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A Heads Up On Concussions: Are There Sex-Related Differences?
Poster Title: A Heads Up On Concussions: Are There Sex-Related Differences?
Submitted on 26 Feb 2016
Author(s): Emily M Brook, Xuan Luo, Emily J Curry, Elizabeth G Matzkin
Affiliations: Brigham and Women's Hospital Department of Orthopaedic Surgery, Harvard Medical School Department of Orthopaedic Surgery, Harvard Combined Orthopedic Residency Program
This poster was presented at The PINKconcussions International Summit on Female Concussion and TBI
Poster Views: 1,743
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Poster Information
Abstract: Head injuries are a major concern for physicians in athletes of all ages. Specifically, sports-related concussions are becoming an all too common injury among female athletes. The incidence of concussions among female athletes has likely increased over the past few decades because of an increase in sports participation afforded by Title IX. It would be useful for physicians to have general knowledge of concussions and their potential sex-related differences. This review article summarizes the current body of research concerning sex-related differences in concussion epidemiology and outcomes. A literature search was performed using PubMed and included all articles published from 1993 to present, with a predominant focus on research conducted over the past fifteen years. Additional articles were found using the bibliography from articles found through the PubMed search. Several articles have compared incidence, severity of neurological deficit, constellation of symptoms, and length of recovery post-concussion in males and females. However, the literature does not unanimously support a significant sex-related difference in concussions. Lack of consensus in the literature can be attributed to differences between patient populations, different tools used to study concussions, including subjective or objective measures, and differences in mechanisms of injury. We conclude that concussions are a serious injury in both male and female athletes, and physicians should have a very high index of suspicion regardless of sex, because there currently is not sufficient consensus in the literature to institute sex-related changes to concussion management. Current research may suggest a sex-related difference pertaining to sports-related concussions, but further evaluation is needed on this topic.Summary: Concussions are a concerning injury for athletes of all ages and levels of play. Female participation in athletics has increased dramatically due to Title IX at all levels and sport types. The aim of this poster is to review all current literature regarding sex-related differences in sports-related concussion and look for any significant differences in incidence, symptom reporting, symptom constellation, severity of neurological deficit, and recovery rate.References: McCrory P, Meeuwisse WH, Aubry M, Cantu B, Dvorak J, Echemendia RJ, Engebretsen L, Johnston K, Kutcher JS, Raftery M, Sills A, Benson BW, Davis GA, Ellenbogen RG, Guskiewicz K, Herring SA, Iverson GL, Jordan BD, Kissick J, McCrea M, McIntosh AS, Maddocks D, Makdissi M, Purcell L, Putukian M, Schneider K, Tator CH, Turner M. Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012. British journal of sports medicine. 2013 Apr;47(5): 250-8.
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