TY  - JOUR
PY  - 2022//
TI  - High school athletes' health-related quality of life across recovery after sport-related concussion or acute ankle injury: a report from the athletic training practice-based research network
JO  - Orthopaedic journal of sports medicine
A1  - DiSanti, Justin S.
A1  - Marshall, Ashley N.
A1  - Valier, Alison R. Snyder
A1  - McLeod, Tamara C. Valovich
SP  - e23259671211068034
EP  - e23259671211068034
VL  - 10
IS  - 2
N2  - BACKGROUND: Evaluating adolescent athletes' perceived health status after a sport-related injury can provide important direction for health promotion strategies and preparation for a successful return to play. Furthermore, comparing specific injury types regarding their impact on athletes' perspectives of their global and domain-specific health perceptions allows for a more detailed understanding of an athlete's experience while also providing avenues for targeted treatment strategies. <br><br>PURPOSE: To compare health-related quality of life (HRQOL) between high school athletes who had sustained either a concussion or an acute ankle injury and compare how these injury types related to their global and domain-specific HRQOL across recovery. STUDY DESIGN: Cohort study; Level of evidence, 3. <br><br>METHODS: Electronic medical records created by athletic trainers working in 32 high school facilities were examined, and records from 1749 patients who sustained either a sport-related concussion (n = 862) or ankle sprain (n = 887) were screened for inclusion. HRQOL was assessed by self-reported scores on the Pediatric Quality of Life Inventory (PedsQL) at 2 time points after injury (T(1) = 0-2 days; T(2) = 11-29 days). A 2-way group by time analysis of variance was conducted to examine differences in trajectories and disrupted areas of HRQOL. <br><br>RESULTS: Overall, 85 patient cases (46 concussion, 39 ankle sprain) fit the inclusion criteria. Each injury group exhibited improved global and domain-specific PedsQL scores between their 2 measured time points (P <.05), indicating recovery. However, domain-specific comparisons revealed that at T(2), patients who had sustained an ankle sprain reported significantly lower PedsQL physical functioning scores (78.3 ± 19.3 vs 86.2 ± 15.7 for concussion; P =.005), whereas patients who had sustained a concussion reported lower scores related to their school functioning (80.0 ± 20.0 vs 90.8 ± 12.7 for ankle sprain; P =.006). <br><br>CONCLUSION: The study results indicated that in high school athletes, the trajectories and disrupted areas of HRQOL stemming from a sport-related injury may be influenced differentially when comparing concussions with ankle sprains.<p />  <p>Language: en</p>
LA  - en
SN  - 2325-9671
UR  - http://dx.doi.org/10.1177/23259671211068034
ID  - ref1
ER  -