TY  - JOUR
PY  - 2024//
TI  - The prevalence and influence of new or worsened neck pain after a sport-related concussion in collegiate athletes: a study from the CARE Consortium
JO  - American journal of sports medicine
A1  - King, Jeffrey A.
A1  - Nelson, Lindsay D.
A1  - Cheever, Kelly
A1  - Brett, Benjamin
A1  - Gliedt, Jordan
A1  - Szabo, Aniko
A1  - Dong, Huaying
A1  - Huber, Daniel L.
A1  - Broglio, Steven P.
A1  - McAllister, Thomas W.
A1  - McCrea, Michael
A1  - Pasquina, Paul
A1  - Feigenbaum, Luis A.
A1  - Hoy, April
A1  - Mihalik, Jason P.
A1  - Duma, Stefan M.
A1  - Buckley, Thomas
A1  - Kelly, Louise A.
A1  - Miles, Chris
A1  - Goldman, Joshua T.
A1  - Benjamin, Holly J.
A1  - Master, Christina L.
A1  - Ortega, Justus
A1  - Kontos, Anthony
A1  - Clugston, James R.
A1  - Cameron, Kenneth L.
A1  - Kaminski, Thomas W.
A1  - Chrisman, Sara P.
A1  - Eckner, James T.
A1  - Port, Nicholas
A1  - McGinty, Gerald
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Neck pain in a concussion population is an emerging area of study that has been shown to have a negative influence on recovery. This effect has not yet been studied in collegiate athletes. HYPOTHESIS: New or worsened neck pain is common after a concussion (>30%), negatively influences recovery, and is associated with patient sex and level of contact in sport. STUDY DESIGN: Cohort study; Level of evidence, 2. <br><br>METHODS: Varsity-level athletes from 29 National Collegiate Athletic Association member institutions as well as nonvarsity sport athletes at military service academies were eligible for enrollment. Participants completed a preseason baseline assessment and follow-up assessments at 6 and 24 to 48 hours after a concussion, when they were symptom-free, and when they returned to unrestricted play. Data collection occurred between January 2014 and September 2018. <br><br>RESULTS: A total of 2163 injuries were studied. New or worsened neck pain was reported with 47.0% of injuries. New or worsened neck pain was associated with patient sex (higher in female athletes), an altered mental status after the injury, the mechanism of injury, and what the athlete collided with. The presence of new/worsened neck pain was associated with delayed recovery. Those with new or worsened neck pain had 11.1 days of symptoms versus 8.8 days in those without (P <.001). They were also less likely to have a resolution of self-reported symptoms in ≤7 days (P <.001). However, the mean duration of the return-to-play protocol was not significantly different for those with new or worsened neck pain (7.5 ± 7.7 days) than those without (7.4 ± 8.3 days) (P =.592). <br><br>CONCLUSION: This novel study shows that neck pain was common in collegiate athletes sustaining a concussion, was influenced by many factors, and negatively affected recovery.<p />  <p>Language: en</p>
LA  - en
SN  - 0363-5465
UR  - http://dx.doi.org/10.1177/03635465241247212
ID  - ref1
ER  -