Michael J Aderman,Megan H Roach,Katelyn Ward,Steven R Malvasi,Jeremy D Ross,Steven J Svoboda,Joel Robb,Gerald McGinty,Jonathan Jackson,Rachel M Brodeur,Adam Susmarski,Steve P Broglio,Michael A McCrea,Thomas McAllister,Paul F Pasquina,Kenneth L Cameron
{"title":"军事训练环境中搏击活动中与脑震荡相关的因素。","authors":"Michael J Aderman,Megan H Roach,Katelyn Ward,Steven R Malvasi,Jeremy D Ross,Steven J Svoboda,Joel Robb,Gerald McGinty,Jonathan Jackson,Rachel M Brodeur,Adam Susmarski,Steve P Broglio,Michael A McCrea,Thomas McAllister,Paul F Pasquina,Kenneth L Cameron","doi":"10.1016/j.jshs.2025.101081","DOIUrl":null,"url":null,"abstract":"BACKGROUND\r\nMilitary service members routinely participate in combatives training (boxing, judo, martial arts, and hand-to-hand combat) to acquire and maintain mission essential skills. Despite injury mitigation strategies, high concussion incidence rates of 20.8 concussions per 100 exposures while participating in combative sports have been reported. The purpose of this study was to identify factors potentially associated with greater odds of sustaining a concussion in these combative activities in a military training environment.\r\n\r\nMETHODS\r\nA retrospective cohort study was conducted with participants enrolled at 4 military service academies participating in the Concussion Assessment, Research, and Education Consortium from 2014 to 2020. Demographic information (site, varsity status, sport contact level, sex, concussion history, and headache history) and pre-injury baseline assessments (e.g., Balance Error Scoring System (BESS), Brief Symptom Inventory (BSI)) were collected at the time of enrollment. Univariate and multivariable logistic regression models were used to estimate the odds of sustaining a concussion while participating in combatives training during the follow-up period based on these pre-injury characteristics.\r\n\r\nRESULTS\r\nDuring the study period, 17,681 participants (25% female;19.11 ± 1.45 years (mean ± SD) completed a baseline assessment and 484 (35% female;19.88 ± 1.43 years) sustained a concussion during a combatives training. Univariate logistic regression models revealed females (odds ratio (OR) = 1.71; p < 0.001; 95% confidence interval (95%CI): 1.41-2.07), participating in high contact varsity sports (OR = 0.52; p < 0.001; 95%CI: 0.38-0.71), BSI total score (OR = 1.03; p < 0.001; 95%CI: 1.01-1.04), BESS total score (OR = 1.02; p < 0.001; 95%CI: 1.02-1.04), and headache history (OR = 1.43; p < 0.001; 95%CI: 1.18-1.73) were associated with greater odds of sustaining a combatives-related concussion. Multivariable models yielded similar results after controlling for significant covariates.\r\n\r\nCONCLUSION\r\nFemales, higher BSI and BESS total scores at baseline, and participants with a history of headaches had greater odds of sustaining a combatives-related concussion during the follow-up period. Conversely, participants in high contact varsity sports had lower odds of sustaining a combatives-related concussion. These different variables should be taken into account when designing combatives training programs in a military setting.","PeriodicalId":48897,"journal":{"name":"Journal of Sport and Health Science","volume":"24 1","pages":"101081"},"PeriodicalIF":10.3000,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factors associated with concussion during combatives activities in a military training environment.\",\"authors\":\"Michael J Aderman,Megan H Roach,Katelyn Ward,Steven R Malvasi,Jeremy D Ross,Steven J Svoboda,Joel Robb,Gerald McGinty,Jonathan Jackson,Rachel M Brodeur,Adam Susmarski,Steve P Broglio,Michael A McCrea,Thomas McAllister,Paul F Pasquina,Kenneth L Cameron\",\"doi\":\"10.1016/j.jshs.2025.101081\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"BACKGROUND\\r\\nMilitary service members routinely participate in combatives training (boxing, judo, martial arts, and hand-to-hand combat) to acquire and maintain mission essential skills. Despite injury mitigation strategies, high concussion incidence rates of 20.8 concussions per 100 exposures while participating in combative sports have been reported. The purpose of this study was to identify factors potentially associated with greater odds of sustaining a concussion in these combative activities in a military training environment.\\r\\n\\r\\nMETHODS\\r\\nA retrospective cohort study was conducted with participants enrolled at 4 military service academies participating in the Concussion Assessment, Research, and Education Consortium from 2014 to 2020. Demographic information (site, varsity status, sport contact level, sex, concussion history, and headache history) and pre-injury baseline assessments (e.g., Balance Error Scoring System (BESS), Brief Symptom Inventory (BSI)) were collected at the time of enrollment. Univariate and multivariable logistic regression models were used to estimate the odds of sustaining a concussion while participating in combatives training during the follow-up period based on these pre-injury characteristics.