Cookinham Brittani, Swank Chad
School of Physical Therapy, Texas Woman's University, Dallas, TX, USA.
Baylor Scott & White Institute for Rehabilitation, Dallas, TX, USA.
Arch Clin Neuropsychol. 2020 Apr 20;35(3):257-264. doi: 10.1093/arclin/acz012.
To determine if concussion history and career status is associated with neurocognitive performance in elite football players.
The study design was a cross-sectional single assessment. Fifty-seven elite football players (age 29.39 ± 7.49 years) categorized as draft prospects, active professional players, and retired professional players were assessed on the Sport Concussion Assessment Tool - third edition (SCAT-3), in an outpatient therapy setting.
Common symptoms were the following: fatigue (45.6%), trouble falling asleep (35.1%), difficulty remembering (33.3%) and irritability (22.8%); 36.8% reported no symptoms. The low concussion (0-1) group reported fewer symptoms (U = 608.50, p < .001), less symptom severity (U = 598.00, p = -.001), and produced greater scores on the Standardized Assessment of Concussion (SAC) total scores compared to the multiple concussion (2+) group (U = 253.00, p = .024), but no differences were observed on modified Balance Error Scoring System (m-BESS) scores (U = 501.50, p = .066) on the Mann-Whitney U test. The Kruskal-Wallis test and post-hoc analysis indicated retired players were significantly different from draft prospects and current professional players for total symptom scores (p < .001), total symptom severity (p < .001), SAC total scores (p = .030), and m-BESS (p < .001).
Concussion history and career status appear associated with total symptoms, symptom severity, performance on the SAC, and the m-BESS in elite football players. With this in mind, future research is recommended to determine longitudinal impact for elite football players.
确定脑震荡病史和职业状态是否与精英足球运动员的神经认知表现相关。
本研究设计为横断面单评估。在门诊治疗环境中，对57名精英足球运动员（年龄29.39±7.49岁）进行了评估，这些运动员被分为选秀前景球员、现役职业球员和退役职业球员，并使用运动脑震荡评估工具第三版（SCAT-3）进行评估。
常见症状如下：疲劳（45.6%）、入睡困难（35.1%）、记忆困难（33.3%）和易怒（22.8%）；36.8%的人报告没有症状。与多次脑震荡（2次以上）组相比，低脑震荡（0-1次）组报告的症状更少（U=608.50，p<.001），症状严重程度更低（U=598.00，p=-.001），在脑震荡标准化评估（SAC）总分上得分更高（U=253.00，p=.024），但在改良平衡误差评分系统（m-BESS）得分上未观察到差异（U=501.50，p=.066）（Mann-Whitney U检验）。Kruskal-Wallis检验和事后分析表明，退役球员在总症状评分（p<.001）、总症状严重程度（p<.001）、SAC总分（p=.030）和m-BESS（p<.001）方面与选秀前景球员和现役职业球员有显著差异。
脑震荡病史和职业状态似乎与精英足球运动员的总症状、症状严重程度、SAC表现和m-BESS相关。考虑到这一点，建议未来进行研究以确定对精英足球运动员的纵向影响。
