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Aerobic Fitness and Concussion Outcomes in High School Football

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Foundations of Sport-Related Brain Injuries

Abstract

The purpose of this study was to provide an initial examination of the effects of aerobic fitness and concussion history on concussion risk, symptoms and neurocognitive impairment, and recovery in high school football players. Participants (N=158) completed estimated VO2 max and baseline neurocognitive tests (i.e., ImPACT). Concussed athletes completed ImPACT 24–72 hours post-injury, and again every 48–72 hours until they were asymptomatic or returned to baseline levels. Twenty-three players incurred concussions. The concussion incidence rate was 2.63/1000 exposures. Initial on-field assessments of post-traumatic amnesia (PTA) corresponded to post-concussion symptoms and neurocognitive declines on ImPACT. Previously concussed athletes were 3.71 times more likely to be concussed than those with no concussion history. A trend indicated that athletes low in aerobic fitness might be at greater risk (OR = 1.80) for concussion than those high in aerobic fitness. Aerobic fitness and history of concussion were not related to concussion symptoms and neurocognitive impairment. Athletes with no history of concussion and those initially evaluated with PTA recovered faster than those with a history of concussion and those initially evaluated without PTA. A trend suggested that high aerobic fitness might be related to faster recovery times.

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References

  • Aubry, M., Cantu, R., Dvorak, J., Graf-Baumann, T., & Johnston, K., et al. (2002). Summary and agreement statement of the first international conference on concussion in sport, Vienna 2001. The Physician and Sportsmedicine, 30, 57–63.

    Article  PubMed  Google Scholar 

  • Field, M., Collins, M. W., Lovell, M., & Maroon, J. (2003). Does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes. Journal of Pediatrics, 142, 546–553.

    Article  PubMed  Google Scholar 

  • Zemper, E D. (2003). A two-year prospective study of cerebral concussion in American football. Research in Sports Medicine, 11, 757–172.

    Google Scholar 

  • Iverson, G. L, Gaetz, M., Lovell, M. R., & Collins, M. W. (2004). Cumulative effects of concussion in amateur athletes. Brain Injury, 18, 433–443.

    Article  PubMed  Google Scholar 

  • Lovell, M., & Collins, M. (1998). Neuropsychological assessment of the college football player. Journal of Head Trauma and Rehabilitation, 13, 9–26.

    CAS  Google Scholar 

  • Dustman, R E., Ruhling, R. O., Russell, E. M., Shearer, D. E., & Bonekat, W. H., et al. (1984). Aerobic exercise training and improved neuropsychological function of older individuals. Neurobiology of Aging, 5, 35–42.

    Article  PubMed  CAS  Google Scholar 

  • Collins, M., Iverson, G., Lovell, M., McKeag, D., & Norwig, M. A., et al. (2003). Onfield predictors of neuropsychological and symptom deficit following sportsrelated concussion. Clinical Journal of Sport Medicine, 13, 222–229.

    Article  PubMed  Google Scholar 

  • Powell, J. W., & Barber-Foss, K. D. (1999). Traumatic brain injury in high school athletes. Journal of the American Medical Association, 282, 958–963.

    Article  PubMed  CAS  Google Scholar 

  • Sramek, J. G., & Byrne, R. W. (1998). Managing sports-related concussion. Your Patient & Fitness, 12, 31–34.

    Google Scholar 

  • Lovell, M. R., Iverson, G. L., Collins, M. W., McKeag, D., & Maroon, J. C. (1999). Does loss of consciousness predict neuropsychological decrements after concussion? Clinical Journal of Sport Medicine, 9, 193–198.

    PubMed  CAS  Google Scholar 

  • Lovell, M. R., Collins, M. W., Iverson, G. L., Field, M., & Maroon, J. C., et al. (2003). Recovery from mild concussion in high school athletes. Journal of Neurosurgery, 98, 296–301.

    Article  PubMed  Google Scholar 

  • Kontos, A. P., Russo, S., & Collins, M. W. (2004). An introduction to sports concussion for the sport psychology consultant. Journal of Applied Sport Psychology, 16(3), 220–235.

    Article  Google Scholar 

  • McCrea, M., Hammeke, T., Olsen, G., Leo, P., & Guskiewicz, K. (2004). Unreported concussion in high school football players. Clinical Journal of Sports Medicine, 14, 13–17.

    Article  Google Scholar 

  • Maroon, J. C., Lovell, M. R., Norwig, J., Podell, K., & Powell, J. W., et al. (2000). Cerebral concussion in athletes: Evaluation and neuropsychological testing. Neurosurgery, 47, 659–672.

