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Research Article

Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months

, , , , , & ORCID Icon show all
Pages 574-582 | Received 24 May 2023, Accepted 15 Mar 2024, Published online: 21 Mar 2024

References

  • Harmon KG, Clugston JR, Dec K, Hainline B, Herring S, Kane SF, Kontos AP, Leddy JJ, McCrea M, Poddar SK, et al. American medical society for sports medicine position statement on concussion in sport. Br J Sports Med. 2019;53:213–25.
  • McCrory P, Meeuwisse W, Dvorak J, Aubry M, Bailes J, Broglio S, Cantu RC, Cassidy D, Echemendia RJ, Castellani RJ, et al. Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin. Br J Sports Med. 2017 October;51:838–47. doi:10.1136/bjsports-2017-097699. 2016.
  • Lawrence DW, Richards D, Comper P, Hutchison MG. Earlier time to aerobic exercise is associated with faster recovery following acute sport concussion. In: Janigro D, editor. PLoS One. 2018; Vol. 13; p. e0196062. doi:10.1371/journal.pone.0196062.
  • Leddy JJ, Haider MN, Ellis MJ, Mannix R, Darling SR, Freitas MS, Suffoletto HN, Leiter J, Cordingley DM, Willer B. Early subthreshold aerobic exercise for sport-related concussion: a randomized clinical trial. JAMA Pediatr. 2019;173:319. doi:10.1001/jamapediatrics.2018.4397.
  • Howell DR, Wingerson MJ, Kirkwood MW, Grubenhoff JA, Wilson JC. Early aerobic exercise among adolescents at moderate/high risk for persistent post-concussion symptoms: a pilot randomized clinical trial. Phys Ther Sport. 2022;55:196–204. doi:10.1016/j.ptsp.2022.04.010.
  • Howell DR, Hunt DL, Aaron SE, Meehan WP. Influence of aerobic exercise volume on postconcussion symptoms. Am J Sports Med. 2021;49(7):1912–20. doi:10.1177/03635465211005761.
  • Howell DR, Taylor JA, Tan CO, Orr R, Meehan WP. The role of aerobic exercise in reducing persistent sport-related concussion symptoms. Med Sci Sports Exerc. 2019;51:647–52. doi:10.1249/MSS.0000000000001829.
  • Neely LM, Smulligan KL, Wingerson MJ, Seehusen CN, Simon SL, Wilson JC, Howell DR. The association between sleep and physical activity with persisting post-concussion symptoms among adolescent athletes. PM R. 2022;15(9):1122–29. Cited in; PMID: 36580488. doi: 10.1002/pmrj.12939.
  • Krainin BM, Seehusen CN, Smulligan KL, Wingerson MJ, Wilson JC, Howell DR. Symptom and clinical recovery outcomes for pediatric concussion following early physical activity. J Neurosurg Pediatr. 2021;28:623–30. doi:10.3171/2021.6.PEDS21264.
  • DuPrey KM, Char AS, Loose SR, Suffredini MV, Walpole K, Cronholm PF. Effect of sleep-related symptoms on recovery from a sport-related concussion. Orthop Sports Med. 2022;10(7):232596712211052. doi:10.1177/23259671221105256.
  • Ludwig R, D’Silva L, Vaduvathiriyan P, Rippee MA, Siengsukon C. Sleep disturbances in the acute stage of concussion are associated with poorer long-term recovery: a systematic review. PM R. 2020;12:500–11. doi:10.1002/pmrj.12309. Cited in; PMID: 31876086.
  • Makdissi M, Schneider KJ, Feddermann-Demont N, Guskiewicz KM, Hinds S, Leddy JJ, McCrea M, Turner M, Johnston KM. Approach to investigation and treatment of persistent symptoms following sport-related concussion: a systematic review. Br J Sports Med. 2017;51:958–68. doi:10.1136/bjsports-2016-097470.
  • Chung JS, Zynda AJ, Didehbani N, Hicks C, Hynan LS, Miller SM, Bell KR, Cullum CM. Association between sleep quality and recovery following sport-related concussion in pediatrics. J Child Neurol. 2019;34:639–45. doi:10.1177/0883073819849741.
  • Howell DR, Potter MN, Provance AJ, Wilson PE, Kirkwood MW, Wilson JC. Sleep problems and melatonin prescription after concussion among youth athletes. Clin J Sport Med. 2021;31:475–80. doi:10.1097/JSM.0000000000000803.
