Concussion incidence and recovery in Swedish elite soccer - prolonged recovery in female players
(2020) In Scandinavian Journal of Medicine & Science in Sports 30(5). p.947-957- Abstract
OBJECTIVES: Sport-related concussions are an increasingly recognized health problem. Soccer is the most popular sport in the world although recent studies on concussion incidence are scarce. Here, a nation-wide prospective study on concussion incidence, symptom severity, risk factors, gender differences and return-to-play after concussion was performed in 51 Swedish elite soccer teams during the 2017 season.
METHODS: In the first and second soccer leagues for men and women, a Sport Concussion Assessment Tool (SCAT) -based questionnaire study was performed at pre-season (baseline) and from 48h up to three months post-concussion.
RESULTS: We followed 959 players (389 women, 570 men) for 25146 player game hours (9867 h for... (More)
OBJECTIVES: Sport-related concussions are an increasingly recognized health problem. Soccer is the most popular sport in the world although recent studies on concussion incidence are scarce. Here, a nation-wide prospective study on concussion incidence, symptom severity, risk factors, gender differences and return-to-play after concussion was performed in 51 Swedish elite soccer teams during the 2017 season.
METHODS: In the first and second soccer leagues for men and women, a Sport Concussion Assessment Tool (SCAT) -based questionnaire study was performed at pre-season (baseline) and from 48h up to three months post-concussion.
RESULTS: We followed 959 players (389 women, 570 men) for 25146 player game hours (9867 h for women, 15279 h for men). Concussion incidence (n= 36) was 1.19/1000 player game hours (females 1.22/1000 h, males 1.18/1000 h; p= 0.85). Twenty-seven percent (females 8%, males 40%) of players continued to play immediately after the concussion. When compared to male players, female players had worse initial symptom severity scores (median and IQR 30 (17-50.5) vs. 11 (4-26.25), p=0.02) and longer return to play (p=0.02). Risk factors for concussion were baseline symptoms and previous concussion.
CONCLUSION: In Swedish elite soccer, the concussion incidence was 1.19/1000 without gender differences. Most players recovered to play within four weeks post-injury. Almost one third of players continued to play at time of concussion. Female players had worse initial symptoms and longer return-to-play time than males, and a prolonged recovery beyond three months was only observed among female players.
(Less)
- author
- Vedung, Fredrik ; Hänni, Sofie ; Tegner, Yelverton ; Johansson, Jakob and Marklund, Niklas LU
- organization
- publishing date
- 2020-05
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Journal of Medicine & Science in Sports
- volume
- 30
- issue
- 5
- pages
- 11 pages
- publisher
- Wiley-Blackwell
- external identifiers
-
- pmid:32100894
- scopus:85081752661
- ISSN
- 1600-0838
- DOI
- 10.1111/sms.13644
- language
- English
- LU publication?
- yes
- additional info
- This article is protected by copyright. All rights reserved.
- id
- 776cdcf9-0960-496e-a49e-902ac411a6d9
- date added to LUP
- 2020-03-02 15:39:03
- date last changed
- 2024-09-19 18:14:13
@article{776cdcf9-0960-496e-a49e-902ac411a6d9, abstract = {{<p>OBJECTIVES: Sport-related concussions are an increasingly recognized health problem. Soccer is the most popular sport in the world although recent studies on concussion incidence are scarce. Here, a nation-wide prospective study on concussion incidence, symptom severity, risk factors, gender differences and return-to-play after concussion was performed in 51 Swedish elite soccer teams during the 2017 season.</p><p>METHODS: In the first and second soccer leagues for men and women, a Sport Concussion Assessment Tool (SCAT) -based questionnaire study was performed at pre-season (baseline) and from 48h up to three months post-concussion.</p><p>RESULTS: We followed 959 players (389 women, 570 men) for 25146 player game hours (9867 h for women, 15279 h for men). Concussion incidence (n= 36) was 1.19/1000 player game hours (females 1.22/1000 h, males 1.18/1000 h; p= 0.85). Twenty-seven percent (females 8%, males 40%) of players continued to play immediately after the concussion. When compared to male players, female players had worse initial symptom severity scores (median and IQR 30 (17-50.5) vs. 11 (4-26.25), p=0.02) and longer return to play (p=0.02). Risk factors for concussion were baseline symptoms and previous concussion.</p><p>CONCLUSION: In Swedish elite soccer, the concussion incidence was 1.19/1000 without gender differences. Most players recovered to play within four weeks post-injury. Almost one third of players continued to play at time of concussion. Female players had worse initial symptoms and longer return-to-play time than males, and a prolonged recovery beyond three months was only observed among female players.</p>}}, author = {{Vedung, Fredrik and Hänni, Sofie and Tegner, Yelverton and Johansson, Jakob and Marklund, Niklas}}, issn = {{1600-0838}}, language = {{eng}}, number = {{5}}, pages = {{947--957}}, publisher = {{Wiley-Blackwell}}, series = {{Scandinavian Journal of Medicine & Science in Sports}}, title = {{Concussion incidence and recovery in Swedish elite soccer - prolonged recovery in female players}}, url = {{http://dx.doi.org/10.1111/sms.13644}}, doi = {{10.1111/sms.13644}}, volume = {{30}}, year = {{2020}}, }