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Licensed Unlicensed Requires Authentication Published by De Gruyter January 20, 2016

An evaluation of Gaelic Athletic Association (GAA) athletes’ self-reported practice of playing while concussed, knowledge about and attitudes towards sports-related concussion

  • Lindsay Sullivan EMAIL logo , Audrey Alforque Thomas and Michal Molcho

Abstract

Background/Aim: Sports-related concussions are now recognized as a major public health concern. However, despite the association of concussion with short- and long-term health consequences, many young athletes still lack basic knowledge about concussion and seem to believe that concussions may be “toughed out” and do not require medical attention. This study assessed self-reported practice of playing in training or a match while concussed among Gaelic Athletic Association (GAA) athletes in Ireland aged 13–25 years old (M=19.19, SD=3.54). This study also assessed knowledge about and attitudes towards sports-related concussion in GAA players in Ireland.

Methods: Using a self-report questionnaire, data were captured electronically on GAA athletes aged 13–25 years old (n=80) regarding knowledge about the detection, assessment and management of sports-related concussion, as well as participant’s attitudes towards concussion and self-reported practice of playing in training or a match while concussed. Data were collected from June to August 2013.

Results: This study revealed that approximately one in four athletes reported having played while concussed in practice or during a match. Males were significantly more likely to play while concussed than females (40.9% and 17.2%, respectively). Results from this study indicated participants lack a complete understanding of concussion, as common misconceptions about concussion prevailed. Analyses revealed that participants generally have safe attitudes towards concussion and concussion management.

Conclusion: Generating awareness of the potential short- and long-term health consequences of concussion, coupled with the promotion of safer attitudes towards this injury, could minimize the number of players who return-to-play pre-maturely and promote a more safety-conscious sports culture in Ireland.


Corresponding author: Lindsay Sullivan, School of Health Sciences, Health Promotion Research Centre, NUIG, NUI Galway, Galway, Ireland, Phone: +353 85 8147150, Fax: +353 91 750577

References

1. Wiebe DJ, Comstock RD, Nance ML. Concussion research: a public health priority. Inj Prev 2011;17:69–70.10.1136/ip.2010.031211Search in Google Scholar

2. McCrory P, Meeuwisse W, Johnston K. Consensus Statement on Concussion in Sport, 3rd International Conference on Concussion in Sport, Held in Zurich, November 2008 (vol 19, p. 185, 2009). Clin J Sport Med 2010;20:332.10.1097/JSM.0b013e3181e92350Search in Google Scholar

3. McCrory P, Meeuwisse WH, Aubry M, Cantu RC, Dvořák J, et al. Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport, Zurich, November 2012. J Athl Train 2013;48:554–75.10.4085/1062-6050-48.4.05Search in Google Scholar

4. Halstead ME, Walter KD, Council Sports Med F. Clinical report-sport-related concussion in children and adolescents. Pediatrics 2010;126:597–611.10.1542/9781581108224-sport_sub01Search in Google Scholar

5. Langlois JA, Rutland-Brown W, Wald MM. The epidemiology and impact of traumatic brain injury: a brief overview. J Head Trauma Rehabil 2006;21:375–8.10.1097/00001199-200609000-00001Search in Google Scholar

6. Chrisman SP, Quitiquit C, Rivara FP. Qualitative study of barriers to concussive symptom reporting in high school athletics. J Adolesc Health 2013;52:330–5.e3.10.1016/j.jadohealth.2012.10.271Search in Google Scholar

7. Guilmette TJ, Paglia MF. The public’s misconceptions about traumatic brain injury: a follow up survey. Arch Clin Neuropsychol 2004;19:183–9.10.1016/S0887-6177(03)00025-8Search in Google Scholar

8. McCrea M, Hammeke T, Olsen G, Leo P, Guskiewicz K. Unreported concussion in high school football players – implications for prevention. Clin J Sport Med 2004;14:13–7.10.1097/00042752-200401000-00003Search in Google Scholar PubMed

9. Sye G, Sullivan SJ, McCrory P. High school rugby players’ understanding of concussion and return to play guidelines. Br J Sports Med 2006;40:1003–5.10.1136/bjsm.2005.020511Search in Google Scholar PubMed PubMed Central

