Neurocognitive functioning and symptoms across levels of collision and contact in male high school athletes.
J Neurol Neurosurg Psychiatry
; 2022 Apr 27.
Article
em En
| MEDLINE
| ID: mdl-35477889
ABSTRACT
OBJECTIVE:
We sought to determine whether male collision sport athletes perform worse on computerised neurocognitive assessments and report higher symptom burdens than athletes in contact (but not collision) sports and athletes in non-contact sports.METHODS:
This cross-sectional study used data collected by the Massachusetts Concussion Management Coalition on high school boys who underwent computerised neurocognitive testing between 2009 and 2018. We divided sports participation in three different sport types (1) collision, (2) contact, non-collision and (3) non-contact. Our outcomes included the four computerised neurocognitive composite scores (verbal memory, visual memory, visual motor speed and reaction time) and the total symptom score. The independent variable was sport type (collision, contact, non-contact), adjusted for age, concussion history and comorbidities.RESULTS:
Of the 92 979 athletes (age 15.59±2.08 years) included in our study, collision sport athletes performed minimally but significantly worse than other athletes on neurocognitive composite scores (verbal memory ß=-1.64, 95% CI -1.85 to -1.44; visual memory ß=-1.87, 95% CI -2.14 to -1.60; visual motor speed ß=-2.12, 95% CI -2.26 to -1.97; reaction time ß=0.02, 95% CI 0.02 to 0.02). Collision and contact sport athletes also had slightly but significantly lower total symptom scores (collision 3.99±7.17; contact 3.78±6.81; non-contact 4.32±7.51, p<0.001, η2=0.001) than non-contact sport athletes.CONCLUSION:
There are minimal observed differences in performance on neurocognitive assessments between collision sport, contact sport and non-contact sport athletes. The repetitive subconcussive head impacts associated with collision sport participation do not appear to negatively affect self-reported symptoms or neurocognitive functioning in current youth athletes.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Idioma:
En
Revista:
J Neurol Neurosurg Psychiatry
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Estados Unidos