Loosemore, Michael P; Butler, Charles F; Khadri, Abdelhamid; McDonagh, David; Patel, Vimal A; Bailes, Julian E
Use of Head Guards in AIBA Boxing Tournaments--A Cross-Sectional Observational Study Journal Article
In: Clinical Journal of Sport Medicine, vol. 27, no. 1, pp. 86–88, 2017, ISBN: 1050642X.
Abstract | BibTeX | Tags: acute brain injuries, Boxing, BOXING injuries, Concussion, CONFIDENCE intervals, CROSS-sectional method, DISEASE incidence, Head Protective Devices, LONGITUDINAL method, Poisson distribution, PREVENTION, PROBABILITY theory, Relative risk (Medicine), SAFETY hats, SPORTS events, STATISTICAL hypothesis testing, traumatic brain injury, WOUNDS & injuries
@article{Loosemore2017,
title = {Use of Head Guards in AIBA Boxing Tournaments--A Cross-Sectional Observational Study},
author = {Loosemore, Michael P and Butler, Charles F and Khadri, Abdelhamid and McDonagh, David and Patel, Vimal A and Bailes, Julian E},
isbn = {1050642X},
year = {2017},
date = {2017-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {27},
number = {1},
pages = {86--88},
abstract = {Objective: This study looks at the changes in injuries after the implementation of a new rule by the International Boxing Association (AIBA) to remove head guards from its competitions. Design: A cross-sectional observational study performed prospectively. This brief report examines the removal of head guards in 2 different ways. The first was to examine the stoppages due to blows to the head by comparing World Series Boxing (WSB), without head guards, to other AIBA competitions with head guards. Secondly, we examined the last 3 world championships: 2009 and 2011 (with head guards) and 2013 (without head guards). Setting: World Series Boxing and AIBA world championship boxing. Participants: Boxers from WSB and AIBA world championships. Interventions: The information was recorded by ringside medical physicians. Main Outcome Measures: Stoppages per 10 000 rounds; stoppages per 1000 hours. Results: Both studies show that the number of stoppages due to head blows was significantly decreased without head guards. The studies also showed that there was a notable increase in cuts. Conclusions: Removing head guards may reduce the already small risk of acute brain injury in amateur boxing. [ABSTRACT FROM AUTHOR]},
keywords = {acute brain injuries, Boxing, BOXING injuries, Concussion, CONFIDENCE intervals, CROSS-sectional method, DISEASE incidence, Head Protective Devices, LONGITUDINAL method, Poisson distribution, PREVENTION, PROBABILITY theory, Relative risk (Medicine), SAFETY hats, SPORTS events, STATISTICAL hypothesis testing, traumatic brain injury, WOUNDS \& injuries},
pubstate = {published},
tppubtype = {article}
}
Webner, David; Iverson, Grant L
Suicide in professional American football players in the past 95 years Journal Article
In: Brain Injury, vol. 30, no. 13/14, pp. 1718–1721, 2016, ISBN: 02699052.
Abstract | Links | BibTeX | Tags: Athletes, BRAIN damage, CHRONIC diseases, CHRONIC pain, Chronic traumatic encephalopathy, depression, DESCRIPTIVE statistics, EPIDEMIOLOGY -- Research, football, Internet, Life change events, LONGITUDINAL method, MENTAL depression, MORTALITY, Professional athletes, Professional Sports, psychology, RESEARCH -- Methodology, Retirement, Retrospective Studies, Socioeconomic Factors, STRESS (Psychology), suicide, Suicide -- Risk factors, Suicide -- United States, UNITED States, WORK experience (Employment)
@article{Webner2016,
title = {Suicide in professional American football players in the past 95 years},
author = {Webner, David and Iverson, Grant L},
doi = {10.1080/02699052.2016.1202451},
isbn = {02699052},
year = {2016},
date = {2016-01-01},
journal = {Brain Injury},
volume = {30},
number = {13/14},
pages = {1718--1721},
abstract = {Objective: To examine publicly-available information on all identified cases of suicide in active or former American professional football players between 1920 and the spring of 2015. Design: Retrospective cohort study. Setting: Professional American Football in the US. Participants: A cohort of 26 702 athletes who had died, retired or were currently playing in the NFL from nfl.com since 1920 was identified. Main outcome measures: Internet queries identifying 26 professional football players who completed suicide. Obituaries and news reports were reviewed. The primary outcome measures included mortality, demographic characteristics and life circumstances in professional American football players completing suicide. Results: From 1920\textendash2015, the median age of the 26 men who completed suicide was 39.5 years (range = 23\textendash85). The median number of years after retirement was 6.5 (range = 0\textendash63). Most of the deaths since 1920 have occurred in the past 15 years (58.7%) and a large percentage have occurred since 2009 (42.3%). Most of the men suffered from multiple life stressors prior to their deaths, such as retirement from sport, loss of steady income, divorce, failed business ventures, estrangement from family members and medical, psychiatric and/or substance abuse problems. Conclusions: A disproportionate number of completed suicides in current and former professional football players have occurred since 2009 (42.3%). It is well established in the literature that the causes of depression and suicidality are diverse, often multifactorial and treatable. Providing at-risk retired athletes with mental health treatment will likely reduce their suffering and improve their quality-of-life. [ABSTRACT FROM AUTHOR]},
keywords = {Athletes, BRAIN damage, CHRONIC diseases, CHRONIC pain, Chronic traumatic encephalopathy, depression, DESCRIPTIVE statistics, EPIDEMIOLOGY -- Research, football, Internet, Life change events, LONGITUDINAL method, MENTAL depression, MORTALITY, Professional athletes, Professional Sports, psychology, RESEARCH -- Methodology, Retirement, Retrospective Studies, Socioeconomic Factors, STRESS (Psychology), suicide, Suicide -- Risk factors, Suicide -- United States, UNITED States, WORK experience (Employment)},
pubstate = {published},
tppubtype = {article}
}
Hugentobler, Jason A; Gupta, Resmi; Slater, Robert; Paterno, Mark V; Riley, Michael A; Quatman-Yates, Catherine
Influence of Age on Postconcussive Postural Control Measures and Future Implications for Assessment Journal Article
In: Clinical Journal of Sport Medicine, vol. 26, no. 6, pp. 510–517, 2016, ISBN: 1050642X.
