scholarly journals Incidence of head injury and concussion among synchronized skaters: Rates, risks, and behaviors

Neurology ◽  
2018 ◽  
Vol 91 (23 Supplement 1) ◽  
pp. S9.1-S9
Author(s):  
Mohney Gretchen ◽  
Baker Robert ◽  
DiCesaro Shelly
Keyword(s):  
Head Injury ◽  
Medical Consultation ◽  
Return To Play ◽  
Sample Population ◽  
Practice Setting ◽  
Medical Provider ◽  
Cross Sectional Survey ◽  
Synchronized Skating ◽  
Baseline Screening ◽  
Concussion Education

Data regarding risk and rates for head injury and concussion specific to the sport of synchronized skating is absent from literature. This study differentiated team level-based rate and risk for head injury and concussion, identified behaviors to include education, baseline screening and protective equipment utilization, and the implementation of return to play protocols. An anonymous cross-sectional survey was implemented at the 2018 U.S. Synchronized Skating Championships. Participants were female members of a qualifying team, ages 13 and older, intermediate participation level and higher. The survey response rate was 42% (520/1,232). Among the survey respondents, 7% (36/520) reported head injury in the practice setting and 1% (4/520) in the competitive setting. Among respondents who reported head injury (n = 37), 68% (25/37) reported a team skill injury, with senior level reporting the highest 22% (13/75) rate. Among the sample population (n = 520), the odds of sustaining a head injury during a team skill was 2.13 times more likely than during individual skill (OR: 2.13, CI: 1.06, 4.30; p = 0.03). The odds of sustaining a head injury during practice was 9.59 times higher than in competition (OR: 9.59, CI: 3.30, 27.15; p < 0.0001). Among the sample population, 36% (188/520) reported receiving concussion education during the past training year and 8% (44/520) reported hitting their head on the ice and returning to skating without seeking medical consultation. A χ2 analysis did not reveal a significant association between education and return to skating without medical consultation X2 (1, n = 520) = 0.391, p = 0.532. Baseline screening was reported among 25% (128/520) of the survey respondents. Only 0.06% (3/520) of the survey respondents reported utilizing protective headgear. Among those reporting concussion (n = 26), 92% reported receiving a return to sport/learn progression. Emphasis on concussion education and medical provider access should be targeted to team skill development in the practice setting.

scholarly journals Brain smart – Let's play safely: Evaluation of a concussion education program in schools

2021 ◽  
Vol 5 ◽  
pp. 205970022110244
Author(s):  
Katie Alison Falla ◽  
Sarah Randall ◽  
Carol DeMatteo
Keyword(s):  
School Board ◽  
Education Program ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Concussion Management ◽  
Chi Squared ◽  
Post Test ◽  
History Of ◽  
Concussion Knowledge ◽  
Concussion Education

Objectives There are two objectives for this paper. First, to determine effects of a concussion education program in a local school board in terms of concussion-specific knowledge in children and confidence in identifying and managing concussion in adults. Second, to identify differences and similarities in concussion knowledge between children who participate in sports and those who do not and between children with a history of one or more concussions and those without. Design A cross sectional survey regarding concussion knowledge was distributed randomly to students and adults at both pre- and posteducation timepoints. A concussion education program was disseminated across the school board for students between the distribution survey timepoints. Following the education program, adults and students completed their respective post-test surveys. Chi-squared tests in SPSS determined the significance of between-group differences. Results All 17 adults (100.0%) who had received concussion education recently reported confidence in their knowledge of concussion management, compared to 35.7% adults who had not received education for over a year (p = 0.020). For students, all of whom completed the concussion education training between the pre- and post-tests, there were no significant differences in concussion knowledge scores between athletes and non-athletes (either in or outside of school) or between those with a history of concussion and those without. There were no significant changes in concussion knowledge between the pre- and post-tests, except for one question. Conclusion Concussion education programs increase confidence of concussion management protocols in adults involved in sport, but they require improvements to better support knowledge amelioration, particularly for target groups that are at high risk of sustaining another injury.

scholarly journals Concern and Attitudes Toward Zika Virus in Jarabacoa, Dominican Republic: A Cross-Sectional Study

2018 ◽  
Vol 10 (12) ◽  
pp. 1
Author(s):  
Gregory Black ◽  
Eric Hasenkamp ◽  
Nicholas Johnson ◽  
Rosanna Ianiro ◽  
Ricardo Izurieta ◽  
...  
Keyword(s):  
Public Health ◽  
Health Education ◽  
Dominican Republic ◽  
Zika Virus ◽  
Public Health Education ◽  
Medical Provider ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Contraception Use ◽  
Vector Borne

