Kelly M Cheever, Jeffery King, Jianmin Guan, Jordan Gliedit, Steven Broglio, Paul F Pasquina, Joseph B Hazzard, James R Clugston, Luis A Feigenbaum, Christopher M Miles, Thomas A Buckley, Holly J Benjamin, Christina Master, Anthony P Kontos, Nicholas Port, Kenneth Cameron, Jason P Mihalik
{"title":"颈部疼痛与NCAA学生运动员延迟回归的已知决定因素之间的相互作用：一项CARE联盟研究。","authors":"Kelly M Cheever, Jeffery King, Jianmin Guan, Jordan Gliedit, Steven Broglio, Paul F Pasquina, Joseph B Hazzard, James R Clugston, Luis A Feigenbaum, Christopher M Miles, Thomas A Buckley, Holly J Benjamin, Christina Master, Anthony P Kontos, Nicholas Port, Kenneth Cameron, Jason P Mihalik","doi":"10.1080/02699052.2025.2551163","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Acute neck pain following a concussion has been identified as a symptom associated with a delay in symptom resolution and persistent post-concussion symptoms (PPCS), but little is known about the relationship between the presence of acute neck pain and other known risk factors of delayed return to play (RTP) such as sex, sport contact level, and race.</p><p><strong>Methods: </strong>This study reports the findings of a secondary data analysis of a prospective cohort study sample from the Concussion Assessment, Research, and Education (CARE) Consortium. We examined the possible mediating effects of neck pain severity on known factors of delayed RTP (sex, sport contact level, and race) following a suspected concussion.</p><p><strong>Results: </strong>While neck pain was identified as significant predictor of delayed RTP (<i>b =</i> .046, <i>S.E</i>. = .021, Wald χ<sup>2</sup>(1) = 4.745, <i>p</i> = 0.029), no interaction effect was observed between neck pain and the explored mediating factors of sex, sport contact level, and race.</p><p><strong>Conclusions: </strong>These results suggest that independent of an individual's sex, sport contact level, and/or race, the presence of neck pain following a suspected concussion should be further evaluated and differentially diagnosed to rule out comorbid pathologies that may be contributing to PPCS following a suspected concussion.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"1-6"},"PeriodicalIF":1.8000,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The interaction between neck pain and known determinates of delayed return to play among NCAA student-athletes: a CARE consortium study.\",\"authors\":\"Kelly M Cheever, Jeffery King, Jianmin Guan, Jordan Gliedit, Steven Broglio, Paul F Pasquina, Joseph B Hazzard, James R Clugston, Luis A Feigenbaum, Christopher M Miles, Thomas A Buckley, Holly J Benjamin, Christina Master, Anthony P Kontos, Nicholas Port, Kenneth Cameron, Jason P Mihalik\",\"doi\":\"10.1080/02699052.2025.2551163\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Acute neck pain following a concussion has been identified as a symptom associated with a delay in symptom resolution and persistent post-concussion symptoms (PPCS), but little is known about the relationship between the presence of acute neck pain and other known risk factors of delayed return to play (RTP) such as sex, sport contact level, and race.</p><p><strong>Methods: </strong>This study reports the findings of a secondary data analysis of a prospective cohort study sample from the Concussion Assessment, Research, and Education (CARE) Consortium. We examined the possible mediating effects of neck pain severity on known factors of delayed RTP (sex, sport contact level, and race) following a suspected concussion.</p><p><strong>Results: </strong>While neck pain was identified as significant predictor of delayed RTP (<i>b =</i> .046, <i>S.E</i>. = .021, Wald χ<sup>2</sup>(1) = 4.745, <i>p</i> = 0.029), no interaction effect was observed between neck pain and the explored mediating factors of sex, sport contact level, and race.</p><p><strong>Conclusions: </strong>These results suggest that independent of an individual's sex, sport contact level, and/or race, the presence of neck pain following a suspected concussion should be further evaluated and differentially diagnosed to rule out comorbid pathologies that may be contributing to PPCS following a suspected concussion.</p>\",\"PeriodicalId\":9082,\"journal\":{\"name\":\"Brain injury\",\"volume\":\" \",\"pages\":\"1-6\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-08-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Brain injury\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/02699052.2025.2551163\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NEUROSCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain injury","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/02699052.2025.2551163","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
The interaction between neck pain and known determinates of delayed return to play among NCAA student-athletes: a CARE consortium study.
Background: Acute neck pain following a concussion has been identified as a symptom associated with a delay in symptom resolution and persistent post-concussion symptoms (PPCS), but little is known about the relationship between the presence of acute neck pain and other known risk factors of delayed return to play (RTP) such as sex, sport contact level, and race.
Methods: This study reports the findings of a secondary data analysis of a prospective cohort study sample from the Concussion Assessment, Research, and Education (CARE) Consortium. We examined the possible mediating effects of neck pain severity on known factors of delayed RTP (sex, sport contact level, and race) following a suspected concussion.
Results: While neck pain was identified as significant predictor of delayed RTP (b = .046, S.E. = .021, Wald χ2(1) = 4.745, p = 0.029), no interaction effect was observed between neck pain and the explored mediating factors of sex, sport contact level, and race.
Conclusions: These results suggest that independent of an individual's sex, sport contact level, and/or race, the presence of neck pain following a suspected concussion should be further evaluated and differentially diagnosed to rule out comorbid pathologies that may be contributing to PPCS following a suspected concussion.
期刊介绍：
Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.
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