Abstract | BibTeX | Tags: ADOLESCENCE, AGE distribution (Demography), ATTENTION-deficit hyperactivity disorder, CORRELATION (Statistics), DATA analysis, DATA analysis -- Software, DESCRIPTIVE statistics, DISEASE complications, EQUILIBRIUM (Physiology), LONGITUDINAL method, MEDICAL history taking, MULTIPLE regression analysis, postconcussion syndrome, PROBABILITY theory, Questionnaires, SEVERITY of illness index, SEX distribution (Demography), STATISTICS
@article{Hugentobler2016,
title = {Influence of Age on Postconcussive Postural Control Measures and Future Implications for Assessment},
author = {Hugentobler, Jason A and Gupta, Resmi and Slater, Robert and Paterno, Mark V and Riley, Michael A and Quatman-Yates, Catherine},
isbn = {1050642X},
year = {2016},
date = {2016-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {26},
number = {6},
pages = {510--517},
abstract = {Objective: To examine the influence of age, sex, attention-deficit hyperactivity disorder (ADHD) status, previous history of concussion, and days since injury on postconcussion postural control assessment in adolescents who have suffered a concussion. Design: Prospective cohort study. Setting: Hospital-based outpatient clinic. Participants: Seventy-one participants (42 males; 29 females) with mean age 14.14 ± 2.44. Independent Variables: Age, sex, previous concussion history, ADHD status, total and severity of postconcussion symptoms, and days since injury. Main Outcome Measures: Total Balance Error Scoring System score, path length, center-of-pressure (COP) area, sample entropy, and Romberg quotient. Results: Pearson product-moment correlation coefficients were calculated to test for potential associations between the continuous participant characteristics and the postural control variables. Spearman correlation was used to test the association between symptom severity and the postural control variables. Standard multiple regression was used to model the extent to which participant characteristics accounted for the variance in the postural sway variables. Age was significantly associated with all of the postural sway variables except COP area for the eyes open condition and sample entropy in the anterior-posterior direction for the eyes closed condition. Sex, ADHD status, and previous concussion history did not significantly predict postural control scores. Conclusions: Age significantly influences scores on common postconcussion postural control assessments. Clinical Relevance: This study demonstrates that age is a critical factor that needs to be accounted for to improve the clinical appropriateness and utility of current postconcussion postural control assessments. [ABSTRACT FROM AUTHOR]},
keywords = {ADOLESCENCE, AGE distribution (Demography), ATTENTION-deficit hyperactivity disorder, CORRELATION (Statistics), DATA analysis, DATA analysis -- Software, DESCRIPTIVE statistics, DISEASE complications, EQUILIBRIUM (Physiology), LONGITUDINAL method, MEDICAL history taking, MULTIPLE regression analysis, postconcussion syndrome, PROBABILITY theory, Questionnaires, SEVERITY of illness index, SEX distribution (Demography), STATISTICS},
pubstate = {published},
tppubtype = {article}
}
Gobert, Denise; Kerby, Jace; Buchner, Sean
Is There a Gender Bias Involving Impulsivity and Number of Concussions? Journal Article
In: Archives of Physical Medicine & Rehabilitation, vol. 97, no. 12, pp. e34–e34, 2016, ISBN: 00039993.
