Article Text

PDF
91
Gender differences in clinical presentation and recovery of sports related concussion
  1. Shannon Bauman1,
  2. Mira Ray2,
  3. Paul P Joseph2
  1. 1CCFP (SEM), Dip. Sport Med, Barrie, ON, Canada, Canada
  2. 2Centre for Applied Research and Innovation , Georgian Drive, Barrie, ON, Canada, Canada

Abstract

Objective To determine if gender plays a role in clinical presentation and recovery in concussion.

Design Retrospective

Setting one clinic

Participants 207 athletes (115 females, 92 males) presenting to clinic from September 2014 – January 2016. 79 athletes achieved clearance. Inclusion: sports or exercise, age 10–60 yrs.

Exclusion non-sports

Outcome measures Athletes completed computerised neurocognitive testing and physical assessments. A physician-led interdisciplinary team treated each athlete until resolution of signs and symptoms. Athletes were grouped by gender into recovery time groups (0–2 mo.; 3–5 mo.;≥ 6 mo.). An analysis by gender, age, symptoms, neurocognitive data, and concussion features was performed.

Main results Females report higher post-concussion symptom scores than males (p<0.0002).Females had a higher total number of features 4.5 to 3.6(p<0.00003). With respect to recovery, 34% of all males in our study were discharged within 0–2 mo. of injury date, compared to 12% of females. Females continued to experience symptoms at ≥ 6 months. Overall, females had a longer recovery period than males (p<0.002). Among discharged females, those requiring longer treatment (≥3 mo) were of a more mature age (23.8±13.2), presented later to clinic (t=3.3±3.6 mo.)and reported moresymptoms (PCSS=40.83±19.53).

Conclusions Female athletes present with higher post- concussion symptom scores and clinical features than their male counterparts. Mature females who later for treatment have a protracted recovery. Athletes of both genders who seek care earlier in the injury process have a shorter recovery.

Competing interests None.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.