and support current return-to-play policies for this group.
A - 36 青少年冰球运动员脑震荡后的长期心理症状
脑震荡症状通常会在受伤后 30 天内缓解;但在多达 35% 的病例中,症状可能会持续数月甚至数年,并可能与长期的心理健康问题有关。本研究旨在评估青少年冰上曲棍球运动员在获得医疗许可重返赛场后的长期心理和情绪症状。 本研究使用了前瞻性收集的数据,这些数据是一项大型纵向队列研究的一部分,该研究涉及曲棍球运动员(11-18 岁)的伤病监测,从 2013 年到 2018 年共进行了五个赛季。在两个连续的时间点上,对有脑震荡、肌肉骨骼(MSK)损伤或无脑震荡的青少年的季前心理和情绪功能基线测量进行了比较。(MSK)损伤或无介入损伤的青少年。随机截距模型按球队和个人对球员进行嵌套,以捕捉球员多次参与分析的影响。协变量包括年龄、性别和身体检查政策。 与MSK受伤或未受伤的青少年相比,遭受脑震荡的青少年冰上曲棍球运动员在受伤后自我报告的心理和情绪症状没有恶化的迹象。与肌腱损伤或未受伤的运动员相比,受到脑震荡的运动员根据家长的评分也未显示出症状恶化。 本研究发现,与MSK受伤或未受伤的青少年相比,青少年冰上曲棍球运动员在脑震荡后一年内的心理和情绪症状没有恶化的迹象。这些研究结果支持脑震荡的预期恢复轨迹时间表,并支持针对这一群体的现行重返赛场政策。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
期刊介绍: ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.
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