BibTeX | Tags: *Athletes, *BRAIN -- Concussion, *BRAIN -- Wounds & injuries, *Convalescence, *EYE -- Movements, *SEX discrimination, *VISUAL acuity, COMPLICATIONS, DATA analysis -- Software, DESCRIPTIVE statistics, IMPULSE control disorders, LONGITUDINAL method, MULTIPLE regression analysis, Neuropsychological Tests, PROBABILITY theory
@article{Gobert2016,
title = {Is There a Gender Bias Involving Impulsivity and Number of Concussions?},
author = {Gobert, Denise and Kerby, Jace and Buchner, Sean},
isbn = {00039993},
year = {2016},
date = {2016-01-01},
journal = {Archives of Physical Medicine \& Rehabilitation},
volume = {97},
number = {12},
pages = {e34--e34},
keywords = {*Athletes, *BRAIN -- Concussion, *BRAIN -- Wounds \& injuries, *Convalescence, *EYE -- Movements, *SEX discrimination, *VISUAL acuity, COMPLICATIONS, DATA analysis -- Software, DESCRIPTIVE statistics, IMPULSE control disorders, LONGITUDINAL method, MULTIPLE regression analysis, Neuropsychological Tests, PROBABILITY theory},
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}
}
van der Horn, Harm J; Spikman, Jacoba M; Jacobs, Bram; van der Naalt, Joukje
Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury Journal Article
In: Archives of Physical Medicine & Rehabilitation, vol. 94, no. 5, pp. 867–874, 2013, ISBN: 00039993.
Abstract | BibTeX | Tags: *ANXIETY, *BRAIN -- Wounds & injuries, *EPIDEMIOLOGY, *MENTAL depression, *POSTCONCUSSION syndrome, Anxiety, CHI-squared test, COMPLICATIONS, computed tomography ( CT ), confidence interval ( CI ), CONFIDENCE intervals, CROSS-sectional method, DATA analysis, DATA analysis -- Software, depression, DESCRIPTIVE statistics, EMPLOYMENT (Economic theory) -- Psychological aspe, EMPLOYMENT reentry, Glasgow Coma Scale, Glasgow Coma Scale ( GCS ), Hospital Anxiety and Depression Scale ( HADS ), LONGITUDINAL method, MULTIVARIATE analysis, odds ratio ( OR ), PSYCHOLOGICAL aspects, Rehabilitation, return to work ( RTW ), sex, SEX distribution (Demography), STATISTICS, Traumatic Brain Injuries, traumatic brain injury ( TBI ), Work
@article{VanderHorn2013,
title = {Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury},
author = {van der Horn, Harm J and Spikman, Jacoba M and Jacobs, Bram and van der Naalt, Joukje},
isbn = {00039993},
year = {2013},
date = {2013-01-01},
journal = {Archives of Physical Medicine \& Rehabilitation},
volume = {94},
number = {5},
pages = {867--874},
abstract = {Abstract: Objectives: To investigate the relation of postconcussive complaints, anxiety, and depression with vocational outcome in patients with traumatic brain injury (TBI) of various severities and to assess sex differences. Design: A prospective cross-sectional cohort study. Setting: Level I trauma center. Participants: Adults (N=242) with TBI of various severity. Interventions: Not applicable. Main Outcome Measures: Extended Glasgow Outcome Scale, return to work (RTW), Head Injury Symptom Checklist, and Hospital Anxiety and Depression Scale. Results: In 67% of the patients, complaints were present; 22% were anxious, and 18% were depressed. The frequency of complaints increased significantly with injury severity, in contrast to anxiety and depression. Frequencies of patients with anxiety and depression (9% and 5%) were lower with complete RTW than with incomplete RTW (42% and 37%; P\<.001). Patients with minor TBI with complaints were more anxious (50% vs 27%; P\<.05) and depressed (46% vs 23%; P\<.05) compared with patients with other severity categories and patients with incomplete RTW (67% vs 36% and 60% vs 30%, respectively). A higher percentage of women with minor TBI were depressed (45% vs 13%; P=.01) and had incomplete RTW (50% vs 18%; P\<.05) compared with men. Multiple regression analysis showed that injury severity, complaints, anxiety, and depression were all predictive of RTW (explained variance 45%). In all severity categories, anxiety and depression were predictive of RTW, complaints, and sex only for minor TBI. Conclusions: Anxiety and depression are related to vocational outcome after TBI, with a different profile in the minor TBI category, partly due to sex differences. Copyright \&y\& Elsevier},
keywords = {*ANXIETY, *BRAIN -- Wounds \& injuries, *EPIDEMIOLOGY, *MENTAL depression, *POSTCONCUSSION syndrome, Anxiety, CHI-squared test, COMPLICATIONS, computed tomography ( CT ), confidence interval ( CI ), CONFIDENCE intervals, CROSS-sectional method, DATA analysis, DATA analysis -- Software, depression, DESCRIPTIVE statistics, EMPLOYMENT (Economic theory) -- Psychological aspe, EMPLOYMENT reentry, Glasgow Coma Scale, Glasgow Coma Scale ( GCS ), Hospital Anxiety and Depression Scale ( HADS ), LONGITUDINAL method, MULTIVARIATE analysis, odds ratio ( OR ), PSYCHOLOGICAL aspects, Rehabilitation, return to work ( RTW ), sex, SEX distribution (Demography), STATISTICS, Traumatic Brain Injuries, traumatic brain injury ( TBI ), Work},
pubstate = {published},
tppubtype = {article}
}
Loosemore, Michael P; Butler, Charles F; Khadri, Abdelhamid; McDonagh, David; Patel, Vimal A; Bailes, Julian E
Use of Head Guards in AIBA Boxing Tournaments--A Cross-Sectional Observational Study Journal Article
In: Clinical Journal of Sport Medicine, vol. 27, no. 1, pp. 86–88, 2017, ISBN: 1050642X.
