Dickson, T J; Trathen, S; Terwiel, F A; Waddington, G; Adams, R
Head injury trends and helmet use in skiers and snowboarders in Western Canada, 2008-2009 to 2012-2013: an ecological study Journal Article
In: Scandinavian Journal of Medicine & Science in Sports, vol. 27, no. 2, pp. 236–244, 2017, ISBN: 09057188.
Abstract | Links | BibTeX | Tags: CANADA, CHI-squared test, Concussion, CONTENT mining, DATA analysis -- Software, DESCRIPTIVE statistics, Ecological research, Head Injuries, Helmets, Injury prevention, LOGISTIC regression analysis, ODDS ratio, PROBABILITY theory, SAFETY hats, SEVERITY of illness index, skiing, Skiing injuries, Snowboarding, Snowboarding injuries
@article{Dickson2017,
title = {Head injury trends and helmet use in skiers and snowboarders in Western Canada, 2008-2009 to 2012-2013: an ecological study},
author = {Dickson, T J and Trathen, S and Terwiel, F A and Waddington, G and Adams, R},
doi = {10.1111/sms.12642},
isbn = {09057188},
year = {2017},
date = {2017-01-01},
journal = {Scandinavian Journal of Medicine \& Science in Sports},
volume = {27},
number = {2},
pages = {236--244},
abstract = {This research explored associations between helmet use and head injuries in snowsports by investigating reported snowsport injuries in Western Canada from 2008-2009 to 2012-2013. The key finding was that increased helmet use (from 69% to 80%) was not associated with a reduction in reported head injuries. Over the study period, the average rate of reported head injuries was 0.2/1000 skier visits, with a statistically significant variation ( P \< 0.001). The line of best fit showed an non-significant upward trend ( P = 0.13). Lacerations were the only subcategory of head injuries that decreased significantly with helmet use. A higher proportion of people who reported a head injury were wearing a helmet than for injuries other than to the head. Skiers were more likely to report a head injury when wearing a helmet than snowboarders ( P \< 0.001 cf. P = 0.22). There were significant differences in characteristics of helmet and non-helmet wearers. Helmet wearers were more likely to be: young adults ( P \< 0.001); beginner/novices ( P = 0.004); and snowboarders ( P \< 0.001), but helmet wearing was not associated with gender ( P = 0.191). Further research is needed to explore the possible reasons for the failure of helmets to reduce head injuries, for example, increased reporting of head injuries and increased risk-taking combined with over-rating of the helmets' protection.},
keywords = {CANADA, CHI-squared test, Concussion, CONTENT mining, DATA analysis -- Software, DESCRIPTIVE statistics, Ecological research, Head Injuries, Helmets, Injury prevention, LOGISTIC regression analysis, ODDS ratio, PROBABILITY theory, SAFETY hats, SEVERITY of illness index, skiing, Skiing injuries, Snowboarding, Snowboarding injuries},
pubstate = {published},
tppubtype = {article}
}
Kasamatsu, Tricia M; Cleary, Michelle A; Bennett, Jason P; Howard, Keith E; Valovich McLeod, Tamara C
Investigating Existence and Comprehensiveness of Athletic Trainers' Concussion Management Policies Journal Article
In: Athletic Training & Sports Health Care, vol. 8, no. 3, pp. 112–120, 2016, ISBN: 19425864.
Abstract | BibTeX | Tags: *ATHLETIC trainers, *BRAIN -- Concussion, *HIGH schools, *SPORTS participation, CONFIDENCE intervals, DESCRIPTIVE statistics, INDEPENDENT variables, JOB descriptions, JUDGMENT sampling, ODDS ratio, Questionnaires, School administration
@article{Kasamatsu2016,
title = {Investigating Existence and Comprehensiveness of Athletic Trainers' Concussion Management Policies},
author = {Kasamatsu, Tricia M and Cleary, Michelle A and Bennett, Jason P and Howard, Keith E and {Valovich McLeod}, Tamara C},
isbn = {19425864},
year = {2016},
date = {2016-01-01},
journal = {Athletic Training \& Sports Health Care},
volume = {8},
number = {3},
pages = {112--120},
abstract = {This study examined factors that predicted the existence and comprehensiveness of w ritten concussion management policies in secondary schools. A purposeful sample of athletic trainers employed in secondary schools was requested to complete an online survey (1,124 of 3,943 [28.5% response rate]). Most athletic trainers (968 of 1,112 [87.1%]) reported having a written concussion management policy, which included background information (883 of 968 [91.2%]), immediate treatment (902 of 968 [93.2%]), and return to play criteria (933 of 968 [96.4%]). Strongest predictive variables of an existing concussion policy included athletic trainers who were: primarily paid via school/ district (odds ratio [OR] = 2.1,95% confidence interval [Cl] = 1.4 to 3.3), hired full-time (OR = 1.7,95% Cl = 1.1 to 2.7), and evaluation of more concussions annually (OR = 1.6,95% Cl = 1.3 to 2.0). Employment characteristics may influence the existence of a concussion management policy; however, additional research is needed to understand athletic trainers' ability to navigate school systems and implement a school-based concussion policy. ABSTRACT FROM AUTHOR},
keywords = {*ATHLETIC trainers, *BRAIN -- Concussion, *HIGH schools, *SPORTS participation, CONFIDENCE intervals, DESCRIPTIVE statistics, INDEPENDENT variables, JOB descriptions, JUDGMENT sampling, ODDS ratio, Questionnaires, School administration},
pubstate = {published},
tppubtype = {article}
}
Howitt, Scott; Brommer, Robert; Fowler, Justin; Gerwing, Logan; Payne, Julian; DeGraauw, Christopher
The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review Journal Article
In: Journal of the Canadian Chiropractic Association, vol. 60, no. 4, pp. 322–329, 2016, ISBN: 00083194.
Abstract | BibTeX | Tags: assessment, auxiliaire, BRAIN -- Concussion -- Diagnosis, chiropractic, chiropratique, CINAHL (Information retrieval system), COLLEGE athletes, commotion cérébrale, Concussion, CONFIDENCE intervals, DATA analysis -- Software, dépistage, DESCRIPTIVE statistics, EQUIPMENT & supplies, EVALUATION, INFORMATION storage & retrieval systems, Information storage & retrieval systems -- Medical, King-Devick test, MANN Whitney U Test, Medical screening, Medline, neurologic examination, ODDS ratio, PRE-tests & post-tests, PROBABILITY theory, screening, Sideline, Sports, SPORTS injuries, SYSTEMATIC reviews (Medical research), test King-Devick
@article{Howitt2016,
title = {The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review},
author = {Howitt, Scott and Brommer, Robert and Fowler, Justin and Gerwing, Logan and Payne, Julian and DeGraauw, Christopher},
isbn = {00083194},
year = {2016},
date = {2016-01-01},
journal = {Journal of the Canadian Chiropractic Association},
volume = {60},
number = {4},
pages = {322--329},
publisher = {Canadian Chiropractic Association},
abstract = {Objective: The objective of this paper is to review existing literature surrounding the utility of the King-Devick test which is a commonly used sideline assessment tool for sport-related concussions. Methods: A review of the literature was performed using MEDLINE, CINHAL, and SportDiscus databases. The search was performed from the beginning of the record through November 16th, 2015. Results: This search strategy yielded 27 articles from aforementioned databases. Further searching in The Cochrane Library with King-Devick AND Concuss* search terms yielded one additional article, summing a total of 28 articles. After removal of duplicates and implementation of the inclusion/exclusion criteria, 8 articles for extensively reviewed. Conclusion: This narrative review suggests that the King-Devick test is an efficient sideline assessment tool for sport-related concussions. However, we recommend that the King-Devick should be used as a sideline screening tool, not a concussion diagnosis tool at this time. A proper baseline time including multiple tests may be recommended to negate the learning affect and to have a reliable baseline in which to measure from for future reference. A three second difference appears appropriate to identify the possibility of concussion and to remove an athlete from play. At this time, the athlete should be monitored and further evaluated as symptoms are sometimes delayed. We suggest that further research may be useful to better determine the efficacy of the K-D test in detecting concussions across a broader range of athletes and sports. We also suggest further research may investigate the K-D test a potential return-to-play tool for clinicians and medical personnel.},
keywords = {assessment, auxiliaire, BRAIN -- Concussion -- Diagnosis, chiropractic, chiropratique, CINAHL (Information retrieval system), COLLEGE athletes, commotion c\'{e}r\'{e}brale, Concussion, CONFIDENCE intervals, DATA analysis -- Software, d\'{e}pistage, DESCRIPTIVE statistics, EQUIPMENT \& supplies, EVALUATION, INFORMATION storage \& retrieval systems, Information storage \& retrieval systems -- Medical, King-Devick test, MANN Whitney U Test, Medical screening, Medline, neurologic examination, ODDS ratio, PRE-tests \& post-tests, PROBABILITY theory, screening, Sideline, Sports, SPORTS injuries, SYSTEMATIC reviews (Medical research), test King-Devick},
pubstate = {published},
tppubtype = {article}
}
Westermann, Robert W; Kerr, Zachary Y; Wehr, Peter; Amendola, Annuziato
Increasing Lower Extremity Injury Rates Across the 2009-2010 to 2014-2015 Seasons of National Collegiate Athletic Association Football Journal Article
In: American Journal of Sports Medicine, vol. 44, no. 12, pp. 3230–3236, 2016, ISBN: 03635465.
