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7.5 Time to reporting symptom-free does not differ by sport concussion subtype
  1. Catherine Donahue1,
  2. Xavier Thompson1,
  3. Sam Walton2,
  4. Nick Erdman1,
  5. Jacob Resch1
  1. 1The University of Virginia, Charlottesville, USA
  2. 2The University of North Carolina, Chapel Hill, USA

Abstract

Objective Sport concussion (SC) subtypes have been purported to associate with length of recovery following injury. However, limited research supports this statement. We hypothesized SC-subtype groups, which were established within 72 hours of injury would not differ in the number of days until symptom-free (SRA) following injury in collegiate athletes. Our secondary hypothesis was that the proportion of collegiate athletes who recovered beyond 14 days would be similar between SC-subtype groups.

Design Cross sectional.

Setting Collegiate athletic training clinic.

Participants Seventy-seven Division 1 collegiate athletes (52 male, 25 female) with an average age of 20.3 ± 1.3 years; who were diagnosed with a SC.

Interventions (or Assessment of Risk Factors) Participants were assigned to cognitive, headache/migraine, ocular, vestibular, mood, sleep, and cervical SC-subtype groups based on symptom type and severity as recorded by the Revised Head Injury Scale within 72 hours of a diagnosed SC.

Outcome Measures A one-way analysis of variance was used to compare groups based the number of days until SRA. The proportions of individuals in each SC-subtype group who reported SRA beyond 14 days of injury were compared using Chi-square analyses. Analyses were performed with α=0.05.

Main Results Only six SC-subtypes were analyzed as no participants were classified into the vestibular subtype. No differences were observed between the remaining SC-subtype groups for days to SRA (F(5,71) = 0.95, p= 0.50, d = 0.06 [-.07,1.3]). Additionally, we did not observe a difference between the proportions of each SC-subtype group (p’s > 0.19) that reported SRA beyond 14 days of injury.

Conclusions Our data suggest that SC subtyping may not associate with the length of symptom recovery in collegiate athletes.

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