Clinical Journal of Sport Medicine最新文献

{"title":"Are Sub-elite Athletes at Higher Risk of Eating Disorders, Exercise Addiction, Depression, and Low Energy Availability Compared With Elite Athletes?","authors":"Mia Beck Lichtenstein, Søren Peter Thygesen Hertz, Karen Krogh Johansen, Josefine Rytter, Jorunn Sundgot-Borgen, Monica Klungland Torstveit, Lars Holm, Anna K Melin","doi":"10.1097/JSM.0000000000001257","DOIUrl":"10.1097/JSM.0000000000001257","url":null,"abstract":"<p><strong>Objective: </strong>The main objective of this study was to investigate the risk of eating disorders, exercise addiction, depression, and low energy availability (LEA) in Danish female and male elite compared with sub-elite athletes.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Setting: </strong>An online survey.</p><p><strong>Participants: </strong>A total of 410 elite athletes (mean age 20.1 years, 51% females) and 206 sub-elite athletes (mean age 21.3 years, 52% females) from 15 different sports.Assessment of Risk Factors: Eating Disorders, exercise addiction, depression, and LEA.</p><p><strong>Main outcome measures: </strong>The Sick Control, One Stone (6.5 kg), Fat, Food, the Eating Disorder Examination-Questionnaire, the Exercise Addiction Inventory, the Major Depression Inventory, and the Low Energy Availability in Females Questionnaire or the Low Energy Availability in Males Questionnaire.</p><p><strong>Results: </strong>We found that more female sub-elite athletes compared with elite athletes had risk of eating disorders (EDs) (37.4% vs 23.4%; P < 0.012) and the same was found for males (23.2% vs 10.4%; P = 0.005). More athletes with risk of EDs had risk of exercise addiction (12.8 vs 5.4%, P = 0.006), depression (27.3 vs 4.2%, P < 0.001), and LEA (females 55.1 vs 40.7%, P = 0.024, and males 29.4 vs 13.7%, P = 0.036, respectively) compared with athletes without risk of EDs.</p><p><strong>Conclusions: </strong>Sub-elite athletes have a higher risk of eating disorders compared with elite athletes. Regular screening of ED symptoms and associated conditions in elite and especially sub-elite athletes may ensure early identification.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"572-577"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619477","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":"Early Targeted Heart Rate Aerobic Exercise Reduces Proportion of Subacute Musculoskeletal Injuries After Recovery From Sport-Related Concussion.","authors":"John J Leddy, Matthew Witte, Haley M Chizuk, Barry S Willer, Jeffrey C Miecznikowski, Christina L Master, Rebekah C Mannix, William P Meehan, Mohammad N Haider","doi":"10.1097/JSM.0000000000001273","DOIUrl":"10.1097/JSM.0000000000001273","url":null,"abstract":"<p><strong>Objective: </strong>There is greater risk of musculoskeletal (MSK) injury after clinical recovery from sport-related concussion (SRC). We determined whether aerobic exercise treatment within 10 days of SRC reduced the proportion of MSK injury in recovered adolescent athletes at 4 months since injury.</p><p><strong>Design: </strong>Planned secondary analysis of a randomized trial of aerobic exercise versus stretching exercise in adolescents after SRC.</p><p><strong>Setting: </strong>Outpatient and hospital-based sports medicine centers.</p><p><strong>Participants: </strong>Aerobic exercise (n = 38, 58% male, 15.6 years) and stretching exercise (n = 25, 64% male, 15.9 years) participants completed a questionnaire at 3.5 and 3.3 months since recovery, respectively.</p><p><strong>Interventions: </strong>Individualized subthreshold aerobic exercise versus placebo-like stretching.</p><p><strong>Main outcome measures: </strong>Proportion of MSK injury, subsequent concussion, and return to exercise training, school, and sport determined 3 months after clinical recovery from SRC.</p><p><strong>Results: </strong>Overall, 24% of participants randomized to stretching experienced an MSK injury versus 5.3% of participants randomized to aerobic exercise. There was no difference in time to return to school, sport, or incidence of subsequent concussion. Stretching participants were 6.4 times (95% confidence interval 1.135-36.053) more likely to sustain MSK injury than aerobic exercise participants when controlling for the duration of exposure to sport and return to preinjury sport participation. All injuries were in male participants.</p><p><strong>Conclusion: </strong>Adolescent male athletes prescribed aerobic exercise within 10 days of SRC had a significantly lower proportion of individuals injured in the 3 months following clinical recovery when compared with stretching. This may be due to a habituation/rehabilitation effect of aerobic activities to improve autonomic, vestibular, and/or oculomotor function after SRC.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":"34 6","pages":"509-516"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Chronic Pain on Static and Dynamic Postural Control in Chronic Ankle Instability.","authors":"Minsub Oh, Hyunwook Lee, Seunguk Han, Dustin A Bruening, Matthew D Seeley, J Ty Hopkins","doi":"10.1097/JSM.0000000000001248","DOIUrl":"10.1097/JSM.0000000000001248","url":null,"abstract":"<p><strong>Objective: </strong>To identify the effects of chronic pain levels on static and dynamic postural (DP) control in individuals with chronic ankle instability (CAI).