Abstract | BibTeX | Tags: *ANKLE wounds, *BRAIN -- Concussion, *COLLEGE athletes, *COLLEGE sports, *EPIDEMIOLOGY, *FOOTBALL injuries, *KNEE -- Wounds & injuries, *LEG -- Wounds & injuries, *PREVENTION, *SPORTS -- Societies, ankle injury, Concussion, CONFIDENCE intervals, DATA analysis -- Software, DESCRIPTIVE statistics, etc., football, IOWA, knee, LONGITUDINAL method, ODDS ratio, RESEARCH, RESEARCH -- Finance, RESEARCH -- Methodology, rule change, UNITED States
@article{Westermann2016,
title = {Increasing Lower Extremity Injury Rates Across the 2009-2010 to 2014-2015 Seasons of National Collegiate Athletic Association Football},
author = {Westermann, Robert W and Kerr, Zachary Y and Wehr, Peter and Amendola, Annuziato},
isbn = {03635465},
year = {2016},
date = {2016-01-01},
journal = {American Journal of Sports Medicine},
volume = {44},
number = {12},
pages = {3230--3236},
abstract = {Background: Sports-related concussions (SRCs) have gained increased societal interest in the past decade. The National Collegiate Athletic Association (NCAA) has implemented legislation and rule changes to decrease the incidence and risk of head injury impacts. The “targeting” rule forbids initiating contact with the crown of a helmet and targeting defenseless players in the head and neck area; however, there are concerns that this rule change has unintentionally led to an increased incidence of lower extremity injuries. Purpose/Hypothesis: The purpose of this study was to evaluate the change in lower extremity injury rates in NCAA football during the 2009-2010 to 2014-2015 seasons. We hypothesized that the lower extremity injury rate has increased across the time period. Study Design: Descriptive epidemiology study. Methods: Sixty-eight NCAA football programs provided 153 team-seasons of data to the NCAA Injury Surveillance Program. Lower extremity injuries (ie, hip/groin, upper leg/thigh, knee, lower leg/Achilles, foot/toes) and SRCs sustained during NCAA football games were examined. We calculated injury rates per 1000 athlete-exposures (AEs) for lower extremity injuries and SRCs. Rate ratios (RRs) compared injury rates between the 2009-2010 to 2011-2012 and 2012-2013 to 2014-2015 seasons. Results: Overall, 2400 lower extremity injuries were reported during the 2009-2010 to 2014-2015 seasons; most were to the knee (33.6%) and ankle (28.5%) and caused by player contact (59.2%). The lower extremity injury rate increased in 2012-2013 to 2014-2015 compared with 2009-2010 to 2011-2012 (23.55 vs 20.45/1000 AEs, respectively; RR, 1.15; 95% CI, 1.06-1.25). This finding was retained when restricted to injuries due to player contact (RR, 1.19; 95% CI, 1.07-1.32) but not for injuries due to noncontact/overuse (RR, 0.96; 95% CI, 0.80-1.14). When examining player contact injury rates by anatomic site, only ankle injuries had an increase (RR, 1.36; 95% CI, 1.13-1.64). The SRC rate also increased in 2012-2013 to 2014-2015 compared with 2009-2010 to 2011-2012 (3.52 vs 2.63/1000 AEs, respectively; RR, 1.34; 95% CI, 1.08-1.66). Conclusion: The lower extremity injury rate has increased in NCAA football athletes. Similarly, SRC rates have increased, although this may be caused by concurrent policies related to better education, identification, and management. Targeting rule changes may be contributing to increased rates of player contact\textendashrelated ankle injuries. Alongside continued surveillance research to examine longitudinal time trends, more in-depth individual-level examinations of how targeting rule changes influence coaching and player behaviors are warranted. ABSTRACT FROM AUTHOR},
keywords = {*ANKLE wounds, *BRAIN -- Concussion, *COLLEGE athletes, *COLLEGE sports, *EPIDEMIOLOGY, *FOOTBALL injuries, *KNEE -- Wounds \& injuries, *LEG -- Wounds \& injuries, *PREVENTION, *SPORTS -- Societies, ankle injury, Concussion, CONFIDENCE intervals, DATA analysis -- Software, DESCRIPTIVE statistics, etc., football, IOWA, knee, LONGITUDINAL method, ODDS ratio, RESEARCH, RESEARCH -- Finance, RESEARCH -- Methodology, rule change, UNITED States},
pubstate = {published},
tppubtype = {article}
}
Ellis, M J; Cordingley, D; Vis, S; Reimer, K; Leiter, J; Russell, K
Vestibulo-ocular dysfunction in pediatric sports-related concussion Journal Article
In: Journal of Neurosurgery: Pediatrics, vol. 16, no. 3, pp. 248–255, 2015.
Abstract | Links | BibTeX | Tags: Adolescent, amnesia, Article, Athletic Injuries, Baseball, BASKETBALL, blurred vision, brain concussion, CANADA, Child, childhood disease, cohort analysis, complication, Concussion, consultation, controlled study, disease duration, Dizziness, Female, follow up, football, Hockey, human, Humans, interdisciplinary communication, major clinical study, Male, Manitoba, migraine, neuroimaging, neuropsychological test, Neuropsychological Tests, ODDS ratio, Pathophysiology, Pediatric, Physical Examination, physiotherapy, Post-Concussion Syndrome, postconcussion syndrome, Prevalence, priority journal, Reflex, Retrospective Studies, retrospective study, return to sport, saccadic eye movement, skating, skiing, Soccer, sport injury, sport related concussion, Sports-related concussion, Trauma, vestibular physiotherapy, Vestibular therapy, vestibulo ocular dysfunction, Vestibulo-Ocular, Vestibulo-ocular dysfunction, vestibuloocular reflex, VOLLEYBALL, Young Adult, youth sport
@article{Ellis2015,
title = {Vestibulo-ocular dysfunction in pediatric sports-related concussion},
author = {Ellis, M J and Cordingley, D and Vis, S and Reimer, K and Leiter, J and Russell, K},
doi = {10.3171/2015.1.PEDS14524},
year = {2015},
date = {2015-01-01},
journal = {Journal of Neurosurgery: Pediatrics},
volume = {16},
number = {3},
pages = {248--255},
abstract = {Object The objective of this study was 2-fold: 1) to examine the prevalence of vestibulo-ocular dysfunction (VOD) among children and adolescents with acute sports-related concussion (SRC) and postconcussion syndrome (PCS) who were referred to a multidisciplinary pediatric concussion program; and 2) to determine if VOD is associated with the development of PCS in this cohort. Methods The authors conducted a retrospective review of all patients with acute SRC (presenting 30 days or less postinjury) and PCS (3 or more symptoms for at least 1 month) referred to a multidisciplinary pediatric concussion program between September 2013 and July 2014. Initial assessment included clinical history, physical examination, and Post-Concussion Symptom Scale assessment. Patients were also assessed for VOD, which was defined as more than one subjective vestibular and oculomotor complaint (dizziness, blurred vision, and so on) and more than one objective physical examination finding (abnormal smooth pursuits, saccades, vestibulo-ocular reflex, and so on). This study was approved by the local institutional ethics review board. Results A total of 101 patients (mean age 14.2 years, SD 2.3 years; 63 male and 38 female patients) participated, including 77 (76.2%) with acute SRC and 24 (23.8%) with PCS. Twenty-two of the 77 patients (28.6%) with acute SRC and 15 of the 24 (62.5%) with PCS met the clinical criteria for VOD. The median duration of symptoms was 40 days (interquartile range [IQR] 28.5-54 days) for patients with acute SRC who had VOD compared with 21 days (IQR 13-32 days) for those without VOD (p = 0.0001). There was a statistically significant increase in the adjusted odds of developing PCS among patients with acute SRC who had VOD compared with those without VOD (adjusted OR 4.10; 95% CI 1.04-16.16). Conclusions Evidence of VOD was detected in a significant proportion of children and adolescents with acute SRC and PCS who were referred to a multidisciplinary pediatric concussion program. This clinical feature was a significant risk factor for the subsequent development of PCS in this pediatric acute SRC cohort. © AANS, 2015.},
keywords = {Adolescent, amnesia, Article, Athletic Injuries, Baseball, BASKETBALL, blurred vision, brain concussion, CANADA, Child, childhood disease, cohort analysis, complication, Concussion, consultation, controlled study, disease duration, Dizziness, Female, follow up, football, Hockey, human, Humans, interdisciplinary communication, major clinical study, Male, Manitoba, migraine, neuroimaging, neuropsychological test, Neuropsychological Tests, ODDS ratio, Pathophysiology, Pediatric, Physical Examination, physiotherapy, Post-Concussion Syndrome, postconcussion syndrome, Prevalence, priority journal, Reflex, Retrospective Studies, retrospective study, return to sport, saccadic eye movement, skating, skiing, Soccer, sport injury, sport related concussion, Sports-related concussion, Trauma, vestibular physiotherapy, Vestibular therapy, vestibulo ocular dysfunction, Vestibulo-Ocular, Vestibulo-ocular dysfunction, vestibuloocular reflex, VOLLEYBALL, Young Adult, youth sport},
pubstate = {published},
tppubtype = {article}
}
Fitch, T; Villanueva, G; Quadir, M M; Sagiraju, H K; Alamgir, H
The prevalence and risk factors of Post-Traumatic Stress Disorder among workers injured in Rana Plaza building collapse in Bangladesh Journal Article
In: American Journal of Industrial Medicine, vol. 58, no. 7, pp. 756–763, 2015.
