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Concussion-Related Protocols and Preparticipation Assessments Used for Incoming Student-Athletes in National Collegiate Athletic Association Member Institutions.

Abstract

CONTEXT

National Collegiate Athletic Association (NCAA) legislation requires that member institutions have policies to guide the recognition and management of sport-related concussions. Identifying the nature of these policies and the mechanisms of their implementation can help identify areas of needed improvement.

OBJECTIVE

To estimate the characteristics and prevalence of concussion-related protocols and preparticipation assessments used for incoming NCAA student-athletes.

DESIGN

Cross-sectional study.

SETTING

Web-based survey.

PATIENTS OR OTHER PARTICIPANTS

Head athletic trainers from all 1113 NCAA member institutions were contacted; 327 (29.4%) completed the survey.

INTERVENTION(S)

Participants received an e-mail link to the Web-based survey. Weekly reminders were sent during the 4-week window.

MAIN OUTCOME MEASURE(S)

Respondents described concussion-related protocols and preparticipation assessments (eg, concussion history, neurocognitive testing, balance testing, symptom checklists). Descriptive statistics were compared by division and football program status.

RESULTS

Most universities provided concussion education to student-athletes (95.4%), had return-to-play policies (96.6%), and obtained the number of previous concussions sustained by incoming student-athletes (97.9%). Fewer had return-to-learn policies (63.3%). Other concussion-history-related information (e.g., symptoms, hospitalization) was more often collected by Division I universities. Common preparticipation neurocognitive and balance tests were the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT; 77.1%) and Balance Error Scoring System (46.5%). In total, 43.7% complied with recommendations for preparticipation assessments that included concussion history, neurocognitive testing, balance testing, and symptom checklists. This was due to moderate use of balance testing (56.6%); larger proportions used concussion history (99.7%), neurocognitive testing (83.2%), and symptom checklists (91.7%). More Division I universities (55.2%) complied with baseline assessment recommendations than Division II (38.2%, χ2 = 5.49, P = .02) and Division III (36.1%, χ2 = 9.11, P = .002) universities.

CONCLUSIONS

National Collegiate Athletic Association member institutions implement numerous strategies to monitor student-athletes. Division II and III universities may need additional assistance to collect in-depth concussion histories and conduct balance testing. Universities should continue developing or adapting (or both) return-to-learn policies.

Links

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  • Authors+Show Affiliations

    ,

    Datalys Center for Sports Injury Research and Prevention, Indianapolis, IN;

    ,

    Datalys Center for Sports Injury Research and Prevention, Indianapolis, IN;

    ,

    Human Movement Science Curriculum, University of North Carolina at Chapel Hill;

    ,

    Datalys Center for Sports Injury Research and Prevention, Indianapolis, IN;

    ,

    National Collegiate Athletic Association, Indianapolis, IN.

    ,

    National Collegiate Athletic Association, Indianapolis, IN.

    National Collegiate Athletic Association, Indianapolis, IN.

    Source

    Journal of athletic training 50:11 2015 Nov pg 1174-81

    MeSH

    Adult
    Athletes
    Athletic Injuries
    Brain Concussion
    Clinical Protocols
    Cross-Sectional Studies
    Female
    Football
    Health Promotion
    Humans
    Male
    Neuropsychological Tests
    Postural Balance
    Return to Sport
    Sports Medicine
    Students
    Surveys and Questionnaires
    Universities

    Pub Type(s)

    Journal Article
    Observational Study

    Language

    eng

    PubMed ID

    26540099

    Citation

    TY - JOUR T1 - Concussion-Related Protocols and Preparticipation Assessments Used for Incoming Student-Athletes in National Collegiate Athletic Association Member Institutions. AU - Kerr,Zachary Y, AU - Snook,Erin M, AU - Lynall,Robert C, AU - Dompier,Thomas P, AU - Sales,Latrice, AU - Parsons,John T, AU - Hainline,Brian, Y1 - 2015/11/05/ PY - 2015/11/6/entrez PY - 2015/11/6/pubmed PY - 2016/7/12/medline KW - evaluation KW - return-to-play guidelines KW - traumatic brain injuries SP - 1174 EP - 81 JF - Journal of athletic training JO - J Athl Train VL - 50 IS - 11 N2 - CONTEXT: National Collegiate Athletic Association (NCAA) legislation requires that member institutions have policies to guide the recognition and management of sport-related concussions. Identifying the nature of these policies and the mechanisms of their implementation can help identify areas of needed improvement. OBJECTIVE: To estimate the characteristics and prevalence of concussion-related protocols and preparticipation assessments used for incoming NCAA student-athletes. DESIGN: Cross-sectional study. SETTING: Web-based survey. PATIENTS OR OTHER PARTICIPANTS: Head athletic trainers from all 1113 NCAA member institutions were contacted; 327 (29.4%) completed the survey. INTERVENTION(S): Participants received an e-mail link to the Web-based survey. Weekly reminders were sent during the 4-week window. MAIN OUTCOME MEASURE(S): Respondents described concussion-related protocols and preparticipation assessments (eg, concussion history, neurocognitive testing, balance testing, symptom checklists). Descriptive statistics were compared by division and football program status. RESULTS: Most universities provided concussion education to student-athletes (95.4%), had return-to-play policies (96.6%), and obtained the number of previous concussions sustained by incoming student-athletes (97.9%). Fewer had return-to-learn policies (63.3%). Other concussion-history-related information (e.g., symptoms, hospitalization) was more often collected by Division I universities. Common preparticipation neurocognitive and balance tests were the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT; 77.1%) and Balance Error Scoring System (46.5%). In total, 43.7% complied with recommendations for preparticipation assessments that included concussion history, neurocognitive testing, balance testing, and symptom checklists. This was due to moderate use of balance testing (56.6%); larger proportions used concussion history (99.7%), neurocognitive testing (83.2%), and symptom checklists (91.7%). More Division I universities (55.2%) complied with baseline assessment recommendations than Division II (38.2%, χ2 = 5.49, P = .02) and Division III (36.1%, χ2 = 9.11, P = .002) universities. CONCLUSIONS: National Collegiate Athletic Association member institutions implement numerous strategies to monitor student-athletes. Division II and III universities may need additional assistance to collect in-depth concussion histories and conduct balance testing. Universities should continue developing or adapting (or both) return-to-learn policies. SN - 1938-162X UR - https://www.unboundmedicine.com/medline/citation/26540099/Concussion_Related_Protocols_and_Preparticipation_Assessments_Used_for_Incoming_Student_Athletes_in_National_Collegiate_Athletic_Association_Member_Institutions_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/26540099/ ER -