Worsening Dual-Task Gait Costs after Concussion and their Association with Subsequent Sport-Related Injury

Journal of Neurotrauma
David R HowellWilliam P Meehan

Abstract

Prior studies suggest that concussion may lead to an increased risk of a subsequent time-loss sport-related injury, but the mechanisms responsible are unknown. We measured the symptom and dual-task gait outcomes for athletes initially post-concussion and after clinical recovery. Participants then self-reported any additional injuries incurred in the year after their concussion. Forty-two athletes (52% female, mean age = 16.8 ± 3.2 years) completed the study. They underwent a dual-task gait evaluation and symptom inventory within 21 days post-concussion, and again after they were deemed clinically recovered. Approximately one year later, participants documented if they had sustained any subsequent sport-related injuries. The repeated measures analysis of variance (ANOVA) was used to evaluate changes in dual-task gait and symptoms across time and between groups. A significant group*time interaction (p = 0.02) indicated that the group that went on to sustain a subsequent time-loss injury after returning to sports (n = 15) demonstrated significant average walking speed dual-task cost worsening across time (-17.9 ± 9.1% vs. -25.1 ± 12.5%; p = 0.007). In contrast, the group that did not sustain an additional injury walked with consis...Continue Reading

Associated Clinical Trials

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Citations

Apr 2, 2019·Journal of Athletic Training·Thomas A BuckleyAndrew W Kuhn
May 30, 2019·Journal of Applied Biomechanics·David R HowellWilliam P Meehan
Jul 31, 2019·Sports Medicine and Arthroscopy Review·Timothy C SellMallory S Faherty
Jan 15, 2020·Journal of Athletic Training·Nicholas MurrayBarry Munkasy
Jan 28, 2020·Medicine and Science in Sports and Exercise·David R HowellWilliam P Meehan
Feb 8, 2019·American Journal of Physical Medicine & Rehabilitation·Tyler A WoodJacob J Sonoff
Jan 24, 2020·Medicine and Science in Sports and Exercise·Thomas A BuckleyNancy Getchell
Oct 29, 2019·Journal of Athletic Training·David R HowellWilliam P Meehan
May 23, 2020·The Journal of Orthopaedic and Sports Physical Therapy·David R HowellWilliam P Meehan
Jul 18, 2020·Journal of Neurotrauma·Thomas BuckleyBrandy Clouse
Jan 24, 2020·Sports Medicine·April L McPhersonTimothy E Hewett
Jun 15, 2019·The Physician and Sportsmedicine·David R HowellWilliam P Meehan
Mar 8, 2019·Medicine and Science in Sports and Exercise·Shawn R EagleChris Connaboy
Jun 21, 2019·American Journal of Physical Medicine & Rehabilitation·Tyler A WoodJacob J Sosnoff
Jan 9, 2021·Journal of Sport Rehabilitation·Emily L MesserschmidtSrikant Vallabhajosula
Feb 7, 2021·Journal of Sport Rehabilitation·Tiffany ToongNick Reed
Jan 3, 2021·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Kevin M BieseDavid R Bell
Nov 13, 2020·Journal of Science and Medicine in Sport·Katherine J HunzingerThomas A Buckley
Feb 15, 2019·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·David R HowellWilliam P Meehan
Sep 23, 2020·Journal of Sport and Health Science·Landon B LempkeJulianne D Schmidt
Sep 24, 2020·Journal of Sport Rehabilitation·Rachel S JohnsonRobert C Lynall
Oct 17, 2020·Medicine and Science in Sports and Exercise·Jessie R OldhamThomas A Buckley
Jun 3, 2021·Journal of Science and Medicine in Sport·Julie C WilsonR Dawn Comstock
Sep 11, 2021·Journal of Applied Biomechanics·Eric J ShumskiDerek N Pamukoff
Sep 16, 2021·Journal of Sport Rehabilitation·Shawn R EagleAnthony P Kontos

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Software Mentioned

Mobility Lab
Statistical Package for the Social Sciences ( SPSS Statistics

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