Clinical Journal of Sport Medicine最新文献

{"title":"Give It a Rest: The Impact of Rest Days on Musculoskeletal Injuries Among Starting Pitchers in Major League Baseball.","authors":"Matthew Waldrop,Zachary Sitton,Jeremy Swisher,Kiran Mullur,Stephen Davis","doi":"10.1097/jsm.0000000000001277","DOIUrl":"https://doi.org/10.1097/jsm.0000000000001277","url":null,"abstract":"OBJECTIVEExamine the impact of rest days on musculoskeletal (MSK) injury incidence in Major League Baseball (MLB) starting pitchers.DESIGNDescriptive epidemiological study.SETTINGMLB pitching and injury reports. PARTICIPANTS: MLB starting pitchers.METHODSData (2022-2023) were obtained from Baseball-Reference.com and fangraphs.com. Teams were grouped by average rest days between starts (Group A <5 rest days, Group B >5 rest days). Poisson regression was used to compare main outcome measure incidence rate ratios (IRRs).INDEPENDENT VARIABLESNumber of rest days between starts.MAIN OUTCOME MEASURESPitches per start, MSK injury incidence, injured list (IL) days for MSK injury.RESULTSFrom 2022 to 2023, the average MLB rest days between starts was 4.80. Group A had 54 teams. Group B had 6 teams. The range of average rest days per start by team was 4.56 to 5.73 with a mean of 4.80. Group B pitchers spent 10.7 days on IL for MSK injuries per 1000 pitches, while Group A spent 13.6 days on IL (IRR = 0.78 [95% CI, 0.72-0.85]; P < 0.0001). Group B averaged 0.93 more pitches per start than Group A (P = 0.0164). Group B had a lower number of IL assignments for MSK injuries per 1000 pitches (0.245 vs 0.351, IRR = 0.70 [95% CI, 0.38-1.18]; P = 0.1715).CONCLUSIONSStarting pitchers on MLB teams averaging > 5 rest days between starts spent less time on the IL for MSK injuries than MLB teams averaging < 5 rest days from 2022 to 2023. There was no clinically significant difference in pitch count and no significant difference in the number of IL assignments for MSK injuries.","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Bye Weeks on Injury Event Rates in the Canadian Football League.","authors":"Caitlin Lee,Brice Batomen,Dhiren Naidu,Shane Hoeber,Robert McCormack,Russell Steele,Arijit Nandi,Ian Shrier","doi":"10.1097/jsm.0000000000001272","DOIUrl":"https://doi.org/10.1097/jsm.0000000000001272","url":null,"abstract":"OBJECTIVETo determine the effect of bye weeks (no practices or games) on the injury event rate in the Canadian Football League (CFL).DESIGNHistorical (retrospective) cohort study.SETTINGCFL.PARTICIPANTSCFL athletes between 2011 and 2018.INTERVENTIONCFL pseudorandom assignment of bye weeks each season (2011-2013: 1; 2014-2017: 2; 2018: 3).MAIN OUTCOME MEASURESGame injury incident rate ratio (IRR) in the week following a bye week compared with non-bye weeks. Sensitivity analyses: IRR for the 2 and 3 weeks following a bye week. We conducted exploratory analyses for combined game and practice injury events because we did not have the number of players exposed during practice.RESULTSThe IRR was 0.96 (0.87-1.05), suggesting no meaningful effect of a bye week on the post-bye week game injury event rate. We obtained similar results for cumulative game injury events for subsequent weeks: IRR was 1.02 (0.95-1.10) for the 2 weeks following the bye week and 1.00 (0.93-1.06) for the 3 weeks following the bye week. The results were similar with 1, 2, or 3 bye weeks. However, the combined game and practice injury event rate was increased following the bye week [IRR = 1.14 (1.05-1.23)]. These results are expected if the break period results in medical clearance for preexisting injuries; increasing pain in these locations following the bye week would now be considered new injuries instead of \"exacerbations.