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Published in: Neuropsychology Review 4/2013

01-12-2013 | Review

Sport-Related Concussions: A Review of Epidemiology, Challenges in Diagnosis, and Potential Risk Factors

Authors: James M. Noble, Dale C. Hesdorffer

Published in: Neuropsychology Review | Issue 4/2013

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Abstract

Sport-related concussion (SRC) is a common mild traumatic brain injury among young, active individuals, affecting approximately 300,000 young American adults annually. In this review of the epidemiology of SRC, we describe the challenges in identifying concussion occurrence and review the studies describing concussion incidence in various sports. In high risk contact sports, American football, soccer (European football), hockey, lacrosse, and basketball athletes experience concussion unintentionally during the course of play. Among these, football concussion incidence is reviewed in greatest detail because it has the highest incidence among the contact sports, and some studies have shown long-term neurophysiologic and neurodegenerative outcomes. Mechanisms of injury differ significantly by sport and can be potential targets for concussion risk mitigation. Despite the apparent high incidence of SRC, risk factors determining initial concussion, recovery periods, recurrence, and long-term outcomes remain poorly understood and warrant further study exploring the influence of age, sex, genetics, and athletic factors.
Literature
go back to reference Agel, J., & Harvey, E. J. (2010). A 7-year review of men’s and women’s ice hockey injuries in the NCAA. Canadian Journal of Surgery. Journal Canadien de Chirurgie, 53(5), 319–323.PubMedPubMedCentral Agel, J., & Harvey, E. J. (2010). A 7-year review of men’s and women’s ice hockey injuries in the NCAA. Canadian Journal of Surgery. Journal Canadien de Chirurgie, 53(5), 319–323.PubMedPubMedCentral
go back to reference Bigler, E. D. (2013). Neuroimaging Biomarkers in Mild Traumatic Brain Injury (mTBI). Neuropsychology Review, 23(3), 169–209.PubMedCrossRef Bigler, E. D. (2013). Neuroimaging Biomarkers in Mild Traumatic Brain Injury (mTBI). Neuropsychology Review, 23(3), 169–209.PubMedCrossRef
go back to reference Boden, B. P., Kirkendall, D. T., & Garrett, W. E., Jr. (1998). Concussion incidence in elite college soccer players. The American Journal of Sports Medicine, 26(2), 238–241.PubMed Boden, B. P., Kirkendall, D. T., & Garrett, W. E., Jr. (1998). Concussion incidence in elite college soccer players. The American Journal of Sports Medicine, 26(2), 238–241.PubMed
go back to reference Bot, A., van Amerongen, I. A., Groot, R. D., Hoekstra, N. L., & Agterof, W. G. (1996). Large deformation rheology of gelatin gels. Polymer Gels and Networks, 4(3), 189–227.CrossRef Bot, A., van Amerongen, I. A., Groot, R. D., Hoekstra, N. L., & Agterof, W. G. (1996). Large deformation rheology of gelatin gels. Polymer Gels and Networks, 4(3), 189–227.CrossRef
go back to reference Breedlove, E. L., Robinson, M., Talavage, T. M., Morigaki, K. E., Yoruk, U., O’Keefe, K., et al. (2012). Biomechanical correlates of symptomatic and asymptomatic neurophysiological impairment in high school football. Journal of Biomechanics, 45(7), 1265–1272. doi:10.1016/j.jbiomech.2012.01.034.PubMedCrossRef Breedlove, E. L., Robinson, M., Talavage, T. M., Morigaki, K. E., Yoruk, U., O’Keefe, K., et al. (2012). Biomechanical correlates of symptomatic and asymptomatic neurophysiological impairment in high school football. Journal of Biomechanics, 45(7), 1265–1272. doi:10.​1016/​j.​jbiomech.​2012.​01.​034.PubMedCrossRef
go back to reference Bruns, J., Jr., & Hauser, W. A. (2003). The epidemiology of traumatic brain injury: a review. [Review]. Epilepsia, 44(Suppl 10), 2–10.PubMedCrossRef Bruns, J., Jr., & Hauser, W. A. (2003). The epidemiology of traumatic brain injury: a review. [Review]. Epilepsia, 44(Suppl 10), 2–10.PubMedCrossRef
go back to reference CDC. (2011). Nonfatal traumatic brain injuries related to sports and recreation activities among persons aged </=19years–United States, 2001–2009. [Research Support, U.S. Gov’t, P.H.S.]. MMWR. Morbidity and Mortality Weekly Report, 60(39), 1337–1342. CDC. (2011). Nonfatal traumatic brain injuries related to sports and recreation activities among persons aged </=19years–United States, 2001–2009. [Research Support, U.S. Gov’t, P.H.S.]. MMWR. Morbidity and Mortality Weekly Report, 60(39), 1337–1342.