10. Williamson IJ, Goodman D. Converging evidence for the under-reporting of concussions in youth ice hockey. Br J Sports Med 2006;40:128–32; discussion -32.10.1136/bjsm.2005.021832Search in Google Scholar PubMed PubMed Central

11. Bloodgood B, Inokuchi D, Shawver W, Olson K, Hoffman R, et al. Exploration of awareness, knowledge, and perceptions of traumatic brain injury among American youth athletes and their parents. J Adolesc Health 2013;53:34–9.10.1016/j.jadohealth.2013.01.022Search in Google Scholar PubMed PubMed Central

12. Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control (2003) Report to Congress on mild traumatic brain injury in the United States: Steps to prevent a serious public health problem. Atlanta, GA: Centers for Disease Control and Prevention.Search in Google Scholar

13. McKee AC, Stern RA, Nowinski CJ, Stein TD, Alvarez VE, et al. The spectrum of disease in chronic traumatic encephalopathy. Brain 2013;136(Pt 1):43–64.10.1093/brain/aws307Search in Google Scholar PubMed PubMed Central

14. Patel DR, Greydanus DE. Neurologic considerations for adolescent athletes. Adolesc Med 2002;13:569–78.Search in Google Scholar

15. Kroshus E, Baugh CM, Hawrilenko M, Daneshvar DH. Pilot randomized evaluation of publically available concussion education materials: evidence of a possible negative effect. Health Educ Behav 2014.10.1177/1090198114543011Search in Google Scholar PubMed

16. Kroshus E, Baugh CM, Daneshvar DH, Viswanath K. Understanding concussion reporting using a model based on the theory of planned behavior. J Adolesc Health 2014;54:269–74.e2.10.1016/j.jadohealth.2013.11.011Search in Google Scholar PubMed

17. Register-Mihalik JK, Linnan LA, Marshall SW, Valovich McLeod TC, Mueller FO, et al. Using theory to understand high school aged athletes’ intentions to report sport-related concussion: implications for concussion education initiatives. Brain Inj 2013;27:878–86.10.3109/02699052.2013.775508Search in Google Scholar PubMed

18. Buzzini SR, Guskiewicz KM. Sport-related concussion in the young athlete. Curr Opin Pediatr 2006;18:376–82.10.1097/01.mop.0000236385.26284.ecSearch in Google Scholar PubMed

19. Field M, Collins MW, Lovell MR, Maroon J. Does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes. J Pediatr 2003;142:546–53.10.1067/mpd.2003.190Search in Google Scholar PubMed

20. Karlin AM. Concussion in the pediatric and adolescent population: “different population, different concerns”. PM R 2011; 3(10 Suppl 2):S369–79.10.1016/j.pmrj.2011.07.015Search in Google Scholar PubMed

21. Kirkwood MW, Yeates KO, Wilson PE. Pediatric sport-related concussion: a review of the clinical management of an oft-neglected population. Pediatrics 2006;117:1359–71.10.1542/peds.2005-0994Search in Google Scholar PubMed

22. Lovell MR, Collins MW, Iverson GL, Johnston KM, Bradley JP. Grade 1 or “ding” concussions in high school athletes. Am J Sports Med 2004;32:47–54.10.1177/0363546503260723Search in Google Scholar PubMed

23. McCrory P, Davis G. Paediatric sport related concussion pilot study. Br J Sports Med 2005;39:116.10.1136/bjsm.2004.015958Search in Google Scholar

24. McKeever CK, Schatz P. Current issues in the identification, assessment, and management of concussions in sports-related injuries. Appl Neuropsychol 2003;10:4–11.10.1207/S15324826AN1001_2Search in Google Scholar

25. Patel DR, Shivdasani V, Baker RJ. Management of sport-related concussion in young athletes. Sports Med 2005;35:671–84.10.2165/00007256-200535080-00002Search in Google Scholar

26. Webbe FM, Barth JT. Short-term and long-term outcome of athletic closed head injuries. Clin Sports Med 2003;22:577–92.10.1016/S0278-5919(02)00103-5Search in Google Scholar