</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Controlled laboratory.</p><p><strong>Participants: </strong>Sixty participants were divided into the following 3 groups: 20 high pain individuals with CAI (high pain), 20 low pain individuals with CAI (low pain), and 20 healthy controls (control).</p><p><strong>Independent variables: </strong>Groups (CAI with high pain, CAI with low pain, and control) and visual conditions (eyes open and closed) for single-leg stance.</p><p><strong>Main outcome measures: </strong>Participants performed single-leg stance with eyes open and closed, the star excursion balance test, and single-leg hop to stabilization.</p><p><strong>Results: </strong>The high pain group experienced worse self-reported outcomes, including Foot and Ankle Ability Measure activities of daily living and sports, than the low pain and control groups. Regardless of visual condition, both the high and low pain groups exhibited decreased static postural control in mediolateral (ML) compared with the control group. Specifically, the high pain group showed decreased static postural control in ML under closed eyes compared with the low pain and the control groups. The high pain group showed less reach distance than the control group and increased DP control in vertical and overall DP stability index compared with the low and control groups.</p><p><strong>Conclusions: </strong>Chronic pain can significantly affect both static and DP control in individuals with CAI. Therefore, clinicians should consider chronic pain as one of the factors affecting postural control in individuals with CAI.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"552-558"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141533779","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":"Vitamin D Status and Cardiovascular Disease in College Athletes After SARS-CoV-2 Infection.","authors":"William L Hollabaugh, Alicia Hymel, Jacquelyn S Pennings, Daniel E Clark, Jonathan H Soslow, Ashley R Karpinos","doi":"10.1097/JSM.0000000000001253","DOIUrl":"10.1097/JSM.0000000000001253","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the association between vitamin D status and CV disease after COVID-19 in college athletes.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>National College Athletic Association Division-I college athletes from a single academic institution.</p><p><strong>Patients: </strong>A total of 157 athletes (60 female; median age: 20 years) from 9 sports with a positive SARS-CoV-2 test, cardiac magnetic resonance imaging (CMR), and vitamin D level.</p><p><strong>Independent variables: </strong>Serum 25-hydroxyvitamin D level (primary); age, sex (regression models).</p><p><strong>Main outcomes measures: </strong>Differences in age, sex, race, ethnicity, myocarditis, pericarditis, and CMR metrics by vitamin D status were analyzed. Regression models were used to assess the relationship between vitamin D status and CMR metrics accounting for age and sex.</p><p><strong>Results: </strong>Low vitamin D (LVD) was found in 33 (21.0%) of athletes, particularly Black males ( P < 0.001). Athletes with LVD had higher biventricular and lower mid-ventricular extracellular volumes, but these differences were not significant when corrected for age and sex. Athletes with LVD had higher left ventricle (LV) mass ( P < 0.001) and LV mass index ( P = 0.001) independent of age and sex. Differences in global circumferential strain were noted but are likely clinically insignificant. Vitamin D status did not associate with myocarditis and pericarditis ( P = 0.544).</p><p><strong>Conclusions: </strong>LVD is common in athletes, particularly in Black males. Although athletes with LVD had higher LV mass, cardiac function and tissue characterization did not differ by vitamin D status. Future studies are needed to determine if the differences in LV mass and LV mass index by vitamin D status are clinically significant. This study suggests that vitamin D status does not impact the development of myocarditis or pericarditis after COVID-19 infection.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"603-609"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141558262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic Shelf Acetabuloplasty Combined With Hip Arthroscopic Labral Repair, Cam Osteoplasty, and Capsular Plication Enables Elite Athletes With Acetabular Dysplasia to Return to Sport: A Case Series.","authors":"Kenta Shimizu, Yoichi Murata, Manabu Tsukamoto, Yoshiaki Yamanaka, Patrick Quinn, Akinori Sakai, Soshi Uchida","doi":"10.1097/JSM.0000000000001268","DOIUrl":"10.1097/JSM.0000000000001268","url":null,"abstract":"<p><strong>Objective: </strong>To investigate clinical outcomes and return to sport timeline for athletes with acetabular dysplasia after endoscopic shelf acetabuloplasty (ESA).</p><p><strong>Design: </strong>A retrospective review.</p><p><strong>Setting: </strong>Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan between 2012 and 2019.</p><p><strong>Patients: </strong>Fifteen elite athletes (median age: 20 years) of 253 patients undergoing ESA, arthroscopic labral repair/reconstruction, cam osteochondroplasty, and capsular plication. The mean follow-up period was 27.8 months after surgery.