Document Detail

Presence of headache does not influence sideline neurostatus or balance in high school football athletes.
MedLine Citation:
PMID:  21860349     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Headache is the primary self-reported symptom used to indicate concussion. Thus, we examined the relationship between reports of nonconcussion-induced headache after contact sport participation and scores on common concussion assessment measures.
DESIGN: Two-group repeated measures. SETTIN:: Secondary school.
PARTICIPANTS: One hundred five athletes from 3 area football teams completed a baseline evaluation. Sixteen athletes reported headaches after a practice/game and were compared with 16 gender-matched, age-matched, height-matched, weight-matched, and position-matched controls.
INDEPENDENT VARIABLE: Self-report headache.
MAIN OUTCOME MEASURES: Symptom severity and endorsement reported on the Graded Symptoms Checklist (GSC), neurostatus measured using the Standard Assessment of Concussion (SAC), and postural control evaluated with the Balance Error Scoring System (BESS).
RESULTS: Total symptom severity significantly increased (P < 0.01; 8.06 ± 2.22 to 16.06 ± 3.82) in the headache group and significantly decreased in the nonheadache group (P = 0.01; 6.81 ± 1.85 to 3.00 ± 1.08). Symptom endorsement increased in the headache group (P = 0.06; 3.25 ± 0.80 to 5.25 ± 1.08) and significantly decreased in the nonheadache group (P = 0.01; 3.19 ± 0.78 to 1.69 ± 0.58). Both groups showed nonsignificant (P > 0.05) changes in SAC scores (headache, 24.75 ± 0.73 to 24.81 ± 0.75; nonheadache, 24.50 ± 0.73 to 24.87 ± 1.20). Errors of the BESS significantly increased in both the groups at postgame/postpractice evaluation (headache, P = 0.01; 14.94 ± 1.86 to 20.31 ± 2.23; nonheadache, P < 0.01; 13.31 ± 1.68 to 18.13 ± 1.69). The presence of headache was significantly correlated with symptom reports (P > 0.05) but not SAC or BESS performance.
CONCLUSIONS: These findings indicate that the use of headache, exclusively or in combination with other concussion-related symptoms, does not indicate performance on common concussion tools. This supports previous works, suggesting that clinicians must adopt a multifaceted approach to concussion assessment.
Matthew J Sabin; Bridget A Van Boxtel; Matthew W Nohren; Steven P Broglio
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine     Volume:  21     ISSN:  1536-3724     ISO Abbreviation:  Clin J Sport Med     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-05     Completed Date:  2012-01-13     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  9103300     Medline TA:  Clin J Sport Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  411-5     Citation Subset:  IM    
Department of Exercise and Sport Science, Eastern Kentucky University, Richmond, Kentucky 40475, USA.
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MeSH Terms
Analysis of Variance
Brain Concussion / complications,  diagnosis*
Football / injuries*
Headache / etiology*
Neurologic Examination
Postural Balance*
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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