TY - JOUR
T1 - Association of Sport Helmet Status on Concussion Presentation and Recovery in Male Collegiate Student-Athletes
AU - CARE Consortium Investigators
AU - Boltz, Adrian J.
AU - Lempke, Landon B.
AU - Syrydiuk, Reid A.
AU - Duma, Stefan
AU - Pasquina, Paul
AU - McAllister, Thomas W.
AU - McCrea, Michael
AU - Chandran, Avinash
AU - Broglio, Steven P.
AU - Brooks, Alison
AU - Kontos, Anthony
AU - Master, Christina
AU - Arbogast, Kristy
AU - Feigenbaum, Luis
AU - Hazzard, Joseph
AU - Clugston, James
AU - Buckley, Thomas
AU - Kaminski, Thomas
AU - Giza, Christopher
AU - Benjamin, Holly
AU - Susmarski, Adam
AU - D’Lauro, Christopher
AU - O’Donnell, Patrick
AU - Eckner, James T.
AU - Port, Nicholas
AU - Ortega, Justus
AU - Kelly, Louise
N1 - Publisher Copyright:
© The Author(s) under exclusive licence to Biomedical Engineering Society 2024.
PY - 2024/10
Y1 - 2024/10
N2 - Sporting helmets contain force attenuating materials which reduce traumatic head injury risk and may influence sport-related concussion (SRC) sequelae. The purpose of this study was to examine the association of sport helmet status with SRC-clinical presentation and recovery trajectories in men’s collegiate athletes. Sport helmet status was based on the nature of sports being either helmeted/non-helmeted. 1070 SRCs in helmeted (HELM) sports (Men’s-Football, Ice Hockey, and Lacrosse), and 399 SRCs in non-helmeted (NOHELM) sports (Men’s-Basketball, Cheerleading, Cross Country/Track & Field, Diving, Gymnastics, Soccer, Swimming, Tennis, and Volleyball) were analyzed. Multivariable negative binomial regression models analyzed associations between sport helmet status and post-injury cognition, balance, and symptom severity, adjusting for covariate effects (SRC history, loss of consciousness, anterograde/retrograde amnesia, event type). Kaplan-Meier curves evaluated median days to: initiation of return to play (iRTP) protocol, and unrestricted RTP (URTP) by sport helmet status. Log-rank tests were used to evaluate differential iRTP/URTP between groups. Two independent multivariable Weibull accelerated failure time models were used to examine differential iRTP and URTP between groups, after adjusting for aforementioned covariates and symptom severity score. Overall, the median days to iRTP and URTP was 6.3 and 12.0, respectively, and was comparable across NOHELM- and HELM-SRCs. Post-injury symptom severity was lower (Score Ratio 0.90, 95%CI 0.82, 0.98), and cognitive test performance was higher (Score Ratio 1.03, 95%CI 1.02, 1.05) in NOHELM-compared to HELM-SRCs. Estimated time spent recovering to iRTP/URTP was comparable between sport helmet status groups. Findings suggest that the grouping of sports into helmeted and non-helmeted show slight differences in clinical presentation but not recovery.
AB - Sporting helmets contain force attenuating materials which reduce traumatic head injury risk and may influence sport-related concussion (SRC) sequelae. The purpose of this study was to examine the association of sport helmet status with SRC-clinical presentation and recovery trajectories in men’s collegiate athletes. Sport helmet status was based on the nature of sports being either helmeted/non-helmeted. 1070 SRCs in helmeted (HELM) sports (Men’s-Football, Ice Hockey, and Lacrosse), and 399 SRCs in non-helmeted (NOHELM) sports (Men’s-Basketball, Cheerleading, Cross Country/Track & Field, Diving, Gymnastics, Soccer, Swimming, Tennis, and Volleyball) were analyzed. Multivariable negative binomial regression models analyzed associations between sport helmet status and post-injury cognition, balance, and symptom severity, adjusting for covariate effects (SRC history, loss of consciousness, anterograde/retrograde amnesia, event type). Kaplan-Meier curves evaluated median days to: initiation of return to play (iRTP) protocol, and unrestricted RTP (URTP) by sport helmet status. Log-rank tests were used to evaluate differential iRTP/URTP between groups. Two independent multivariable Weibull accelerated failure time models were used to examine differential iRTP and URTP between groups, after adjusting for aforementioned covariates and symptom severity score. Overall, the median days to iRTP and URTP was 6.3 and 12.0, respectively, and was comparable across NOHELM- and HELM-SRCs. Post-injury symptom severity was lower (Score Ratio 0.90, 95%CI 0.82, 0.98), and cognitive test performance was higher (Score Ratio 1.03, 95%CI 1.02, 1.05) in NOHELM-compared to HELM-SRCs. Estimated time spent recovering to iRTP/URTP was comparable between sport helmet status groups. Findings suggest that the grouping of sports into helmeted and non-helmeted show slight differences in clinical presentation but not recovery.
KW - Mild traumatic brain injury
KW - NCAA-DOD CARE consortium
KW - Sport equipment
UR - http://www.scopus.com/inward/record.url?scp=85197806774&partnerID=8YFLogxK
U2 - 10.1007/s10439-024-03575-0
DO - 10.1007/s10439-024-03575-0
M3 - Article
AN - SCOPUS:85197806774
SN - 0090-6964
VL - 52
SP - 2884
EP - 2896
JO - Annals of Biomedical Engineering
JF - Annals of Biomedical Engineering
IS - 10
ER -