BACKGROUND &amp; OBJECTIVES: The Zika virus, a member of the flavivirus genus, is an emerging threat to many tropical regions of the world. This study was designed to assess the level of knowledge, attitudes and concern in regards to the Zika virus in the community of Jarabacoa, Dominican Republic, with the hopes of guiding future efforts toward public education and prevention of future public health threats. METHODS: A cross-sectional survey was conducted in the rural communities of Jarabacoa during October 2016 and October 2017. Individuals completed a 14-point survey evaluating: level of concern towards Zika (1=no concern, 3=neutral, 5=extremely concerned), knowledge level of the disease, use of personal protection against the virus, how people initially heard about the disease and contraception use. RESULTS: Overall, women were more concerned than men about contracting the virus (p&lt;.001, CI -2.510, -0.826). Of the respondents (N=138), 66% learned about Zika from the TV/news and 24.6% from their medical provider. 5% knew Zika was contracted from blood and 2% from pregnancy, and only 17% of respondents knew that it was contracted through sex. For protection from Zika, only 8% used condoms. Of the women trying to get pregnant, none knew Zika could be transmitted through sex. CONCLUSION: This study revealed that women were more concerned about the Zika virus than men and that knowledge about the virus was limited. In general, people are protecting themselves against vector borne transmission but not non-vector borne modes of transmission such as sexual intercourse. Also, public health education is lacking. Further studies are needed with more male participants, focus on contraception and social media&rsquo;s effect on public health education.

scholarly journals Deficiencies in Concussion Education in Canadian Medical Schools

2012 ◽  
Vol 39 (6) ◽  
pp. 763-766 ◽  
Author(s):  
Matthew J. Burke ◽  
Josie Chundamala ◽  
Charles H. Tator
Keyword(s):  
Head Injury ◽  
Medical School ◽  
Medical Schools ◽  
Education Curriculum ◽  
Clinical Exposure ◽  
Future Studies ◽  
Physician Knowledge ◽  
Specific Teaching ◽  
Specific Education ◽  
Concussion Education

Background:Recent reports raise concern that physician knowledge of the identification and management of concussion may be deficient. There is little information known about the adequacy of concussion education provided to physicians or medical students. The present study assesses the concussion curriculum offered at medical schools in Canada.Methods:We asked all 17 Canadian medical schools to complete a questionnaire on their concussion curriculum, including the following: year of medical school offered; format/setting; and estimated teaching hours. The responses were organized into three categories: (1) concussion-specific education; (2) head injury education incorporating a concussion component; and (3) no concussion education.Results:Replies were received from 14 (82%) of the 17 medical schools in Canada. Of the 14 responding schools, four (29%) provided concussion-specific education, six (43%) offered head injury education that incorporated a concussion component, and four (29%) reported no concussion teaching in their curriculum.Conclusion:We found deficiencies in the concussion education curriculum provided in the majority of Canadian medical schools. To address this issue, we recommend that all medical schools should, at a minimum, include a one-hour formal concussion-specific teaching session in an early year of their curriculum to be followed by clinical exposure to concussed patients in the later years of medical school. Future studies will be necessary to evaluate if these recommended curricular enhancements are effective in remedying the reported gaps in physicians' concussion knowledge and whether the improved curriculum translates into better care for patients suffering concussion.

Assessment of Mild Head Injury Using Measures of Balance and Cognition: A Case Study

1997 ◽  
Vol 6 (3) ◽  
pp. 283-289 ◽  
Author(s):  
Bryan L. Riemann ◽  
Kevin M. Guskiewicz
Keyword(s):  
Head Injury ◽  
Sports Medicine ◽  
Athletic Trainers ◽  
Head Injuries ◽  
Football Player ◽  
Athletic Participation ◽  
Return To Play ◽  
Mild Head Injury ◽  
Collegiate Football

Mild head injury (MHI) represents one of the most challenging neurological pathologies occurring during athletic participation. Athletic trainers and sports medicine personnel are often faced with decisions about the severity of head injury and the timing of an athlete's return to play following MHI. Returning an athlete to competition following MHI too early can be a catastrophic mistake. This case study involves a 20-year-old collegiate football player who sustained three mild head injuries during one season. The case study demonstrates how objective measures of balance and cognition can be used when making decisions about returning an athlete to play following MHI. These measures can be used to supplement the subjective guidelines proposed by many physicians.

scholarly journals Assessment and Management of Sport-Related Concussions in United States High Schools

2011 ◽  
Vol 39 (11) ◽  
pp. 2304-2310 ◽  
Author(s):  
William P. Meehan ◽  
Pierre d’Hemecourt ◽  
Christy L. Collins ◽  
R. Dawn Comstock
Keyword(s):  
Computed Tomography ◽  
High School ◽  
Primary Care ◽  
Neuropsychological Testing ◽  
Return To Play ◽  
Categorical Variables ◽  
Fisher Exact Test ◽  
Medical Studies ◽  
High School Athletes ◽  
Medical Provider

