Cited by 188Traumatic Brain Injury ResearchSports injuries and preventionWinter Sports Injuries and Performance

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Concussion Reporting Rates at the Conclusion of an Intercollegiate Athletic Career

Llewellyn, Tracy, Burdette, G. Trey, Joyner, A. Barry, Buckley, Thomas A.·2014·Clinical Journal of Sport Medicine

Abstract

OBJECTIVE: The purpose of this study was to explore the current reported, unreported, and potentially unrecognized concussion rates among collegiate student-athletes who have completed their collegiate athletic career. DESIGN: Retrospective survey. SETTING: College and University athletic training rooms. PARTICIPANTS: One hundred sixty-one collegiate student-athletes (56.5% women; aged 21.5 ± 1.3; 3.7 ± 1.0 years of collegiate athletic experience) from 10 institutions who had either completed their intercollegiate athletic eligibility or were no longer participating. MAIN OUTCOME MEASURES: The self-reported concussion rate, the unreported rate and reasons, and the potentially unrecognized concussion rate. RESULTS: The self-reported concussion rate was 33.5% (54/161), and 22.2% (12) self-reported at least 3 concussions. The unreported rate was 11.8% (19/161), and the potentially unrecognized rate was 26.1% (42/161) with the most common unrecognized symptom being "knocked silly/seen stars" (23.6% [38/161]). CONCLUSIONS: Overall, 49.7% of all respondents (80/161) reported 1 acknowledged, unreported, or potential concussion. The unreported rate was lower than previous high school studies; however, the potentially unrecognized rate remains high and should be clinically concerning. These findings suggest educational interventions targeting collegiate student-athletes should remain and continue to focus on identifying concussion symptoms and dispelling the common misconception that "bell ringers" and "dings" are not concussions.

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Crossref · 10.1097/01.jsm.0000432853.77520.3d

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Research works printed but not linked: 9

  1. McCrea, 2004, Unreported concussion in high school football players: implications for prevention., Clin J Sport Med, 14, 13, 10.1097/00042752-200401000-00003 · DOI · Paper page
  2. McCrory, 2009, Consensus statement on concussion in sport, the 3rd International Conference on Concussion in Sport, held in Zurich, November 2008., Clin J Sport Med, 19, 185, 10.1097/JSM.0b013e3181a501db · DOI
  3. McLeod, 2008, Identification of sport and recreational activity concussion history through the preparticipation screening and a symptom survey in young athletes., Clin J Sport Med, 18, 235, 10.1097/JSM.0b013e3181705756 · DOI
  4. Boswell, 2004, Post-season questionnaire (PSCQ) reveals underreporting of concussion symptoms in high school football players., Arch Clin Neuropsychol, 19, 958
  5. Williamson, 2006, Converging evidence for the under-reporting of concussions in youth ice hockey., Br J Sports Med, 40, 128, 10.1136/bjsm.2005.021832 · DOI · Paper page
  6. Echlin, 2010, Concussion education, identification, and treatment within a prospective study of physician-observed junior ice hockey concussions: social context of this scientific intervention., Neurosurg Focus, 29, 1
  7. Sye, 2006, High school rugby players understanding of concussion and return to play guidelines., Br J Sports Med, 40, 1003, 10.1136/bjsm.2005.020511 · DOI
  8. Register-Mihalik, 2011, Influence of concussion knowledge on reporting of concussion in games and practices among a sample of highschool athletes., J Athl Train, 46, S15
  9. Kerr, 2012, Reliability of concussion history in former professional football players., Med Sci Sports Exerc, 44, 377, 10.1249/MSS.0b013e31823240f2 · DOI

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Metadata

Authors
Llewellyn, T., Burdette, G. T., Joyner, A. B., & Buckley, T. A.
Affiliations
  • Valdosta State University (US)
  • Georgia Southern University (US)
Corresponding author
Llewellyn, Tracy
Venue
Clinical Journal of Sport Medicine
Published
2014-01
Volume
24
Issue
1
Pages
76-79
ISSN
1050-642X (ISSN-L)
OpenAlex
W2066332029
Cited by
188
References
0
Citations by year
2026: 6 · 2025: 8 · 2024: 9 · 2023: 9 · 2022: 5 · 2021: 18 · 2020: 21 · 2019: 19 · 2018: 17 · 2017: 18 · 2016: 25 · 2015: 25 · 2014: 8
FWCI
14.04
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Journal of Sport Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Winter Sports Injuries and Performance
Keywords
concussion, collegiate student-athletes, concussion reporting, concussion symptoms, post-concussion symptoms, concussion education, college athletics
MeSH terms
Athletic Injuries, Brain Concussion, Female, Humans, Male, Retrospective Studies, United States, Universities, Young Adult

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