Where is the research on sport-related concussion in Olympic athletes? A descriptive report and assessment of the impact of access to multidisciplinary care on recovery.

IF 11.6 1区 医学 Q1 SPORT SCIENCES British Journal of Sports Medicine Pub Date : 2024-09-04 DOI:10.1136/bjsports-2024-108211
Thomas Romeas, Félix Croteau, Suzanne Leclerc
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Abstract

Objectives: This cohort study reported descriptive statistics in athletes engaged in Summer and Winter Olympic sports who sustained a sport-related concussion (SRC) and assessed the impact of access to multidisciplinary care and injury modifiers on recovery.

Methods: 133 athletes formed two subgroups treated in a Canadian sport institute medical clinic: earlier (≤7 days) and late (≥8 days) access. Descriptive sample characteristics were reported and unrestricted return to sport (RTS) was evaluated based on access groups as well as injury modifiers. Correlations were assessed between time to RTS, history of concussions, the number of specialist consults and initial symptoms.

Results: 160 SRC (median age 19.1 years; female=86 (54%); male=74 (46%)) were observed with a median (IQR) RTS duration of 34.0 (21.0-63.0) days. Median days to care access was different in the early (1; nSRC=77) and late (20; nSRC=83) groups, resulting in median (IQR) RTS duration of 26.0 (17.0-38.5) and 45.0 (27.5-84.5) days, respectively (p<0.001). Initial symptoms displayed a meaningful correlation with prognosis in this study (p<0.05), and female athletes (52 days (95% CI 42 to 101)) had longer recovery trajectories than male athletes (39 days (95% CI 31 to 65)) in the late access group (p<0.05).

Conclusions: Olympic athletes in this cohort experienced an RTS time frame of about a month, partly due to limited access to multidisciplinary care and resources. Earlier access to care shortened the RTS delay. Greater initial symptoms and female sex in the late access group were meaningful modifiers of a longer RTS.

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关于奥林匹克运动员运动相关脑震荡的研究在哪里?一份描述性报告,并评估获得多学科治疗对康复的影响。
研究目的方法:133 名运动员组成两个亚组,分别在加拿大体育学院医疗诊所接受治疗:早期(≤7 天)和晚期(≥8 天)。报告了样本的描述性特征,并根据就诊组别和损伤改变因素对无限制恢复运动(RTS)进行了评估。对恢复运动时间、脑震荡病史、专家会诊次数和初始症状之间的相关性进行了评估:共观察到 160 名 SRC(中位年龄 19.1 岁;女性=86(54%);男性=74(46%)),RTS 持续时间中位数(IQR)为 34.0(21.0-63.0)天。早期组(1;nSRC=77)和晚期组(20;nSRC=83)获得护理的中位天数不同,RTS持续时间的中位数(IQR)分别为26.0(17.0-38.5)天和45.0(27.5-84.5)天(P结论:该队列中的奥林匹克运动员的 RTS 持续时间约为一个月,部分原因是获得多学科治疗和资源的机会有限。较早获得治疗缩短了 RTS 的延迟时间。在较晚获得治疗的人群中,初始症状较重和女性是导致RTS时间延长的重要因素。
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来源期刊
CiteScore
27.10
自引率
4.90%
发文量
217
审稿时长
3-8 weeks
期刊介绍: The British Journal of Sports Medicine (BJSM) is a dynamic platform that presents groundbreaking research, thought-provoking reviews, and meaningful discussions on sport and exercise medicine. Our focus encompasses various clinically-relevant aspects such as physiotherapy, physical therapy, and rehabilitation. With an aim to foster innovation, education, and knowledge translation, we strive to bridge the gap between research and practical implementation in the field. Our multi-media approach, including web, print, video, and audio resources, along with our active presence on social media, connects a global community of healthcare professionals dedicated to treating active individuals.
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