Cervical spine and vestibulo-ocular screening in elite female athletes with a history of concussion

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2025-09-04 DOI:10.1016/j.msksp.2025.103406

Felix Leung , Emma Warner , Benjamin Currie , Marguerite King , Tim Oostenbroek , Yanek Pearce , George Stiles , Daniel Brown , M. Dilani Mendis , Julie Hides

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引用次数: 0

Abstract

Background

Female athletes are more susceptible to sports-related concussions and experience greater and prolonged symptomatology. Changes in the cervico-vestibular systems have been observed in the acute phase post-concussion, but it is unknown if residual impairments persist in the following 12 months.

Objectives

To determine if there was an association between baseline screening of the cervical spine, vestibular and oculomotor systems in female athletes with and without a history of concussion.

Design

Cross-sectional study.

Methods

94 elite and pre-elite female athletes participating in soccer, water polo and rugby-7s were recruited from the Queensland Academy of Sport, Australia. Athletes completed the Sport Concussion Assessment Tool (SCAT6), Vestibular/Ocular Motor Screening (VOMS), and assessment of the cervical spine (manual examination and joint proprioception). History of concussion (yes/no) in the last 12 months was self-reported.

Results

A history of headaches, findings on manual examination of the cervical spine (altered segmental mobility and tissue resistance) and symptom provocation on the VOMS were significantly different between groups for those with and without a history of concussion (all p < 0.05). Unadjusted odds ratios were 4.2 (95 % CI: 1.3–13.4) for history of headaches, 3.8 (95 % CI: 1.2–11.8) for abnormal VOMS and 3.2 (95 % CI: 1.1–9.3) for increased tissue resistance on manual examination of the cervical spine, suggesting that players with these findings on clinical examination are more likely to have a history of concussion.

Conclusions

The results of this study suggest that athletes with a history of concussion should undergo manual assessment of the cervical spine and vestibulo-ocular system screening regardless of baseline self-reported symptom profile.

查看原文本刊更多论文

有脑震荡病史的优秀女运动员的颈椎和前庭-眼筛查

女运动员更容易受到运动相关脑震荡的影响，并经历更大和更长时间的症状。在脑震荡后的急性期观察到颈前庭系统的变化，但尚不清楚残余损伤是否在接下来的12个月内持续存在。目的：确定有无脑震荡史的女运动员的颈椎、前庭和动眼肌系统基线筛查之间是否存在关联。DesignCross-sectional研究。方法选取澳大利亚昆士兰体育学院足球、水球和橄榄球优秀及准优秀女运动员94名。运动员完成了运动脑震荡评估工具（SCAT6）、前庭/眼运动筛查（VOMS）和颈椎评估（手工检查和关节本体感觉）。自我报告过去12个月的脑震荡史（是/否）。结果有和无脑震荡史的患者头痛史、颈椎手工检查结果（节段活动能力和组织阻力改变）和VOMS症状激发在组间差异有统计学意义（p < 0.05）。未调整的优势比为：头痛史为4.2 (95% CI: 1.3-13.4)， VOMS异常为3.8 (95% CI: 1.2-11.8)，手工检查颈椎组织阻力增加为3.2 (95% CI: 1.1-9.3)，这表明在临床检查中有这些发现的球员更有可能有脑震荡史。结论：本研究的结果表明，有脑震荡病史的运动员应进行颈椎和前庭-眼系统筛查，无论基线自我报告的症状如何。

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

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.