Evidence map›Paper›PMID 38656160›Full record

ArticleThe American journal of sports medicine2024

Mechanisms of Injury Leading to Concussions in Collegiate Soccer Players: A CARE Consortium Study.

Jacob Jo, Adrian J Boltz, Kristen L Williams, Paul F Pasquina, Thomas W McAllister, Michael A McCrea, Steven P Broglio, Scott L Zuckerman, Douglas P Terry, CARE Consortium Investigators and 28 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The American journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

38 authors.

Jacob JoDepartment of Neurological Surgery, Vanderbilt Sports Concussion Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Vanderbilt University School of Medicine, Nashville, Tennessee, USA.ORCID 0000-0002-0424-3507
Adrian J BoltzMichigan Concussion Center, University of Michigan, Ann Arbor, Michigan, USA.
Kristen L WilliamsDepartment of Neurological Surgery, Vanderbilt Sports Concussion Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Paul F PasquinaDepartment of Physical Medicine and Rehabilitation at the Uniformed Services University of the Health Sciences in Bethesda, Maryland, USA.
Thomas W McAllisterDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Michael A McCreaDepartment of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA; Department of Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Steven P BroglioMichigan Concussion Center, University of Michigan, Ann Arbor, Michigan, USA.
Scott L ZuckermanDepartment of Neurological Surgery, Vanderbilt Sports Concussion Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Douglas P TerryDepartment of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Vanderbilt University Medical Center, Nashville, Tennessee, USA.
CARE Consortium InvestigatorsInvestigation performed at the Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Kristy ArbogastUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Holly J BenjaminUniversity of Chicago, Chicago, Illinois, USA.
Alison BrooksUniversity of Wisconsin-Madison, Madison, Wisconsin, USA.
Kenneth L CameronUnited States Military Academy, West Point, New York, USA).
Sara P D ChrismanUniversity of Washington, Seattle, Washington, USA).
James R ClugstonUniversity of Florida, Gainesville, Florida, USA.
Micky CollinsUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
John DiFioriHospital for Special Surgery, New York, New York, USA).
James T EcknerUniversity of Michigan, Michigan, USA).
Carlos EstevezUnited States Coast Guard Academy, New London, Connecticut, USA.
Luis A FeigenbaumUniversity of Miami, Coral Gables, Florida, USA.
Joshua T GoldmanUniversity of California, Los Angeles, Los Angeles, California, USA.
April HoyAzusa Pacific University, Azusa, California, USA.
Thomas W KaminskiUniversity of Delaware, Newark, Delaware, USA.
Louise A KellyCalifornia Lutheran University, Thousand Oaks, California, USA.
Anthony P KontosUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Dianne LangfordTemple University, Philadelphia, Pennsylvania, USA.
Laura J LintnerWake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Christina L MasterUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Jane McDevittTemple University, Philadelphia, Pennsylvania, USA.
Gerald McGintyUnited States Air Force Academy, El Paso, Colorado, USA.
Chris MilesWake Forest University, Winston-Salem, North Carolina, USA.
Justus OrtegaCalifornia State Polytechnic University, Pomona, California, USA.
Nicholas PortIndiana University, Bloomington, Indiana, USA.
Steve RowsonVirginia Tech, Blacksburg, Virginia, USA.
Julianne SchmidtUniversity of Georgia, Athens, Georgia, USA).
Adam SusmarskiUnited States Naval Academy, Annapolis, Maryland, USA).
Steven SvobodaMedStar Health, Columbia, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew previous studies have investigated how different injury mechanisms leading to sport-related concussion (SRC) in soccer may affect outcomes. PURPOSE: To describe injury mechanisms and evaluate injury mechanisms as predictors of symptom severity, return to play (RTP) initiation, and unrestricted RTP (URTP) in a cohort of collegiate soccer players. STUDY

designCohort study; Level of evidence, 2.

methodsThe Concussion Assessment, Research and Education (CARE) Consortium database was used. The mechanism of injury was categorized into head-to-ball, head-to-head, head-to-body, and head-to-ground/equipment. Baseline/acute injury characteristics-including Sports Concussion Assessment Tool-3 total symptom severity (TSS), loss of consciousness (LOC), and altered mental status (AMS); descriptive data; and recovery (RTP and URTP)-were compared. Multivariable regression and Weibull models were used to assess the predictive value of the mechanism of injury on TSS and RTP/URTP, respectively.

resultsAmong 391 soccer SRCs, 32.7% were attributed to a head-to-ball mechanism, 27.9% to a head-to-body mechanism, 21.7% to a head-to-head mechanism, and 17.6% to a head-to-ground/equipment mechanism. Event type was significantly associated with injury mechanism [χ

conclusionThe mechanism of injury differed by event type and primary position, and LOC and AMS were different across mechanisms. Even though the mechanism of injury was not a significant predictor of acute symptom burden or time until RTP initiation, those with head-to-equipment/ground injuries spent the shortest time until URTP, and those with head-to-ball injuries had the longest time until URTP.

Indexed as

Athletic InjuriesBrain ConcussionReturn to SportSoccerAdolescentCohort StudiesFemaleHumansMaleUniversitiesYoung Adultoutcomereturn to playsoccersport-related concussion

Identifiers

PMID38656160
PMCPMC11823273

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.