ReviewOrthopaedic journal of sports medicine2022
Lower Extremity Injury After Return to Sports From Concussion: A Systematic Review.
Review in Orthopaedic journal of sports medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sport-related Concussion Can be Prevented by Injury Prevention Program: A Systematic Review and Meta-analysis of Prospective, Controlled Studies.Sports medicine - open · 2025Pooled it
- Smartphone-Based Interpretable Machine Learning for Classifying Single-Leg Squat Performance Using Trunk, Pelvic, and Knee Kinematics: Cross-Sectional Study.JMIR mHealth and uHealth · 2026Article
- Functional movement screen and asymmetries in female volleyball players across playing positions.Scientific reports · 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
- The Influence of Kinesiophobia on Time to Clinical Recovery in Collegiate Athletes with Concussion.Sports medicine (Auckland, N.Z.) · 2025Article
- Increased Musculoskeletal Injury Risk Without Impact on Statistical In-Game Performance Within 90 Days From Concussion Among Professional Basketball Athletes.Orthopaedic journal of sports medicine · 2025Article
- Circus-specific extension of the 6th International Consensus Statement on Concussion in Sport.BMJ open sport & exercise medicine · 2025Article
- Cervical spine proprioception and vestibular/oculomotor function: An observational study comparing young adults with and without a concussion history.Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2024Observational
- Injury Incidence, Outcomes, and Return to Competition Times after Sports-Related Concussions during One Professional Ice Hockey Season: A Prospective Cohort Study.Healthcare (Basel, Switzerland) · 2023Article
- Risk of Upper Extremity Musculoskeletal Injury Within the First Year After a Concussion.Orthopaedic journal of sports medicine · 2023Article
- Mild Quadriceps and Hamstring Strength Deficits Do Not Persist After Sport-Related Concussion.Sports healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent studies have suggested increased rates of lower extremity (LE) musculoskeletal injury after a diagnosed concussion, although significant heterogeneity exists. PURPOSE: To examine the current body of research and determine whether there is an increased risk for LE musculoskeletal injury after a concussion and to identify populations at an increased risk. STUDY
designSystematic review; Level of evidence, 3.
methodsA systematic review of current literature using MEDLINE and PubMed databases was performed. Keywords included
resultsA total of 13 studies involving 4349 athletes (88.1% male and 11.9% female; mean age, 19.8 years) met inclusion criteria. Athletes were classified as high school (46.1%), collegiate (17.0%), or professional (36.9%). Of the 13 studies, 4 demonstrated an increased risk of LE injury within 90 days of a diagnosed concussion (odds ratio [OR], 3.44; 95% CI, 2.99-4.42), and 6 revealed an elevated risk of injury within 1 year of concussion (OR, 1.85; 95% CI, 1.73-2.84). Increased risk was seen in professional (OR, 2.49; 95% CI, 2.40-2.72) and collegiate (OR, 2.00; 95% CI, 1.96-2.16) athletes compared with high school athletes (OR, 0.97; 95% CI, 0.89-1.05). A stepwise increase in risk of sustaining an LE injury was observed with multiple concussions, with increasing risk observed from ≥2 (OR, 2.29; 95% CI, 1.85-2.83) to ≥3 (OR, 2.86; 95% CI, 2.36-3.48) career concussions.
conclusionAn increased incidence of LE injuries was observed at 90 days and 1 year after the diagnosis of a concussion. Higher levels of competition, such as at the collegiate and professional levels, resulted in an increased risk of sustaining a subsequent LE injury after a diagnosed concussion. These results suggest an at-risk population who may benefit from injury prevention methods after a concussion. Future studies should focus on identifying which injuries are most common, during what time period athletes are most vulnerable, and methods to prevent injury after return to sports.
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