  • Blaney NA, Trbovich A, Ernst N, Eagle SR, Collins MW, Kontos AP. Influence of sleep dysfunction on concussion assessment outcomes among adolescent athletes after concussion and healthy controls. Clin J Sport Med. 2021;31:481–87. doi:10.1097/JSM.0000000000000860.
  • Cassimatis M, Orr R, Fyffe A, Browne G. Association of sleep disturbance with neurocognition, symptom severity, and recovery in pediatric concussion: a 10-year retrospective analysis of a tertiary referral concussion clinic. J Head Trauma Rehabil. 2022;38(3):231–39. doi: 10.1097/HTR.0000000000000804.
  • Kostyun RO, Milewski MD, Hafeez I. Sleep disturbance and neurocognitive function during the recovery from a sport-related concussion in adolescents. Am J Sports Med. 2015;43:633–40. doi:10.1177/0363546514560727.
  • Iverson GL, Gardner AJ, Terry DP, Ponsford JL, Sills AK, Broshek DK, Solomon GS. Predictors of clinical recovery from concussion: a systematic review. Br J Sports Med. 2017;51:941–48. doi:10.1136/bjsports-2017-097729.
  • Howell DR, MJ O, Beasley MA, Mannix RC, Meehan WP. Initial somatic symptoms are associated with prolonged symptom duration following concussion in adolescents. Acta Paediatr. 2016;105(9):e426–32. doi:10.1111/apa.13486.
  • Cook NE, Gaudet CE, Maxwell B, Zafonte R, Berkner PD, Iverson GL. Greater acute concussion symptoms are associated with longer recovery times in adolescents. J Child Neurol. 2022;37:970–78. doi:10.1177/08830738221125986.
  • Meehan WP, Mannix R, Monuteaux MC, Stein CJ, Bachur RG. Early symptom burden predicts recovery after sport-related concussion. Neurology. 2014;83:2204–10. doi:10.1212/WNL.0000000000001073.
  • Neelakantan M, Ryali B, Cabral MD, Harris A, McCarroll J, Patel DR. Academic performance following sport-related concussions in children and adolescents: a scoping review. Int J Environ Res Public Health. 2020;17:7602. doi:10.3390/ijerph17207602.
  • Halstead ME, McAvoy K, Devore CD, Carl R, Lee M, Logan K, On Sports Medicine C, Fitness COSH, Brenner JS, Demorest RA, et al. Returning to learning following a concussion. Pediatrics. 2013;132(5):948–57. doi:10.1542/peds.2013-2867.
  • Purcell LK, Davis GA, Gioia GA. What factors must be considered in ‘return to school’ following concussion and what strategies or accommodations should be followed? A systematic review. Br J Sports Med. 2019;53:250–250. doi:10.1136/bjsports-2017-097853.
  • DeMatteo C, Bednar ED, Randall S, Falla K. Effectiveness of return to activity and return to school protocols for children postconcussion: a systematic review. BMJ Open Sport Exerc Med. 2020;6:e000667. doi:10.1136/bmjsem-2019-000667.
  • Vaughan CG, Ledoux A-A, Sady MD, Tang K, Yeates KO, Sangha G, Osmond MH, Freedman SB, Gravel J, Gagnon I, et al. Association between early return to school following acute concussion and symptom burden at 2 weeks postinjury. JAMA Netw Open. 2023;6:e2251839.
  • Thomas DG, Apps JN, Hoffmann RG, McCrea M, Hammeke T. Benefits of strict rest after acute concussion: a randomized controlled trial. Pediatrics. 2015;135:213–23. doi:10.1542/peds.2014-0966.
  • Makki AY, Leddy J, Hinds A, Baker J, Paluch R, Shucard J, Willer B. School attendance and symptoms in adolescents after sport-related concussion. Glob Pediatr Health. 2016;3:2333794X1663049. doi:10.1177/2333794X16630493.
  • Gonzalez L, Jones LE, Fakeh M, Shah N, Panchella JA, Shendell DG. Incidence reporting via online high school concussion surveillance by certified athletic trainers and school nurses, 2015–2018. Inj Epidemiol. 2020;7(1):1. doi:10.1186/s40621-019-0228-5.
