JSAMS plus · 2026
Comparative analysis of sport-related concussions in stick-handling sports.
СтатьяНазвание и аннотация: Перевод в очереди
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Baker Clayton R, De Oliveira Nick, Huang Justin, Albert Avi N, Williams Kristen L, Zuckerman Scott L, Terry Douglas P
Аннотация
INTRODUCTION: Concussions are common in stick-handling sports, including lacrosse or hockey, where high-speed play combines player contact with equipment- and projectile-related impacts. In a cohort of lacrosse and hockey athletes who sustained a sport-related concussion (SRC), this study compared: 1) injury mechanisms, 2) initial symptom burden, and 3) recovery timelines between the sports.
METHODS: In this retrospective cohort study of patients (12-23 years) with SRC from lacrosse or hockey, injury mechanism was categorized as player-to-surface, player-to-player, player-to-stick, or player-to-ball/puck. Outcomes included initial Post-Concussion Symptom Scale (PCSS) score and time to return-to-learn (RTL), symptom resolution (SR), and return-to-play (RTP). Nonparametric tests compared groups, and multivariable linear regression evaluated associations between sport and injury mechanism with outcomes, adjusting for age, sex, and prior concussions.
RESULTS: Of 80 athletes (median age = 16.6), 37 played lacrosse (60% male) and 43 played hockey (86% male). Injury mechanism differed by sport (p = 0.03): lacrosse had more player-to-surface (35.1% vs. 27.9%), player-to-stick (24.3% vs. 11.6%), and player-to-ball/puck (21.6% vs 9.3%) injuries and less player-to-player (18.9% vs. 48.8%) injuries than hockey. Initial PCSS scores were higher after stick-related injuries (median = 47.5) than other mechanisms (surface = 26.0, player = 20.0, ball/puck = 31.0; p = 0.02), though mechanism was not a significant predictor in multivariable regression. Time to RTL, SR, and RTP did not differ by sport, injury mechanism, or competition setting.
CONCLUSION: Symptom severity and recovery timelines were similar between sports and setting. Stick and ball/puck impacts were associated with greater initial symptom burden and longer RTL, which may warrant closer early monitoring and enhanced school accommodations.
METHODS: In this retrospective cohort study of patients (12-23 years) with SRC from lacrosse or hockey, injury mechanism was categorized as player-to-surface, player-to-player, player-to-stick, or player-to-ball/puck. Outcomes included initial Post-Concussion Symptom Scale (PCSS) score and time to return-to-learn (RTL), symptom resolution (SR), and return-to-play (RTP). Nonparametric tests compared groups, and multivariable linear regression evaluated associations between sport and injury mechanism with outcomes, adjusting for age, sex, and prior concussions.
RESULTS: Of 80 athletes (median age = 16.6), 37 played lacrosse (60% male) and 43 played hockey (86% male). Injury mechanism differed by sport (p = 0.03): lacrosse had more player-to-surface (35.1% vs. 27.9%), player-to-stick (24.3% vs. 11.6%), and player-to-ball/puck (21.6% vs 9.3%) injuries and less player-to-player (18.9% vs. 48.8%) injuries than hockey. Initial PCSS scores were higher after stick-related injuries (median = 47.5) than other mechanisms (surface = 26.0, player = 20.0, ball/puck = 31.0; p = 0.02), though mechanism was not a significant predictor in multivariable regression. Time to RTL, SR, and RTP did not differ by sport, injury mechanism, or competition setting.
CONCLUSION: Symptom severity and recovery timelines were similar between sports and setting. Stick and ball/puck impacts were associated with greater initial symptom burden and longer RTL, which may warrant closer early monitoring and enhanced school accommodations.