soccer 1501521 1920

Tested positive for COVID? Be careful out there

 

Higher concussion rates following COVID-19 infection in high school athletes.

Bullock GS, Emery CA, Nelson VR, etc. al, Br J Sports Med2023; [epub ahead of print]. two: 10.1136/brjsports-2022-106436.

Full text freely available

Take home message

Athletes who tested positive for a COVID-19 infection were more likely to suffer a concussion within 60 days of recovering from the infection than athletes who did not contract COVID-19.

Background

COVID-19 affects the respiratory, cardiovascular and nervous systems. In some cases, COVID-19 can lead to long-term consequences (e.g. impaired cognition). It is currently unknown whether COVID-19 infection affects the risk of sports-related concussions.

Study aim

Bullock and colleagues completed a prospective cohort study to compare concussion rates between high school athletes who recently tested positive for COVID-19 and those who did not.

Methods

The authors recruited athletes from high schools in six states. A certified athletic trainer recorded all cases of COVID-19 infection or concussion. If an athlete reported COVID-like symptoms or had an elevated temperature during a daily screening, the athletic trainer administered a COVID test. The research team also recorded when an athlete participated in a training or competition. The authors focused on the number of concussions within 60 days after an athlete returned to play following a COVID-19 infection. All data was recorded in the Players Health Rehab system, including demographic information, sports and illness data for all athletes.

Results

A total of 72,522 athletes participated in high school sports at the affected school during the 2020-2021 school year. Of these athletes, 430 had COVID-19 infections. Of the athletes with a COVID-19 infection, 32 had a concussion, and 1,241 athletes without COVID-19 had a concussion. An athlete with a history of COVID-19 was approximately 3 times more likely to suffer a concussion within 60 days of returning to play than an athlete without COVID-19.

Viewpoints

Overall, the authors found that prior COVID-19 infection increased the risk of concussion during the first 60 days after recovery from COVID-19. Therefore, the effects of a COVID-19 infection may linger after returning to play. Knowing whether this applies to other sports-related injuries would be interesting. Additionally, learning why these athletes are at greater risk for concussion (e.g., deconditioning, persistent symptoms) can help us develop prevention strategies and make informed decisions about when and how to release an athlete to play following a COVID-19 infection.

Clinical implications

Doctors should explain to patients with COVID-19 that they may experience lingering effects that predispose them to concussion. We need to help the patient make an informed decision about when to return to play after COVID-19 infection. Once an athlete returns, doctors should monitor these patients for concussions.

Questions for discussion

What other measures have you implemented in your clinical practice to monitor athletes after COVID-19 infection? Is a COVID-19 infection something you are currently documenting?

Written by Kyle Harris
Reviewed by Jeffrey Driban

related posts

COVID recovery may require injury prevention training!
Use of cardiovascular magnetic resonance (CMR) imaging for return to athletic activities after COVID-19 infection: an expert consensus document on behalf of the American Heart Association Council on Cardiovascular Radiology and Intervention (CVRI) Leadership and endorsed by the Society for Cardiovascular Magnetic Resonance (SCMR)
Adapted physical activity in subjects and athletes recovering from Covid-19: a position statement of the Società Italiana Scienze Motorie e Sportive
Cardiopulmonary Considerations for High School Athletes During the COVID-19 Pandemic: Update to the NFHS-AMSSM Guidelines

Evidence-based assessment of concussion course - 5 EBP CEUs

Source link

Similar Posts

  • Orthofix announces the full commercial launch of the WaveForm L Interbody System for lateral lumbar fusion procedures

      LEWISVILLE, Texas, November 6, 2023–(BUSINESS WIRE)–Orthofix Medical Inc. (NASDAQ:OFIX), a leading global spine and orthopedics company, today announced the full commercial launch in the U.S. of the WaveForm® L Lateral lumbar interbody system. Designed for lateral lumbar interbody fusion (LLIF) procedures, the 3D printed WaveForm L features a porous structure that prioritizes strength and…

