Observational studyJournal of athletic training2017
Lower Extremity Musculoskeletal Injury Risk After Concussion Recovery in High School Athletes.
Observational study in Journal of athletic training, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Validity and Reliability of Methods to Assess Movement Deficiencies Following Concussion: A COSMIN Systematic Review.Sports medicine - open · 2023Pooled it
- A multimodal framework to assess differences in dynamic visual acuity between athletes with and without recent sport-related concussion.Experimental brain research · 2026Article
- Feasibility and Acceptability of Useful Field of View Cognitive Training in Adolescent Athletes: Pilot Pre-Post Study.JMIR formative research · 2026Article
- Modified Gait Support in Adults Three to Eighteen Months After Concussion.Sensors (Basel, Switzerland) · 2026Article
- The risk of all-cause injury and site-specific injury in athletes after concussion: a systematic review and meta-analysis.BMC sports science, medicine & rehabilitation · 2025Article
- A Machine Learning Model for Post-Concussion Musculoskeletal Injury Risk in Collegiate Athletes.Sports medicine (Auckland, N.Z.) · 2025Article
- Objective Turning Measures Improve Diagnostic Accuracy and Relate to Simulated Real-World Mobility/Combat Readiness in Chronic Mild Traumatic Brain Injury.Journal of neurotrauma · 2025Article
- The Impact of Concussions on Neuromuscular Control and Anterior Cruciate Ligament Injury Risk in Female Soccer Players: Mechanisms and Prevention-A Narrative Review.Journal of clinical medicine · 2025Review
- Clinical Measures Associated with Subsequent Injury after Adolescent Concussion: A Prospective Cohort Study.Medicine and science in sports and exercise · 2025Article
- A Machine Learning Model for Post-Concussion Musculoskeletal Injury Risk in Collegiate Athletes.medRxiv : the preprint server for health sciences · 2025Article
- Patterns of Change in Functional Connectivity and Motor Performance Are Different in Youth Recently Recovered from Concussion.Neurotrauma reports · 2025Article
- Individual and Combined Effects of Sport-Related Concussion and Anterior Cruciate Ligament Injury on Neurocognitive and Neuromechanical Reaction Time.Journal of athletic training · 2025Article
- Persistent adaptations in sensorimotor interneuron circuits in the motor cortex with a history of sport-related concussion.Experimental brain research · 2024Article
- Perceptual Response Training for Reduction of Injury Risk Among High School Girls' Soccer Players.Brain sciences · 2024Article
- Differential neural mechanisms for movement adaptations following neuromuscular training in young female athletes with a history of sports-related concussion.Neuroscience · 2024Article
- A treadmill running research protocol to assess dynamic visual acuity and balance for athletes with and without recent concussion history.BMC sports science, medicine & rehabilitation · 2024Article
- Impaired Neuromotor Control During Gait in Concussed Adolescents-A Frequency Analysis.Journal of applied biomechanics · 2024Article
- Initial investigation of kinesiophobia as a predictor of functional reaction time one year after concussion.Concussion (London, England) · 2024Article
- Publicly available data sources in sport-related concussion research: a caution for missing data.Injury epidemiology · 2024Article
- Integrative data analysis to identify persistent post-concussion deficits and subsequent musculoskeletal injury risk: project structure and methods.BMJ open sport & exercise medicine · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextAlthough an association between concussion and musculoskeletal injury has been described in collegiate and professional athletes, no researchers have investigated an association in younger athletes.
objectiveTo determine if concussion in high school athletes increased the risk for lower extremity musculoskeletal injury after return to activity.
designObservational cohort study.
settingOne hundred ninety-six high schools across 26 states. PATIENTS OR OTHER
participantsWe used data from the National Athletic Treatment, Injury and Outcomes Network surveillance system. Athletic trainers provided information about sport-related concussions and musculoskeletal injuries in athletes in 27 sports, along with missed activity time due to these injuries. MAIN OUTCOME MEASURE(S): Three general estimating equations were modeled to predict the odds of sustaining (1) any lower extremity injury, (2) a time-loss lower extremity injury, or (3) a non-time-loss lower extremity injury after concussion. Predictors were the total number of previous injuries, number of previous concussions, number of previous lower extremity injuries, number of previous upper extremity injuries, and sport contact classification.
resultsThe initial dataset contained data from 18 216 athletes (females = 39%, n = 6887) and 46 217 injuries. Lower extremity injuries accounted for most injuries (56.3%), and concussions for 4.3% of total injuries. For every previous concussion, the odds of sustaining a subsequent time-loss lower extremity injury increased 34% (odds ratio [OR] = 1.34; 95% confidence interval [CI] = 1.13, 1.60). The number of previous concussions had no effect on the odds of sustaining any subsequent lower extremity injury (OR = 0.97; 95% CI = 0.89, 1.05) or a non-time-loss injury (OR = 1.01; 95% CI = 0.92, 1.10).
conclusionsAmong high school athletes, concussion increased the odds of sustaining subsequent time-loss lower extremity injuries but not non-time-loss injuries. By definition, time-loss injuries may be considered more severe than non-time-loss injuries. The exact mechanism underlying the increased risk of lower extremity injury after concussion remains elusive and should be further explored in future research.
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