Friday, March 11, 2016

Does Mechanism of Injury Play a Role in Recovery from Concussion?

Accidents can be worse than sports-related brain injuries. Children and Adolescents have unique developmental considerations.  - JR

Does Mechanism of Injury Play a Role in Recovery from Concussion?

The Journal of Head Trauma Rehabilitation
February 26, 2016

Read original article
By Ellen Deibert, Eva Goldwater, Ashley Seiger



High school football and soccer are 2 of the leading causes of concussion injuries. However, concussions also occur from mechanisms of injury such as motor vehicle accidents (MVAs), assault, and work-related accidents.


Determine if recovery from concussion could be related to the mechanism of injury.


Berkshire Medical Center Concussion Clinic.


Patients aged 13 to 21 years suffering concussion from football (n = 31), soccer (n = 9), or MVAs (n = 20).


ImPACT (Immediate Post Concussion Assessment Tool) test scores including symptom inventory; number of days sick; length of time to recovery.


Most commonly reported symptom at the time of injury was headache. Patients were seen in clinic an average of 16 (football), 14 (soccer), and 21 (MVA) days postinjury. Groups differed significantly on ImPACT Visual Memory and Visual Motor Speed scores (P < .05). MVA patients had a longer median number of days sick (97 days) than football players (32 days; P < .05).


This study suggests that concussion from an MVA may be a more serious injury than a typical concussion sustained during sports. Data suggest that MVA patients take longer to present to clinic, have lower Visual Memory and Visual Motor Speed scores on ImPACT, and take longer to recover. Further studies are needed to better understand how the mechanism of injury of concussion may relate to prognosis.

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