  • Zemek RL, Grool AM, Rodriguez Duque D, DeMatteo C, Rothman L, Benchimol EI, Guttmann A, Macpherson AK. Annual and seasonal trends in ambulatory visits for pediatric concussion in Ontario between 2003 and 2013. J Pediatr. 2017;181:222–228.e2. doi:10.1016/j.jpeds.2016.10.067.
  • Houck Z, Asken B, Bauer R, Pothast J, Michaudet C, Clugston J. Epidemiology of sport-related concussion in an NCAA division I football bowl subdivision sample. Am J Sports Med. 2016;44:2269–75. doi:10.1177/0363546516645070.
  • Broglio SP, Perkins SM, Riggen L, Stemper BD, Shah A, McAllister TW, McCrea M. CARE consortium investigators. Spring football concussion rates mimic the preseason. Findings From The CARE Consortium J Athl Train. 2022. doi:10.4085/1062-6050-0132.22.
  • McCrory P, Meeuwisse WH, Aubry M, Cantu B, Dvořák J, Echemendia RJ, Engebretsen L, Johnston K, Kutcher JS, Raftery M, et al. Consensus statement on concussion in sport: the 4th international conference on concussion in sport held in Zurich. Br J Sports Med. 2013;47(5):250–58. doi:10.1136/bjsports-2013-092313. November 2012.
  • Oldham JR, Howell D, Lanois C, Berkner P, Iverson GL, Mannix R, Meehan W. Neurocognitive functioning and symptoms across levels of collision and contact in male high school athletes. J Neurol Neurosurg Psychiatry. 2022;93:828–32. doi:10.1136/jnnp-2021-328469.
  • Meehan WP, Taylor AM, Berkner P, Sandstrom NJ, Peluso MW, Kurtz MM, Pascual-Leone A, Mannix R. Division III collision sports are not associated with neurobehavioral quality of life. J Neurotrauma. 2016;33(2):254–59. doi:10.1089/neu.2015.3930.
  • Ayr LK, Yeates KO, Taylor HG, Browne M. Dimensions of postconcussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc. 2009;15(1):19–30. doi:10.1017/S1355617708090188.
  • O’Brien H, Minich NM, Langevin LM, et al. Normative and psychometric characteristics of the health and behavior inventory among children with mild orthopedic injury presenting to the emergency department: implications for assessing postconcussive symptoms using the child sport concussion assessment tool 5th edition (child SCAT5). Clin J Sport Med. 2021;31(5):e221–28. doi:10.1097/JSM.0000000000000943.
  • Patsimas T, Howell DR, Potter MN, Provance AJ, Kirkwood MW, Wilson JC. Concussion-symptom rating correlation between pediatric patients and their parents. J Athl Train. 2020;55(10):1020–26. doi:10.4085/1062-6050-200-19.
  • Hajek CA, Yeates KO, Taylor HG, Bangert B, Dietrich A, Nuss KE, Rusin J, Wright M. Agreement between parents and children on ratings of post-concussive symptoms following mild traumatic brain injury. Child Neuropsychol. 2010;17:17–33. doi:10.1080/09297049.2010.495058.
  • O’Brien H, Minich NM, Langevin LM, Taylor HG, Bigler ED, Cohen DM, Beauchamp MH, Craig WR, Doan Q, Zemek R, et al. Normative and psychometric characteristics of the health and behavior inventory among children with mild orthopedic injury presenting to the emergency department: implications for assessing postconcussive symptoms using the child sport concussion assessment tool. Clin J Sports Med. 2021;31:e221–28.
  • Tomczak M, Tomczak E. The need to report effect size estimates revisited. An overview of some recommended measures of effect size. Trends In Sport Sciences. 2014;1(21):19–25.
  • Weaver RG, Hensing C, Armstrong B, Adams EL, Beets M. Seasonal shifts in children’s sedentary behaviors, physical activity, and sleep. Pediatr Clin North Am. 2022;69:671–93. doi:10.1016/j.pcl.2022.04.005.
  • Kornides ML, Gillman MW, Rosner B, Rimm EB, Chavarro JE, Field AE. US adolescents at risk for not meeting physical activity recommendations by season. Pediatr Res. 2018;84:50–56. doi:10.1038/s41390-018-0024-x.

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