Abstract | BibTeX | Tags: *Occupational Diseases/ep [Epidemiology], *Stress Disorders, *Structure Collapse, *Survivors/px [Psychology], *Textile Industry, adult, Bangladesh/ep [Epidemiology], Employment/px [Psychology], Female, Humans, Logistic Models, Male, Marital Status, Occupational Diseases/et [Etiology], ODDS ratio, Post-Traumatic/ep [Epidemiology, Post-Traumatic/et [Etiology], Prevalence, Risk Factors, Stress Disorders, Work/px [Psychology], Young Adult
@article{Fitch2015,
title = {The prevalence and risk factors of Post-Traumatic Stress Disorder among workers injured in Rana Plaza building collapse in Bangladesh},
author = {Fitch, T and Villanueva, G and Quadir, M M and Sagiraju, H K and Alamgir, H},
year = {2015},
date = {2015-01-01},
journal = {American Journal of Industrial Medicine},
volume = {58},
number = {7},
pages = {756--763},
abstract = {OBJECTIVES: Prevalence and risk factors of PTSD among injured garment workers who survived a major factory collapse. METHODS: Survivors receiving treatment or rehabilitation care at one year post event were surveyed, which included Post Traumatic Stress Disorder Checklist Specific version. RESULTS: The respondents consisted of 181 people with a mean age of 27.8 years and a majority had less than high school education (91.2%). Multivariable logistic regression found that the odds of having PTSD was higher among married (OR: 3.2 [95% CI: 1.3-8.0]), those who used to work more than 70hr/week (OR: 2.4 [1.1-5.3]), workers who used to hold higher job positions (OR: 2.6 [1.2-5.6]) or who had a concussion injury (OR: 3.7 [1.4-9.8]). Among the respondents, 83.4% remained unemployed, and only 57.3% (63 people) reported receiving a quarter or less of what they were promised as compensation. CONCLUSIONS: Probable PTSD was prevalent among surviving workers of the Rana Plaza building collapse in Bangladesh.Copyright © 2015 Wiley Periodicals, Inc.},
keywords = {*Occupational Diseases/ep [Epidemiology], *Stress Disorders, *Structure Collapse, *Survivors/px [Psychology], *Textile Industry, adult, Bangladesh/ep [Epidemiology], Employment/px [Psychology], Female, Humans, Logistic Models, Male, Marital Status, Occupational Diseases/et [Etiology], ODDS ratio, Post-Traumatic/ep [Epidemiology, Post-Traumatic/et [Etiology], Prevalence, Risk Factors, Stress Disorders, Work/px [Psychology], Young Adult},
pubstate = {published},
tppubtype = {article}
}
Register-Mihalik, J K; De Maio, V J; Tibbo-Valeriote, H L; Wooten, J D
Characteristics of pediatric and adolescent concussion clinic patients with postconcussion amnesia Journal Article
In: Clinical Journal of Sport Medicine, vol. 25, no. 6, pp. 502–508, 2015.
Abstract | BibTeX | Tags: Adolescent, adult, amnesia, anamnesis, Article, brain concussion, Child, complication, Concussion, Concussive injury, Cross-Sectional Studies, cross-sectional study, Demography, disease severity, emergency ward, ethnology, Female, head injury, human, Humans, major clinical study, Male, MEDICAL history taking, Memory, ODDS ratio, outcome assessment, postconcussion symptoms, priority journal, race, Retrospective Studies, retrospective study, Risk, risk factor, Risk Factors, unconsciousness
@article{Register-Mihalik2015,
title = {Characteristics of pediatric and adolescent concussion clinic patients with postconcussion amnesia},
author = {Register-Mihalik, J K and {De Maio}, V J and Tibbo-Valeriote, H L and Wooten, J D},
year = {2015},
date = {2015-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {25},
number = {6},
pages = {502--508},
abstract = {Objective: The current study examines the demographics, injury characteristics, and outcomes associated with the presence of postconcussion amnesia in young concussion clinic patients. Design: Cross-sectional, retrospective clinical cohort. Setting: Concussion services clinic. Patients: Pediatric and adolescent concussion services program patients, presenting within 10 days postinjury, aged 10-18 years, with the goal of returning to sport (n = 245). Assessment of Risk Factors: Age, gender, race, head trauma history, injury mechanism, loss of consciousness (LOC), injuryrelated visit to an emergency department, cognitive and balance scores, symptoms, and management recommendations. Main Outcome Measures: Univariate and multivariate analyses determined adjusted odds ratios for reported presence of any postconcussion amnesia (anterograde or retrograde). Results: Factors associated with amnesia (univariate, P \< 0.10) and included in the multivariate model were race, head trauma history, mechanism of injury, LOC, injury-related visit to an emergency department, management recommendations and time of injury and initial visit symptom severity. Age and gender were also included in the model due to biological significance. Of the 245 patients, 181 had data for all model variables. Of the 181 patients, 58 reported amnesia. History of head trauma [odds ratio (OR), 2.7; 95% confidence interval (CI), 1.3-5.7]; time of injury (TOI) symptom severity \>75th percentile (OR, 2.6; 95% CI, 1.2-5.3) and LOC (OR, 2.2; 95% CI, 1.1-4.6) were found to have significant and independent relationships with amnesia in the multivariate model. Conclusions: This study illustrates that patients presenting with postconcussion amnesia are more likely to have a history of head trauma, LOC, and greater symptom severity. Future research is needed to better understand amnesia following concussion. Clinical Relevance: Amnesia presence, previous head trauma, LOC, and increased symptom severity may aid in identifying patients with a greater initial injury burden who warrant closer observation and more conservative management. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.},
keywords = {Adolescent, adult, amnesia, anamnesis, Article, brain concussion, Child, complication, Concussion, Concussive injury, Cross-Sectional Studies, cross-sectional study, Demography, disease severity, emergency ward, ethnology, Female, head injury, human, Humans, major clinical study, Male, MEDICAL history taking, Memory, ODDS ratio, outcome assessment, postconcussion symptoms, priority journal, race, Retrospective Studies, retrospective study, Risk, risk factor, Risk Factors, unconsciousness},
pubstate = {published},
tppubtype = {article}
}
Dickson, T J; Trathen, S; Terwiel, F A; Waddington, G; Adams, R
Head injury trends and helmet use in skiers and snowboarders in Western Canada, 2008-2009 to 2012-2013: an ecological study Journal Article
In: Scandinavian Journal of Medicine & Science in Sports, vol. 27, no. 2, pp. 236–244, 2017, ISBN: 09057188.