@article{Loosemore2017,
title = {Use of Head Guards in AIBA Boxing Tournaments--A Cross-Sectional Observational Study},
author = {Loosemore, Michael P and Butler, Charles F and Khadri, Abdelhamid and McDonagh, David and Patel, Vimal A and Bailes, Julian E},
isbn = {1050642X},
year = {2017},
date = {2017-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {27},
number = {1},
pages = {86--88},
abstract = {Objective: This study looks at the changes in injuries after the implementation of a new rule by the International Boxing Association (AIBA) to remove head guards from its competitions. Design: A cross-sectional observational study performed prospectively. This brief report examines the removal of head guards in 2 different ways. The first was to examine the stoppages due to blows to the head by comparing World Series Boxing (WSB), without head guards, to other AIBA competitions with head guards. Secondly, we examined the last 3 world championships: 2009 and 2011 (with head guards) and 2013 (without head guards). Setting: World Series Boxing and AIBA world championship boxing. Participants: Boxers from WSB and AIBA world championships. Interventions: The information was recorded by ringside medical physicians. Main Outcome Measures: Stoppages per 10 000 rounds; stoppages per 1000 hours. Results: Both studies show that the number of stoppages due to head blows was significantly decreased without head guards. The studies also showed that there was a notable increase in cuts. Conclusions: Removing head guards may reduce the already small risk of acute brain injury in amateur boxing. [ABSTRACT FROM AUTHOR]},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Webner, David; Iverson, Grant L
Suicide in professional American football players in the past 95 years Journal Article
In: Brain Injury, vol. 30, no. 13/14, pp. 1718–1721, 2016, ISBN: 02699052.
@article{Webner2016,
title = {Suicide in professional American football players in the past 95 years},
author = {Webner, David and Iverson, Grant L},
doi = {10.1080/02699052.2016.1202451},
isbn = {02699052},
year = {2016},
date = {2016-01-01},
journal = {Brain Injury},
volume = {30},
number = {13/14},
pages = {1718--1721},
abstract = {Objective: To examine publicly-available information on all identified cases of suicide in active or former American professional football players between 1920 and the spring of 2015. Design: Retrospective cohort study. Setting: Professional American Football in the US. Participants: A cohort of 26 702 athletes who had died, retired or were currently playing in the NFL from nfl.com since 1920 was identified. Main outcome measures: Internet queries identifying 26 professional football players who completed suicide. Obituaries and news reports were reviewed. The primary outcome measures included mortality, demographic characteristics and life circumstances in professional American football players completing suicide. Results: From 1920\textendash2015, the median age of the 26 men who completed suicide was 39.5 years (range = 23\textendash85). The median number of years after retirement was 6.5 (range = 0\textendash63). Most of the deaths since 1920 have occurred in the past 15 years (58.7%) and a large percentage have occurred since 2009 (42.3%). Most of the men suffered from multiple life stressors prior to their deaths, such as retirement from sport, loss of steady income, divorce, failed business ventures, estrangement from family members and medical, psychiatric and/or substance abuse problems. Conclusions: A disproportionate number of completed suicides in current and former professional football players have occurred since 2009 (42.3%). It is well established in the literature that the causes of depression and suicidality are diverse, often multifactorial and treatable. Providing at-risk retired athletes with mental health treatment will likely reduce their suffering and improve their quality-of-life. [ABSTRACT FROM AUTHOR]},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Hugentobler, Jason A; Gupta, Resmi; Slater, Robert; Paterno, Mark V; Riley, Michael A; Quatman-Yates, Catherine
Influence of Age on Postconcussive Postural Control Measures and Future Implications for Assessment Journal Article
In: Clinical Journal of Sport Medicine, vol. 26, no. 6, pp. 510–517, 2016, ISBN: 1050642X.
