| Title |
Neuromuscular Control Deficits and the Risk of Subsequent Injury after a Concussion: A Scoping Review
|
|---|---|
| Published in |
Sports Medicine, February 2018
|
| DOI | 10.1007/s40279-018-0871-y |
| Pubmed ID | |
| Authors |
David R. Howell, Robert C. Lynall, Thomas A. Buckley, Daniel C. Herman |
| Abstract |
An emerging area of research has identified that an increased risk of musculoskeletal injury may exist upon returning to sports after a sport-related concussion. The mechanisms underlying this recently discovered phenomenon, however, remain unknown. One theorized reason for this increased injury risk includes residual neuromuscular control deficits that remain impaired despite clinical recovery. Thus, the objectives of this review were: (1) to summarize the literature examining the relationship between concussion and risk of subsequent injury and (2) to summarize the literature for one mechanism with a theorized association with this increased injury risk, i.e., neuromuscular control deficits observed during gait after concussion under dual-task conditions. Two separate reviews were conducted consistent with both specified objectives. Studies published before 9 December, 2016 were identified using PubMed, Web of Science, and Academic Search Premier (EBSCOhost). Inclusion for the objective 1 search included dependent variables of quantitative measurements of musculoskeletal injury after concussion. Inclusion criteria for the objective 2 search included dependent variables pertaining to gait, dynamic balance control, and dual-task function. A total of 32 studies were included in the two reviews (objective 1 n = 10, objective 2 n = 22). According to a variety of study designs, athletes appear to have an increased risk of sustaining a musculoskeletal injury following a concussion. Furthermore, dual-task neuromuscular control deficits may continue to exist after patients report resolution of concussion symptoms, or perform normally on other clinical concussion tests. Therefore, musculoskeletal injury risk appears to increase following a concussion and persistent motor system and attentional deficits also seem to exist after a concussion. While not yet experimentally tested, these motor system and attentional deficits may contribute to the risk of sustaining a musculoskeletal injury upon returning to full athletic participation. |
X Demographics
The data shown below were collected from the profiles of 72 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 43 | 60% |
| Canada | 6 | 8% |
| United Kingdom | 4 | 6% |
| Spain | 2 | 3% |
| South Africa | 1 | 1% |
| New Zealand | 1 | 1% |
| Brazil | 1 | 1% |
| Unknown | 14 | 19% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 42 | 58% |
| Scientists | 22 | 31% |
| Practitioners (doctors, other healthcare professionals) | 6 | 8% |
| Science communicators (journalists, bloggers, editors) | 2 | 3% |
Mendeley readers
The data shown below were compiled from readership statistics for 226 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 226 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 36 | 16% |
| Student > Ph. D. Student | 27 | 12% |
| Student > Bachelor | 25 | 11% |
| Researcher | 16 | 7% |
| Student > Doctoral Student | 13 | 6% |
| Other | 32 | 14% |
| Unknown | 77 | 34% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 32 | 14% |
| Medicine and Dentistry | 28 | 12% |
| Sports and Recreations | 26 | 12% |
| Neuroscience | 16 | 7% |
| Psychology | 8 | 4% |
| Other | 27 | 12% |
| Unknown | 89 | 39% |
Attention Score in Context
This research output has an Altmetric Attention Score of 54. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 April 2021.
All research outputs
#766,693
of 24,914,266 outputs
Outputs from Sports Medicine
#716
of 2,873 outputs
Outputs of similar age
#17,595
of 336,172 outputs
Outputs of similar age from Sports Medicine
#23
of 59 outputs
Altmetric has tracked 24,914,266 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,873 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 55.1. This one has done well, scoring higher than 75% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 336,172 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 94% of its contemporaries.
We're also able to compare this research output to 59 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 62% of its contemporaries.