Background: Little existing data describe which medical professionals and which medical studies are used to assess sport-related concussions in high school athletes. Purpose: To describe the medical providers and medical studies used when assessing sport-related concussions. To determine the effects of medical provider type on timing of return to play, frequency of imaging, and frequency of neuropsychological testing. Study Design: Descriptive epidemiology study. Methods: All concussions recorded by the High School Reporting Information Online (HS RIO) injury surveillance system during the 2009 to 2010 academic year were included. χ2 analyses were conducted for categorical variables. Fisher exact test was used for nonparametric data. Logistic regression analyses were used when adjusting for potential confounders. Statistical significance was considered for P < .05. Results: The HS RIO recorded 1056 sport-related concussions, representing 14.6% of all injuries. Most (94.4%) concussions were assessed by athletic trainers (ATs), 58.8% by a primary care physician. Few concussions were managed by specialists. The assessment of 21.2% included computed tomography. Computerized neuropsychological testing was used for 41.2%. For 50.1%, a physician decided when to return the athlete to play; for 46.2%, the decision was made by an AT. After adjusting for potential confounders, no associations between timing of return to play and the type of provider (physician vs AT) deciding to return the athlete to play were found. Conclusion: Concussions account for nearly 15% of all sport-related injuries in high school athletes. The timing of return to play after a sport-related concussion is similar regardless of whether the decision to return the athlete to play is made by a physician or an AT. When a medical doctor is involved, most concussions are assessed by primary care physicians as opposed to subspecialists. Computed tomography is obtained during the assessment of 1 of every 5 concussions occurring in high school athletes.

scholarly journals Prevalence of Concussion in Quidditch

Neurology ◽  
2019 ◽  
Vol 93 (14 Supplement 1) ◽  
pp. S21.1-S21
Author(s):  
Michael Pepper ◽  
Jeff Wayland ◽  
Adam Elwood ◽  
Spencer Walser ◽  
Vi Tran ◽  
...  
Keyword(s):  
Head Injury ◽  
Health Effects ◽  
Head Injuries ◽  
Return To Play ◽  
Long Term Effects ◽  
Basic Care ◽  
Significant Burden ◽  
Traditional Sports ◽  
Repetitive Injury

ObjectiveThe aim of our study is to assess the rate of concussion occurring while engaging in nontraditional sports such as Quidditch, and the effects that injury during a novelty sport may have on concussion detection when compared to more traditional sports.BackgroundConcussions, once dismissed as nonconsequential, are rapidly attracting notice for acute and long-term health effects. Rates of recovery with repeated trauma is known to decrease with each occurrence. In novelty sports, regulation of concussions and proper return-to-play(RTP) protocol are not routinely enforced, resulting in repetitive injury to the detriment of players.Design/MethodsIRB approval was obtained prior to survey distribution to all players associated with Major League Quidditch (MLQ). Responses were recorded and analyzed.Results157 responses were received. 63% were male and 37% female with mean age 22.9. 146 (93%) respondents confirmed or denied quidditch-related head injury. 22 (15%) denied head injury and 124 (85%) indicated hitting their heads while participating in the sport. 19% of respondents indicated >10 head injuries. 67 (54%) reported suspected concussion with an additional 41 (33%) reporting formal diagnosis with at least one concussion. EMS reported 18 injuries at MLQ matches. 5 (27.8%) were preliminarily diagnosed with concussion. 3 had no further treatment, 1 RTP and 1 received basic care. 0 recieved formal neurologic evaluation. Players were also asked about head injuries sustained in non-quidditch activities for comparison. 43 (27%) reported having medically diagnosed concussions outside of quidditch. 53 (34%) reported at least one suspected concussion without formal diagnosis. 24 (15%) answered maybe.ConclusionsOur data supports that concussion is a significant burden in novelty sports such as quidditch. It is vital to recognize that with the rise of nontraditional sports, the prevalence of concussions in younger nontraditional athletes may be underreported and that concussion specialists must be cognizant of both traditional and novelty sports when evaluating long term effects of head trauma.

scholarly journals Multicenter Study of Human Papillomavirus and the Human Papillomavirus Vaccine: Knowledge and Attitudes among People of African Descent

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Elizabeth Blackman ◽  
Natalie Thurman ◽  
Darron Halliday ◽  
Raleigh Butler ◽  
Dorita Francis ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
African Descent ◽  
Vaccine Uptake ◽  
Human Papillomavirus Vaccine ◽  
Medical Provider ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
The Us ◽  
The Caribbean