\"CONCLUSIONSBye weeks do not appear to meaningfully reduce the injury event rate. Furthermore, there was no injury reduction when adding additional bye weeks to the schedule.","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound-Guided Percutaneous Ultrasonic Tenotomy for Refractory Patellar Tendinopathy in High-Level Athletes: A Case Series.","authors":"Toru Omodani,Masayoshi Saito,Futoshi Ikuta","doi":"10.1097/jsm.0000000000001275","DOIUrl":"https://doi.org/10.1097/jsm.0000000000001275","url":null,"abstract":"OBJECTIVETo elucidate the clinical outcomes and return-to-sport status of high-level athletes with refractory patellar tendinopathy treated with ultrasound-guided percutaneous ultrasonic tenotomy (PUT).DESIGNCase series study.SETTINGSingle orthopaedic clinic.PATIENTSFive cases involving 8 knees from athletes (average age: 22 years, range: 17-30 years) who presented with refractory patellar tendinopathy and underwent PUT between 2022 and 2024. Conservative treatments had previously been attempted without sufficient pain relief or return to sports.INTERVENTIONSAll patients underwent ultrasound-guided PUT using the TX-2 device from Tenex Health. Jogging was resumed 1 month after surgery, and a return to competitive sports was permitted as early as 3 months postsurgery.MAIN OUTCOME MEASURESPreoperative and postoperative Victorian Institute of Sport Assessment (VISA) scores and Numerical Rating Scale (NRS) scores for pain. Time to return to full training and competitive sports, and presence of postoperative infection signs.RESULTSThe VISA score significantly improved from a preoperative average of 43.1 to a postoperative average of 77.1 (P = 0.0004). The NRS significantly decreased from a preoperative average of 6.4 to a postoperative average of 2.8 (P = 0.0005). Four cases involving 6 knees fully returned to sports, with an average return time of 3 months and 19 days (range: 3 months to 4 months and 13 days). One case involving 2 knees did not show sufficient pain improvement and the patient could not return to sports. No signs of infection were observed in any case.CONCLUSIONSPUT for refractory patellar tendinopathy in high-level athletes generally results in favorable treatment outcomes and successful return to sports. This study provides novel insights into the effectiveness of PUT for patellar tendinopathy in athletes, highlighting the need for future studies with larger sample sizes to validate these findings and explore factors associated with poor outcomes.","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142204839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kiteboarding Injuries: Epidemiology, Common Treatment Strategies, and Time to Return to Kiteboarding Following Injury.","authors":"Yiftah Beer, Tzadok Yona, Yuval Arama, Dror Lindner, Grant Garrigues, Francesco Feletti, Lars Blond, Ron Gilat","doi":"10.1097/JSM.0000000000001270","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001270","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the prevalence and types of injuries incurred during kiteboarding (1), along with treatment approaches (2). In addition, the time to return to kiteboarding following injury (3) and factors associated with the rate and type of injury were analyzed (4).</p><p><strong>Setting: </strong>Recreational kiteboarding.</p><p><strong>Design: </strong>Retrospective cohort.</p><p><strong>Participants: </strong>Three hundred twelve kiteboarders (280 men, 32 women, mean age 42.91 ± 13) were included in the study.</p><p><strong>Independent variables: </strong>Age, sex, experience, and the use of protective gear.</p><p><strong>Main outcome measures: </strong>Kiteboarding experience, injury location, type, incidence, nonsurgical and surgical treatment modalities, and return-to-kiteboarding data.</p><p><strong>Results: </strong>The number of injuries calculated per 1000 sessions was a mean of 7.82 (4.83-10.81). Patients with less than 2 years of kiteboarding experience were at a greater risk of injury than more experienced kiters (P < 0.001). The knee (24.1%), ankle and foot (18.9%), ribs (12.7%), and shoulder (10.2%) were the body parts most frequently injured. Overall, 14.4% of kiters underwent surgical intervention, with knee surgery being the most common site of operation (41.9%) and the most frequently performed procedure being anterior cruciate ligament reconstruction.</p><p><strong>Conclusions: </strong>The pattern of reported injury was found to be different from that previously reported in the scientific literature among freeriding kiters, with knees, ribs, and shoulders being most frequently involved. Participants with <2 years of experience had a significantly greater risk of injury; therefore, proper technical and physical training is advisable.