The Role of Concussion History and Gender in Recovery from Soccer-Related Concussion
Abstract
Background: This study was designed to investigate differences in recovery in male and female soccer athletes. Hypotheses: Soccer players with a history of concussion will perform worse on neurocognitive testing than players without a history of concussion. Furthermore, female athletes will demonstrate poorer performance on neurocognitive testing than male athletes. Study Design: Cohort study (prognosis): Level of evidence, 2. Methods: Computer-based neuropsychological testing using reaction time, memory, and visual motor-speed composite scores of the ImPACT test battery was performed postconcussion in soccer players ranging in age from 8 to 24 years (N = 234; 141 females, 93 males). A multivariate analysis of variance was conducted to examine group differences in neurocognitive performance between male and female athletes with and without a history of concussion. Results: Soccer players with a history of at least 1 previous concussion performed significantly worse on ImPACT than those who had not sustained a prior concussion (F = 2.92, P = .03). In addition, female soccer players performed worse on neurocognitive testing (F = 2.72, P = .05) and also reported more symptoms (F = 20.1, P = .00001) than male soccer players. There was no significant difference in body mass index between male and female players (F = .04, P = .85). Conclusion: A history of concussion and gender may account for significant differences in postconcussive neurocognitive test scores in soccer players and may play a role in determining recovery. These differences do not appear to reflect differences in mass between genders and may be related to other gender-specific factors that deserve further study.
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Under physiological conditions, sex-specific differences in mitochondrial respiration, bioenergetics, and reactive oxygen species production have been reported in both human and animal studies.
“Under physiological conditions, sex-specific differences in mitochondrial respiration, bioenergetics, and reactive oxygen species production have been reported in both human and animal studies.”
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Mitochondria extracted from brain, liver, and cerebral arteries of female rodents displayed more efficient oxidative phosphorylation than in males.
“mitochondria extracted from brain, liver, and cerebral arteries of female rodents displayed more efficient oxidative phosphorylation than in males”
From Sex Differences in Traumatic Brain Injury: What We Know and What We Should Know (2019) · cites this paper as [120]
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- Authors
- Chiang Colvin, A., Mullen, J., Lovell, M. R., Vereeke West, R., Collins, M. W., & Groh, M.
- Affiliations
- Department of Orthopaedics, Mount Sinai Medical Center, New York, New York
- University of Pittsburgh Medical Center (US)
- Center for Sports Medicine, and Department of Orthopaedics, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
- Venue
- The American Journal of Sports Medicine
- Publisher
- SAGE Publications
- Published
- 2009-05-21
- Volume
- 37
- Issue
- 9
- Pages
- 1699-1704
- ISSN
- 0363-5465 (ISSN-L)
- 1552-3365
- OpenAlex
- W2110593785
- Cited by
- 333
- References
- 37
- Citations by year
- 2026: 9 · 2025: 3 · 2024: 18 · 2023: 15 · 2022: 12 · 2021: 21 · 2020: 27 · 2019: 19 · 2018: 24 · 2017: 29 · 2016: 31 · 2015: 36 · 2014: 22 · 2013: 21 · 2012: 21
- FWCI
- 10.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
- Keywords
- concussion, soccer, concussion history, gender differences, neurocognitive recovery, impact testing, post-concussion symptoms, reaction time, memory, visual motor speed, youth athletes
- MeSH terms
- Adolescent, Brain Concussion, Child, Cognition Disorders, Female, Humans, Male, Neuropsychological Tests, Sex Factors, Soccer, Cohort Studies, Young Adult
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