Objective. To compare knowledge and attitudes of human papillomavirus (HPV) and the vaccine between different cultures of African descent.Methods. A cross-sectional survey of 555 African-Americans and Afro-Caribbeans residing in the US and the Bahamas (BHM) was conducted.Results. General knowledge about HPV and the HPV vaccine differed between the two countries significantly. Bahamian respondents were less likely to have higher numbers of correct knowledge answers when compared to Americans (Adjusted Odds Ratio [Adj. OR] 0.47, 95% Confidence Interval [CI] 0.30–0.75). Older age, regardless of location, was also associated with answering fewer questions correctly (Adj. OR 0.61, 95% CI 0.40–0.92). Attitudes related to HPV vaccination were similar between the US and BHM, but nearly 80% of BHM respondents felt that children should not be able to receive the vaccine without parental consent compared to 57% of American respondents.Conclusions. Grave lack of knowledge, safety and cost concerns, and influence of parental restrictions may negatively impact vaccine uptake among African-American and Afro-Caribbean persons. Interventions to increase the vaccine uptake in the Caribbean must include medical provider and parental involvement. Effective strategies for education and increasing vaccine uptake in BHM are crucial for decreasing cervical cancer burden in the Caribbean.

Parental Acceptability of HPV Vaccination for Adolescent Daughters and Associated Factors: A Cross-Sectional Survey in Bozhou, China

2020 ◽  
Vol 34 (4) ◽  
pp. 340-357
Author(s):  
Tonghui Suo ◽  
Qi Lu
Keyword(s):  
Social Norms ◽  
Hpv Vaccine ◽  
Associated Factors ◽  
Hpv Vaccination ◽  
Hpv Infection ◽  
Sample Population ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Perceived Safety ◽  
Parental Acceptability

PurposeThis study aimed to investigate parents' acceptability of human papillomavirus (HPV) vaccination for their daughters and associated factors.MethodsThis cross-sectional study was conducted in a city in China with a sample population of parents with a daughter in middle school. Participants' demographic characteristics, knowledge level regarding HPV and the HPV vaccine, perspectives on the health belief model (HBM) constructs, social norms, and acceptability of the HPV vaccine were determined through self-administered questionnaires.ResultsAmong the 523 parents who completed the questionnaire, 71.5% expressed willingness to have their daughters vaccinated against HPV infection and cervical cancer. Logistic regression analysis revealed higher acceptability in the participants with higher perceived severity of HPV infection (OR = 4.823, 95% CI = 2.683, 12.049), higher knowledge-assessment score (OR = 1.298, 95% CI = 1.055, 1.476), and higher perceived safety of the HPV vaccine (OR = 6.372, 95% CI = 3.856, 14.062). Parents influenced by social norms (OR = 4.959, 95% CI = 2.989, 14.386) and those who complied with physicians' recommendations (OR = 4.896, 95% CI = 1.936, 9.258) reported higher levels of acceptability.ImplicationsOur results provide preliminary evidence on the need for health education programs and HPV vaccination campaigns. Future studies should focus on whether the factors associated with vaccination can increase parental acceptability of the HPV vaccine.

scholarly journals Comparative analysis of state-level concussion legislation and review of current practices in concussion

2012 ◽  
Vol 33 (6) ◽  
pp. E11 ◽  
Author(s):  
Krystal L. Tomei ◽  
Christopher Doe ◽  
Charles J. Prestigiacomo ◽  
Chirag D. Gandhi
Keyword(s):  
Formal Education ◽  
District Of Columbia ◽  
State Level ◽  
Signs And Symptoms ◽  
Washington State ◽  
Return To Play ◽  
Young Athletes ◽  
Evaluation Parameters ◽  
Concussion Education

Object Forty-two states and the District of Columbia have passed legislation based on the Lystedt law of Washington state, enacted in 2009 to protect young athletes who have sustained a concussion. The aim of this study was to note the several similarities and differences among the various laws. Methods Concussion legislation was compared for 50 states and the District of Columbia. Evaluation parameters of this study included stipulations of concussion education, criteria for removal from play, requirements for evaluation and return to play after concussion, and individuals required to assess young athletes. Other parameters that were not consistent across states were also noted. Results Forty-three states and the District of Columbia have passed concussion legislation, and an additional 4 states have pending legislation. All states with existing legislation support concussion education for coaches; however, only 48% require coaches to undergo formal education. Athletes must be educated on concussion in 86% of states and parents in 88.7%. Suspicion of concussion is a criterion for removal from play in 75% of states; signs and symptoms of concussion are criteria for removal from play in 16% of states. The individuals allowed to evaluate and clear an athlete for return to play differ greatly among states. Conclusions Injury prevention legislation holds historical precedent, and given the increasing attention to long-term sequelae of repeated head trauma and concussion, concussion legislation has been rapidly passed in 43 states and the District of Columbia. Although the exact stipulations of these laws vary among states, the overall theme is to increase recognition of concussion in young athletes and ensure that they are appropriately cleared for return to play after concussion.

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