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concussion Incidence, Mechanism, and Perspectives Among Australian Elite Surfers: Implications for Medical Support and Safety Protocols.","authors":"John Ward, Eric Haakonssen, Joanna Parsonage","doi":"10.1097/JSM.0000000000001271","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001271","url":null,"abstract":"<p><strong>Objective: </strong>The primary objective was to investigate the incidence of concussion and the associated mechanisms of injury in elite Australian surfers. The secondary objective was to investigate the current perspectives and behaviors related to experiencing concussion in surfing.</p><p><strong>Design: </strong>A cross-sectional, retrospective, descriptive survey.</p><p><strong>Setting: </strong>Surfing Australia high-performance program.</p><p><strong>Participants: </strong>Forty nationally identified elite Australian surfing athletes.</p><p><strong>Intervention: </strong>A retrospective survey collected information pertaining to participant demographics, concussion history, potential concussive symptoms, such as headache, neck pain, dizziness, or unusual fatigue, following a wipeout, and participants' perspectives on concussion.</p><p><strong>Main outcome measures: </strong>Investigating concussion incidence among elite Australian surfers compared with potential undiagnosed concussive episodes.</p><p><strong>Results: </strong>Surfers with a history of diagnosed surfing-related concussion (DC) were compared with those with no history of a diagnosed surfing-related concussion (NDC). A total of 13 of 40 surfers had a DC, with \"contact versus the water surface\" identified as the primary mechanism. Both DC and NDC groups had a high frequency of concussive symptoms after a surfing wipeout with a total of 447 and 573 concussive symptom occurrences reported in the DC and NDC groups, respectively. Concern regarding the long-term impacts of concussion were reported in 25 of 40 surfers.</p><p><strong>Conclusions: </strong>The number of concussive symptoms reported by surfers who had not previously been diagnosed with concussion suggests that concussion may be underreported and underdiagnosed in elite surfing. This underscores the need for increased medical support, education, and improved safety protocols.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognosticating Return-To-Play Time Following a Hamstring Strain Injury Using Early Flexibility Asymmetry and Musculoskeletal Ultrasound Imaging Outcomes: An Exploratory Study Among Canadian University Football Players.","authors":"Patrick Gendron, Martin Lamontagne, Camille Fournier-Farley, Dany H Gagnon","doi":"10.1097/JSM.0000000000001230","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001230","url":null,"abstract":"<p><strong>Objective: </strong>Identify key flexibility and point-of-care musculoskeletal ultrasound (POCUS) measures for prognosticating return-to-play (RTP) following a first hamstring strain injury (HSI) and informing the clinical decision-making process.</p><p><strong>Design: </strong>Exploratory prospective cohort study.</p><p><strong>Setting: </strong>Sport medicine and rehabilitation clinic of a Canadian university.</p><p><strong>Participants: </strong>One hundred and sixty-seven elite Canadian university football athletes followed over 5 seasons.</p><p><strong>Interventions: </strong>Clinical and POCUS measures collected within 7 days after HSI and preseason clinical measures.</p><p><strong>Main outcome measures: </strong>Active knee extension (AKE) and Straight Leg Raise (SLR) to quantify hamstring flexibility, POCUS-related outcomes to characterize tissue alteration, and RTP until full sport resumption were documented (categorized as Early [1-40 days] or Late [>40 days] RTP).</p><p><strong>Results: </strong>A total of 19 and 14 athletes were included in the Early RTP (mean RTP = 28.84 ± 8.62 days) and Late RTP groups (mean 51.93 ± 10.54 days), respectively, after having been diagnosed with a first HSI. For the clinical results, height and a greater flexibility asymmetry measure with the AKE or SLR when compared with both ipsilateral preseason and acute contralateral values significantly increases the chance of facing a long delay before returning to play (ie, RTP). For the POCUS-related results, the Peetrons severity score, extent of the longitudinal fibrillary alteration, and novel score lead to similar results.