TY  - JOUR
PY  - 2022//
TI  - Preseason symptom reporting and cognition in middle school athletes with past concussions
JO  - International journal of sports medicine
A1  - Iverson, Grant L.
A1  - Berkner, Paul D.
A1  - Zafonte, Ross
A1  - Maxwell, Bruce
A1  - Terry, Douglas P.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - This study examined the association between past concussions and current preseason symptom reporting and cognitive performance in 9,257 youth ages 11-13. Participants completed neurocognitive testing prior to participating in a school sports between 2009 and 2019. We stratified the sample by gender and number of prior concussions and assessed group differences on the Post-Concussion Symptom Scale total score and the ImPACT cognitive composite scores. Those with≥2 prior concussions reported more symptoms than those with 0 concussions (d=0.43-0.46). Multiple regressions examining the contribution of concussion history and developmental/health history to symptom reporting showed the most significant predictors of symptoms scores were (in descending order): treatment for a psychiatric condition, treatment for headaches, history of learning disability (in boys only), history of attention-deficit/hyperactivity disorder, and age. Concussion history was the weakest statistically significant predictor in boys and not significant in girls. Cognitively, boys with 1 prior concussion had worse speed those with 0 concussions (d=0.11), and girls with≥2 prior concussions had worse verbal/visual memory than girls with 0 concussions (ds=0.38-0.39). In summary, youth with≥2 prior concussions reported more symptoms than those with no concussions. Boys with multiple concussions performed similarly on cognitive testing, while girls had worse memory scores.<p />  <p>Language: en</p>
LA  - en
SN  - 0172-4622
UR  - http://dx.doi.org/10.1055/a-1538-0075
ID  - ref1
ER  -