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  • Journal of Athletic Training/NATA  (4)
  • Van Pelt, Kathryn L.  (4)
  • 1
    Online Resource
    Online Resource
    Concussion-Recovery Trajectories Among Tactical Athletes: Results From the CARE Consortium
    Journal of Athletic Training/NATA ; 2020
    In:  Journal of Athletic Training Vol. 55, No. 7 ( 2020-07-01), p. 658-665
    Details
    In: Journal of Athletic Training, Journal of Athletic Training/NATA, Vol. 55, No. 7 ( 2020-07-01), p. 658-665
    Abstract: Assessments of the duration of concussion recovery have primarily been limited to sport-related concussions and male contact sports. Furthermore, whereas durations of symptoms and return-to-activity (RTA) protocols encompass total recovery, the trajectory of each duration has not been examined separately. Objective To identify individual (eg, demographics, medical history), initial concussion injury (eg, symptoms), and external (eg, site) factors associated with symptom duration and RTA-protocol duration after concussion. Design Cohort study. Setting Three US military service academies. Patients or Other Participants A total of 10 604 cadets at participating US military service academies enrolled in the study and completed a baseline evaluation and up to 5 postinjury evaluations. A total of 726 cadets (451 men, 275 women) sustained concussions during the study period. Main Outcome Measure(s) Number of days from injury (1) until the participant became asymptomatic and (2) to complete the RTA protocol. Results Varsity athlete cadets took less time than nonvarsity cadets to become asymptomatic (hazard ratio [HR] = 1.75, 95% confidence interval = 1.38, 2.23). Cadets who reported less symptom severity on the Sport Concussion Assessment Tool, third edition (SCAT3), within 48 hours of concussion had 1.45 to 3.77 times shorter symptom-recovery durations than those with more symptom severity. Similar to symptom duration, varsity status was associated with a shorter RTA-protocol duration (HR = 1.74, 95% confidence interval = 1.34, 2.25), and less symptom severity on the SCAT3 was associated with a shorter RTA-protocol duration (HR range = 1.31 to 1.47). The academy that the cadet attended was associated with the RTA-protocol duration (P & lt; .05). Conclusions The initial total number of symptoms reported and varsity athlete status were strongly associated with symptom and RTA-protocol durations. These findings suggested that external (varsity status and academy) and injury (symptom burden) factors influenced the time until RTA.
    Type of Medium: Online Resource
    ISSN: 1062-6050
    URL: Article
    URL: Article
    DOI: 10.4085/1062-6050-10-19
    DOI: 10.2308/accr-52507
    Language: English
    Publisher: Journal of Athletic Training/NATA
    Publication Date: 2020
    detail.hit.zdb_id: 2070051-9
    SSG: 31
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  • 2
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    Evaluating Performance of National Hockey League Players After a Concussion Versus Lower Body Injury
    Journal of Athletic Training/NATA ; 2019
    In:  Journal of Athletic Training Vol. 54, No. 5 ( 2019-05-01), p. 534-540
    Details
    In: Journal of Athletic Training, Journal of Athletic Training/NATA, Vol. 54, No. 5 ( 2019-05-01), p. 534-540
    Abstract: Concussions elicit changes in brain function that may extend well beyond clinical symptom recovery. Whether these changes produce meaningful deficits outside the laboratory environment is unclear. The results of player performance postconcussion within professional sports have been mixed. Objective To determine whether National Hockey League (NHL) players with concussions performed worse after returning to sport than players with lower body injuries or uninjured players. Design Cohort study. Setting Publicly available Web sites that compiled injury and player statistics of NHL players. Patients or Other Participants Male NHL players who missed games due to a concussion (n = 22), lower body injury (n = 21), or noninjury (ie, personal reason or season break; n = 13) during the 2013–2014 and 2014–2015 regular seasons. Data on concussed athletes were used to identify similar players with lower body injury and noninjury based on (1) position, (2) time loss, (3) time on the ice, and (4) team. Main Outcome Measure(s) The primary performance metric was a modified plus-minus statistic calculated by weighting the players' plus-minus metric by their team's simple rating system to account for varying team performances. Linear mixed models assessed the relationship between injury type (concussion, lower body, or noninjury) and performance (plus-minus score). Results We observed a quadratic effect for a time2 × group interaction (\upchi _2^2 = 8.85, P = .01). This interaction revealed that the concussion and lower body injury groups had similar patterns of an initial decrease (ie, 2 weeks after return to play), followed by an increase in performance compared with the uninjured group in weeks 5 and 6. Meanwhile, the uninjured group had an initial increase in performance. We observed no group × linear time interaction (P = .47) or overall group effect (P = .57). Conclusions The NHL players in the concussion and lower body injury groups displayed similar performance impairments. Both injured cohorts experienced an initial decrease in performance at weeks 1 to 2 after return to play, followed by improved performance at weeks 5 to 6 after return to play, suggesting that the performance implications of concussion may be short lived.
