Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital and Spaulding Research Institute, and MassGeneral Hospital for Children Sport Concussion Program, Boston, Massachusetts.
College of Education and Human Development, Sports Medicine Assessment, Research & Testing (SMART) Laboratory, George Mason University, Manassas, Virginia; and.
Clin J Sport Med. 2021 Sep 1;31(5):438-441. doi: 10.1097/JSM.0000000000000773.
Examine lifetime history of concussions in middle school student athletes who have attention-deficit/hyperactivity disorder (ADHD).
Cross-sectional study.
Nine middle schools in Virginia, USA.
A sample of 1037 middle school students (ages 11-14 years, M = 12.6, SD = 0.93; 45.8% girls) underwent baseline/preseason assessments during the 2017 to 2018 academic year and self-reported their health history, including whether or not they had been diagnosed with ADHD. Athletes were divided into 2 groups, those with ADHD (n = 71; 6.8%) and control subjects (n = 966).
Self-reported diagnosis of ADHD and self-identified sex.
Self-reported concussion history.
In the total sample, boys were more likely to report a previous history of concussion than girls [χ2(1) = 10.81, P = 0.001; odds ratio (OR) = 1.92; 95% confidence interval (CI), 1.30-2.85]. The rate of previous concussion in children with ADHD (23.9%) was twice the rate of previous concussion among children without ADHD (11.4%) [χ2(1) = 9.70, P = 0.002; OR = 2.45; 95% CI, 1.37-4.38]. Approximately 1 in 4 boys with ADHD (24.5%) and 1 in 5 girls with ADHD (22.2%) reported having sustained one or more previous concussions.
Attention-deficit/hyperactivity disorder is associated with a greater prevalence of previous concussion in middle school children. Further research is needed to understand the risk of sustaining concussion for young athletes with ADHD, as well as short- and long-term outcomes of concussion among young athletes with ADHD.
研究患有注意缺陷多动障碍（ADHD）的中学生运动员的终身脑震荡史。
横断面研究。
美国弗吉尼亚州的 9 所中学。
在 2017 年至 2018 学年期间，对 1037 名年龄在 11-14 岁（M=12.6，SD=0.93；45.8%为女孩）的中学生进行了基线/季前评估，并报告了他们的健康史，包括是否被诊断患有 ADHD。运动员分为两组，ADHD 组（n=71；6.8%）和对照组（n=966）。
自我报告的 ADHD 诊断和自我认同的性别。
自我报告的脑震荡史。
在总样本中，男孩比女孩更有可能报告以前有过脑震荡史[χ2(1)=10.81，P=0.001；优势比（OR）=1.92；95%置信区间（CI），1.30-2.85]。患有 ADHD 的儿童（23.9%）以前发生过脑震荡的比例是未患有 ADHD 的儿童（11.4%）的两倍[χ2(1)=9.70，P=0.002；OR=2.45；95%CI，1.37-4.38]。大约 1/4 的 ADHD 男孩（24.5%）和 1/5 的 ADHD 女孩（22.2%）报告曾遭受过一次或多次脑震荡。
ADHD 与中学生以前发生脑震荡的比例较高有关。需要进一步研究以了解患有 ADHD 的年轻运动员发生脑震荡的风险，以及患有 ADHD 的年轻运动员脑震荡的短期和长期后果。