go back to reference Chen, J. K., Johnston, K. M., Petrides, M., & Ptito, A. (2008). Neural substrates of symptoms of depression following concussion in male athletes with persisting postconcussion symptoms. [Research Support, Non-U.S. Gov’t]. Archives of General Psychiatry, 65(1), 81–89. doi:10.1001/archgenpsychiatry.2007.8.PubMedCrossRef Chen, J. K., Johnston, K. M., Petrides, M., & Ptito, A. (2008). Neural substrates of symptoms of depression following concussion in male athletes with persisting postconcussion symptoms. [Research Support, Non-U.S. Gov’t]. Archives of General Psychiatry, 65(1), 81–89. doi:10.​1001/​archgenpsychiatr​y.​2007.​8.PubMedCrossRef
go back to reference Covassin, T., Elbin, R. J., & Sarmiento, K. (2012). Educating coaches about concussion in sports: evaluation of the CDC’s “Heads Up: concussion in youth sports” initiative. [Comparative Study Evaluation Studies]. The Journal of School Health, 82(5), 233–238. doi:10.1111/j.1746-1561.2012.00692.x.PubMedCrossRef Covassin, T., Elbin, R. J., & Sarmiento, K. (2012). Educating coaches about concussion in sports: evaluation of the CDC’s “Heads Up: concussion in youth sports” initiative. [Comparative Study Evaluation Studies]. The Journal of School Health, 82(5), 233–238. doi:10.​1111/​j.​1746-1561.​2012.​00692.​x.PubMedCrossRef
go back to reference Crisco, J. J., & Greenwald, R. M. (2011). Let’s get the head further out of the game: a proposal for reducing brain injuries in helmeted contact sports. [Editorial Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov’t]. Current Sports Medicine Reports, 10(1), 7–9. doi:10.1249/JSR.0b013e318205e063.PubMedCrossRefPubMedCentral Crisco, J. J., & Greenwald, R. M. (2011). Let’s get the head further out of the game: a proposal for reducing brain injuries in helmeted contact sports. [Editorial Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov’t]. Current Sports Medicine Reports, 10(1), 7–9. doi:10.​1249/​JSR.​0b013e318205e063​.PubMedCrossRefPubMedCentral
go back to reference Daneshvar, D. H., Baugh, C. M., Nowinski, C. J., McKee, A. C., Stern, R. A., & Cantu, R. C. (2011). Helmets and mouth guards: the role of personal equipment in preventing sport-related concussions. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov’t Review]. Clinics in Sports Medicine, 30(1), 145–163. doi:10.1016/j.csm.2010.09.006. x.PubMedCrossRefPubMedCentral Daneshvar, D. H., Baugh, C. M., Nowinski, C. J., McKee, A. C., Stern, R. A., & Cantu, R. C. (2011). Helmets and mouth guards: the role of personal equipment in preventing sport-related concussions. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov’t Review]. Clinics in Sports Medicine, 30(1), 145–163. doi:10.​1016/​j.​csm.​2010.​09.​006. x.PubMedCrossRefPubMedCentral
go back to reference DeVivo, M. J., & Sekar, P. (1997). Prevention of spinal cord injuries that occur in swimming pools. [Research Support, U.S. Gov’t, Non-P.H.S. Research Support, U.S. Gov’t, P.H.S.]. Spinal Cord, 35(8), 509–515.PubMedCrossRef DeVivo, M. J., & Sekar, P. (1997). Prevention of spinal cord injuries that occur in swimming pools. [Research Support, U.S. Gov’t, Non-P.H.S. Research Support, U.S. Gov’t, P.H.S.]. Spinal Cord, 35(8), 509–515.PubMedCrossRef
go back to reference Donnell, A. J., Kim, M. S., Silva, M. A., & Vanderploeg, R. D. (2012). Incidence of postconcussion symptoms in psychiatric diagnostic groups, mild traumatic brain injury, and comorbid conditions. [Research Support, U.S. Gov’t, Non-P.H.S.]. The Clinical Neuropsychologist, 26(7), 1092–1101. doi:10.1080/13854046.2012.713984.PubMedCrossRef Donnell, A. J., Kim, M. S., Silva, M. A., & Vanderploeg, R. D. (2012). Incidence of postconcussion symptoms in psychiatric diagnostic groups, mild traumatic brain injury, and comorbid conditions. [Research Support, U.S. Gov’t, Non-P.H.S.]. The Clinical Neuropsychologist, 26(7), 1092–1101. doi:10.​1080/​13854046.​2012.​713984.PubMedCrossRef
go back to reference Echemendia, R. J., Putukian, M., Mackin, R. S., Julian, L., & Shoss, N. (2001). Neuropsychological test performance prior to and following sports-related mild traumatic brain injury. Clinical Journal of Sport Medicine, 11(1), 23–31.PubMedCrossRef Echemendia, R. J., Putukian, M., Mackin, R. S., Julian, L., & Shoss, N. (2001). Neuropsychological test performance prior to and following sports-related mild traumatic brain injury. Clinical Journal of Sport Medicine, 11(1), 23–31.PubMedCrossRef
go back to reference Elkin, B. S., Ilankova, A., & Morrison, B. (2011a). Dynamic, regional mechanical properties of the porcine brain: indentation in the coronal plane. [Research Support, Non-U.S. Gov't]. Journal of Biomechanical Engineering, 133(7), 071009. doi:10.1115/1.4004494.PubMedCrossRef Elkin, B. S., Ilankova, A., & Morrison, B. (2011a). Dynamic, regional mechanical properties of the porcine brain: indentation in the coronal plane. [Research Support, Non-U.S. Gov't]. Journal of Biomechanical Engineering, 133(7), 071009. doi:10.​1115/​1.​4004494.PubMedCrossRef
go back to reference Elkin, B. S., Ilankovan, A. I., & Morrison, B., III. (2011b). A detailed viscoelastic characterization of the P17 and adult rat brain. Journal of Neurotrauma, 28(11), 2235–2244.PubMedCrossRef Elkin, B. S., Ilankovan, A. I., & Morrison, B., III. (2011b). A detailed viscoelastic characterization of the P17 and adult rat brain. Journal of Neurotrauma, 28(11), 2235–2244.PubMedCrossRef
go back to reference Engebretsen, L., Steffen, K., Alonso, J. M., Aubry, M., Dvorak, J., Junge, A., et al. (2010). Sports injuries and illnesses during the Winter Olympic Games 2010. [Research Support, Non-U.S. Gov’t]. British Journal of Sports Medicine, 44(11), 772–780. doi:10.1136/bjsm.2010.076992.PubMedCrossRef Engebretsen, L., Steffen, K., Alonso, J. M., Aubry, M., Dvorak, J., Junge, A., et al. (2010). Sports injuries and illnesses during the Winter Olympic Games 2010. [Research Support, Non-U.S. Gov’t]. British Journal of Sports Medicine, 44(11), 772–780. doi:10.​1136/​bjsm.​2010.​076992.PubMedCrossRef
go back to reference Ferguson, R. J., Mittenberg, W., Barone, D. F., & Schneider, B. (1999). Postconcussion syndrome following sports-related head injury: expectation as etiology. [Comparative Study]. Neuropsychology, 13(4), 582–589.PubMedCrossRef Ferguson, R. J., Mittenberg, W., Barone, D. F., & Schneider, B. (1999). Postconcussion syndrome following sports-related head injury: expectation as etiology. [Comparative Study]. Neuropsychology, 13(4), 582–589.PubMedCrossRef
go back to reference Ferguson, R. W., Green, A., & Hansen, L. M. (2013). Game Changers: Stats, Stories and What Communities are Doing to Protect Young Athletes. Washington, DC: Safe Kids Worldwide. Ferguson, R. W., Green, A., & Hansen, L. M. (2013). Game Changers: Stats, Stories and What Communities are Doing to Protect Young Athletes. Washington, DC: Safe Kids Worldwide.
