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Concussion among military service academy members: identifying risk factors, recovery trajectories, and the role of mental health
  1. Kathryn Lacey O’Connor
    1. Correspondence to Dr Kathryn Lacey O’Connor, School of Kinesiology, University of Michigan, Ann Arbor, Michigan 48109, USA; kloconn{at}

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    What did I do?

    From a sample of 10 604 cadets, I investigated 800 concussions at three US service academies to identify factors that increase concussion risk, prolong recovery, and the relationship between concussion and psychological symptoms. The primary aim was to use multivariate methods across all concussion settings (sport, military and free time related) to achieve a more comprehensive understanding of concussion burden and outcomes.

    Why did I do it?

    Concussion is a growing concern among athletes and military personnel. Concussion rates among athletes have increased over the last 20 years1 2 and has become the signature injury of recent military conflicts.3 However, the majority of concussions among service members occur within the continental USA,4 with a mechanism similar to civilian injuries. To better understand who is at risk for concussion, specific concussion settings, such as sport-related or military-related injury, have been evaluated, but this method limits our understanding of the true concussion burden and identifying concussion-related risk factors. Additionally, most concussion recovery studies have focused on male football athletes …

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