\\r\\n\\r\\nRESULTS\\r\\nDuring the study period, 17,681 participants (25% female;19.11 ± 1.45 years (mean ± SD) completed a baseline assessment and 484 (35% female;19.88 ± 1.43 years) sustained a concussion during a combatives training. Univariate logistic regression models revealed females (odds ratio (OR) = 1.71; p < 0.001; 95% confidence interval (95%CI): 1.41-2.07), participating in high contact varsity sports (OR = 0.52; p < 0.001; 95%CI: 0.38-0.71), BSI total score (OR = 1.03; p < 0.001; 95%CI: 1.01-1.04), BESS total score (OR = 1.02; p < 0.001; 95%CI: 1.02-1.04), and headache history (OR = 1.43; p < 0.001; 95%CI: 1.18-1.73) were associated with greater odds of sustaining a combatives-related concussion. Multivariable models yielded similar results after controlling for significant covariates.\\r\\n\\r\\nCONCLUSION\\r\\nFemales, higher BSI and BESS total scores at baseline, and participants with a history of headaches had greater odds of sustaining a combatives-related concussion during the follow-up period. Conversely, participants in high contact varsity sports had lower odds of sustaining a combatives-related concussion. These different variables should be taken into account when designing combatives training programs in a military setting.\",\"PeriodicalId\":48897,\"journal\":{\"name\":\"Journal of Sport and Health Science\",\"volume\":\"24 1\",\"pages\":\"101081\"},\"PeriodicalIF\":10.3000,\"publicationDate\":\"2025-08-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Sport and Health Science\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jshs.2025.101081\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HOSPITALITY, LEISURE, SPORT & TOURISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Sport and Health Science","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jshs.2025.101081","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HOSPITALITY, LEISURE, SPORT & TOURISM","Score":null,"Total":0}
Factors associated with concussion during combatives activities in a military training environment.
BACKGROUND
Military service members routinely participate in combatives training (boxing, judo, martial arts, and hand-to-hand combat) to acquire and maintain mission essential skills. Despite injury mitigation strategies, high concussion incidence rates of 20.8 concussions per 100 exposures while participating in combative sports have been reported. The purpose of this study was to identify factors potentially associated with greater odds of sustaining a concussion in these combative activities in a military training environment.
METHODS
A retrospective cohort study was conducted with participants enrolled at 4 military service academies participating in the Concussion Assessment, Research, and Education Consortium from 2014 to 2020. Demographic information (site, varsity status, sport contact level, sex, concussion history, and headache history) and pre-injury baseline assessments (e.g., Balance Error Scoring System (BESS), Brief Symptom Inventory (BSI)) were collected at the time of enrollment. Univariate and multivariable logistic regression models were used to estimate the odds of sustaining a concussion while participating in combatives training during the follow-up period based on these pre-injury characteristics.
RESULTS
During the study period, 17,681 participants (25% female;19.11 ± 1.45 years (mean ± SD) completed a baseline assessment and 484 (35% female;19.88 ± 1.43 years) sustained a concussion during a combatives training. Univariate logistic regression models revealed females (odds ratio (OR) = 1.71; p < 0.001; 95% confidence interval (95%CI): 1.41-2.07), participating in high contact varsity sports (OR = 0.52; p < 0.001; 95%CI: 0.38-0.71), BSI total score (OR = 1.03; p < 0.001; 95%CI: 1.01-1.04), BESS total score (OR = 1.02; p < 0.001; 95%CI: 1.02-1.04), and headache history (OR = 1.43; p < 0.001; 95%CI: 1.18-1.73) were associated with greater odds of sustaining a combatives-related concussion. Multivariable models yielded similar results after controlling for significant covariates.
CONCLUSION
Females, higher BSI and BESS total scores at baseline, and participants with a history of headaches had greater odds of sustaining a combatives-related concussion during the follow-up period. Conversely, participants in high contact varsity sports had lower odds of sustaining a combatives-related concussion. These different variables should be taken into account when designing combatives training programs in a military setting.
期刊介绍:
The Journal of Sport and Health Science (JSHS) is an international, multidisciplinary journal that aims to advance the fields of sport, exercise, physical activity, and health sciences. Published by Elsevier B.V. on behalf of Shanghai University of Sport, JSHS is dedicated to promoting original and impactful research, as well as topical reviews, editorials, opinions, and commentary papers.
With a focus on physical and mental health, injury and disease prevention, traditional Chinese exercise, and human performance, JSHS offers a platform for scholars and researchers to share their findings and contribute to the advancement of these fields. Our journal is peer-reviewed, ensuring that all published works meet the highest academic standards.
Supported by a carefully selected international editorial board, JSHS upholds impeccable integrity and provides an efficient publication platform. We invite submissions from scholars and researchers worldwide, and we are committed to disseminating insightful and influential research in the field of sport and health science.