go back to reference Finan, J. D., Elkin, B. S., Pearson, E. M., Kalbian, I. L., & Morrison, B., III. (2012). Viscoelastic properties of the rat brain in the sagittal plane: effects of anatomical structure and age. Annals of Biomedical Engineering, 40(1), 70–78.PubMedCrossRef Finan, J. D., Elkin, B. S., Pearson, E. M., Kalbian, I. L., & Morrison, B., III. (2012). Viscoelastic properties of the rat brain in the sagittal plane: effects of anatomical structure and age. Annals of Biomedical Engineering, 40(1), 70–78.PubMedCrossRef
go back to reference Gajawelli, N., Lao, Y., Apuzzo, M. L., Romano, R., Liu, C., Tsao, S., et al. (2013). Neuroimaging changes in the brain in contact versus noncontact sport athletes using diffusion tensor imaging. World Neurosurgery. doi:10.1016/j.wneu.2013.10.020.PubMed Gajawelli, N., Lao, Y., Apuzzo, M. L., Romano, R., Liu, C., Tsao, S., et al. (2013). Neuroimaging changes in the brain in contact versus noncontact sport athletes using diffusion tensor imaging. World Neurosurgery. doi:10.​1016/​j.​wneu.​2013.​10.​020.PubMed
go back to reference Gardner, A., Shores, E. A., & Batchelor, J. (2010). Reduced processing speed in rugby union players reporting three or more previous concussions. Archives of Clinical Neuropsychology, 25(3), 174–181. doi:10.1093/arclin/acq007.PubMedCrossRef Gardner, A., Shores, E. A., & Batchelor, J. (2010). Reduced processing speed in rugby union players reporting three or more previous concussions. Archives of Clinical Neuropsychology, 25(3), 174–181. doi:10.​1093/​arclin/​acq007.PubMedCrossRef
go back to reference Gardner, A., Kay-Lambkin, F., Stanwell, P., Donnelly, J., Williams, W. H., Hiles, A., et al. (2012). A systematic review of diffusion tensor imaging findings in sports-related concussion. Journal of Neurotrauma, 29(16), 2521–2538.PubMedCrossRef Gardner, A., Kay-Lambkin, F., Stanwell, P., Donnelly, J., Williams, W. H., Hiles, A., et al. (2012). A systematic review of diffusion tensor imaging findings in sports-related concussion. Journal of Neurotrauma, 29(16), 2521–2538.PubMedCrossRef
go back to reference Gerberich, S. G., Priest, J. D., Boen, J. R., Straub, C. P., & Maxwell, R. E. (1983). Concussion incidences and severity in secondary school varsity football players. [Research Support, Non-U.S. Gov’t]. American Journal of Public Health, 73(12), 1370–1375.PubMedCrossRefPubMedCentral Gerberich, S. G., Priest, J. D., Boen, J. R., Straub, C. P., & Maxwell, R. E. (1983). Concussion incidences and severity in secondary school varsity football players. [Research Support, Non-U.S. Gov’t]. American Journal of Public Health, 73(12), 1370–1375.PubMedCrossRefPubMedCentral
go back to reference Gessel, L. M., Fields, S. K., Collins, C. L., Dick, R. W., & Comstock, R. D. (2007). Concussions among United States high school and collegiate athletes. [Research Support, U.S. Gov’t, P.H.S.]. Journal of Athletic Training, 42(4), 495–503.PubMedPubMedCentral Gessel, L. M., Fields, S. K., Collins, C. L., Dick, R. W., & Comstock, R. D. (2007). Concussions among United States high school and collegiate athletes. [Research Support, U.S. Gov’t, P.H.S.]. Journal of Athletic Training, 42(4), 495–503.PubMedPubMedCentral
go back to reference Giza, C. C., Kutcher, J. S., Ashwal, S., Barth, J., Getchius, T. S., Gioia, G. A., et al. (2013). Summary of evidence-based guideline update: evaluation and management of concussion in sports: report of the Guideline Development Subcommittee of the American Academy of Neurology. [Research Support, Non-U.S. Gov't Review]. Neurology, 80(24), 2250–2257. doi:10.1212/WNL.0b013e31828d57dd.PubMedCrossRef Giza, C. C., Kutcher, J. S., Ashwal, S., Barth, J., Getchius, T. S., Gioia, G. A., et al. (2013). Summary of evidence-based guideline update: evaluation and management of concussion in sports: report of the Guideline Development Subcommittee of the American Academy of Neurology. [Research Support, Non-U.S. Gov't Review]. Neurology, 80(24), 2250–2257. doi:10.​1212/​WNL.​0b013e31828d57dd​.PubMedCrossRef
go back to reference Guskiewicz, K. M., Weaver, N. L., Padua, D. A., & Garrett, W. E., Jr. (2000). Epidemiology of concussion in collegiate and high school football players. American Journal of Sports Medicine, 28(5), 643–650.PubMed Guskiewicz, K. M., Weaver, N. L., Padua, D. A., & Garrett, W. E., Jr. (2000). Epidemiology of concussion in collegiate and high school football players. American Journal of Sports Medicine, 28(5), 643–650.PubMed
