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Cited by 802Traumatic Brain Injury ResearchSports injuries and preventionTraumatic Brain Injury and Neurovascular Disturbances

Does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes

Field, Melvin, Collins, Michael W., Lovell, Mark R., Maroon, Joseph·2003·The Journal of Pediatrics
DOI 10.1067/mpd.2003.190
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Abstract

Objective To evaluate symptoms and neurocognitive recovery patterns after sports-related concussion in high school and college athletes.Study design College athletes (n = 371) and high school athletes (n = 183) underwent baseline neuropsychological evaluation between 1997 and 2000. Individuals who received a concussion during athletic competition (n = 54) underwent serial neuropsychologic evaluation after injury and were compared with a noninjured within-sample control group (n = 38). Main outcome measures included structured interview, four memory measures, and Concussion Symptom Scale ratings. Baseline to postinjury change scores and multiple analyses of variance were used to compare recovery curves within and between groups.Results High school athletes with concussion had prolonged memory dysfunction compared with college athletes with concussion. High school athletes performed significantly worse than age-matched control subjects at 7 days after injury (F = 2.90; P <.005). College athletes, despite having more severe in-season concussions, displayed commensurate performance with matched control subjects by day 3 after concussion. Self-report of postconcussion symptoms by student athletes was not predictive of poor performance on neuropsychologic testing.Conclusions Caution and systematic evaluation should be undertaken before returning athletes with concussion to competition. Sole reliance on the self-report of the athlete may be inadequate. Preliminary data may suggest a more protracted recovery from concussion in high school athletes.

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Crossref · 10.1067/mpd.2003.190

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  • The developing brain may be more susceptible to poor outcomes following TBI; studies suggest children and adolescents experience prolonged recovery rates after TBI compared to adults and poorer outcome.

    “In addition, the developing brain may be more susceptible to poor outcomes following TBI. Studies have suggested that children and adolescents experience prolonged recovery rates after TBI compared to adults [61] and poorer outcome [70].”

    From The neuropathology of sport (2014) · cites this paper as [61]

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Authors
Field, M., Collins, M. W., Lovell, M. R., & Maroon, J.
Affiliations
University of Pittsburgh (US)
ORCID
Venue
The Journal of Pediatrics
Publisher
Elsevier BV
Published
2003-05
Volume
142
Issue
5
Pages
546-553
ISSN
0022-3476 (ISSN-L)
DOI
10.1067/mpd.2003.190
OpenAlex
W2067287674
Cited by
802
References
42
Citations by year
2026: 3 · 2025: 12 · 2024: 12 · 2023: 13 · 2022: 29 · 2021: 24 · 2020: 34 · 2019: 42 · 2018: 46 · 2017: 54 · 2016: 64 · 2015: 69 · 2014: 71 · 2013: 59 · 2012: 52
FWCI
13.16
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Journal of Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
  • Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
Keywords
sports-related concussion, age differences, high school athletes, college athletes, neurocognitive recovery, memory impairment, post-concussion symptoms, return to sport
MeSH terms
Adolescent, Adult, Age Factors, Athletic Injuries, Brain Concussion, Cognition Disorders, Female, Humans, Male, Neuropsychological Tests, Prospective Studies, Injury Severity Score, Incidence, Recovery of Function, Post-Concussion Syndrome

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