Kenneth Mautner1, Walter I Sussman, Matthew Axtman, Yahya Al-Farsi, Samir Al-Adawi. 1. *Departments of Orthopaedics and Rehabilitation, Emory Sports Medicine Center, Emory University, Atlanta, Georgia; †Department of Rehabilitation, Emory University, Atlanta, Georgia; ‡Spectrum Health Medical Group, Orthopaedics and Sports Medicine, Grand Rapids, Michigan; §Department of Family Medicine & Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman; and ¶Department of Behavioral Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Abstract
OBJECTIVE: To investigate whether attention deficit hyperactivity disorder (ADHD) influences postconcussion recovery, as measured by computerized neurocognitive testing. DESIGN: This is a retrospective case control study. SETTING: Computer laboratories across 10 high schools in the greater Atlanta, Georgia area. PARTICIPANTS: Immediate postconcussion assessment and cognitive testing (ImPACT) scores of 70 athletes with a self-reported diagnosis of ADHD and who sustained a sport-related concussion were compared with a randomly selected age-matched control group. Immediate postconcussion assessment and cognitive testing scores over a 5-year interval were reviewed for inclusion. MAIN OUTCOME MEASURES: Postconcussion recovery was defined as a return to equivalent baseline neurocognitive score on the ImPACT battery, and a concussion symptom score of ≤7. RESULTS: Athletes with ADHD had on average a longer time to recovery when compared with the control group (16.5 days compared with 13.5 days), although not statistically significant. The number of previous concussions did not have any effect on the rate of recovery in the ADHD or the control group. In addition, baseline neurocognitive testing did not statistically differ between the 2 groups, except in verbal memory. CONCLUSIONS: Although not statistically significant, youth athletes with ADHD took on average 3 days longer to return to baseline neurocognitive testing compared with a control group without ADHD. CLINICAL RELEVANCE: Youth athletes with ADHD may have a marginally prolonged recovery as indexed by neurocognitive testing and should be considered when prognosticating time to recovery in this subset of student athletes.
OBJECTIVE: To investigate whether attention deficit hyperactivity disorder (ADHD) influences postconcussion recovery, as measured by computerized neurocognitive testing. DESIGN: This is a retrospective case control study. SETTING: Computer laboratories across 10 high schools in the greater Atlanta, Georgia area. PARTICIPANTS: Immediate postconcussion assessment and cognitive testing (ImPACT) scores of 70 athletes with a self-reported diagnosis of ADHD and who sustained a sport-related concussion were compared with a randomly selected age-matched control group. Immediate postconcussion assessment and cognitive testing scores over a 5-year interval were reviewed for inclusion. MAIN OUTCOME MEASURES: Postconcussion recovery was defined as a return to equivalent baseline neurocognitive score on the ImPACT battery, and a concussion symptom score of ≤7. RESULTS: Athletes with ADHD had on average a longer time to recovery when compared with the control group (16.5 days compared with 13.5 days), although not statistically significant. The number of previous concussions did not have any effect on the rate of recovery in the ADHD or the control group. In addition, baseline neurocognitive testing did not statistically differ between the 2 groups, except in verbal memory. CONCLUSIONS: Although not statistically significant, youth athletes with ADHD took on average 3 days longer to return to baseline neurocognitive testing compared with a control group without ADHD. CLINICAL RELEVANCE: Youth athletes with ADHD may have a marginally prolonged recovery as indexed by neurocognitive testing and should be considered when prognosticating time to recovery in this subset of student athletes.
Authors: Allison E Curry; Kristy B Arbogast; Kristina B Metzger; Ronni S Kessler; Matthew J Breiding; Juliet Haarbauer-Krupa; Lara DePadilla; Arlene Greenspan; Christina L Master Journal: J Pediatr Date: 2019-05-14 Impact factor: 4.406
Authors: Scott L Zuckerman; Benjamin L Brett; Aaron S Jeckell; Aaron M Yengo-Kahn; Gary S Solomon Journal: Curr Neurol Neurosci Rep Date: 2018-11-05 Impact factor: 5.081
Authors: Mohammad Nadir Haider; John J Leddy; Sonja Pavlesen; Melissa Kluczynski; John G Baker; Jeffrey C Miecznikowski; Barry S Willer Journal: Br J Sports Med Date: 2017-07-22 Impact factor: 13.800
Authors: Brett S Gunn; Thomas W McAllister; Michael A McCrea; Steven P Broglio; R Davis Moore Journal: J Neurotrauma Date: 2022-01-31 Impact factor: 5.269
Authors: Jessie R Oldham; Christina L Master; Gregory A Walker; William P Meehan; David R Howell Journal: Optom Vis Sci Date: 2021-07-01 Impact factor: 2.106
Authors: Eric E Coris; Byron Moran; Kevin Sneed; Gianluca Del Rossi; Bradford Bindas; Shaan Mehta; Dusty Narducci Journal: Sports Health Date: 2021-07-22 Impact factor: 4.355
Authors: Grant L Iverson; Andrew J Gardner; Douglas P Terry; Jennie L Ponsford; Allen K Sills; Donna K Broshek; Gary S Solomon Journal: Br J Sports Med Date: 2017-06 Impact factor: 13.800