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Gender Differences in High School Athletes: Results of Pre-Season Symptom Checklist and Cognitive Performance Testing.
Poster Title: Gender Differences in High School Athletes: Results of Pre-Season Symptom Checklist and Cognitive Performance Testing.
Submitted on 26 Feb 2016
Author(s): Harry Kerasidis M.D.
Affiliations: XLNTbrain Sport
This poster was presented at The PINKconcussions International Summit on Female Concussion and TBI
Poster Views: 1,070
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Poster Information
Abstract: Methods
The XLNTbrain Sport Concussion Symptom Checklist (XLNTbrain-SCL) is a 35 item checklist of concussion related symptoms administered online or by smartphone. Each item is rated by the user as 0 (never), 1 (sometimes), 2 (often), and 3 (very often). Responses are tallied as a Total Symptom Score and a score for each of 7 domains, with 5 items in each domain: Cognitive, Vestibular, Sleep, Migraine, Mood, Worry, and Anger. The Total Symptom Score has a possible range of 0-105 and each domain score can range from 0-15.
The XLNTbrain-SCL and XLNTbrain-cog were administered online to 3036 high school athletes (ages 11-18, 1902 males, 1134 females). Gender differences in baseline symptom checklist endorsement and neurocognitive performance was performed by Mann Whitney U Test.
Analysis of the XLNTbrain-SCL Total Score reveals that female athletes are more likely to report concussion related symptoms at pre-season baseline than males (Mann-Whitney, p<.0001).
Analysis of the XLNTbrain-SCL's seven symptom complex domains demonstrates statistically significant increased symptom scores for female athletes on the Sleep, Mood, Worry, Cognitive, Migraine, and Vestiblar domains (p<.0001) but not the Anger domain.
Analysis of the XLNTbrain-cog performance demonstrates statistically significant better performance on all composite scores (p<.0001). These differences are not likely to be clinically significant, however.
Significant gender differences exist in the endorsement of concussion related symptoms in high school athletes at baseline.
Female athletes are more likely to endorse experience of these symptoms in the Total Symptom Score, Sleep, Cognitive, Migraine, Vestibular, Mood and Worry, but not Anger.
Although females performed statistically significantly better on all cognitive tasks on the XLNTbrain-cog test, these differences were not clinically significant.
These gender differences should be taken into account when assessing concussed athletes, particularly athletes without a baseline measure.
Summary: Gender differences in pre-season baseline assessments using a concussion related symptom checklist and computerized neurocognitive performance test were examined in over 3000 high school athletes.
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