go back to reference Guskiewicz, K. M., McCrea, M., Marshall, S. W., Cantu, R. C., Randolph, C., Barr, W., et al. (2003). Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA Concussion Study. JAMA, 290(19), 2549–2555. doi:10.1001/jama.290.19.2549.PubMedCrossRef Guskiewicz, K. M., McCrea, M., Marshall, S. W., Cantu, R. C., Randolph, C., Barr, W., et al. (2003). Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA Concussion Study. JAMA, 290(19), 2549–2555. doi:10.​1001/​jama.​290.​19.​2549.PubMedCrossRef
go back to reference Guskiewicz, K. M., Marshall, S. W., Bailes, J., McCrea, M., Cantu, R. C., Randolph, C., et al. (2005). Association between recurrent concussion and late-life cognitive impairment in retired professional football players. Neurosurgery, 57(4), 719–726. discussion 719–726.PubMedCrossRef Guskiewicz, K. M., Marshall, S. W., Bailes, J., McCrea, M., Cantu, R. C., Randolph, C., et al. (2005). Association between recurrent concussion and late-life cognitive impairment in retired professional football players. Neurosurgery, 57(4), 719–726. discussion 719–726.PubMedCrossRef
go back to reference Guskiewicz, K. M., Marshall, S. W., Bailes, J., McCrea, M., Harding, H. P., Jr., Matthews, A., et al. (2007). Recurrent concussion and risk of depression in retired professional football players. Medicine and Science in Sports and Exercise, 39(6), 903–909. doi:10.1249/mss.0b013e3180383da5.PubMedCrossRef Guskiewicz, K. M., Marshall, S. W., Bailes, J., McCrea, M., Harding, H. P., Jr., Matthews, A., et al. (2007). Recurrent concussion and risk of depression in retired professional football players. Medicine and Science in Sports and Exercise, 39(6), 903–909. doi:10.​1249/​mss.​0b013e3180383da5​.PubMedCrossRef
go back to reference Guskiewicz, K. M., Register-Mihalik, J., McCrory, P., McCrea, M., Johnston, K., Makdissi, M., et al. (2013). Evidence-based approach to revising the SCAT2: introducing the SCAT3. [Review]. British Journal of Sports Medicine, 47(5), 289–293. doi:10.1136/bjsports-2013-092225.PubMedCrossRef Guskiewicz, K. M., Register-Mihalik, J., McCrory, P., McCrea, M., Johnston, K., Makdissi, M., et al. (2013). Evidence-based approach to revising the SCAT2: introducing the SCAT3. [Review]. British Journal of Sports Medicine, 47(5), 289–293. doi:10.​1136/​bjsports-2013-092225.PubMedCrossRef
go back to reference Henry, L. C., Tremblay, J., Tremblay, S., Lee, A., Brun, C., Lepore, N., et al. (2011). Acute and chronic changes in diffusivity measures after sports concussion. Journal of Neurotrauma, 28(10), 2049–2059.PubMedCrossRef Henry, L. C., Tremblay, J., Tremblay, S., Lee, A., Brun, C., Lepore, N., et al. (2011). Acute and chronic changes in diffusivity measures after sports concussion. Journal of Neurotrauma, 28(10), 2049–2059.PubMedCrossRef
go back to reference Holbourn, A. H. S. (1943). Mechanics of head injuries. The Lancet, 242(6267), 438–441.CrossRef Holbourn, A. H. S. (1943). Mechanics of head injuries. The Lancet, 242(6267), 438–441.CrossRef
go back to reference Hootman, J. M., Dick, R., & Agel, J. (2007). Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. [Review]. Journal of Athletic Training, 42(2), 311–319.PubMedPubMedCentral Hootman, J. M., Dick, R., & Agel, J. (2007). Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. [Review]. Journal of Athletic Training, 42(2), 311–319.PubMedPubMedCentral
go back to reference Institute of Medicine (IOM) and National Research Council (NRC). (2013). Sports-related concussions in youth: Improving the science, changing the culture. Washington DC: The National Academies Press. Institute of Medicine (IOM) and National Research Council (NRC). (2013). Sports-related concussions in youth: Improving the science, changing the culture. Washington DC: The National Academies Press.
go back to reference Johnson, M., & Etienne, M. (2013). From Army-Navy to the NFL: the evolution of the football helmet [ABSTRACT]. Neurology, 80(Meeting Abstracts 1), P01.268. Johnson, M., & Etienne, M. (2013). From Army-Navy to the NFL: the evolution of the football helmet [ABSTRACT]. Neurology, 80(Meeting Abstracts 1), P01.268.
