Abstract

Objective

Evaluation of concussion symptoms is a key element in management of sport-related concussions (SRC). The COVID-19 pandemic has been linked to increased reports of anxiety and depression in the general population, though it is unknown if this increase has also affected reporting of concussion symptoms. The purpose of this study was to determine whether there were differences in reporting of concussion symptoms in adolescents who sustained an SRC before versus during the COVID-19 pandemic.

Methods

Subjects (n = 707) aged 12–18 with SRC were evaluated within 14 days of injury (M = 5.64 days, SD = 3.68) at a North Texas Concussion Registry (ConTex) clinic and completed the Sport Concussion Assessment Tool-5 (SCAT-5) Symptom Evaluation. Subjects were grouped by those evaluated before (n = 625) or after (n = 82) March 23, 2020 and were similar in age, sex, and history of treatment for anxiety or depression. T-tests were used to compare the number of endorsed concussion symptoms and symptom severity between groups.

Results

There was no significant difference in number of concussion symptoms endorsed (M = 10.81, SD = 6.53 vs M = 11.35, SD = 6.25, p = 0.463) or symptom severity (M = 28.33, SD = 24.14, M = 26.79, SD = 20.91, p = 0.540) between before vs during COVID-19 SRC groups.

Conclusions

In this cohort of young athletes, results suggest that despite effects of the COVID-19 epidemic on community mental health, we did not see evidence of a systematic influence on SRC symptom reporting during the pandemic.

中文翻译：

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A-03 COVID-19大流行期间与运动有关的脑震荡的脑震荡症状报告

摘要

客观的

脑震荡症状的评估是管理与运动有关的脑震荡（SRC）的关键要素。COVID-19大流行与普通人群焦虑和抑郁的报道增多有关，尽管尚不清楚这种增加是否也影响了脑震荡症状的报告。这项研究的目的是确定在COVID-19大流行之前和期间发生SRC的青少年中脑震荡症状的报告是否存在差异。

方法

在北德克萨斯州脑震荡登记处（ConTex）诊所对受伤的14天内（M = 5.64天，SD = 3.68）在12至18岁的SRC受试者（n = 707）中进行了评估，并完成了运动脑震荡评估工具5（SCAT） -5）症状评估。按照2020年3月23日之前（n = 625）或之后（n = 82）进行评估的受试者分组，这些受试者的年龄，性别和焦虑或抑郁的治疗史相似。使用T检验比较两组之间认可的脑震荡症状的数量和症状的严重程度。

结果

认可的脑震荡症状数量（M = 10.81，SD = 6.53 vs M = 11.35，SD = 6.25，p = 0.463）或症状严重程度（M = 28.33，SD = 24.14，M = 26.79，SD = COVID-19 SRC组之前和期间之间的差异为20.91，p = 0.540）。

结论

在这组年轻运动员中，研究结果表明，尽管COVID-19流行病对社区心理健康产生了影响，但在流行病期间，我们没有看到对SRC症状报告产生系统影响的证据。