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SPORTS MEDICINE :
SPORTS: INJURIES: CONCUSSSIONS :
SPORTS: FOOTBALL: PROFESSIONAL (NFL):
STATISTICS :
DATA:
Twelve Years of National Football League Concussion Data
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Twelve Years of National Football League Concussion Data
Ira R. Casson, MD,* Dr med David C. Viano, PhD, John W. Powell, PhD,? and
Elliot J. Pellman, MD#
Sports Health
2010 Nov; 2(6): 471483.
doi: 10.1177/1941738110383963
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3438866/
Abstract
.
Background:
.
Concussion in the National Football League (NFL) remains an important
issue. An initial description of the injury epidemiology involved 6 years
from 1996 to 2001.
.
Hypothesis:
The increased attention to concussions may have resulted in team
physicians being more conservative in treating players in recent years.
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Study Design:
.
Two consecutive 6-year periods (1996-2001 and 2002-2007) were compared to
determine changes in the circumstances associated with the injury, the
patterns of signs and symptoms, and the players time loss from
participation in the NFL.
.
Methods:
.
During 2002-2007, concussions were recorded by NFL team physicians and
athletic trainers using the same standardized reporting form used from
1996 to 2001. Player position, type of play, concussion signs and
symptoms, loss of consciousness, and medical action taken were recorded.
.
Results:
.
There were 0.38 documented concussions per NFL game in 2002-20077.6% lower
than the 0.42 in the earlier period (1996-2001). The injury rate was lower
in quarterbacks and wide receivers but significantly higher in tight ends
during the second 6 years. The most frequent symptoms were headaches and
dizziness; the most common signs were problems with information processing
and immediate recall. During 2002-2007, a significantly lower fraction of
concussed players returned to the same game, and more were removed from
play. Most concussed players (83.5%) returned to play in < 7 days; the
percentage decreased to 57.4% with loss of consciousness. The number of
players returning in < 7 days was 8% lower during 2002-2007 and 25% lower
for those with loss of consciousness.
.
Conclusion:
.
The most recent 6 years of NFL concussion data show a remarkable
similarity to the earlier period. However, there was a significant
decrease in the percentage of players returning to the same game, and
players were held out of play longer.
.
Clinical Relevance:
There was a more conservative management of concussion in NFL players from
2002 to 2007 even though the clinical signs and symptoms remained similar
to the earlier 6-year period.
.
Keywords:
.
concussion, traumatic brain injury, injury epidemiology, sport
injury prevention
.
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Topics Covered in This Article
Materials and Methods
Signs and Symptoms
Data Documentation
Data Analysis and Statistics
Results
Discussion
Physician Management of Concussion
Neuropsychological Testing
Change in Concussion Incidence
Rules of Play
Tight Ends
Kickoffs and Punts
Quarterbacks and Defensive Linemen
Summary
There are a number of possible explanations for the changes in the RTP
data and the incidence of concussion during the second 6-year period.
Multiple factors may have played a role in causing these differences,
including the efforts by the NFL, the NFL Players Association, NFL team
athletic trainers and physicians, and safety equipment manufacturers to
ameliorate the effects of head injury on NFL players.
Go to:
Acknowledgments
The authors were members of the National Football Leagues Mild Traumatic
Brain Injury Committee during the conduct of this research. Funding for
the research was provided by the National Football League and NFL
Charities, the latter of which is funded by the National Football League
Players Association and the league. Their support and encouragement to
conduct research on concussion are greatly appreciated.
The opinions and views presented in this article are those of the authors
and not necessarily the National Football League. They are offered as part
of an effort to better understand the causes and consequences of playing
football on the brain and to lay out what additional efforts are needed to
prevent brain injury and improve the health, safety, and welfare of
individuals playing football.
The assistance of the National Football League team physicians and
athletic trainers is appreciated in filling out the concussion reports,
and so are the players who consented to participate in the epidemiology
study through a blinded identification in the concussion database. We also
thank the staff at Med Sports Systems for their efforts in managing and
verifying the concussion data.
Go to:
Footnotes
The authors declared that they had no conflicts of interest in the
authorship and publication of this contribution.
Go to:
References
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The complete article may be read at the URL above.
.
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Google Scholar
Twelve years of National Football League concussion data IR Casson, DC
Viano, JW Powell - Sports Health, 2010 - journals.sagepub.com Background:
Concussion in the National Football League (NFL) remains an important
issue. An initial description of the injury epidemiology involved 6 years
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