go back to reference Johnson, B., Zhang, K., Gay, M., Horovitz, S., Hallett, M., Sebastianelli, W., et al. (2011). Alteration of brain default network in subacute phase of injury in concussed individuals: resting-state fMRI study. NeuroImage. doi:10.1016/j.neuroimage.2011.07.081. Johnson, B., Zhang, K., Gay, M., Horovitz, S., Hallett, M., Sebastianelli, W., et al. (2011). Alteration of brain default network in subacute phase of injury in concussed individuals: resting-state fMRI study. NeuroImage. doi:10.​1016/​j.​neuroimage.​2011.​07.​081.
go back to reference Koerte, I. K., Kaufmann, D., Hartl, E., Bouix, S., Pasternak, O., Kubicki, M., et al. (2012). A prospective study of physician-observed concussion during a varsity university hockey season: white matter integrity in ice hockey players. Part 3 of 4. Neurosurgical Focus, 33(6), E3.PubMedCrossRef Koerte, I. K., Kaufmann, D., Hartl, E., Bouix, S., Pasternak, O., Kubicki, M., et al. (2012). A prospective study of physician-observed concussion during a varsity university hockey season: white matter integrity in ice hockey players. Part 3 of 4. Neurosurgical Focus, 33(6), E3.PubMedCrossRef
go back to reference Kontos, A. P., Elbin, R. J., Fazio-Sumrock, V. C., Burkhart, S., Swindell, H., Maroon, J., et al. (2013). Incidence of sports-related concussion among youth football players aged 8–12 years. [Research Support, Non-U.S. Gov’t]. The Journal of Pediatrics, 163(3), 717–720. doi:10.1016/j.jpeds.2013.04.011.PubMedCrossRef Kontos, A. P., Elbin, R. J., Fazio-Sumrock, V. C., Burkhart, S., Swindell, H., Maroon, J., et al. (2013). Incidence of sports-related concussion among youth football players aged 8–12 years. [Research Support, Non-U.S. Gov’t]. The Journal of Pediatrics, 163(3), 717–720. doi:10.​1016/​j.​jpeds.​2013.​04.​011.PubMedCrossRef
go back to reference Kroshus, E., Daneshvar, D. H., Baugh, C. M., Nowinski, C. J., & Cantu, R. C. (2013). NCAA concussion education in ice hockey: an ineffective mandate. British Journal of Sports Medicine. doi:10.1136/bjsports-2013-092498.PubMed Kroshus, E., Daneshvar, D. H., Baugh, C. M., Nowinski, C. J., & Cantu, R. C. (2013). NCAA concussion education in ice hockey: an ineffective mandate. British Journal of Sports Medicine. doi:10.​1136/​bjsports-2013-092498.PubMed
go back to reference Langlois, J. A., Rutland-Brown, W., & Wald, M. M. (2006). The epidemiology and impact of traumatic brain injury: a brief overview. The Journal of Head Trauma Rehabilitation, 21(5), 375–378.PubMedCrossRef Langlois, J. A., Rutland-Brown, W., & Wald, M. M. (2006). The epidemiology and impact of traumatic brain injury: a brief overview. The Journal of Head Trauma Rehabilitation, 21(5), 375–378.PubMedCrossRef
go back to reference Lincoln, A. E., Caswell, S. V., Almquist, J. L., Dunn, R. E., Norris, J. B., & Hinton, R. Y. (2011). Trends in concussion incidence in high school sports: a prospective 11-year study. American Journal of Sports Medicine, 39(5), 958–963. doi:10.1177/0363546510392326.PubMedCrossRef Lincoln, A. E., Caswell, S. V., Almquist, J. L., Dunn, R. E., Norris, J. B., & Hinton, R. Y. (2011). Trends in concussion incidence in high school sports: a prospective 11-year study. American Journal of Sports Medicine, 39(5), 958–963. doi:10.​1177/​0363546510392326​.PubMedCrossRef
go back to reference Lipton, M. L., Kim, N., Zimmerman, M. E., Kim, M., Stewart, W. F., Branch, C. A., et al. (2013). Soccer heading is associated with white matter microstructural and cognitive abnormalities. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov’t]. Radiology, 268(3), 850–857. doi:10.1148/radiol.13130545.PubMedCrossRef Lipton, M. L., Kim, N., Zimmerman, M. E., Kim, M., Stewart, W. F., Branch, C. A., et al. (2013). Soccer heading is associated with white matter microstructural and cognitive abnormalities. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov’t]. Radiology, 268(3), 850–857. doi:10.​1148/​radiol.​13130545.PubMedCrossRef
go back to reference Marar, M., McIlvain, N. M., Fields, S. K., & Comstock, R. D. (2012). Epidemiology of concussions among United States high school athletes in 20 sports. [Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.]. The American Journal of Sports Medicine, 40(4), 747–755. doi:10.1177/0363546511435626.PubMedCrossRef Marar, M., McIlvain, N. M., Fields, S. K., & Comstock, R. D. (2012). Epidemiology of concussions among United States high school athletes in 20 sports. [Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.]. The American Journal of Sports Medicine, 40(4), 747–755. doi:10.​1177/​0363546511435626​.PubMedCrossRef