@article{Dickson2017,
title = {Head injury trends and helmet use in skiers and snowboarders in Western Canada, 2008-2009 to 2012-2013: an ecological study},
author = {Dickson, T J and Trathen, S and Terwiel, F A and Waddington, G and Adams, R},
doi = {10.1111/sms.12642},
isbn = {09057188},
year = {2017},
date = {2017-01-01},
journal = {Scandinavian Journal of Medicine \& Science in Sports},
volume = {27},
number = {2},
pages = {236--244},
abstract = {This research explored associations between helmet use and head injuries in snowsports by investigating reported snowsport injuries in Western Canada from 2008-2009 to 2012-2013. The key finding was that increased helmet use (from 69% to 80%) was not associated with a reduction in reported head injuries. Over the study period, the average rate of reported head injuries was 0.2/1000 skier visits, with a statistically significant variation ( P \< 0.001). The line of best fit showed an non-significant upward trend ( P = 0.13). Lacerations were the only subcategory of head injuries that decreased significantly with helmet use. A higher proportion of people who reported a head injury were wearing a helmet than for injuries other than to the head. Skiers were more likely to report a head injury when wearing a helmet than snowboarders ( P \< 0.001 cf. P = 0.22). There were significant differences in characteristics of helmet and non-helmet wearers. Helmet wearers were more likely to be: young adults ( P \< 0.001); beginner/novices ( P = 0.004); and snowboarders ( P \< 0.001), but helmet wearing was not associated with gender ( P = 0.191). Further research is needed to explore the possible reasons for the failure of helmets to reduce head injuries, for example, increased reporting of head injuries and increased risk-taking combined with over-rating of the helmets' protection.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Kasamatsu, Tricia M; Cleary, Michelle A; Bennett, Jason P; Howard, Keith E; Valovich McLeod, Tamara C
Investigating Existence and Comprehensiveness of Athletic Trainers' Concussion Management Policies Journal Article
In: Athletic Training & Sports Health Care, vol. 8, no. 3, pp. 112–120, 2016, ISBN: 19425864.
@article{Kasamatsu2016,
title = {Investigating Existence and Comprehensiveness of Athletic Trainers' Concussion Management Policies},
author = {Kasamatsu, Tricia M and Cleary, Michelle A and Bennett, Jason P and Howard, Keith E and {Valovich McLeod}, Tamara C},
isbn = {19425864},
year = {2016},
date = {2016-01-01},
journal = {Athletic Training \& Sports Health Care},
volume = {8},
number = {3},
pages = {112--120},
abstract = {This study examined factors that predicted the existence and comprehensiveness of w ritten concussion management policies in secondary schools. A purposeful sample of athletic trainers employed in secondary schools was requested to complete an online survey (1,124 of 3,943 [28.5% response rate]). Most athletic trainers (968 of 1,112 [87.1%]) reported having a written concussion management policy, which included background information (883 of 968 [91.2%]), immediate treatment (902 of 968 [93.2%]), and return to play criteria (933 of 968 [96.4%]). Strongest predictive variables of an existing concussion policy included athletic trainers who were: primarily paid via school/ district (odds ratio [OR] = 2.1,95% confidence interval [Cl] = 1.4 to 3.3), hired full-time (OR = 1.7,95% Cl = 1.1 to 2.7), and evaluation of more concussions annually (OR = 1.6,95% Cl = 1.3 to 2.0). Employment characteristics may influence the existence of a concussion management policy; however, additional research is needed to understand athletic trainers' ability to navigate school systems and implement a school-based concussion policy. ABSTRACT FROM AUTHOR},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Howitt, Scott; Brommer, Robert; Fowler, Justin; Gerwing, Logan; Payne, Julian; DeGraauw, Christopher
The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review Journal Article
In: Journal of the Canadian Chiropractic Association, vol. 60, no. 4, pp. 322–329, 2016, ISBN: 00083194.
@article{Howitt2016,
title = {The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review},
author = {Howitt, Scott and Brommer, Robert and Fowler, Justin and Gerwing, Logan and Payne, Julian and DeGraauw, Christopher},
isbn = {00083194},
year = {2016},
date = {2016-01-01},
journal = {Journal of the Canadian Chiropractic Association},
volume = {60},
number = {4},
pages = {322--329},
publisher = {Canadian Chiropractic Association},
abstract = {Objective: The objective of this paper is to review existing literature surrounding the utility of the King-Devick test which is a commonly used sideline assessment tool for sport-related concussions. Methods: A review of the literature was performed using MEDLINE, CINHAL, and SportDiscus databases. The search was performed from the beginning of the record through November 16th, 2015. Results: This search strategy yielded 27 articles from aforementioned databases. Further searching in The Cochrane Library with King-Devick AND Concuss* search terms yielded one additional article, summing a total of 28 articles. After removal of duplicates and implementation of the inclusion/exclusion criteria, 8 articles for extensively reviewed. Conclusion: This narrative review suggests that the King-Devick test is an efficient sideline assessment tool for sport-related concussions. However, we recommend that the King-Devick should be used as a sideline screening tool, not a concussion diagnosis tool at this time. A proper baseline time including multiple tests may be recommended to negate the learning affect and to have a reliable baseline in which to measure from for future reference. A three second difference appears appropriate to identify the possibility of concussion and to remove an athlete from play. At this time, the athlete should be monitored and further evaluated as symptoms are sometimes delayed. We suggest that further research may be useful to better determine the efficacy of the K-D test in detecting concussions across a broader range of athletes and sports. We also suggest further research may investigate the K-D test a potential return-to-play tool for clinicians and medical personnel.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Westermann, Robert W; Kerr, Zachary Y; Wehr, Peter; Amendola, Annuziato
Increasing Lower Extremity Injury Rates Across the 2009-2010 to 2014-2015 Seasons of National Collegiate Athletic Association Football Journal Article
In: American Journal of Sports Medicine, vol. 44, no. 12, pp. 3230–3236, 2016, ISBN: 03635465.
@article{Westermann2016,
title = {Increasing Lower Extremity Injury Rates Across the 2009-2010 to 2014-2015 Seasons of National Collegiate Athletic Association Football},
author = {Westermann, Robert W and Kerr, Zachary Y and Wehr, Peter and Amendola, Annuziato},
isbn = {03635465},
year = {2016},
date = {2016-01-01},
journal = {American Journal of Sports Medicine},
volume = {44},
number = {12},
pages = {3230--3236},
abstract = {Background: Sports-related concussions (SRCs) have gained increased societal interest in the past decade. The National Collegiate Athletic Association (NCAA) has implemented legislation and rule changes to decrease the incidence and risk of head injury impacts. The “targeting” rule forbids initiating contact with the crown of a helmet and targeting defenseless players in the head and neck area; however, there are concerns that this rule change has unintentionally led to an increased incidence of lower extremity injuries. Purpose/Hypothesis: The purpose of this study was to evaluate the change in lower extremity injury rates in NCAA football during the 2009-2010 to 2014-2015 seasons. We hypothesized that the lower extremity injury rate has increased across the time period. Study Design: Descriptive epidemiology study. Methods: Sixty-eight NCAA football programs provided 153 team-seasons of data to the NCAA Injury Surveillance Program. Lower extremity injuries (ie, hip/groin, upper leg/thigh, knee, lower leg/Achilles, foot/toes) and SRCs sustained during NCAA football games were examined. We calculated injury rates per 1000 athlete-exposures (AEs) for lower extremity injuries and SRCs. Rate ratios (RRs) compared injury rates between the 2009-2010 to 2011-2012 and 2012-2013 to 2014-2015 seasons. Results: Overall, 2400 lower extremity injuries were reported during the 2009-2010 to 2014-2015 seasons; most were to the knee (33.6%) and ankle (28.5%) and caused by player contact (59.2%). The lower extremity injury rate increased in 2012-2013 to 2014-2015 compared with 2009-2010 to 2011-2012 (23.55 vs 20.45/1000 AEs, respectively; RR, 1.15; 95% CI, 1.06-1.25). This finding was retained when restricted to injuries due to player contact (RR, 1.19; 95% CI, 1.07-1.32) but not for injuries due to noncontact/overuse (RR, 0.96; 95% CI, 0.80-1.14). When examining player contact injury rates by anatomic site, only ankle injuries had an increase (RR, 1.36; 95% CI, 1.13-1.64). The SRC rate also increased in 2012-2013 to 2014-2015 compared with 2009-2010 to 2011-2012 (3.52 vs 2.63/1000 AEs, respectively; RR, 1.34; 95% CI, 1.08-1.66). Conclusion: The lower extremity injury rate has increased in NCAA football athletes. Similarly, SRC rates have increased, although this may be caused by concurrent policies related to better education, identification, and management. Targeting rule changes may be contributing to increased rates of player contact\textendashrelated ankle injuries. Alongside continued surveillance research to examine longitudinal time trends, more in-depth individual-level examinations of how targeting rule changes influence coaching and player behaviors are warranted. ABSTRACT FROM AUTHOR},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Ellis, M J; Cordingley, D; Vis, S; Reimer, K; Leiter, J; Russell, K
Vestibulo-ocular dysfunction in pediatric sports-related concussion Journal Article
In: Journal of Neurosurgery: Pediatrics, vol. 16, no. 3, pp. 248–255, 2015.