@article{Hugentobler2016,
title = {Influence of Age on Postconcussive Postural Control Measures and Future Implications for Assessment},
author = {Hugentobler, Jason A and Gupta, Resmi and Slater, Robert and Paterno, Mark V and Riley, Michael A and Quatman-Yates, Catherine},
isbn = {1050642X},
year = {2016},
date = {2016-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {26},
number = {6},
pages = {510--517},
abstract = {Objective: To examine the influence of age, sex, attention-deficit hyperactivity disorder (ADHD) status, previous history of concussion, and days since injury on postconcussion postural control assessment in adolescents who have suffered a concussion. Design: Prospective cohort study. Setting: Hospital-based outpatient clinic. Participants: Seventy-one participants (42 males; 29 females) with mean age 14.14 ± 2.44. Independent Variables: Age, sex, previous concussion history, ADHD status, total and severity of postconcussion symptoms, and days since injury. Main Outcome Measures: Total Balance Error Scoring System score, path length, center-of-pressure (COP) area, sample entropy, and Romberg quotient. Results: Pearson product-moment correlation coefficients were calculated to test for potential associations between the continuous participant characteristics and the postural control variables. Spearman correlation was used to test the association between symptom severity and the postural control variables. Standard multiple regression was used to model the extent to which participant characteristics accounted for the variance in the postural sway variables. Age was significantly associated with all of the postural sway variables except COP area for the eyes open condition and sample entropy in the anterior-posterior direction for the eyes closed condition. Sex, ADHD status, and previous concussion history did not significantly predict postural control scores. Conclusions: Age significantly influences scores on common postconcussion postural control assessments. Clinical Relevance: This study demonstrates that age is a critical factor that needs to be accounted for to improve the clinical appropriateness and utility of current postconcussion postural control assessments. [ABSTRACT FROM AUTHOR]},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Gobert, Denise; Kerby, Jace; Buchner, Sean
Is There a Gender Bias Involving Impulsivity and Number of Concussions? Journal Article
In: Archives of Physical Medicine & Rehabilitation, vol. 97, no. 12, pp. e34–e34, 2016, ISBN: 00039993.
@article{Gobert2016,
title = {Is There a Gender Bias Involving Impulsivity and Number of Concussions?},
author = {Gobert, Denise and Kerby, Jace and Buchner, Sean},
isbn = {00039993},
year = {2016},
date = {2016-01-01},
journal = {Archives of Physical Medicine \& Rehabilitation},
volume = {97},
number = {12},
pages = {e34--e34},
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}
}
van der Horn, Harm J; Spikman, Jacoba M; Jacobs, Bram; van der Naalt, Joukje
Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury Journal Article
In: Archives of Physical Medicine & Rehabilitation, vol. 94, no. 5, pp. 867–874, 2013, ISBN: 00039993.
@article{VanderHorn2013,
title = {Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury},
author = {van der Horn, Harm J and Spikman, Jacoba M and Jacobs, Bram and van der Naalt, Joukje},
isbn = {00039993},
year = {2013},
date = {2013-01-01},
journal = {Archives of Physical Medicine \& Rehabilitation},
volume = {94},
number = {5},
pages = {867--874},
abstract = {Abstract: Objectives: To investigate the relation of postconcussive complaints, anxiety, and depression with vocational outcome in patients with traumatic brain injury (TBI) of various severities and to assess sex differences. Design: A prospective cross-sectional cohort study. Setting: Level I trauma center. Participants: Adults (N=242) with TBI of various severity. Interventions: Not applicable. Main Outcome Measures: Extended Glasgow Outcome Scale, return to work (RTW), Head Injury Symptom Checklist, and Hospital Anxiety and Depression Scale. Results: In 67% of the patients, complaints were present; 22% were anxious, and 18% were depressed. The frequency of complaints increased significantly with injury severity, in contrast to anxiety and depression. Frequencies of patients with anxiety and depression (9% and 5%) were lower with complete RTW than with incomplete RTW (42% and 37%; P\<.001). Patients with minor TBI with complaints were more anxious (50% vs 27%; P\<.05) and depressed (46% vs 23%; P\<.05) compared with patients with other severity categories and patients with incomplete RTW (67% vs 36% and 60% vs 30%, respectively). A higher percentage of women with minor TBI were depressed (45% vs 13%; P=.01) and had incomplete RTW (50% vs 18%; P\<.05) compared with men. Multiple regression analysis showed that injury severity, complaints, anxiety, and depression were all predictive of RTW (explained variance 45%). In all severity categories, anxiety and depression were predictive of RTW, complaints, and sex only for minor TBI. Conclusions: Anxiety and depression are related to vocational outcome after TBI, with a different profile in the minor TBI category, partly due to sex differences. Copyright \&y\& Elsevier},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Loosemore, Michael P; Butler, Charles F; Khadri, Abdelhamid; McDonagh, David; Patel, Vimal A; Bailes, Julian E
Use of Head Guards in AIBA Boxing Tournaments--A Cross-Sectional Observational Study Journal Article
In: Clinical Journal of Sport Medicine, vol. 27, no. 1, pp. 86–88, 2017, ISBN: 1050642X.