go back to reference Marchi, N., Bazarian, J. J., Puvenna, V., Janigro, M., Ghosh, C., Zhong, J., et al. (2013). Consequences of repeated blood–brain barrier disruption in football players. PloS One, 8(3), e56805.PubMedCrossRefPubMedCentral Marchi, N., Bazarian, J. J., Puvenna, V., Janigro, M., Ghosh, C., Zhong, J., et al. (2013). Consequences of repeated blood–brain barrier disruption in football players. PloS One, 8(3), e56805.PubMedCrossRefPubMedCentral
go back to reference McAllister, T. W., Ford, J. C., Ji, S., Beckwith, J. G., Flashman, L. A., Paulsen, K., et al. (2012). Maximum principal strain and strain rate associated with concussion diagnosis correlates with changes in corpus callosum white matter indices. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov’t Research Support, U.S. Gov’t, P.H.S.]. Annals of Biomedical Engineering, 40(1), 127–140. doi:10.1007/s10439-011-0402-6.PubMedCrossRef McAllister, T. W., Ford, J. C., Ji, S., Beckwith, J. G., Flashman, L. A., Paulsen, K., et al. (2012). Maximum principal strain and strain rate associated with concussion diagnosis correlates with changes in corpus callosum white matter indices. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov’t Research Support, U.S. Gov’t, P.H.S.]. Annals of Biomedical Engineering, 40(1), 127–140. doi:10.​1007/​s10439-011-0402-6.PubMedCrossRef
go back to reference McCarthy, M. M., Voos, J. E., Nguyen, J. T., Callahan, L., & Hannafin, J. A. (2013). Injury profile in elite female basketball athletes at the Women’s National Basketball Association combine. The American Journal of Sports Medicine, 41(3), 645–651. doi:10.1177/0363546512474223.PubMedCrossRef McCarthy, M. M., Voos, J. E., Nguyen, J. T., Callahan, L., & Hannafin, J. A. (2013). Injury profile in elite female basketball athletes at the Women’s National Basketball Association combine. The American Journal of Sports Medicine, 41(3), 645–651. doi:10.​1177/​0363546512474223​.PubMedCrossRef
go back to reference McCrea, M., Guskiewicz, K., Randolph, C., Barr, W. B., Hammeke, T. A., Marshall, S. W., et al. (2009). Effects of a symptom-free waiting period on clinical outcome and risk of reinjury after sport-related concussion. Neurosurgery, 65(5), 876–882. doi:10.1227/01.NEU.0000350155.89800.00. discussion 882–873.PubMedCrossRef McCrea, M., Guskiewicz, K., Randolph, C., Barr, W. B., Hammeke, T. A., Marshall, S. W., et al. (2009). Effects of a symptom-free waiting period on clinical outcome and risk of reinjury after sport-related concussion. Neurosurgery, 65(5), 876–882. doi:10.​1227/​01.​NEU.​0000350155.​89800.​00. discussion 882–873.PubMedCrossRef
go back to reference McCrea, M., Guskiewicz, K., Randolph, C., Barr, W. B., Hammeke, T. A., Marshall, S. W., et al. (2013). Incidence, clinical course, and predictors of prolonged recovery time following sport-related concussion in high school and college athletes. Journal of the International Neuropsychological Society, 19(1), 22–33. doi:10.1017/S1355617712000872.PubMedCrossRef McCrea, M., Guskiewicz, K., Randolph, C., Barr, W. B., Hammeke, T. A., Marshall, S. W., et al. (2013). Incidence, clinical course, and predictors of prolonged recovery time following sport-related concussion in high school and college athletes. Journal of the International Neuropsychological Society, 19(1), 22–33. doi:10.​1017/​S135561771200087​2.PubMedCrossRef
go back to reference McCrory, P., Meeuwisse, W. H., Aubry, M., Cantu, B., Dvorak, J., Echemendia, R. J., et al. (2013). Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012. [Consensus Development Conference]. British Journal of Sports Medicine, 47(5), 250–258. doi:10.1136/bjsports-2013-092313.PubMedCrossRef McCrory, P., Meeuwisse, W. H., Aubry, M., Cantu, B., Dvorak, J., Echemendia, R. J., et al. (2013). Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012. [Consensus Development Conference]. British Journal of Sports Medicine, 47(5), 250–258. doi:10.​1136/​bjsports-2013-092313.PubMedCrossRef
go back to reference McKee, A. C., Stern, R. A., Nowinski, C. J., Stein, T. D., Alvarez, V. E., Daneshvar, D. H., et al. (2013). The spectrum of disease in chronic traumatic encephalopathy. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S.]. Brain: A Journal of Neurology, 136(Pt 1), 43–64. doi:10.1093/brain/aws307.CrossRef McKee, A. C., Stern, R. A., Nowinski, C. J., Stein, T. D., Alvarez, V. E., Daneshvar, D. H., et al. (2013). The spectrum of disease in chronic traumatic encephalopathy. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S.]. Brain: A Journal of Neurology, 136(Pt 1), 43–64. doi:10.​1093/​brain/​aws307.CrossRef
go back to reference Mills, B. J. (2001). Football helmets and products liability. Sports Law Journal, 8, 153–180. Mills, B. J. (2001). Football helmets and products liability. Sports Law Journal, 8, 153–180.