  • |

    Driving after knee surgery

    What’s the one thing nearly 1.5 million Americans who had a procedure in 2022 desperately want to know? For most, it’s about reclaiming their independence and getting back to their normal routine. We recognize that a total joint replacement is a major event. It significantly impacts your daily mobility and overall sense of freedom. It’s completely natural to look forward to resuming all your regular activities once the operation is complete. driving after knee surgery Our goal is to equip you with clear, reliable information to navigate your healing journey safely. Understanding your personal recovery timeline is not just about convenience—it’s crucial for ensuring the safety of everyone on the road. We will explore the critical physical and mental factors that determine true readiness. This knowledge helps you make informed decisions alongside your medical team. Key Takeaways Regaining the ability to operate a vehicle is a common and important milestone after a major orthopedic procedure. Safety for yourself and others is the paramount concern when considering a return to this activity. Your specific recovery timeline is unique and depends on multiple factors, including which leg was operated on. Medication use, muscle strength, and pain levels are all critical indicators of your readiness. Consulting with your surgeon for a personalized assessment is an essential step before you resume. Being patient with your body during the healing process leads to better long-term outcomes. Planning for assistance with transportation in the initial weeks post-procedure is highly recommended. Understanding Knee Replacement and Recovery Robotically assisted surgery is revolutionizing how patients recover from joint procedures. Specialists like Dr. Jacob in Oklahoma City utilize these minimally invasive, rapid recovery techniques. Their goal is to help individuals return to their daily activities with less discomfort. What Is a Knee Replacement? A total knee replacement, or arthroplasty, is a highly successful procedure. It involves removing damaged tissue and bone from the joint. Surgeons then replace them with durable artificial components. This replacement surgery is typically performed when arthritis or injury severely limits natural mobility. The artificial joint restores smooth movement and alleviates pain. For many, it’s a life-changing operation. knee replacement surgery Overview of the Recovery Process The rehabilitation phase after a knee replacement requires patience. Patients often experience temporary weakness and a limited range of motion initially. This is a normal part of healing from the invasive surgery. Most people find this replacement surgery significantly improves their function. It allows them to eventually return to the activities they enjoy. We emphasize that a personalized recovery plan is key. Recovery Phase Primary Focus Typical Timeline Early (Weeks 1-2) Pain management, basic mobility, wound healing 1-2 weeks post-op Middle (Weeks 3-6) Building strength, improving range of motion 3-6 weeks post-op Late (Months 2-6+) Returning to normal activities, endurance building 2 months and beyond Understanding these phases helps set realistic expectations. Modern techniques aim to accelerate this recovery timeline. Working closely with your care team ensures the best outcome from your knee replacement surgery. Driving after knee surgery: Key Considerations Resuming control behind the wheel is a major milestone that hinges on two critical factors: medication management and physical rehabilitation. Your personal safety and the safety of others depend on an honest evaluation of both. pain medication and physical therapy for driving readiness We cannot overstate the importance of this dual assessment. It forms the foundation for a confident and secure return to operating a vehicle. Impact of Pain Medication on Driving Narcotic pain medication is a standard part of post-operative care. However, these drugs significantly dull mental alertness and slow reaction times. It is both illegal and dangerous to get behind the wheel while under their influence. Your ability to focus on complex traffic situations is compromised. You must be completely off such pain medication before considering any trip. Even lingering pain can be a dangerous distraction if it’s severe….

  • |

    Headgear does not help prevent concussions in football and rugby athletes

      Does headgear prevent sports-related concussions? A systematic review and meta-analysis of randomized controlled trials involving 6311 players and 173,383 exposure hours. Al Attar WSA, Mahmoud H, Alfadel A, Faude O. Sports health. May 19, 2023: 19417381231174461. doi: 10.1177/19417381231174461. E-publishing prior to printing. PMID: 37204092. Full text not freely available Take home message Headgear worn…

  • |

    Best Bone Health Supplements with Cr. McCormick

      Hello friends of bones: I am pleased to present my interview on bone supplements with Dr. McCormick. We discussed his full line of bone supplements that are a key ingredient for healthy bones and why calcium in lower doses is important. A number of attendees indicated that they could not participate in the zoom…

  • | |

    CL injuries than men

    Looking for a weeknight-friendly dinner recipe? Try this! With just six ingredients, our Lemon Garlic Chicken recipe is a one-pot meal that is delicious and easy to prepare. Plus, it’s packed with bone-strengthening proteins and essential vitamins and minerals like selenium and phosphorus. You’ll find yourself returning to our Lemon Garlic Chicken recipe again and…

  • Five-year study results of the NuVasive Simplify Cervical Disc were presented at the 38th Annual Meeting of the North American Spine Society

    AUDUBON, PA, October 24, 2023 (GLOBE NEWSWIRE) — Globus Medical, Inc. (NYSE: GMED), a leading musculoskeletal solutions company, presented the five-year results of the NuVasive Simplify Cervical Disc study at the North American Spine Society (NASS) 38e Annual meeting. The study demonstrates positive long-term clinical outcomes, high overall composite success at 60 months, and statistical…

Leave a Reply

Your email address will not be published. Required fields are marked *