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Perceptual-Motor Efficiency and Concussion History Are Prospectively Associated With Injury Occurrences Among High School and Collegiate American Football Players.
- Source :
- Orthopaedic Journal of Sports Medicine; 2021, Vol. 9 Issue 10, p1-9, 9p
- Publication Year :
- 2021
-
Abstract
- Background: After a sport-related concussion (SRC), the risk for lower extremity injury is approximately 2 times greater, and the risk for another SRC may be as much as 3 to 5 times greater. Purpose: To assess the predictive validity of screening methods for identification of individual athletes who possess an elevated risk of SRC. Study Design: Case-control study; Level of evidence, 3. Methods: Metrics derived from a smartphone flanker test software application and self-ratings of both musculoskeletal function and overall wellness were acquired from American high school and college football players before study participation. Occurrences of core or lower extremity injury (CLEI) and SRC were documented for all practice sessions and games for 1 season. Receiver operating characteristic and logistic regression analyses were used to identify variables that provided the greatest predictive accuracy for CLEI or SRC occurrence. Results: Overall, there were 87 high school and 74 American college football players included in this study. At least 1 CLEI was sustained by 45% (39/87) of high school players and 55% (41/74) of college players. Predictors of CLEI included the flanker test conflict effect ≥69 milliseconds (odds ratio [OR], 2.12; 90% CI, 1.24-3.62) and a self-reported lifetime history of SRC (OR, 1.70; 90% CI, 0.90-3.23). Of players with neither risk factor, only 38% (29/77) sustained CLEI compared with 61% (51/84) of players with 1 or both of the risk factors (OR, 2.56; 90% CI, 1.50-4.36). SRC was sustained by 7 high school players and 3 college players. Predictors of SRC included the Overall Wellness Index score ≤78 (OR, 9.83; 90% CI, 3.17-30.50), number of postconcussion symptoms ≥4 (OR, 8.35; 90% CI, 2.71-25.72), the Sport Fitness Index score ≤78 (OR, 5.16; 90% CI, 1.70-15.65), history of SRC (OR, 4.03; 90% CI, 1.35-12.03), and the flanker test inverse efficiency ratio ≥1.7 (OR, 3.19; 90% CI, 1.08-9.47). Conclusion: Survey responses and smartphone flanker test metrics predicted greater injury incidence among individual football players classified as high-risk compared with that for players with a low-risk profile. [ABSTRACT FROM AUTHOR]
- Subjects :
- CONFIDENCE intervals
FOOTBALL injuries
MEDICAL examinations of athletes
SELF-evaluation
CASE-control method
MANN Whitney U Test
RISK assessment
POSTCONCUSSION syndrome
BRAIN concussion
RESEARCH funding
DESCRIPTIVE statistics
PREDICTION models
RECEIVER operating characteristic curves
LOGISTIC regression analysis
ODDS ratio
DATA analysis software
MOTOR ability
LEG injuries
DISEASE risk factors
DISEASE complications
SYMPTOMS
Subjects
Details
- Language :
- English
- ISSN :
- 23259671
- Volume :
- 9
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Orthopaedic Journal of Sports Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 153370574
- Full Text :
- https://doi.org/10.1177/23259671211051722