Diagnosed concussion is associated with increased risk for upper extremity injury in community rugby players in males only.

IF 1.9 4区医学 Q2 ORTHOPEDICS Physician and Sportsmedicine Pub Date : 2024-12-23 DOI:10.1080/00913847.2024.2445500

Katherine J Hunzinger, Katelyn M Costantini, C Buz Swanik, Thomas A Buckley

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Abstract

Objectives: To cross-sectionally determine 1) the association between lifetime diagnosed concussion and upper extremity musculoskeletal injury (UE-MSI) amongst a novel cohort of community rugby union players and 2) the sex specific risk of UE-MSI given concussion history among these rugby players.

Methods: 1,037 (31.0% female, 31.6 + 11.3 years) rugby players completed an online survey to determine lifetime history of diagnosed concussion (yes; no) and UE-MSI (yes; no). A chi-squared test of association was performed between concussion and any UE-MSI; odds ratio risk was also determined. Analyses were repeated by sex (male; female) and with specific UE-MSI (e.g. sprains, broken bones, dislocations).

Results: There was a significant association between concussion and any UE-MSI for this cohort (χ(1) = 10.802, p = 0.001, OR = 1.70 [95%CI: 1.23-2.32]). There was a significant association between concussion and any UE-MSI among males for (χ(1) = 13.612, p < 0.001, OR = 2.20 [95%CI: 1.4-3.3]) but not among females (χ(1) = 0.735, p = 0.391, OR = 1.20 [95%CI: 0.8-2.0]).

Conclusions: Community rugby players with a history of diagnosed concussion are at 1.7× increased odds for history of any UE-MSI compared to rugby players who are concussion naïve; sex specific analyses revealed only increased risk among males. Sports medicine professionals and rugby stakeholders should view concussions as a risk factor and utilize established injury prevention programs to help reduce future UE-MSI in athletes.

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确诊脑震荡与社区橄榄球运动员上肢损伤风险增加有关，仅限男性。

目的：横断面确定：1)在一个新的社区橄榄球联盟球员队列中，终生诊断的脑震荡与上肢肌肉骨骼损伤（UE-MSI）之间的关系；2)在这些橄榄球运动员中，考虑到脑震荡史，UE-MSI的性别特异性风险。方法：1037名橄榄球运动员（31.0%为女性，31.6 + 11.3岁）完成了一项在线调查，以确定诊断为脑震荡的终生史(是的；否)和UE-MSI(是；没有)。对脑震荡与任何UE-MSI之间的关联进行卡方检验；比值比风险也被确定。按性别重复分析(男性；女性)和特定的umsi（如扭伤、骨折、脱臼）。结果：在该队列中，脑震荡与任何UE-MSI之间存在显著关联（χ(1) = 10.802, p = 0.001, OR = 1.70 [95%CI: 1.23-2.32]）。男性脑震荡与任何UE-MSI之间存在显著相关性（χ(1) = 13.612, p p = 0.391, OR = 1.20 [95%CI: 0.8-2.0]）。结论：与患有脑震荡的橄榄球运动员相比，有脑震荡病史的社区橄榄球运动员患任何UE-MSI的几率增加1.7倍naïve；性别分析显示，只有男性患病风险增加。运动医学专业人士和橄榄球利益相关者应该将脑震荡视为风险因素，并利用已建立的伤害预防计划来帮助减少运动员未来的UE-MSI。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physician and Sportsmedicine PRIMARY HEALTH CARE-ORTHOPEDICS

CiteScore

4.90

自引率

4.30%

发文量

审稿时长

>12 weeks

期刊介绍： The Physician and Sportsmedicine is a peer-reviewed, clinically oriented publication for primary care physicians. We examine the latest drug discoveries to advance treatment and recovery, and take into account the medical aspects of exercise therapy for a given condition. We cover the latest primary care-focused treatments serving the needs of our active patient population, and assess the limits these treatments govern in stabilization and recovery. The Physician and Sportsmedicine is a peer-to-peer method of communicating the latest research to aid primary care physicians’ advancement in methods of care and treatment. We routinely cover such topics as: managing chronic disease, surgical techniques in preventing and managing injuries, the latest advancements in treatments for helping patients lose weight, and related exercise and nutrition topics that can impact the patient during recovery and modification.