Abstract | BibTeX | Tags: acute brain injuries, Boxing, BOXING injuries, Concussion, CONFIDENCE intervals, CROSS-sectional method, DISEASE incidence, Head Protective Devices, LONGITUDINAL method, Poisson distribution, PREVENTION, PROBABILITY theory, Relative risk (Medicine), SAFETY hats, SPORTS events, STATISTICAL hypothesis testing, traumatic brain injury, WOUNDS & injuries
@article{Loosemore2017,
title = {Use of Head Guards in AIBA Boxing Tournaments--A Cross-Sectional Observational Study},
author = {Loosemore, Michael P and Butler, Charles F and Khadri, Abdelhamid and McDonagh, David and Patel, Vimal A and Bailes, Julian E},
isbn = {1050642X},
year = {2017},
date = {2017-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {27},
number = {1},
pages = {86--88},
abstract = {Objective: This study looks at the changes in injuries after the implementation of a new rule by the International Boxing Association (AIBA) to remove head guards from its competitions. Design: A cross-sectional observational study performed prospectively. This brief report examines the removal of head guards in 2 different ways. The first was to examine the stoppages due to blows to the head by comparing World Series Boxing (WSB), without head guards, to other AIBA competitions with head guards. Secondly, we examined the last 3 world championships: 2009 and 2011 (with head guards) and 2013 (without head guards). Setting: World Series Boxing and AIBA world championship boxing. Participants: Boxers from WSB and AIBA world championships. Interventions: The information was recorded by ringside medical physicians. Main Outcome Measures: Stoppages per 10 000 rounds; stoppages per 1000 hours. Results: Both studies show that the number of stoppages due to head blows was significantly decreased without head guards. The studies also showed that there was a notable increase in cuts. Conclusions: Removing head guards may reduce the already small risk of acute brain injury in amateur boxing. [ABSTRACT FROM AUTHOR]},
keywords = {acute brain injuries, Boxing, BOXING injuries, Concussion, CONFIDENCE intervals, CROSS-sectional method, DISEASE incidence, Head Protective Devices, LONGITUDINAL method, Poisson distribution, PREVENTION, PROBABILITY theory, Relative risk (Medicine), SAFETY hats, SPORTS events, STATISTICAL hypothesis testing, traumatic brain injury, WOUNDS \& injuries},
pubstate = {published},
tppubtype = {article}
}
Webner, David; Iverson, Grant L
Suicide in professional American football players in the past 95 years Journal Article
In: Brain Injury, vol. 30, no. 13/14, pp. 1718–1721, 2016, ISBN: 02699052.
Abstract | Links | BibTeX | Tags: Athletes, BRAIN damage, CHRONIC diseases, CHRONIC pain, Chronic traumatic encephalopathy, depression, DESCRIPTIVE statistics, EPIDEMIOLOGY -- Research, football, Internet, Life change events, LONGITUDINAL method, MENTAL depression, MORTALITY, Professional athletes, Professional Sports, psychology, RESEARCH -- Methodology, Retirement, Retrospective Studies, Socioeconomic Factors, STRESS (Psychology), suicide, Suicide -- Risk factors, Suicide -- United States, UNITED States, WORK experience (Employment)
@article{Webner2016,
title = {Suicide in professional American football players in the past 95 years},
author = {Webner, David and Iverson, Grant L},
doi = {10.1080/02699052.2016.1202451},
isbn = {02699052},
year = {2016},
date = {2016-01-01},
journal = {Brain Injury},
volume = {30},
number = {13/14},
pages = {1718--1721},
abstract = {Objective: To examine publicly-available information on all identified cases of suicide in active or former American professional football players between 1920 and the spring of 2015. Design: Retrospective cohort study. Setting: Professional American Football in the US. Participants: A cohort of 26 702 athletes who had died, retired or were currently playing in the NFL from nfl.com since 1920 was identified. Main outcome measures: Internet queries identifying 26 professional football players who completed suicide. Obituaries and news reports were reviewed. The primary outcome measures included mortality, demographic characteristics and life circumstances in professional American football players completing suicide. Results: From 1920\textendash2015, the median age of the 26 men who completed suicide was 39.5 years (range = 23\textendash85). The median number of years after retirement was 6.5 (range = 0\textendash63). Most of the deaths since 1920 have occurred in the past 15 years (58.7%) and a large percentage have occurred since 2009 (42.3%). Most of the men suffered from multiple life stressors prior to their deaths, such as retirement from sport, loss of steady income, divorce, failed business ventures, estrangement from family members and medical, psychiatric and/or substance abuse problems. Conclusions: A disproportionate number of completed suicides in current and former professional football players have occurred since 2009 (42.3%). It is well established in the literature that the causes of depression and suicidality are diverse, often multifactorial and treatable. Providing at-risk retired athletes with mental health treatment will likely reduce their suffering and improve their quality-of-life. [ABSTRACT FROM AUTHOR]},
keywords = {Athletes, BRAIN damage, CHRONIC diseases, CHRONIC pain, Chronic traumatic encephalopathy, depression, DESCRIPTIVE statistics, EPIDEMIOLOGY -- Research, football, Internet, Life change events, LONGITUDINAL method, MENTAL depression, MORTALITY, Professional athletes, Professional Sports, psychology, RESEARCH -- Methodology, Retirement, Retrospective Studies, Socioeconomic Factors, STRESS (Psychology), suicide, Suicide -- Risk factors, Suicide -- United States, UNITED States, WORK experience (Employment)},
pubstate = {published},
tppubtype = {article}
}
Hugentobler, Jason A; Gupta, Resmi; Slater, Robert; Paterno, Mark V; Riley, Michael A; Quatman-Yates, Catherine
Influence of Age on Postconcussive Postural Control Measures and Future Implications for Assessment Journal Article
In: Clinical Journal of Sport Medicine, vol. 26, no. 6, pp. 510–517, 2016, ISBN: 1050642X.
