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Affiliation
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Sport Injury Prevention Research Centre, Sport Medicine Centre, University of Calgary, Calgary, Alberta, Canada. |
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Abstract
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Study Design Cross-sectional.
OBJECTIVE To examine differences in concussion history and attention or learning disorders reported by elite youth ice hockey players using a questionnaire that allows parental input compared to a clinic-based test battery that does not. Background A history of previous concussion and the presence of attention or learning disorders can affect concussion management decisions; however, youth athletes may not accurately report their medical history because they do not know or recall important details.
METHODS The sample included 714 (601 male, 113 female) Bantam (ages 12-14) and Midget (ages 15-17) ice hockey players from the most elite divisions of play (AA, AAA). Players completed a take-home preseason questionnaire (PSQ) with the input of a parent/guardian, then independently completed a baseline Immediate Post-Concussion Assessment and Cognitive Test (ImPACT) at the beginning of the 2011-2012 hockey season.
RESULTS In 21.1% (95% CI: 18.1, 24.1) of cases there was disagreement between PSQ and ImPACT in the number of previous concussions reported. For those reporting an attention disorder on the PSQ, 85.7% also reported it on ImPACT. Only 9.5% of those who reported a learning disorder on the PSQ also reported it on ImPACT.
CONCLUSION For 1 in 5 players, reported concussion history differed between PSQ and ImPACT, and there was substantial disagreement between instruments for those reporting learning disorders. The method of obtaining medical history may therefore affect baseline and post-concussion evaluations. J Orthop Sports Phys Ther, Epub 27 March 2014. doi:10.2519/jospt.2014.5053.
Language: en |