    Type of Medium: Online Resource
    ISSN: 1062-6050
    URL: Article
    DOI: 10.4085/1062-6050-218-18
    Language: English
    Publisher: Journal of Athletic Training/NATA
    Publication Date: 2019
    detail.hit.zdb_id: 2070051-9
    SSG: 31
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  • 3
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    Online Resource
    Evaluating Adult Decision-Making Modifiers in Support of Youth Contact-Sport Participation
    Journal of Athletic Training/NATA ; 2022
    In:  Journal of Athletic Training Vol. 57, No. 1 ( 2022-01-01), p. 44-50
    Details
    In: Journal of Athletic Training, Journal of Athletic Training/NATA, Vol. 57, No. 1 ( 2022-01-01), p. 44-50
    Abstract: Nearly 44 million youth participate in organized youth sports programs in the United States each year. However, approximately 25% of parents have considered removing their children from sports due to the fear of concussion. Objective To determine which adult decision-making modifiers (eg, gender, educational attainment, career type) influenced support for youth contact-sports participation. Design Cross-sectional study. Setting Midwestern university and medical center. Patients or Other Participants Convenience sample of staff and faculty (N = 5761; 73.9% female) from 2017 to 2018. Main Outcome Measure(s) Support for youth contact-sports participation using multivariate binary logistic regression to calculate odds ratios and 95% CIs. Results The sample was split between adults with children (AWCs; n = 3465, age = 45.39 ± 13.27 years, 76.72% female) and adults without children (AWOCs; n = 2296, age = 30.84 ± 9.01 years, 70.26% female). Among AWCs, those who obtained a bachelor's degree or higher were more likely to support contact-sports participation. Females were more inclined to allow all contact sports, specifically football (odds ratio [OR] = 2.22; 95% CI = 1.64, 3.01) and ice hockey (OR = 1.98; 95% CI = 1.42, 2.78). Overall, previous adult sport participation, increasing number of children, and child gender were significant modifying variables in greater support of youth contact-sports participation among AWCs (P & lt; .001). Among AWOCs, previous sport participation in football (OR = 3.27; 95% CI = 2.14, 4.87), ice hockey (OR = 4.26; 95% CI = 2.23, 8.17), or soccer (OR = 2.29; 95% CI = 1.48, 3.54) increased the likelihood of an adult supporting contact-sports participation. Lastly, all adults were less inclined to support a daughter participating in any contact sport than a son. Conclusions These results reveal adult- and child-specific variables that may influence youth contact-sports participation. These decisions may be developed through the lens of certain gender role beliefs and may lead adults to perceive certain sports as more appropriate for sons than daughters.
    Type of Medium: Online Resource
    ISSN: 1062-6050
    URL: Article
    DOI: 10.4085/1062-6050-0125.21
    Language: English
    Publisher: Journal of Athletic Training/NATA
    Publication Date: 2022
    detail.hit.zdb_id: 2070051-9
    SSG: 31
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  • 4
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    Concussion and National Hockey League Player Performance: An Advanced Hockey Metrics Analysis
    Journal of Athletic Training/NATA ; 2019
    In:  Journal of Athletic Training Vol. 54, No. 5 ( 2019-05-01), p. 527-533
    Details
    In: Journal of Athletic Training, Journal of Athletic Training/NATA, Vol. 54, No. 5 ( 2019-05-01), p. 527-533
    Abstract: Postconcussion deficits in neurocognitive performance and postural control may persist at the time of return to sport participation. How these deficits, if present, affect athletic performance is largely unknown, with prior studies showing mixed results. Objective To evaluate postconcussion National Hockey League player performance using advanced hockey metrics over short- (5 games), medium- (10 games), and long-term (remainder of the season) seasonal performance. Design Retrospective cohort study. Patients or Other Participants National Hockey League players who sustained a sport-related concussion (SRC; n = 93) and returned during the same season and players (n = 51) who missed time for non–injury-related reasons. Main Outcome Measure(s) Six performance metrics were used: (1) points per 60 minutes, (2) Corsi percentage, (3) personal Fenwick shooting percentage, (4) scoring chances per 60 minutes, (5) penalty difference, and (6) PDO (not an acronym but sometimes referred to as SVSP% [save percentage shooting percentage]). Performance was compared using 2 (group) × 2 (time) repeated-measures analyses of variance for 3 time windows: (1) ±5 games, (2) ±10 games, and (3) the remainder of the season postconcussion. Alpha values were set at a conservative .01 to account for the lack of independence among dependent variables. Results No significant interactions were present for any of the 6 dependent variables at any of the 3 time windows. Overall, none of the secondary variables differed. Conclusions Using advanced, sport-specific metrics, we found that National Hockey League players did not display worse seasonal performance during 3 postinjury time frames after they sustained an SRC. Whereas laboratory studies have identified lingering neurologic deficits after concussion, our results suggest that these deficits, if present, either do not translate to worse athletic performance or were not captured by these 44 metrics. Further, prospective efforts are needed to accurately quantify performance after SRC among professional hockey players.
    Type of Medium: Online Resource
    ISSN: 1062-6050
    URL: Article
    URL: Article
    DOI: 10.4085/1062-6050-200-18
    DOI: 10.4085/1062-6050-200-18.S1
    Language: English
    Publisher: Journal of Athletic Training/NATA
    Publication Date: 2019
    detail.hit.zdb_id: 2070051-9
    SSG: 31
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