@article{Ellis2015,
title = {Vestibulo-ocular dysfunction in pediatric sports-related concussion},
author = {Ellis, M J and Cordingley, D and Vis, S and Reimer, K and Leiter, J and Russell, K},
doi = {10.3171/2015.1.PEDS14524},
year = {2015},
date = {2015-01-01},
journal = {Journal of Neurosurgery: Pediatrics},
volume = {16},
number = {3},
pages = {248--255},
abstract = {Object The objective of this study was 2-fold: 1) to examine the prevalence of vestibulo-ocular dysfunction (VOD) among children and adolescents with acute sports-related concussion (SRC) and postconcussion syndrome (PCS) who were referred to a multidisciplinary pediatric concussion program; and 2) to determine if VOD is associated with the development of PCS in this cohort. Methods The authors conducted a retrospective review of all patients with acute SRC (presenting 30 days or less postinjury) and PCS (3 or more symptoms for at least 1 month) referred to a multidisciplinary pediatric concussion program between September 2013 and July 2014. Initial assessment included clinical history, physical examination, and Post-Concussion Symptom Scale assessment. Patients were also assessed for VOD, which was defined as more than one subjective vestibular and oculomotor complaint (dizziness, blurred vision, and so on) and more than one objective physical examination finding (abnormal smooth pursuits, saccades, vestibulo-ocular reflex, and so on). This study was approved by the local institutional ethics review board. Results A total of 101 patients (mean age 14.2 years, SD 2.3 years; 63 male and 38 female patients) participated, including 77 (76.2%) with acute SRC and 24 (23.8%) with PCS. Twenty-two of the 77 patients (28.6%) with acute SRC and 15 of the 24 (62.5%) with PCS met the clinical criteria for VOD. The median duration of symptoms was 40 days (interquartile range [IQR] 28.5-54 days) for patients with acute SRC who had VOD compared with 21 days (IQR 13-32 days) for those without VOD (p = 0.0001). There was a statistically significant increase in the adjusted odds of developing PCS among patients with acute SRC who had VOD compared with those without VOD (adjusted OR 4.10; 95% CI 1.04-16.16). Conclusions Evidence of VOD was detected in a significant proportion of children and adolescents with acute SRC and PCS who were referred to a multidisciplinary pediatric concussion program. This clinical feature was a significant risk factor for the subsequent development of PCS in this pediatric acute SRC cohort. © AANS, 2015.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Fitch, T; Villanueva, G; Quadir, M M; Sagiraju, H K; Alamgir, H
The prevalence and risk factors of Post-Traumatic Stress Disorder among workers injured in Rana Plaza building collapse in Bangladesh Journal Article
In: American Journal of Industrial Medicine, vol. 58, no. 7, pp. 756–763, 2015.
@article{Fitch2015,
title = {The prevalence and risk factors of Post-Traumatic Stress Disorder among workers injured in Rana Plaza building collapse in Bangladesh},
author = {Fitch, T and Villanueva, G and Quadir, M M and Sagiraju, H K and Alamgir, H},
year = {2015},
date = {2015-01-01},
journal = {American Journal of Industrial Medicine},
volume = {58},
number = {7},
pages = {756--763},
abstract = {OBJECTIVES: Prevalence and risk factors of PTSD among injured garment workers who survived a major factory collapse. METHODS: Survivors receiving treatment or rehabilitation care at one year post event were surveyed, which included Post Traumatic Stress Disorder Checklist Specific version. RESULTS: The respondents consisted of 181 people with a mean age of 27.8 years and a majority had less than high school education (91.2%). Multivariable logistic regression found that the odds of having PTSD was higher among married (OR: 3.2 [95% CI: 1.3-8.0]), those who used to work more than 70hr/week (OR: 2.4 [1.1-5.3]), workers who used to hold higher job positions (OR: 2.6 [1.2-5.6]) or who had a concussion injury (OR: 3.7 [1.4-9.8]). Among the respondents, 83.4% remained unemployed, and only 57.3% (63 people) reported receiving a quarter or less of what they were promised as compensation. CONCLUSIONS: Probable PTSD was prevalent among surviving workers of the Rana Plaza building collapse in Bangladesh.Copyright © 2015 Wiley Periodicals, Inc.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Register-Mihalik, J K; De Maio, V J; Tibbo-Valeriote, H L; Wooten, J D
Characteristics of pediatric and adolescent concussion clinic patients with postconcussion amnesia Journal Article
In: Clinical Journal of Sport Medicine, vol. 25, no. 6, pp. 502–508, 2015.
@article{Register-Mihalik2015,
title = {Characteristics of pediatric and adolescent concussion clinic patients with postconcussion amnesia},
author = {Register-Mihalik, J K and {De Maio}, V J and Tibbo-Valeriote, H L and Wooten, J D},
year = {2015},
date = {2015-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {25},
number = {6},
pages = {502--508},
abstract = {Objective: The current study examines the demographics, injury characteristics, and outcomes associated with the presence of postconcussion amnesia in young concussion clinic patients. Design: Cross-sectional, retrospective clinical cohort. Setting: Concussion services clinic. Patients: Pediatric and adolescent concussion services program patients, presenting within 10 days postinjury, aged 10-18 years, with the goal of returning to sport (n = 245). Assessment of Risk Factors: Age, gender, race, head trauma history, injury mechanism, loss of consciousness (LOC), injuryrelated visit to an emergency department, cognitive and balance scores, symptoms, and management recommendations. Main Outcome Measures: Univariate and multivariate analyses determined adjusted odds ratios for reported presence of any postconcussion amnesia (anterograde or retrograde). Results: Factors associated with amnesia (univariate, P \< 0.10) and included in the multivariate model were race, head trauma history, mechanism of injury, LOC, injury-related visit to an emergency department, management recommendations and time of injury and initial visit symptom severity. Age and gender were also included in the model due to biological significance. Of the 245 patients, 181 had data for all model variables. Of the 181 patients, 58 reported amnesia. History of head trauma [odds ratio (OR), 2.7; 95% confidence interval (CI), 1.3-5.7]; time of injury (TOI) symptom severity \>75th percentile (OR, 2.6; 95% CI, 1.2-5.3) and LOC (OR, 2.2; 95% CI, 1.1-4.6) were found to have significant and independent relationships with amnesia in the multivariate model. Conclusions: This study illustrates that patients presenting with postconcussion amnesia are more likely to have a history of head trauma, LOC, and greater symptom severity. Future research is needed to better understand amnesia following concussion. Clinical Relevance: Amnesia presence, previous head trauma, LOC, and increased symptom severity may aid in identifying patients with a greater initial injury burden who warrant closer observation and more conservative management. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Dickson, T J; Trathen, S; Terwiel, F A; Waddington, G; Adams, R
Head injury trends and helmet use in skiers and snowboarders in Western Canada, 2008-2009 to 2012-2013: an ecological study Journal Article
In: Scandinavian Journal of Medicine & Science in Sports, vol. 27, no. 2, pp. 236–244, 2017, ISBN: 09057188.
