Evidence map›Paper›PMID 27544666›Full record

ArticleSports medicine (Auckland, N.Z.)2017

Concussion May Increase the Risk of Subsequent Lower Extremity Musculoskeletal Injury in Collegiate Athletes.

Daniel C Herman, Debi Jones, Ashley Harrison, Michael Moser, Susan Tillman, Kevin Farmer, Anthony Pass, James R Clugston, Jorge Hernandez, Terese L Chmielewski

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Sports medicine (Auckland, N.Z.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07006051 (The TCU Athlete Study), which is not on this map. Cited by 71 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07006051 active not recruitingnot on this mapstarted 2023, after this paper: background citation

The TCU Athlete Study

Typeobservational_patient_registrySponsorTexas Christian UniversityRan2023 to 2026Enrolled500ConditionsOrthopaedic Injuries, Concussion (Diagnosis)ArmsExposed group
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  19. [Head injuries: What the team physician needs to know].Orthopadie (Heidelberg, Germany) · 2024
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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Daniel C HermanDepartment of Orthopaedics and Rehabilitation, University of Florida, PO Box 112727, Gainesville, FL, 32611, USA. hermadc@ortho.ufl.edu.
Debi JonesUF Health Rehab Center, Orthopaedics and Sports Medicine Institute, Gainesville, FL, USA.
Ashley HarrisonProFormPT, Maitland, FL, USA.
Michael MoserDepartment of Orthopaedics and Rehabilitation, University of Florida, PO Box 112727, Gainesville, FL, 32611, USA.
Susan TillmanUF Health Rehab Center, Orthopaedics and Sports Medicine Institute, Gainesville, FL, USA.
Kevin FarmerDepartment of Orthopaedics and Rehabilitation, University of Florida, PO Box 112727, Gainesville, FL, 32611, USA.
Anthony PassUniversity of Texas Athletics, Austin, TX, USA.
James R ClugstonUniversity of Florida Athletic Association, University of Florida, Gainesville, FL, USA.
Jorge HernandezCollege of Veterinary Sciences, University of Florida, Gainesville, FL, USA.
Terese L ChmielewskiTRIA Orthopedic Center, Bloomington, MN, USA.

Funding

Rehabilitation Medicine Scientist Training (RMST) ProgramK12HD001097 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BONINGER, MICHAEL L. · 1995 to 2016
$14.1M
NICHD NIH HHS K12 HD001097
6 · The paper itself

Abstract

backgroundLaboratory-based studies on neuromuscular control after concussion and epidemiological studies suggest that concussion may increase the risk of subsequent musculoskeletal injury.

objectiveThe purpose of this study was to determine if athletes have an increased risk of lower extremity musculoskeletal injury after return to play from a concussion.

methodsInjury data were collected from 2006 to 2013 for men's football and for women's basketball, soccer and lacrosse at a National Collegiate Athletic Association Division I university. Ninety cases of in-season concussion in 73 athletes (52 male, 21 female) with return to play at least 30 days prior to the end of the season were identified. A period of up to 90 days of in-season competition following return to play was reviewed for time-loss injury. The same period was studied in up to two control athletes who had no concussion within the prior year and were matched for sport, starting status and position.

resultsLower extremity musculoskeletal injuries occurred at a higher rate in the concussed athletes (45/90 or 50 %) than in the non-concussed athletes (30/148 or 20 %; P < 0.01). The odds of sustaining a musculoskeletal injury were 3.39 times higher in the concussed athletes (95 % confidence interval 1.90-6.05; P < 0.01). Overall, the number of days lost because of injury was similar between concussed and non-concussed athletes (median 9 versus 15; P = 0.41).

conclusionsThe results of this study demonstrate a relationship between concussion and an increased risk of lower extremity musculoskeletal injury after return to play, and may have implications for current medical practice standards regarding evaluation and management of concussion injuries.

Indexed as

AdultAthletesAthletic InjuriesBasketballBrain ConcussionFemaleFootballHumansIncidenceLower ExtremityMaleSoccerStudentsUniversitiesYoung Adult

Identifiers

PMID27544666
PMCPMC5318296

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.