</p><p><strong>Conclusions: </strong>Early hamstring flexibility asymmetry following acute HSI, particularly the AKE, along with some POCUS-related measures are valuable in prognosticating late RTP following among Canadian university football athletes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Access to Optimal Concussion Care for Pediatric Athletes Limited by Geography?","authors":"Ryan Powers, Robert Trevino, Holly Erpenbach, Danny Thomas","doi":"10.1097/JSM.0000000000001254","DOIUrl":"10.1097/JSM.0000000000001254","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate access to optimal concussion care based on a pediatric patients' geography; the hypothesis is that differential access across the Unites States exists.</p><p><strong>Design: </strong>Employed a novel strategy using internet searches to find local care, mimicking what families might do in different parts of the country.</p><p><strong>Setting: </strong>Virtual internet searches.</p><p><strong>Participants: </strong>Not applicable.</p><p><strong>Independent variable: </strong>Various metropolitan and rural geographic regions within each state in the United States.</p><p><strong>Main outcome measures: </strong>Evaluate access (defined as distance to clinic and ability to see pediatric patients) and optimal care (defined as self-referral process and presence of multidisciplinary care).</p><p><strong>Results: </strong>Search strategy yielded 490 results. Overall ∼60% were within 50 miles of searched locations with significant differences in access based on rural versus metropolitan areas ( P < 0.0001); in rural areas, only ∼22% of results were within 50 miles. Only about one-third of the results (n = 157) saw pediatric patient with no differences between regions. There was significant regional and geographic variation for optimal care regarding both self-referral processes and access to multidisciplinary care. A diverse group of specialists was represented in search results for concussion care.</p><p><strong>Conclusions: </strong>Nationwide, there is an overall lack of access to multidisciplinary concussion care for pediatric patients. Additionally, those in rural communities face more limitations related to access to facilities with increased distances from closest clinic sites.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A New Measuring Approach in Assessing Hamstring Flexibility: Reliability, Validity, and Applicability of Isolated Hamstring Flexibility Test.","authors":"Yasin Talu, Aysenur Tuncer, Burcu Talu","doi":"10.1097/JSM.0000000000001235","DOIUrl":"10.1097/JSM.0000000000001235","url":null,"abstract":"<p><strong>Objective: </strong>This study was planned to determine the reliability, validity, and applicability of the isolated hamstring flexibility test (IHFT).</p><p><strong>Design: </strong>A cohort study (diagnosis); level of evidence, 2.</p><p><strong>Setting: </strong>It was performed in the research and application laboratory.</p><p><strong>Participants: </strong>Seventy-five individuals aged 18 to 25 years, selected through simple probability random sampling, with a normal Beighton Horan and Joint Mobility Index scores, and who volunteered to participate, were included for evaluation.</p><p><strong>Interventions: </strong>On then first and third days, participants underwent muscle strength, sit-and-reach test, active knee extension test, IHFT for validity and reliability. Stretching exercises were prescribed as a home program for 31 patients with limited knee extension, and measurements were repeated at the end of the eighth week.</p><p><strong>Main outcome measures: </strong>Sit-and-reach test, active knee extension test, IHFT.</p><p><strong>Results: </strong>The test-retest reliability was high (intraclass correlation coefficient, 0.993). Our test demonstrated validity when compared in terms of flexibility gained. A significant difference was found between pre-post stretching exercise training in all 3 tests ( P < 0.05).</p><p><strong>Conclusion: </strong>It was observed that the IHFT is reliable and applicable in determining hamstring flexibility. Given the absence of another test specifically measuring hamstring flexibility in isolation, its indirect validity was established through analysis with other tests using the gold standard for assessing gains in hamstring flexibility.