Abstract | Links | BibTeX | Tags: CANADA, CHI-squared test, Concussion, CONTENT mining, DATA analysis -- Software, DESCRIPTIVE statistics, Ecological research, Head Injuries, Helmets, Injury prevention, LOGISTIC regression analysis, ODDS ratio, PROBABILITY theory, SAFETY hats, SEVERITY of illness index, skiing, Skiing injuries, Snowboarding, Snowboarding injuries
@article{Dickson2017,
title = {Head injury trends and helmet use in skiers and snowboarders in Western Canada, 2008-2009 to 2012-2013: an ecological study},
author = {Dickson, T J and Trathen, S and Terwiel, F A and Waddington, G and Adams, R},
doi = {10.1111/sms.12642},
isbn = {09057188},
year = {2017},
date = {2017-01-01},
journal = {Scandinavian Journal of Medicine \& Science in Sports},
volume = {27},
number = {2},
pages = {236--244},
abstract = {This research explored associations between helmet use and head injuries in snowsports by investigating reported snowsport injuries in Western Canada from 2008-2009 to 2012-2013. The key finding was that increased helmet use (from 69% to 80%) was not associated with a reduction in reported head injuries. Over the study period, the average rate of reported head injuries was 0.2/1000 skier visits, with a statistically significant variation ( P \< 0.001). The line of best fit showed an non-significant upward trend ( P = 0.13). Lacerations were the only subcategory of head injuries that decreased significantly with helmet use. A higher proportion of people who reported a head injury were wearing a helmet than for injuries other than to the head. Skiers were more likely to report a head injury when wearing a helmet than snowboarders ( P \< 0.001 cf. P = 0.22). There were significant differences in characteristics of helmet and non-helmet wearers. Helmet wearers were more likely to be: young adults ( P \< 0.001); beginner/novices ( P = 0.004); and snowboarders ( P \< 0.001), but helmet wearing was not associated with gender ( P = 0.191). Further research is needed to explore the possible reasons for the failure of helmets to reduce head injuries, for example, increased reporting of head injuries and increased risk-taking combined with over-rating of the helmets' protection.},
keywords = {CANADA, CHI-squared test, Concussion, CONTENT mining, DATA analysis -- Software, DESCRIPTIVE statistics, Ecological research, Head Injuries, Helmets, Injury prevention, LOGISTIC regression analysis, ODDS ratio, PROBABILITY theory, SAFETY hats, SEVERITY of illness index, skiing, Skiing injuries, Snowboarding, Snowboarding injuries},
pubstate = {published},
tppubtype = {article}
}
Kasamatsu, Tricia M; Cleary, Michelle A; Bennett, Jason P; Howard, Keith E; Valovich McLeod, Tamara C
Investigating Existence and Comprehensiveness of Athletic Trainers' Concussion Management Policies Journal Article
In: Athletic Training & Sports Health Care, vol. 8, no. 3, pp. 112–120, 2016, ISBN: 19425864.
Abstract | BibTeX | Tags: *ATHLETIC trainers, *BRAIN -- Concussion, *HIGH schools, *SPORTS participation, CONFIDENCE intervals, DESCRIPTIVE statistics, INDEPENDENT variables, JOB descriptions, JUDGMENT sampling, ODDS ratio, Questionnaires, School administration
@article{Kasamatsu2016,
title = {Investigating Existence and Comprehensiveness of Athletic Trainers' Concussion Management Policies},
author = {Kasamatsu, Tricia M and Cleary, Michelle A and Bennett, Jason P and Howard, Keith E and {Valovich McLeod}, Tamara C},
isbn = {19425864},
year = {2016},
date = {2016-01-01},
journal = {Athletic Training \& Sports Health Care},
volume = {8},
number = {3},
pages = {112--120},
abstract = {This study examined factors that predicted the existence and comprehensiveness of w ritten concussion management policies in secondary schools. A purposeful sample of athletic trainers employed in secondary schools was requested to complete an online survey (1,124 of 3,943 [28.5% response rate]). Most athletic trainers (968 of 1,112 [87.1%]) reported having a written concussion management policy, which included background information (883 of 968 [91.2%]), immediate treatment (902 of 968 [93.2%]), and return to play criteria (933 of 968 [96.4%]). Strongest predictive variables of an existing concussion policy included athletic trainers who were: primarily paid via school/ district (odds ratio [OR] = 2.1,95% confidence interval [Cl] = 1.4 to 3.3), hired full-time (OR = 1.7,95% Cl = 1.1 to 2.7), and evaluation of more concussions annually (OR = 1.6,95% Cl = 1.3 to 2.0). Employment characteristics may influence the existence of a concussion management policy; however, additional research is needed to understand athletic trainers' ability to navigate school systems and implement a school-based concussion policy. ABSTRACT FROM AUTHOR},
keywords = {*ATHLETIC trainers, *BRAIN -- Concussion, *HIGH schools, *SPORTS participation, CONFIDENCE intervals, DESCRIPTIVE statistics, INDEPENDENT variables, JOB descriptions, JUDGMENT sampling, ODDS ratio, Questionnaires, School administration},
pubstate = {published},
tppubtype = {article}
}
Howitt, Scott; Brommer, Robert; Fowler, Justin; Gerwing, Logan; Payne, Julian; DeGraauw, Christopher
The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review Journal Article
In: Journal of the Canadian Chiropractic Association, vol. 60, no. 4, pp. 322–329, 2016, ISBN: 00083194.
Abstract | BibTeX | Tags: assessment, auxiliaire, BRAIN -- Concussion -- Diagnosis, chiropractic, chiropratique, CINAHL (Information retrieval system), COLLEGE athletes, commotion cérébrale, Concussion, CONFIDENCE intervals, DATA analysis -- Software, dépistage, DESCRIPTIVE statistics, EQUIPMENT & supplies, EVALUATION, INFORMATION storage & retrieval systems, Information storage & retrieval systems -- Medical, King-Devick test, MANN Whitney U Test, Medical screening, Medline, neurologic examination, ODDS ratio, PRE-tests & post-tests, PROBABILITY theory, screening, Sideline, Sports, SPORTS injuries, SYSTEMATIC reviews (Medical research), test King-Devick
@article{Howitt2016,
title = {The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review},
author = {Howitt, Scott and Brommer, Robert and Fowler, Justin and Gerwing, Logan and Payne, Julian and DeGraauw, Christopher},
isbn = {00083194},
year = {2016},
date = {2016-01-01},
journal = {Journal of the Canadian Chiropractic Association},
volume = {60},
number = {4},
pages = {322--329},
publisher = {Canadian Chiropractic Association},
abstract = {Objective: The objective of this paper is to review existing literature surrounding the utility of the King-Devick test which is a commonly used sideline assessment tool for sport-related concussions. Methods: A review of the literature was performed using MEDLINE, CINHAL, and SportDiscus databases. The search was performed from the beginning of the record through November 16th, 2015. Results: This search strategy yielded 27 articles from aforementioned databases. Further searching in The Cochrane Library with King-Devick AND Concuss* search terms yielded one additional article, summing a total of 28 articles. After removal of duplicates and implementation of the inclusion/exclusion criteria, 8 articles for extensively reviewed. Conclusion: This narrative review suggests that the King-Devick test is an efficient sideline assessment tool for sport-related concussions. However, we recommend that the King-Devick should be used as a sideline screening tool, not a concussion diagnosis tool at this time. A proper baseline time including multiple tests may be recommended to negate the learning affect and to have a reliable baseline in which to measure from for future reference. A three second difference appears appropriate to identify the possibility of concussion and to remove an athlete from play. At this time, the athlete should be monitored and further evaluated as symptoms are sometimes delayed. We suggest that further research may be useful to better determine the efficacy of the K-D test in detecting concussions across a broader range of athletes and sports. We also suggest further research may investigate the K-D test a potential return-to-play tool for clinicians and medical personnel.},
keywords = {assessment, auxiliaire, BRAIN -- Concussion -- Diagnosis, chiropractic, chiropratique, CINAHL (Information retrieval system), COLLEGE athletes, commotion c\'{e}r\'{e}brale, Concussion, CONFIDENCE intervals, DATA analysis -- Software, d\'{e}pistage, DESCRIPTIVE statistics, EQUIPMENT \& supplies, EVALUATION, INFORMATION storage \& retrieval systems, Information storage \& retrieval systems -- Medical, King-Devick test, MANN Whitney U Test, Medical screening, Medline, neurologic examination, ODDS ratio, PRE-tests \& post-tests, PROBABILITY theory, screening, Sideline, Sports, SPORTS injuries, SYSTEMATIC reviews (Medical research), test King-Devick},
pubstate = {published},
tppubtype = {article}
}
Westermann, Robert W; Kerr, Zachary Y; Wehr, Peter; Amendola, Annuziato
Increasing Lower Extremity Injury Rates Across the 2009-2010 to 2014-2015 Seasons of National Collegiate Athletic Association Football Journal Article
In: American Journal of Sports Medicine, vol. 44, no. 12, pp. 3230–3236, 2016, ISBN: 03635465.