go back to reference Moeller, J. J., Tu, B., & Bazil, C. W. (2011). Quantitative and qualitative analysis of ambulatory electroencephalography during mild traumatic brain injury. [Case Reports Comparative Study]. Archives of Neurology, 68(12), 1595–1598. doi:10.1001/archneurol.2011.1080.PubMedCrossRef Moeller, J. J., Tu, B., & Bazil, C. W. (2011). Quantitative and qualitative analysis of ambulatory electroencephalography during mild traumatic brain injury. [Case Reports Comparative Study]. Archives of Neurology, 68(12), 1595–1598. doi:10.​1001/​archneurol.​2011.​1080.PubMedCrossRef
go back to reference Neselius, S., Zetterberg, H., Blennow, K., Randall, J., Wilson, D., Marcusson, J., et al. (2013). Olympic boxing is associated with elevated levels of the neuronal protein tau in plasma. [Research Support, Non-U.S. Gov’t]. Brain Injury: [BI], 27(4), 425–433. doi:10.3109/02699052.2012.750752.CrossRef Neselius, S., Zetterberg, H., Blennow, K., Randall, J., Wilson, D., Marcusson, J., et al. (2013). Olympic boxing is associated with elevated levels of the neuronal protein tau in plasma. [Research Support, Non-U.S. Gov’t]. Brain Injury: [BI], 27(4), 425–433. doi:10.​3109/​02699052.​2012.​750752.CrossRef
go back to reference Nilsson, M., Hagglund, M., Ekstrand, J., & Walden, M. (2013). Head and neck injuries in professional soccer. [Research Support, Non-U.S. Gov’t]. Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine, 23(4), 255–260. doi:10.1097/JSM.0b013e31827ee6f8.CrossRef Nilsson, M., Hagglund, M., Ekstrand, J., & Walden, M. (2013). Head and neck injuries in professional soccer. [Research Support, Non-U.S. Gov’t]. Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine, 23(4), 255–260. doi:10.​1097/​JSM.​0b013e31827ee6f8​.CrossRef
go back to reference Ruhe, A., Gansslen, A., & Klein, W. (2013). The incidence of concussion in professional and collegiate ice hockey: are we making progress? A systematic review of the literature. British Journal of Sports Medicine. doi:10.1136/bjsports-2012-091609.PubMed Ruhe, A., Gansslen, A., & Klein, W. (2013). The incidence of concussion in professional and collegiate ice hockey: are we making progress? A systematic review of the literature. British Journal of Sports Medicine. doi:10.​1136/​bjsports-2012-091609.PubMed
go back to reference Schofield, P. W., Tang, M., Marder, K., Bell, K., Dooneief, G., Chun, M., et al. (1997). Alzheimer’s disease after remote head injury: an incidence study. Journal of Neurology, Neurosurgery, and Psychiatry, 62(2), 119–124.PubMedCrossRefPubMedCentral Schofield, P. W., Tang, M., Marder, K., Bell, K., Dooneief, G., Chun, M., et al. (1997). Alzheimer’s disease after remote head injury: an incidence study. Journal of Neurology, Neurosurgery, and Psychiatry, 62(2), 119–124.PubMedCrossRefPubMedCentral
go back to reference Schulz, M. R., Marshall, S. W., Mueller, F. O., Yang, J., Weaver, N. L., Kalsbeek, W. D., et al. (2004). Incidence and risk factors for concussion in high school athletes, North Carolina, 1996–1999. [Research Support, Non-U.S. Gov’t Research Support, U.S. Gov’t, P.H.S.]. American Journal of Epidemiology, 160(10), 937–944. doi:10.1093/aje/kwh304.PubMedCrossRef Schulz, M. R., Marshall, S. W., Mueller, F. O., Yang, J., Weaver, N. L., Kalsbeek, W. D., et al. (2004). Incidence and risk factors for concussion in high school athletes, North Carolina, 1996–1999. [Research Support, Non-U.S. Gov’t Research Support, U.S. Gov’t, P.H.S.]. American Journal of Epidemiology, 160(10), 937–944. doi:10.​1093/​aje/​kwh304.PubMedCrossRef
go back to reference Shams, T., Brickman, A. M., Gossett, J., Levine, W., & Noble, J. M. (2013). Subtle Post-Concussion Cognitive Impairment Is Under-Recognized, and yet Identifiable: Findings from the Concussion in Columbia University Sports Student (ConCUSS) Study [ABSTRACT]. LA: New Orleans. Paper presented at the American Neurological Association. Shams, T., Brickman, A. M., Gossett, J., Levine, W., & Noble, J. M. (2013). Subtle Post-Concussion Cognitive Impairment Is Under-Recognized, and yet Identifiable: Findings from the Concussion in Columbia University Sports Student (ConCUSS) Study [ABSTRACT]. LA: New Orleans. Paper presented at the American Neurological Association.
go back to reference Shenouda, C., Hendrickson, P., Davenport, K., Barber, J., & Bell, K. R. (2012). The effects of concussion legislation one year later–what have we learned: a descriptive pilot survey of youth soccer player associates. [Comparative Study Research Support, U.S. Gov’t, Non-P.H.S.]. PM R, 4(6), 427–435. doi:10.1016/j.pmrj.2012.02.016.PubMedCrossRef Shenouda, C., Hendrickson, P., Davenport, K., Barber, J., & Bell, K. R. (2012). The effects of concussion legislation one year later–what have we learned: a descriptive pilot survey of youth soccer player associates. [Comparative Study Research Support, U.S. Gov’t, Non-P.H.S.]. PM R, 4(6), 427–435. doi:10.​1016/​j.​pmrj.​2012.​02.​016.PubMedCrossRef
go back to reference Shenton, M. E., Hamoda, H. M., Schneiderman, J. S., Bouix, S., Pasternak, O., Rathi, Y., et al. (2012). A review of magnetic resonance imaging and diffusion tensor imaging findings in mild traumatic brain injury. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Review]. Brain Imaging and Behavior, 6(2), 137–192. doi:10.1007/s11682-012-9156-5.PubMedCrossRefPubMedCentral Shenton, M. E., Hamoda, H. M., Schneiderman, J. S., Bouix, S., Pasternak, O., Rathi, Y., et al. (2012). A review of magnetic resonance imaging and diffusion tensor imaging findings in mild traumatic brain injury. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Review]. Brain Imaging and Behavior, 6(2), 137–192. doi:10.​1007/​s11682-012-9156-5.PubMedCrossRefPubMedCentral