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paget-Schroetter Syndrome in a Patient With Posterior Shoulder Subluxation: A Case Report.","authors":"David Röthlisberger, Mustafa S Rashid, Peter Ruijs, Matthias A Zumstein","doi":"10.1097/JSM.0000000000001227","DOIUrl":"10.1097/JSM.0000000000001227","url":null,"abstract":"<p><strong>Abstract: </strong>Paget-Schroetter syndrome describes a primary thrombosis of the subclavian vein induced by effort. In most cases, the clinical presentation includes painful swelling, discoloration, and visible collateral circulation in the arm. Paget-Schroetter syndrome is treated with anticoagulation, rest, and physical therapy. In certain cases, invasive treatment such as thrombolysis and decompression surgery (first rib resection) may be necessary. We present the case of a 28-year-old healthy male patient with effort-induced deep vein thrombosis of the upper extremity after posterior shoulder subluxation. Anticoagulation, rest, and physical therapy were used to treat the patient, who became asymptomatic and was able to resume normal activities without restriction. To our knowledge, this is the first case of effort-induced upper extremity deep vein thrombosis after posterior shoulder subluxation. Paget-Schroetter syndrome is rare diagnosis that requires vigilance during musculoskeletal assessment for shoulder pain and swelling. The early detection, radiological confirmation, and prompt initiation of treatment are essential to successful management of Paget-Schroetter syndrome. The impact of associated posterior shoulder subluxation remains unclear.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141173898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining Acute Symptoms After Sport-Related Concussion in Collegiate Athletes With Preinjury Migraines.","authors":"Jacob Jo, Paul D Berkner, Katie Stephenson, Bruce A Maxwell, Grant L Iverson, Scott L Zuckerman, Douglas P Terry","doi":"10.1097/JSM.0000000000001233","DOIUrl":"10.1097/JSM.0000000000001233","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether a personal history of migraines is associated with worse acute symptom burden after sport-related concussion (SRC).</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>National Collegiate Athletic Association Division III collegiate programs.</p><p><strong>Participants: </strong>Collegiate athletes from a prospective concussion surveillance system between 09, 2014, and 01, 2023.</p><p><strong>Intervention: </strong>Preinjury migraines (yes/no) were self-reported by athletes.</p><p><strong>Main outcome measures: </strong>Post-Concussion Symptom Scale (PCSS) were collected within 3 days postinjury. Mann-Whitney U tests compared total PCSS scores and individual symptom scores between athletes with and without preinjury migraines. Chi-squared tests were used to compare proportions of athletes endorsing individual symptoms (ie, item score ≥1) between 2 groups. Multivariable regression analyzed potential predictors of PCSS scores.</p><p><strong>Results: </strong>Of 1190 athletes with SRC, 93 (7.8%) reported a preinjury history of migraines. No significant difference in total PCSS scores was found between athletes with and without preinjury migraines (22.0 ± 16.4 vs 20.5 ± 15.8, U = 48 719.0, P = 0.471). Athletes with preinjury migraines reported greater severity of \"sensitivity to light\" (1.59 ± 1.59 vs 1.23 ± 1.41, P = 0.040) and \"feeling more emotional\" (0.91 ± 1.27 vs 0.70 ± 1.30; P = 0.008) and were more likely to endorse \"feeling more emotional\" (45.2% vs 29.5%, P = 0.002). No differences were found across all other symptoms, including headaches (migraine = 87.1% vs no migraine = 86.3%, P = 0.835). In a multivariable model, a history of migraine was not a significant predictor of acute PCSS scores, but those with a history of psychological disorders (β = 0.12, P <0 .001) and greater number of days to symptom evaluation (β = 0.08, P = 0.005) had higher PCSS scores.</p><p><strong>Conclusions: </strong>Collegiate athletes with a pre-existing history of migraines did not have higher acute symptom burden after SRC.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}