27. Acquired Brain Injury Ireland (2014). Implications of concussion in sport. Submission to the Oireachtas Joint Committee on Health and Children, 2014. Available on: http://www.oireachtas.ie/parliament/media/committees/healthandchildren/health2014/ABI-Ireland--Concussion-Submission_Final_Oct_2014.pdf (Accessed: February 2015).Search in Google Scholar

28. Kroshus E, Kubzansky LD, Goldman RE, Austin SB. Norms, athletic identity, and concussion symptom under-reporting among male collegiate ice hockey players: a prospective cohort study. Ann Behav Med 2015;49:95–103.10.1007/s12160-014-9636-5Search in Google Scholar PubMed

29. Rosenbaum AM, Arnett PA. The development of a survey to examine knowledge about and attitudes toward concussion in high-school students. J Clin Exp Neuropsychol 2010;32:44–55.10.1080/13803390902806535Search in Google Scholar PubMed

30. IBM Corp. Released 2011. IBM SPSS Statistics for Windows VA, NY: IBM Corp.Search in Google Scholar

31. Baker JF, Devitt BM, Green J, McCarthy C. Concussion among under 20 rugby union players in Ireland: incidence, attitudes and knowledge. Ir J Med Sci 2013;182:121–5.10.1007/s11845-012-0846-1Search in Google Scholar PubMed

32. Colvin AC, Mullen J, Lovell MR, West RV, Collins MW, et al. The role of concussion history and gender in recovery from soccer-related concussion. Am J Sports Med 2009;37: 1699–704.10.1177/0363546509332497Search in Google Scholar PubMed

33. Covassin T, Elbin RJ. The female athlete: the role of gender in the assessment and management of sport-related concussion. Clin Sports Med 2011;30:125–31.10.1016/j.csm.2010.08.001Search in Google Scholar PubMed

34. Farace E, Alves WM. Do women fare worse: a metaanalysis of gender differences in traumatic brain injury outcome. J Neurosurg 2000;93:539–45.10.3171/jns.2000.93.4.0539Search in Google Scholar PubMed

35. Broshek DK, Kaushik T, Freeman JR, Erlanger D, Webbe F, et al. Sex differences in outcome following sports-related concussion. J Neurosurg 2005;102:856–63.10.3171/jns.2005.102.5.0856Search in Google Scholar PubMed

36. Fraas MR, Coughlan GF, Hart EC, McCarthy C. Concussion history and reporting rates in elite Irish rugby union players. Phys Ther Sport 2014;15:136–42.10.1016/j.ptsp.2013.08.002Search in Google Scholar PubMed

37. Broglio SP, Vagnozzi R, Sabin M, Signoretti S, Tavazzi B, et al. Concussion occurrence and knowledge in Italian football (soccer). J Sport Sci Med 2010;9:418–30.Search in Google Scholar

38. Fedor A, Gunstad J. Limited knowledge of concussion symptoms in college athletes. Appl Neuropsychol Adult 2014:1–6.10.1080/23279095.2013.860604Search in Google Scholar PubMed

39. Kaut KP, DePompei R, Kerr J, Congeni J. Reports of head injury and symptom knowledge among college athletes: implications for assessment and educational intervention. Clin J Sport Med 2003;13:213–21.10.1097/00042752-200307000-00004Search in Google Scholar PubMed

40. Register-Mihalik JK, Guskiewicz KM, McLeod TC, Linnan LA, Mueller FO, et al. Knowledge, attitude, and concussion-reporting behaviors among high school athletes: a preliminary study. J Athl Train 2013;48:645–53.10.4085/1062-6050-48.3.20Search in Google Scholar PubMed PubMed Central

41. Kerr ZY, Register-Mihalik JK, Marshall SW, Evenson KR, Mihalik JP, et al. Disclosure and non-disclosure of concussion and concussion symptoms in athletes: review and application of the socio-ecological framework. Brain Inj 2014;28: 1009–21.10.3109/02699052.2014.904049Search in Google Scholar PubMed

42. Provvidenza CF, Johnston KM. Knowledge transfer principles as applied to sport concussion education. Br J Sports Med 2009;43(Suppl 1):i68–75.10.1136/bjsm.2009.058180Search in Google Scholar PubMed

Received: 2015-8-11
Accepted: 2015-11-19
Published Online: 2016-1-20

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