</p><p><strong>Main outcome measures: </strong>Patient-reported outcome scales (PROSs), including the modified Harris Hip Score, Nonarthritic Hip Score, International Hip Outcome Tool 12, Hip Outcome Score-Sports, and Vail Hip Score.</p><p><strong>Results: </strong>After ESA, all 15 elite athletes were able to return to sport effectively and compete at a preoperative level. The mean time between the operation and the first practice was 6.5 months, while the mean time between the ESA procedure and the first game was 9.6 months. Approximately 27.8 months after surgery, PROS outcomes improved significantly with no hips requiring emergency revision surgery at the final follow-up. At a mean of 47.1 months after surgery, 7 athletes decided to retire from their sport. Up to 71.1 months after surgery, the additional 8 patients continued to compete in their sport at an elite level.</p><p><strong>Conclusions: </strong>ESA enables elite athletes with acetabular dysplasia to return to competition at a mean of 9.6 months postsurgery. The ESA procedure is an effective and promising method of treating elite athletes with acetabular dysplasia.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"517-527"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003763","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":"Return to Sport After Conservative Management of Midshaft Clavicle Fractures in Professional Jockeys.","authors":"Stephen Fahy, Tiarnán Ó Doinn, Jennifer Pugh, Patrick Kenny","doi":"10.1097/JSM.0000000000001292","DOIUrl":"10.1097/JSM.0000000000001292","url":null,"abstract":"<p><strong>Objective: </strong>This study explores the functional recovery and rates return to play (RTP) of professional jockeys following midshaft clavicle fractures, which have been managed conservatively. The high incidence of these fractures in horse racing underscores the importance of evaluating nonsurgical recovery paths for effective RTP.</p><p><strong>Design: </strong>We used a retrospective cohort study to assess treatment outcomes.</p><p><strong>Setting: </strong>The research is set in the professional horse racing scene of Ireland.</p><p><strong>Participants: </strong>Sixteen professional Irish jockeys with conservatively managed midshaft clavicular fractures were examined. Jockeys who underwent surgery or were inactive at injury time were excluded.</p><p><strong>Interventions: </strong>The study involved no direct interventions.</p><p><strong>Main outcome measures: </strong>Recovery was assessed using the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score and Patient-Reported Outcome Measures, alongside racing records to track RTP.</p><p><strong>Results: </strong>The all-male cohort had an average age of 27 years. Results showed an average 67.1-day absence from racing, with 94% returning to preinjury competition levels. Complications were minimal, and patient outcomes were positive, as indicated by a mean QuickDASH score of 2.58, suggesting minimal residual disability.</p><p><strong>Conclusions: </strong>Findings highlight the success of conservative management for midshaft clavicle fractures in professional jockeys, enabling them to return to prior competitive levels with few complications and excellent functional recovery.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544108","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":"Spondylolysis in Adolescent Athletes: A Descriptive Study of 533 Patients.","authors":"James L Moeller","doi":"10.1097/JSM.0000000000001283","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001283","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this descriptive study was to evaluate spondylolysis in adolescent athletes, including age at time of injury, sport associated with injury, examination findings, site of injury, studies used for diagnosis, treatments, duration of treatment, and outcomes.</p><p><strong>Design: </strong>This was a retrospective chart review of patients who presented with a diagnosis of spondylolysis over a 17-year period.</p><p><strong>Setting: </strong>Community primary care sports medicine practice.</p><p><strong>Patients: </strong>All patients between 10 and 20 years of age diagnosed with spondylolysis.</p><p><strong>Interventions: </strong>There was no set intervention protocol. A variety of interventions and combination of interventions were used and determined by the treating physician on a case-by-case basis.</p><p><strong>Main outcome measures: </strong>Clearance for return to sport activity.</p><p><strong>Results: </strong>Males comprised 317 of the 533 patients. Soccer, gymnastics/cheer, football, and basketball were the most common sports associated with spondylolysis. Bilateral injuries were most common. L5 was the most common level for injury. Bracing and formal physical therapy as treatments were associated with longer duration of care. Most patients were treated successfully with nonoperative treatment. Recurrence of injury was rare.</p><p><strong>Conclusions: </strong>Spondylolysis is a common cause of back pain in adolescent athletes. Males are more likely to experience these injuries and are older at presentation compared than females. Spondylosis may be encountered in many sports. Nonoperative treatment leads to successful outcomes in most patients.