@article{ref1,
title="The effect of concussion on subsequent musculoskeletal injury risk in high school athletes",
journal="PM & R : the journal of injury, function, and rehabilitation",
year="2022",
author="Nusbickel, Alex J. and Vasilopoulos, Terrie and Zapf, Ashley D. and Tripp, Brady L. and Herman, Daniel C.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Studies have demonstrated an increased risk of musculoskeletal (MSK) injury after concussion in collegiate and professional athletes, but there has been relatively little study of this relationship in younger athletes. <br><br>OBJECTIVE: We aimed to determine the odds of experiencing a subsequent MSK injury after concussion in high school athletes. We hypothesized that concussion would increase the risk of MSK injury within 365 days of the concussion event. <br><br>DESIGN: Retrospective observational study. SETTING: Twelve High School Sports Programs. PARTICIPANTS: Athletes (n = 14 461) from athletic training room records queried between 2010 and 2017. INDEPENDENT VARIABLES: History of concussion and history of concussion and MSK injury in the year preceding MSK injury. MAIN OUTCOME MEASURES: General estimating equation analyses were conducted to examine the odds of MSK injury related to 1) concussion within the preceding 365 days of injury; and 2) concussion and MSK injury within the preceding 365 days of concussion. <br><br>RESULTS: 8% and 8.3% of athletes were identified with a concussion and a MSK injury, respectively. After controlling for sex and sport, athletes with a concussion and prior MSK injury [OR = 2.19 (95% CI: 1.02-4.67)] and athletes with a concussion alone [OR = 1.67 (95% CI: 1.15-2.44)] both had higher odds of experiencing a subsequent MSK injury compared to athletes with without prior concussion CONCLUSIONS: High school athletes who sustain a concussion have elevated odds of MSK injury at rates comparable to those for collegiate athletes. These findings support the use of neuromuscular-based rehabilitation and injury prevention protocols in the post-concussion period. These findings may also suggest exploring methods to modify concussion return-to-play criteria with the goal to reduce the risk of future MSK injury. This article is protected by copyright. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1934-1482",
doi="10.1002/pmrj.12828",
url="http://dx.doi.org/10.1002/pmrj.12828"
}