Abstract | BibTeX | Tags: *ANKLE wounds, *BRAIN -- Concussion, *COLLEGE athletes, *COLLEGE sports, *EPIDEMIOLOGY, *FOOTBALL injuries, *KNEE -- Wounds & injuries, *LEG -- Wounds & injuries, *PREVENTION, *SPORTS -- Societies, ankle injury, Concussion, CONFIDENCE intervals, DATA analysis -- Software, DESCRIPTIVE statistics, etc., football, IOWA, knee, LONGITUDINAL method, ODDS ratio, RESEARCH, RESEARCH -- Finance, RESEARCH -- Methodology, rule change, UNITED States
@article{Westermann2016,
title = {Increasing Lower Extremity Injury Rates Across the 2009-2010 to 2014-2015 Seasons of National Collegiate Athletic Association Football},
author = {Westermann, Robert W and Kerr, Zachary Y and Wehr, Peter and Amendola, Annuziato},
isbn = {03635465},
year = {2016},
date = {2016-01-01},
journal = {American Journal of Sports Medicine},
volume = {44},
number = {12},
pages = {3230--3236},
abstract = {Background: Sports-related concussions (SRCs) have gained increased societal interest in the past decade. The National Collegiate Athletic Association (NCAA) has implemented legislation and rule changes to decrease the incidence and risk of head injury impacts. The “targeting” rule forbids initiating contact with the crown of a helmet and targeting defenseless players in the head and neck area; however, there are concerns that this rule change has unintentionally led to an increased incidence of lower extremity injuries. Purpose/Hypothesis: The purpose of this study was to evaluate the change in lower extremity injury rates in NCAA football during the 2009-2010 to 2014-2015 seasons. We hypothesized that the lower extremity injury rate has increased across the time period. Study Design: Descriptive epidemiology study. Methods: Sixty-eight NCAA football programs provided 153 team-seasons of data to the NCAA Injury Surveillance Program. Lower extremity injuries (ie, hip/groin, upper leg/thigh, knee, lower leg/Achilles, foot/toes) and SRCs sustained during NCAA football games were examined. We calculated injury rates per 1000 athlete-exposures (AEs) for lower extremity injuries and SRCs. Rate ratios (RRs) compared injury rates between the 2009-2010 to 2011-2012 and 2012-2013 to 2014-2015 seasons. Results: Overall, 2400 lower extremity injuries were reported during the 2009-2010 to 2014-2015 seasons; most were to the knee (33.6%) and ankle (28.5%) and caused by player contact (59.2%). The lower extremity injury rate increased in 2012-2013 to 2014-2015 compared with 2009-2010 to 2011-2012 (23.55 vs 20.45/1000 AEs, respectively; RR, 1.15; 95% CI, 1.06-1.25). This finding was retained when restricted to injuries due to player contact (RR, 1.19; 95% CI, 1.07-1.32) but not for injuries due to noncontact/overuse (RR, 0.96; 95% CI, 0.80-1.14). When examining player contact injury rates by anatomic site, only ankle injuries had an increase (RR, 1.36; 95% CI, 1.13-1.64). The SRC rate also increased in 2012-2013 to 2014-2015 compared with 2009-2010 to 2011-2012 (3.52 vs 2.63/1000 AEs, respectively; RR, 1.34; 95% CI, 1.08-1.66). Conclusion: The lower extremity injury rate has increased in NCAA football athletes. Similarly, SRC rates have increased, although this may be caused by concurrent policies related to better education, identification, and management. Targeting rule changes may be contributing to increased rates of player contact\textendashrelated ankle injuries. Alongside continued surveillance research to examine longitudinal time trends, more in-depth individual-level examinations of how targeting rule changes influence coaching and player behaviors are warranted. ABSTRACT FROM AUTHOR},
keywords = {*ANKLE wounds, *BRAIN -- Concussion, *COLLEGE athletes, *COLLEGE sports, *EPIDEMIOLOGY, *FOOTBALL injuries, *KNEE -- Wounds \& injuries, *LEG -- Wounds \& injuries, *PREVENTION, *SPORTS -- Societies, ankle injury, Concussion, CONFIDENCE intervals, DATA analysis -- Software, DESCRIPTIVE statistics, etc., football, IOWA, knee, LONGITUDINAL method, ODDS ratio, RESEARCH, RESEARCH -- Finance, RESEARCH -- Methodology, rule change, UNITED States},
pubstate = {published},
tppubtype = {article}
}
Ellis, M J; Cordingley, D; Vis, S; Reimer, K; Leiter, J; Russell, K
Vestibulo-ocular dysfunction in pediatric sports-related concussion Journal Article
In: Journal of Neurosurgery: Pediatrics, vol. 16, no. 3, pp. 248–255, 2015.
Abstract | Links | BibTeX | Tags: Adolescent, amnesia, Article, Athletic Injuries, Baseball, BASKETBALL, blurred vision, brain concussion, CANADA, Child, childhood disease, cohort analysis, complication, Concussion, consultation, controlled study, disease duration, Dizziness, Female, follow up, football, Hockey, human, Humans, interdisciplinary communication, major clinical study, Male, Manitoba, migraine, neuroimaging, neuropsychological test, Neuropsychological Tests, ODDS ratio, Pathophysiology, Pediatric, Physical Examination, physiotherapy, Post-Concussion Syndrome, postconcussion syndrome, Prevalence, priority journal, Reflex, Retrospective Studies, retrospective study, return to sport, saccadic eye movement, skating, skiing, Soccer, sport injury, sport related concussion, Sports-related concussion, Trauma, vestibular physiotherapy, Vestibular therapy, vestibulo ocular dysfunction, Vestibulo-Ocular, Vestibulo-ocular dysfunction, vestibuloocular reflex, VOLLEYBALL, Young Adult, youth sport
@article{Ellis2015,
title = {Vestibulo-ocular dysfunction in pediatric sports-related concussion},
author = {Ellis, M J and Cordingley, D and Vis, S and Reimer, K and Leiter, J and Russell, K},
doi = {10.3171/2015.1.PEDS14524},
year = {2015},
date = {2015-01-01},
journal = {Journal of Neurosurgery: Pediatrics},
volume = {16},
number = {3},
pages = {248--255},
abstract = {Object The objective of this study was 2-fold: 1) to examine the prevalence of vestibulo-ocular dysfunction (VOD) among children and adolescents with acute sports-related concussion (SRC) and postconcussion syndrome (PCS) who were referred to a multidisciplinary pediatric concussion program; and 2) to determine if VOD is associated with the development of PCS in this cohort. Methods The authors conducted a retrospective review of all patients with acute SRC (presenting 30 days or less postinjury) and PCS (3 or more symptoms for at least 1 month) referred to a multidisciplinary pediatric concussion program between September 2013 and July 2014. Initial assessment included clinical history, physical examination, and Post-Concussion Symptom Scale assessment. Patients were also assessed for VOD, which was defined as more than one subjective vestibular and oculomotor complaint (dizziness, blurred vision, and so on) and more than one objective physical examination finding (abnormal smooth pursuits, saccades, vestibulo-ocular reflex, and so on). This study was approved by the local institutional ethics review board. Results A total of 101 patients (mean age 14.2 years, SD 2.3 years; 63 male and 38 female patients) participated, including 77 (76.2%) with acute SRC and 24 (23.8%) with PCS. Twenty-two of the 77 patients (28.6%) with acute SRC and 15 of the 24 (62.5%) with PCS met the clinical criteria for VOD. The median duration of symptoms was 40 days (interquartile range [IQR] 28.5-54 days) for patients with acute SRC who had VOD compared with 21 days (IQR 13-32 days) for those without VOD (p = 0.0001). There was a statistically significant increase in the adjusted odds of developing PCS among patients with acute SRC who had VOD compared with those without VOD (adjusted OR 4.10; 95% CI 1.04-16.16). Conclusions Evidence of VOD was detected in a significant proportion of children and adolescents with acute SRC and PCS who were referred to a multidisciplinary pediatric concussion program. This clinical feature was a significant risk factor for the subsequent development of PCS in this pediatric acute SRC cohort. © AANS, 2015.},
keywords = {Adolescent, amnesia, Article, Athletic Injuries, Baseball, BASKETBALL, blurred vision, brain concussion, CANADA, Child, childhood disease, cohort analysis, complication, Concussion, consultation, controlled study, disease duration, Dizziness, Female, follow up, football, Hockey, human, Humans, interdisciplinary communication, major clinical study, Male, Manitoba, migraine, neuroimaging, neuropsychological test, Neuropsychological Tests, ODDS ratio, Pathophysiology, Pediatric, Physical Examination, physiotherapy, Post-Concussion Syndrome, postconcussion syndrome, Prevalence, priority journal, Reflex, Retrospective Studies, retrospective study, return to sport, saccadic eye movement, skating, skiing, Soccer, sport injury, sport related concussion, Sports-related concussion, Trauma, vestibular physiotherapy, Vestibular therapy, vestibulo ocular dysfunction, Vestibulo-Ocular, Vestibulo-ocular dysfunction, vestibuloocular reflex, VOLLEYBALL, Young Adult, youth sport},
pubstate = {published},
tppubtype = {article}
}
Fitch, T; Villanueva, G; Quadir, M M; Sagiraju, H K; Alamgir, H
The prevalence and risk factors of Post-Traumatic Stress Disorder among workers injured in Rana Plaza building collapse in Bangladesh Journal Article
In: American Journal of Industrial Medicine, vol. 58, no. 7, pp. 756–763, 2015.
