TY - JOUR
PY - 2017//
TI - Utility of providing a concussion definition in the assessment of concussion history in former NFL players
JO - Brain injury
A1 - Alosco, Michael L.
A1 - Jarnagin, Johnny
A1 - Tripodis, Yorghos
A1 - Martin, Brett
A1 - Chaisson, Christine
A1 - Baugh, Christine M.
A1 - Torres, Alcy
A1 - Nowinski, Christopher J.
A1 - Cantu, Robert C.
A1 - Stern, Robert A.
SP - 1116
EP - 1123
VL - 31
IS - 8
N2 - OBJECTIVE: Former National Football League (NFL) players' working knowledge of concussion has not yet been evaluated, despite this population being a major clinical research target due to the association between repetitive head impacts (RHI) and long-term clinical impairments. This study examined former NFL players' understanding of the current concussion definition, and the association between number of concussions with clinical function.
METHODS: 95 former NFL players (mean age = 55.29; mean NFL year = 8.10) self-reported number of concussions before being provided with a concussion definition and after being read a modern definition of concussion. Subjects reported number of concussions with loss of consciousness (LOC). Principal Component Analysis of a battery of tests generated behaviour/mood, psychomotor speed/executive function, and verbal and visual memory factor scores.
RESULTS: Post-definition number of concussions (median = 50) was five times the pre-definition (median = 10; p < 0.001). Greater pre- (p = 0.019) and post-definition concussions (p = 0.036) correlated with worse behaviour/mood scores, after controlling for years of football played, with specific effects for depressive symptoms and impulsivity. LOC did not account for variance beyond number of concussions.
CONCLUSIONS: Practitioners and clinical researchers should provide a definition of concussion in the assessment of concussion history in former football players to facilitate accuracy and standardization. Keywords: American football
Language: en
LA - en SN - 0269-9052 UR - http://dx.doi.org/10.1080/02699052.2017.1294709 ID - ref1 ER -