Abstract | BibTeX | Tags: ADOLESCENCE, AGE distribution (Demography), ATTENTION-deficit hyperactivity disorder, CORRELATION (Statistics), DATA analysis, DATA analysis -- Software, DESCRIPTIVE statistics, DISEASE complications, EQUILIBRIUM (Physiology), LONGITUDINAL method, MEDICAL history taking, MULTIPLE regression analysis, postconcussion syndrome, PROBABILITY theory, Questionnaires, SEVERITY of illness index, SEX distribution (Demography), STATISTICS
@article{Hugentobler2016,
title = {Influence of Age on Postconcussive Postural Control Measures and Future Implications for Assessment},
author = {Hugentobler, Jason A and Gupta, Resmi and Slater, Robert and Paterno, Mark V and Riley, Michael A and Quatman-Yates, Catherine},
isbn = {1050642X},
year = {2016},
date = {2016-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {26},
number = {6},
pages = {510--517},
abstract = {Objective: To examine the influence of age, sex, attention-deficit hyperactivity disorder (ADHD) status, previous history of concussion, and days since injury on postconcussion postural control assessment in adolescents who have suffered a concussion. Design: Prospective cohort study. Setting: Hospital-based outpatient clinic. Participants: Seventy-one participants (42 males; 29 females) with mean age 14.14 ± 2.44. Independent Variables: Age, sex, previous concussion history, ADHD status, total and severity of postconcussion symptoms, and days since injury. Main Outcome Measures: Total Balance Error Scoring System score, path length, center-of-pressure (COP) area, sample entropy, and Romberg quotient. Results: Pearson product-moment correlation coefficients were calculated to test for potential associations between the continuous participant characteristics and the postural control variables. Spearman correlation was used to test the association between symptom severity and the postural control variables. Standard multiple regression was used to model the extent to which participant characteristics accounted for the variance in the postural sway variables. Age was significantly associated with all of the postural sway variables except COP area for the eyes open condition and sample entropy in the anterior-posterior direction for the eyes closed condition. Sex, ADHD status, and previous concussion history did not significantly predict postural control scores. Conclusions: Age significantly influences scores on common postconcussion postural control assessments. Clinical Relevance: This study demonstrates that age is a critical factor that needs to be accounted for to improve the clinical appropriateness and utility of current postconcussion postural control assessments. [ABSTRACT FROM AUTHOR]},
keywords = {ADOLESCENCE, AGE distribution (Demography), ATTENTION-deficit hyperactivity disorder, CORRELATION (Statistics), DATA analysis, DATA analysis -- Software, DESCRIPTIVE statistics, DISEASE complications, EQUILIBRIUM (Physiology), LONGITUDINAL method, MEDICAL history taking, MULTIPLE regression analysis, postconcussion syndrome, PROBABILITY theory, Questionnaires, SEVERITY of illness index, SEX distribution (Demography), STATISTICS},
pubstate = {published},
tppubtype = {article}
}
Gobert, Denise; Kerby, Jace; Buchner, Sean
Is There a Gender Bias Involving Impulsivity and Number of Concussions? Journal Article
In: Archives of Physical Medicine & Rehabilitation, vol. 97, no. 12, pp. e34–e34, 2016, ISBN: 00039993.