Abstract | BibTeX | Tags: *Occupational Diseases/ep [Epidemiology], *Stress Disorders, *Structure Collapse, *Survivors/px [Psychology], *Textile Industry, adult, Bangladesh/ep [Epidemiology], Employment/px [Psychology], Female, Humans, Logistic Models, Male, Marital Status, Occupational Diseases/et [Etiology], ODDS ratio, Post-Traumatic/ep [Epidemiology, Post-Traumatic/et [Etiology], Prevalence, Risk Factors, Stress Disorders, Work/px [Psychology], Young Adult
@article{Fitch2015,
title = {The prevalence and risk factors of Post-Traumatic Stress Disorder among workers injured in Rana Plaza building collapse in Bangladesh},
author = {Fitch, T and Villanueva, G and Quadir, M M and Sagiraju, H K and Alamgir, H},
year = {2015},
date = {2015-01-01},
journal = {American Journal of Industrial Medicine},
volume = {58},
number = {7},
pages = {756--763},
abstract = {OBJECTIVES: Prevalence and risk factors of PTSD among injured garment workers who survived a major factory collapse. METHODS: Survivors receiving treatment or rehabilitation care at one year post event were surveyed, which included Post Traumatic Stress Disorder Checklist Specific version. RESULTS: The respondents consisted of 181 people with a mean age of 27.8 years and a majority had less than high school education (91.2%). Multivariable logistic regression found that the odds of having PTSD was higher among married (OR: 3.2 [95% CI: 1.3-8.0]), those who used to work more than 70hr/week (OR: 2.4 [1.1-5.3]), workers who used to hold higher job positions (OR: 2.6 [1.2-5.6]) or who had a concussion injury (OR: 3.7 [1.4-9.8]). Among the respondents, 83.4% remained unemployed, and only 57.3% (63 people) reported receiving a quarter or less of what they were promised as compensation. CONCLUSIONS: Probable PTSD was prevalent among surviving workers of the Rana Plaza building collapse in Bangladesh.Copyright © 2015 Wiley Periodicals, Inc.},
keywords = {*Occupational Diseases/ep [Epidemiology], *Stress Disorders, *Structure Collapse, *Survivors/px [Psychology], *Textile Industry, adult, Bangladesh/ep [Epidemiology], Employment/px [Psychology], Female, Humans, Logistic Models, Male, Marital Status, Occupational Diseases/et [Etiology], ODDS ratio, Post-Traumatic/ep [Epidemiology, Post-Traumatic/et [Etiology], Prevalence, Risk Factors, Stress Disorders, Work/px [Psychology], Young Adult},
pubstate = {published},
tppubtype = {article}
}
Register-Mihalik, J K; De Maio, V J; Tibbo-Valeriote, H L; Wooten, J D
Characteristics of pediatric and adolescent concussion clinic patients with postconcussion amnesia Journal Article
In: Clinical Journal of Sport Medicine, vol. 25, no. 6, pp. 502–508, 2015.
Abstract | BibTeX | Tags: Adolescent, adult, amnesia, anamnesis, Article, brain concussion, Child, complication, Concussion, Concussive injury, Cross-Sectional Studies, cross-sectional study, Demography, disease severity, emergency ward, ethnology, Female, head injury, human, Humans, major clinical study, Male, MEDICAL history taking, Memory, ODDS ratio, outcome assessment, postconcussion symptoms, priority journal, race, Retrospective Studies, retrospective study, Risk, risk factor, Risk Factors, unconsciousness
@article{Register-Mihalik2015,
title = {Characteristics of pediatric and adolescent concussion clinic patients with postconcussion amnesia},
author = {Register-Mihalik, J K and {De Maio}, V J and Tibbo-Valeriote, H L and Wooten, J D},
year = {2015},
date = {2015-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {25},
number = {6},
pages = {502--508},
abstract = {Objective: The current study examines the demographics, injury characteristics, and outcomes associated with the presence of postconcussion amnesia in young concussion clinic patients. Design: Cross-sectional, retrospective clinical cohort. Setting: Concussion services clinic. Patients: Pediatric and adolescent concussion services program patients, presenting within 10 days postinjury, aged 10-18 years, with the goal of returning to sport (n = 245). Assessment of Risk Factors: Age, gender, race, head trauma history, injury mechanism, loss of consciousness (LOC), injuryrelated visit to an emergency department, cognitive and balance scores, symptoms, and management recommendations. Main Outcome Measures: Univariate and multivariate analyses determined adjusted odds ratios for reported presence of any postconcussion amnesia (anterograde or retrograde). Results: Factors associated with amnesia (univariate, P \< 0.10) and included in the multivariate model were race, head trauma history, mechanism of injury, LOC, injury-related visit to an emergency department, management recommendations and time of injury and initial visit symptom severity. Age and gender were also included in the model due to biological significance. Of the 245 patients, 181 had data for all model variables. Of the 181 patients, 58 reported amnesia. History of head trauma [odds ratio (OR), 2.7; 95% confidence interval (CI), 1.3-5.7]; time of injury (TOI) symptom severity \>75th percentile (OR, 2.6; 95% CI, 1.2-5.3) and LOC (OR, 2.2; 95% CI, 1.1-4.6) were found to have significant and independent relationships with amnesia in the multivariate model. Conclusions: This study illustrates that patients presenting with postconcussion amnesia are more likely to have a history of head trauma, LOC, and greater symptom severity. Future research is needed to better understand amnesia following concussion. Clinical Relevance: Amnesia presence, previous head trauma, LOC, and increased symptom severity may aid in identifying patients with a greater initial injury burden who warrant closer observation and more conservative management. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.},
keywords = {Adolescent, adult, amnesia, anamnesis, Article, brain concussion, Child, complication, Concussion, Concussive injury, Cross-Sectional Studies, cross-sectional study, Demography, disease severity, emergency ward, ethnology, Female, head injury, human, Humans, major clinical study, Male, MEDICAL history taking, Memory, ODDS ratio, outcome assessment, postconcussion symptoms, priority journal, race, Retrospective Studies, retrospective study, Risk, risk factor, Risk Factors, unconsciousness},
pubstate = {published},
tppubtype = {article}
}