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459591","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":"Never Assume Successful Treatment of Septic Arthritis: Bacteria Isolated at Revision ACL Reconstruction 3 Years After Primary ACL Reconstruction \"Successfully\" Treated for Infection.","authors":"Patrick Richard Michael Nicholas, Mary Jones, Andy Williams","doi":"10.1097/JSM.0000000000001287","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001287","url":null,"abstract":"<p><strong>Level of evidence: </strong>Level IV.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459589","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":"Exercise-Associated Muscle Cramps in Ironman-Distance Triathletes Over 3 Decades.","authors":"Paal K Nilssen, Kasey B Johnson, W Douglas B Hiller, Thomas K Miller, Christopher P Connolly","doi":"10.1097/JSM.0000000000001276","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001276","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore associations and trends for athletes experiencing exercise-associated muscle cramps (EAMC) in ultraendurance competitions.</p><p><strong>Design: </strong>Retrospective analysis of prospectively collected data.</p><p><strong>Setting: </strong>Medical tent data were collected from annual IRONMAN World Championship events.</p><p><strong>Participants: </strong>In total, 10 533 medical records were reviewed among 49 530 race participants from 1989 to 2019.</p><p><strong>Assessment of risk factors: </strong>Athlete demographics data, performance data, and additional medical conditions were examined.</p><p><strong>Main outcome measures: </strong>Primary outcome of interest was to compare triathletes with and without EAMC. Secondary outcome was to analyze triathletes with subsequent EAMC.</p><p><strong>Results: </strong>EAMC (N = 2863) occurred in 57.8 per 1000 participants (95% confidence interval = 55.7 to 60.0). The incidence of EAMC did not differ between athlete sex. Athletes with EAMC had greater weight loss but did not differ in serum sodium and serum potassium compared with those without EAMC. Further analysis with a logistic regression analysis revealed that dehydration, exhaustion, hypotension, abdominal pain, headaches, and a previous evaluation for cramping were strongly associated with muscle cramping. The most common treatment for EAMC was intravenous fluids.</p><p><strong>Conclusions: </strong>Findings from the current study support previous reports that electrolyte abnormalities are not associated with cramping. However, our finding that dehydration is associated with muscle cramping contradicts current literature.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459587","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":"Factors that Influence Recovery From Concussion in Young Children and Preadolescents.","authors":"Alison E Datoc, Abel S Mathew, Daniel M Choi, August Price, Samuel Lauman, Lindsey C Hartland, Sarah J Boucher, Christine S Ellis, John P Abt","doi":"10.1097/JSM.0000000000001284","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001284","url":null,"abstract":"<p><strong>Objective: </strong>To examine differences in the presentation and management of concussion in younger children (aged 4-8 years) versus preadolescents (9-12 years) and identify factors that influence recovery time.</p><p><strong>Design: </strong>Retrospective analysis of prospectively collected data.</p><p><strong>Setting: </strong>Pediatric sports medicine and orthopedics clinic.</p><p><strong>Patients: </strong>Three hundred seventy-five patients aged 4 to 12 years diagnosed with concussion between 2020 and 2022.</p><p><strong>Independent variables: </strong>Age, gender, race/ethnicity, mechanism of injury (sport vs nonsport related), neurodevelopmental or psychiatric diagnosis, concussion history, Post-Concussion Symptom Scale (PCSS) score, and Vestibular Ocular Motor Screening (VOMS) overall change scores.</p><p><strong>Main outcome measures: </strong>Days since injury (DSI) to initial visit, total number of visits, recovery time (days).</p><p><strong>Results: </strong>Groups significantly differed in DSI (P = 0.01) and overall VOMS change score (P = 0.03). No differences were observed between groups on total number of visits or recovery time. Patients with fewer DSI [odds ratio (OR) = 1.15], less change in overall VOMS score (OR = 1.02), lower PCSS scores (OR = 1.02), and who were injured in sport were less likely to experience a protracted recovery.</p><p><strong>Conclusions: </strong>Younger children with concussion may be appropriately treated with a similar approach to preadolescent patients despite greater DSI and differences in VOMS change scores, without sacrificing overall recovery time. Consistent with research in older cohorts, protracted recovery was seen in nonsport patients, and patients seen sooner at a specialty concussion clinic were less likely to experience a protracted recovery, endorsed lower PCSS scores, and had lower overall VOMS change scores. Further research is needed to solidify a child-specific paradigm to concussion management.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892666","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}