Effects of Developmental Age on Symptom Reporting and Neurocognitive Performance in Youth After Sports-Related Concussion Compared to Control Athletes

J Child Neurol. 2018 Jun;33(7):474-481. doi: 10.1177/0883073818766815. Epub 2018 Apr 18.

Abstract

There is increased necessity to focus research on school-aged athletes with sports-related concussion (SRC). This study assessed differences in symptom reporting and neurocognitive performance in youth athletes who sustained a sports-related concussion. A total of 1345 concussed and 3529 nonconcussed athletes (ages 8-21) completed the Immediate Post-concussive Assessment and Cognitive Testing (ImPACT). Analyses of covariance were conducted in order to assess differences in neurocognitive performance and symptom reporting between the sports-related concussion and control groups across age ranges. Longitudinal hierarchical linear modeling was employed to examine age and its relationship with rates of sports-related concussion recovery in neurocognitive performance. Results revealed athletes aged 13 to 15 had significantly lower neurocognitive performance scores compared to same-aged athletes without a history of sports-related concussion. With respect to the hierarchical linear modeling results, age was identified as a unique predictor of symptom recovery, particularly for ages 8 to 12. Results provide a better understanding of typical symptom reporting and neurocognitive outcomes for younger athletes across different ages.

Keywords: ImPACT; age differences; pediatric; sports-related concussion.

MeSH terms

  • Adolescent
  • Age Factors
  • Athletes / psychology*
  • Athletic Injuries / epidemiology
  • Athletic Injuries / psychology*
  • Brain Concussion / epidemiology
  • Brain Concussion / etiology*
  • Brain Concussion / psychology*
  • Child
  • Cognition*
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Prognosis
  • Recovery of Function
  • Young Adult