Attention-Deficit/Hyperactivity Disorder (ADHD) as a Predictor of Prolonged Functional Recovery from Sports-Related Concussion in High School Athletes.

IF 2.6 2区医学 Q1 SPORT SCIENCES

Journal of Athletic Training Pub Date : 2024-10-31 DOI:10.4085/1062-6050-0310.24

Kyoko Shirahata, Shinobu Nishimura, Jong-Soo Lee, Rachel A Coel, Jennifer King, Troy Furutani, Nathan Murata, Kaori Tamura

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引用次数: 0

Abstract

Context: Attention-Deficit/Hyperactivity Disorder (ADHD) has been speculated to prolong concussion recovery; however, the evidence regarding concussion recovery for individuals with ADHD is limited.

Objective: To examine the concussion recovery time based on ADHD status, sex, and age.

Design: Cross-Sectional Study.

Setting: High school.

Participants: 935 (female n=382, 40.1%) concussions including 78 (female n=13, 20.0%) self-identified ADHD data were analyzed.

Main outcome measures: A Poisson regression was utilized to estimate the Return- to-Learn (RTL) and Return-to-Sport (RTS) recovery outcomes with three predicting variables: ADHD status, sex, and age.

Results: The mean RTL days of the ADHD and non-ADHD groups were 12.86 ± 10.89 (Median 11.0; IQR=8; 7.0-15.25) and 1.43 ± 8.39 (Median 9.0; IQR=9.0; 6.0-14.0), respectively. The mean RTS days of the ADHD and non-ADHD groups were 20.82 ± 15.25 days (Median 17.0; IQR=9; 12.0-21.0) and 18.03 ± 11.42 days (Median 15.0; IQR=10.0; 11.0-21.0), respectively. For RTL, the ADHD status (RR=1.16, 95%CI:1.08, 1.24, p<.001) and female sex (RR=1.13, 95%CI: 1.08, 1.17, p<.001) were significant variables for longer recovery, while the age was not (RR=0.995, 95%CI: 0.98, 1.01, p=.056). For RTS, the ADHD status (RR=1.17, 95%CI:1.12,1.23, p<.001), female sex (RR=1.07, 95%CI:1.04, 1.11, p<.001), and younger age (RR=0.98, 95%CI:0.96, 0.99, p<.001) were all significant variables for longer recovery.

Conclusions: Healthcare providers must be aware of the elevated risk of prolonged concussion recovery among high school athletes with ADHD.

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注意缺陷/多动障碍（ADHD）是预测高中运动员从运动相关脑震荡中功能恢复时间延长的因素。

背景：注意力缺陷/多动障碍（ADHD）被认为会延长脑震荡的恢复时间，但有关ADHD患者脑震荡恢复的证据却很有限：目的：根据多动症状况、性别和年龄，研究脑震荡恢复时间：设计：横断面研究：参与者：分析了 935 例脑震荡患者（女性为 382 例，占 40.1%），包括 78 例（女性为 13 例，占 20.0%）自认为患有多动症的患者的数据：采用泊松回归法估算重返学习（RTL）和重返运动（RTS）的恢复结果，其中有三个预测变量：结果：ADHD 患儿的平均 RTL 天数比 RTS 患儿的平均 RTL 天数少：多动症组和非多动症组的平均 RTL 天数分别为 12.86 ± 10.89（中位数 11.0；IQR=8；7.0-15.25）和 1.43 ± 8.39（中位数 9.0；IQR=9.0；6.0-14.0）。多动症组和非多动症组的平均 RTS 天数分别为 20.82 ± 15.25 天（中位数 17.0；IQR=9；12.0-21.0）和 18.03 ± 11.42 天（中位数 15.0；IQR=10.0；11.0-21.0）。RTL方面，ADHD状态（RR=1.16，95%CI：1.08，1.24，p结论：医疗服务提供者必须意识到，患有多动症的高中运动员脑震荡恢复期延长的风险较高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Athletic Training 医学-运动科学

CiteScore

5.30

自引率

6.10%

发文量

106

审稿时长

6 months

期刊介绍： The mission of the Journal of Athletic Training is to enhance communication among professionals interested in the quality of health care for the physically active through education and research in prevention, evaluation, management and rehabilitation of injuries. The Journal of Athletic Training offers research you can use in daily practice. It keeps you abreast of scientific advancements that ultimately define professional standards of care - something you can''t be without if you''re responsible for the well-being of patients.