    Article  PubMed  CAS  Google Scholar 

  • Collins, M. W., Field, M. F., Lovell, M. R., Iverson, G., & Johnston, K. M., et al. (2003). Relationship between postconcussion headache and neuropsychological test performance in high school athletes. American Journal of Sport Medicine, 31, 168–173.

    Google Scholar 

  • Lovell, M. R., Collins, M. W., Iverson, G., Johnston, K. M., & Bradley, J. P. (2004). Grade 1 or “Ding” concussions in high school athletes. The American Journal of Sports Medicine, 32, 47–54.

    Article  PubMed  Google Scholar 

  • Guskiewicz, K., Weaver, N., Padua, D., & Garrett, W. (2000). Epidemiology of concussion in collegiate and high school football players. The American Journal of Sports Medicine, 28, 643–649.

    PubMed  CAS  Google Scholar 

  • Collins, M., Lovell, M., Iverson, G., Cantu, R., Maroon, J., & Field, M. (2002). Cumulative effects of concussion in high school athletes. Neurosurgery, 51, 1175–1181.

    Article  PubMed  Google Scholar 

  • Grundl, P. D., Biagas, K. V., Kochanek, P. M., Schiding, J. K., & Nemoto, E. M. (1994). Early cerebrovascular response to head injury in immature and mature rats. Journal of Neurotrauma, 11, 135–148.

    Article  PubMed  CAS  Google Scholar 

  • Biagus, K. V., Grundl, P. D., Kochanek, P. M., Schiding, J. K., & Nemoto, E. M. (1996). Posttraumatic hyperemia in immature, nature, and aged rats: Autoradiographic determination of cerebral blood flow. Journal of Neurotrauma, 13, 189–200.

    Google Scholar 

  • Marchal, G., Rioux, P., Peit-Taboue, M. C., Sette, G., Travere, J. M., et al. (1992). Regional cerebral oxygen consumption, blood flow, and blood volume in healthy human aging. Archives of Neurology, 49, 1013–1020.

    PubMed  CAS  Google Scholar 

  • Kramer, A. F., Hahn, S., Cohen, N. J., Banich, M. T., & McAuley, E., et al. (1999). Aging, fitness, and neurocognitive function. Nature, 400, 418–419.

    Article  PubMed  CAS  Google Scholar 

  • Dustman, R. E., Emmerson, R., & Shearer, D. (1994). Physical activity, age, and cognitive-neuropsychological function. Journal of Aging and Physical Activity, 2, 143–181.

    Google Scholar 

  • Black, J. E., Isaacs, K. R., Anderson, B. J., Alcantara, A. A., & Greenough, W. T. (1990). Learning causes synaptogensis, whereas motor activity causes angiogenesis in cerebellar cortex of adult rats. Proceedings of the National Academy of Sciences, USA, 87, 5568–5572.

    Article  CAS  Google Scholar 

  • DeWitt, D. S., & Prough, D. S. (2003). Traumatic cerebral vascular injury: The effects of concussive brain injury on the cerebral vasculature. Journal of Neurotrauma, 20, 795–825.

    Article  PubMed  Google Scholar 

  • Francis, K. (1990). A new single-stage step test for the clinical assessment of maximal oxygen consumption. Physical Therapy, 70, 734–738.

    PubMed  CAS  Google Scholar 

  • Francis, K., & Brasher, J. (1992). A height-adjusted step test for predicting maximal oxygen consumption in males. The Journal of Sports Medicine and Physical Fitness, 32, 282–287.

    PubMed  CAS  Google Scholar 

  • Collins, M. W., Stump, J., & Lovell, M. R. (2004). New developments in the management of sports concussion. Current Opinion in Orthopaedics, 15, 100–107.

    Article  Google Scholar 

  • Iverson, G. L., Lovell, M., & Collins, M. W. (2003). Interpreting change on ImPact following sport concussion. The Clinical Neuropsychologist, 17, 460–467.

    PubMed  Google Scholar 

  • American College of Sports Medicine. (2000). Guidelines for exercise testing and prescription.

    Google Scholar 

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Kontos, A.P., Elbin, R.J., Collins, M.W. (2006). Aerobic Fitness and Concussion Outcomes in High School Football. In: Slobounov, S., Sebastianelli, W. (eds) Foundations of Sport-Related Brain Injuries. Springer, Boston, MA . https://doi.org/10.1007/0-387-32565-4_14

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  • DOI: https://doi.org/10.1007/0-387-32565-4_14

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-32564-4

  • Online ISBN: 978-0-387-32565-1

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