Stone Sarah, Lee Bobby, Garrison J Craig, Blueitt Damond, Creed Kalyssa
Texas Health Ben Hogan Sports Medicine, Fort Worth, Texas.
Texas Health Ben Hogan Concussion Center, Fort Worth, Texas.
Sports Health. 2017 Jan/Feb;9(1):41-44. doi: 10.1177/1941738116672184. Epub 2016 Oct 4.
Recently, female sports participation has increased, and there is a tendency for women to experience more symptoms and variable presentation after sport-related concussion (SRC). The purpose of this study was to determine whether sex differences exist in time to begin a return-to-play (RTP) progression after an initial SRC.
After initial SRC, female athletes (11-20 years old) would take longer to begin an RTP progression compared with age-matched male athletes.
Retrospective cohort study.
Level 3.
A total of 579 participants (365 males [mean age, 15.0 ± 1.7 years], 214 females [mean age, 15.2 ± 1.5 years]), including middle school, high school, and collegiate athletes who participated in various sports and experienced an initial SRC were included and underwent retrospective chart review. The following information was collected: sex, age at injury, sport, history of prior concussion, date of injury, and date of initiation of RTP progression. Participants with a history of more than 1 concussion or injury sustained from non-sport-related activity were excluded.
Despite American football having the greatest percentage (49.2%) of sport participation, female athletes took significantly longer to start an RTP progression after an initial SRC (29.1 ± 26.3 days) compared with age-matched male athletes (22.7 ± 18.3 days; P = 0.002).
On average, female athletes took approximately 6 days longer to begin an RTP progression compared with age-matched male athletes. This suggests that sex differences exist between athletes, aged 11 to 20 years, with regard to initiation of an RTP progression after SRC.
Female athletes may take longer to recover after an SRC, and therefore, may take longer to return to sport. Sex should be considered as part of the clinical decision-making process when determining plan of care for this population.
最近，女性参与体育运动的人数有所增加，而且女性在与运动相关的脑震荡（SRC）后出现更多症状和表现各异的趋势。本研究的目的是确定在初次发生SRC后开始恢复比赛（RTP）进程的时间上是否存在性别差异。
初次发生SRC后，与年龄匹配的男性运动员相比，女性运动员（11 - 20岁）开始RTP进程的时间会更长。
回顾性队列研究。
3级。
共纳入579名参与者（365名男性[平均年龄，15.0 ± 1.7岁]，214名女性[平均年龄，15.2 ± 1.5岁]），包括参加各种运动且经历初次SRC的中学、高中和大学运动员，并对其病历进行回顾性分析。收集了以下信息：性别、受伤时年龄、运动项目、既往脑震荡史、受伤日期和开始RTP进程的日期。排除有1次以上脑震荡史或非运动相关活动导致损伤的参与者。
尽管参与美式橄榄球运动的比例最高（49.2%），但与年龄匹配的男性运动员（22.7 ± 18.3天）相比，女性运动员在初次发生SRC后开始RTP进程的时间明显更长（29.1 ± 26.3天；P = 0.002）。
平均而言，与年龄匹配的男性运动员相比，女性运动员开始RTP进程的时间大约长6天。这表明，在11至20岁的运动员中，SRC后开始RTP进程存在性别差异。
女性运动员在SRC后可能需要更长时间恢复，因此，可能需要更长时间重返运动。在为该人群确定护理计划时，应将性别视为临床决策过程的一部分。
Zotero 插件