Jacob Jo, Paul D Berkner, Katie Stephenson, Bruce A Maxwell, Grant L Iverson, Scott L Zuckerman, Douglas P Terry
{"title":"研究受伤前患有偏头痛的大学生运动员在运动相关脑震荡后的急性症状。","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":null,"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":" ","pages":"404-410"},"PeriodicalIF":2.1000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"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\":null,\"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\":\" \",\"pages\":\"404-410\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Journal of Sport Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/JSM.0000000000001233\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/5/23 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Journal of Sport Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JSM.0000000000001233","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/23 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Examining Acute Symptoms After Sport-Related Concussion in Collegiate Athletes With Preinjury Migraines.
Objective: To examine whether a personal history of migraines is associated with worse acute symptom burden after sport-related concussion (SRC).
Design: Retrospective cohort study.
Setting: National Collegiate Athletic Association Division III collegiate programs.
Participants: Collegiate athletes from a prospective concussion surveillance system between 09, 2014, and 01, 2023.
Intervention: Preinjury migraines (yes/no) were self-reported by athletes.
Main outcome measures: 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.
Results: 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.
Conclusions: Collegiate athletes with a pre-existing history of migraines did not have higher acute symptom burden after SRC.
期刊介绍：
Clinical Journal of Sport Medicine is an international refereed journal published for clinicians with a primary interest in sports medicine practice. The journal publishes original research and reviews covering diagnostics, therapeutics, and rehabilitation in healthy and physically challenged individuals of all ages and levels of sport and exercise participation.
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