BibTeX | Tags: *Athletes, *BRAIN -- Concussion, *BRAIN -- Wounds & injuries, *Convalescence, *EYE -- Movements, *SEX discrimination, *VISUAL acuity, COMPLICATIONS, DATA analysis -- Software, DESCRIPTIVE statistics, IMPULSE control disorders, LONGITUDINAL method, MULTIPLE regression analysis, Neuropsychological Tests, PROBABILITY theory
@article{Gobert2016,
title = {Is There a Gender Bias Involving Impulsivity and Number of Concussions?},
author = {Gobert, Denise and Kerby, Jace and Buchner, Sean},
isbn = {00039993},
year = {2016},
date = {2016-01-01},
journal = {Archives of Physical Medicine \& Rehabilitation},
volume = {97},
number = {12},
pages = {e34--e34},
keywords = {*Athletes, *BRAIN -- Concussion, *BRAIN -- Wounds \& injuries, *Convalescence, *EYE -- Movements, *SEX discrimination, *VISUAL acuity, COMPLICATIONS, DATA analysis -- Software, DESCRIPTIVE statistics, IMPULSE control disorders, LONGITUDINAL method, MULTIPLE regression analysis, Neuropsychological Tests, PROBABILITY theory},
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}
}
van der Horn, Harm J; Spikman, Jacoba M; Jacobs, Bram; van der Naalt, Joukje
Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury Journal Article
In: Archives of Physical Medicine & Rehabilitation, vol. 94, no. 5, pp. 867–874, 2013, ISBN: 00039993.
Abstract | BibTeX | Tags: *ANXIETY, *BRAIN -- Wounds & injuries, *EPIDEMIOLOGY, *MENTAL depression, *POSTCONCUSSION syndrome, Anxiety, CHI-squared test, COMPLICATIONS, computed tomography ( CT ), confidence interval ( CI ), CONFIDENCE intervals, CROSS-sectional method, DATA analysis, DATA analysis -- Software, depression, DESCRIPTIVE statistics, EMPLOYMENT (Economic theory) -- Psychological aspe, EMPLOYMENT reentry, Glasgow Coma Scale, Glasgow Coma Scale ( GCS ), Hospital Anxiety and Depression Scale ( HADS ), LONGITUDINAL method, MULTIVARIATE analysis, odds ratio ( OR ), PSYCHOLOGICAL aspects, Rehabilitation, return to work ( RTW ), sex, SEX distribution (Demography), STATISTICS, Traumatic Brain Injuries, traumatic brain injury ( TBI ), Work
@article{VanderHorn2013,
title = {Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury},
author = {van der Horn, Harm J and Spikman, Jacoba M and Jacobs, Bram and van der Naalt, Joukje},
isbn = {00039993},
year = {2013},
date = {2013-01-01},
journal = {Archives of Physical Medicine \& Rehabilitation},
volume = {94},
number = {5},
pages = {867--874},
abstract = {Abstract: Objectives: To investigate the relation of postconcussive complaints, anxiety, and depression with vocational outcome in patients with traumatic brain injury (TBI) of various severities and to assess sex differences. Design: A prospective cross-sectional cohort study. Setting: Level I trauma center. Participants: Adults (N=242) with TBI of various severity. Interventions: Not applicable. Main Outcome Measures: Extended Glasgow Outcome Scale, return to work (RTW), Head Injury Symptom Checklist, and Hospital Anxiety and Depression Scale. Results: In 67% of the patients, complaints were present; 22% were anxious, and 18% were depressed. The frequency of complaints increased significantly with injury severity, in contrast to anxiety and depression. Frequencies of patients with anxiety and depression (9% and 5%) were lower with complete RTW than with incomplete RTW (42% and 37%; P\<.001). Patients with minor TBI with complaints were more anxious (50% vs 27%; P\<.05) and depressed (46% vs 23%; P\<.05) compared with patients with other severity categories and patients with incomplete RTW (67% vs 36% and 60% vs 30%, respectively). A higher percentage of women with minor TBI were depressed (45% vs 13%; P=.01) and had incomplete RTW (50% vs 18%; P\<.05) compared with men. Multiple regression analysis showed that injury severity, complaints, anxiety, and depression were all predictive of RTW (explained variance 45%). In all severity categories, anxiety and depression were predictive of RTW, complaints, and sex only for minor TBI. Conclusions: Anxiety and depression are related to vocational outcome after TBI, with a different profile in the minor TBI category, partly due to sex differences. Copyright \&y\& Elsevier},
keywords = {*ANXIETY, *BRAIN -- Wounds \& injuries, *EPIDEMIOLOGY, *MENTAL depression, *POSTCONCUSSION syndrome, Anxiety, CHI-squared test, COMPLICATIONS, computed tomography ( CT ), confidence interval ( CI ), CONFIDENCE intervals, CROSS-sectional method, DATA analysis, DATA analysis -- Software, depression, DESCRIPTIVE statistics, EMPLOYMENT (Economic theory) -- Psychological aspe, EMPLOYMENT reentry, Glasgow Coma Scale, Glasgow Coma Scale ( GCS ), Hospital Anxiety and Depression Scale ( HADS ), LONGITUDINAL method, MULTIVARIATE analysis, odds ratio ( OR ), PSYCHOLOGICAL aspects, Rehabilitation, return to work ( RTW ), sex, SEX distribution (Demography), STATISTICS, Traumatic Brain Injuries, traumatic brain injury ( TBI ), Work},
pubstate = {published},
tppubtype = {article}
}