go back to reference Stone, J., Carson, A., Aditya, H., Prescott, R., Zaubi, M., Warlow, C., et al. (2009). The role of physical injury in motor and sensory conversion symptoms: a systematic and narrative review. [Research Support, Non-U.S. Gov’t Review]. Journal of Psychosomatic Research, 66(5), 383–390. doi:10.1016/j.jpsychores.2008.07.010.PubMedCrossRef Stone, J., Carson, A., Aditya, H., Prescott, R., Zaubi, M., Warlow, C., et al. (2009). The role of physical injury in motor and sensory conversion symptoms: a systematic and narrative review. [Research Support, Non-U.S. Gov’t Review]. Journal of Psychosomatic Research, 66(5), 383–390. doi:10.​1016/​j.​jpsychores.​2008.​07.​010.PubMedCrossRef
go back to reference Talavage, T. M., Nauman, E. A., Breedlove, E. L., Yoruk, U., Dye, A. E., Morigaki, K. E., et al. (2013). Functionally-detected cognitive impairment in high school football players without clinically-diagnosed concussion. Journal of Neurotrauma. doi:10.1089/neu.2010.1512.PubMed Talavage, T. M., Nauman, E. A., Breedlove, E. L., Yoruk, U., Dye, A. E., Morigaki, K. E., et al. (2013). Functionally-detected cognitive impairment in high school football players without clinically-diagnosed concussion. Journal of Neurotrauma. doi:10.​1089/​neu.​2010.​1512.PubMed
go back to reference Thurman, D. J., Branche, C. M., & Sniezek, J. E. (1998). The epidemiology of sports-related traumatic brain injuries in the United States: recent developments. The Journal of Head Trauma Rehabilitation, 13(2), 1–8.PubMedCrossRef Thurman, D. J., Branche, C. M., & Sniezek, J. E. (1998). The epidemiology of sports-related traumatic brain injuries in the United States: recent developments. The Journal of Head Trauma Rehabilitation, 13(2), 1–8.PubMedCrossRef
go back to reference Torg, J. S., Vegso, J. J., Sennett, B., & Das, M. (1985). The National Football Head and Neck Injury Registry. 14-year report on cervical quadriplegia, 1971 through 1984. JAMA, 254(24), 3439–3443.PubMedCrossRef Torg, J. S., Vegso, J. J., Sennett, B., & Das, M. (1985). The National Football Head and Neck Injury Registry. 14-year report on cervical quadriplegia, 1971 through 1984. JAMA, 254(24), 3439–3443.PubMedCrossRef
go back to reference Valovich McLeod, T. C., Bay, R. C., Heil, J., & McVeigh, S. D. (2008). Identification of sport and recreational activity concussion history through the preparticipation screening and a symptom survey in young athletes. Clinical Journal of Sport Medicine, 18(3), 235–240. doi:10.1097/JSM.0b013e3181705756.PubMedCrossRef Valovich McLeod, T. C., Bay, R. C., Heil, J., & McVeigh, S. D. (2008). Identification of sport and recreational activity concussion history through the preparticipation screening and a symptom survey in young athletes. Clinical Journal of Sport Medicine, 18(3), 235–240. doi:10.​1097/​JSM.​0b013e3181705756​.PubMedCrossRef
go back to reference Vanderploeg, R. D., Belanger, H. G., & Curtiss, G. (2009). Mild traumatic brain injury and posttraumatic stress disorder and their associations with health symptoms. [Research Support, U.S. Gov’t, Non-P.H.S.]. Archives of Physical Medicine and Rehabilitation, 90(7), 1084–1093. doi:10.1016/j.apmr.2009.01.023.PubMedCrossRef Vanderploeg, R. D., Belanger, H. G., & Curtiss, G. (2009). Mild traumatic brain injury and posttraumatic stress disorder and their associations with health symptoms. [Research Support, U.S. Gov’t, Non-P.H.S.]. Archives of Physical Medicine and Rehabilitation, 90(7), 1084–1093. doi:10.​1016/​j.​apmr.​2009.​01.​023.PubMedCrossRef
go back to reference Wennberg, R. A., & Tator, C. H. (2008). Concussion incidence and time lost from play in the NHL during the past ten years. The Canadian Journal of Neurological Sciences. Le Journal Canadien des Sciences Neurologiques, 35(5), 647–651.PubMed Wennberg, R. A., & Tator, C. H. (2008). Concussion incidence and time lost from play in the NHL during the past ten years. The Canadian Journal of Neurological Sciences. Le Journal Canadien des Sciences Neurologiques, 35(5), 647–651.PubMed
go back to reference Zhang, L., Yang, K. H., & King, A. I. (2004). A proposed injury threshold for mild traumatic brain injury. [Comparative Study Evaluation Studies Research Support, Non-U.S. Gov’t Research Support, U.S. Gov’t, P.H.S. Validation Studies]. Journal of Biomechanical Engineering, 126(2), 226–236.PubMedCrossRef Zhang, L., Yang, K. H., & King, A. I. (2004). A proposed injury threshold for mild traumatic brain injury. [Comparative Study Evaluation Studies Research Support, Non-U.S. Gov’t Research Support, U.S. Gov’t, P.H.S. Validation Studies]. Journal of Biomechanical Engineering, 126(2), 226–236.PubMedCrossRef
Metadata
Title
Sport-Related Concussions: A Review of Epidemiology, Challenges in Diagnosis, and Potential Risk Factors
Authors
James M. Noble
Dale C. Hesdorffer
Publication date
01-12-2013
Publisher
Springer US
Published in
Neuropsychology Review / Issue 4/2013
Print ISSN: 1040-7308
Electronic ISSN: 1573-6660
DOI
https://doi.org/10.1007/s11065-013-9239-0

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