Prevalence of Concussions and Chronic Headaches in Female Collegiate Athletes

Authors

  • Michaela Tsuha University of Hawaii - John A Burns School of Medicine
  • Morgan Liu University of Hawaii - John A Burns School of Medicine
  • Kristen Hori University of Hawaii - John A Burns School of Medicine
  • Loren Yamamoto, MD, MPH, MBA University of Hawaii - John A Burns School of Medicine

DOI:

https://doi.org/10.53646/jwsm.v2i1.14

Keywords:

Female collegiate soccer athletes, Concussions, Headaches, women's sports medicine, female athlete

Abstract

OBJECTIVE: This study assesses concussion rates and current headaches in female soccer versus non-contact sport athletes who have progressed to higher levels of competition in college.

METHODS: Soccer and non-contact sport female athletes from four universities completed questionnaires on concussion history and current headaches.

RESULTS: Soccer athletes had a significantly higher rate of concussions compared to non-contact athletes (50% versus 9%, p<0.0001), but there was not a significant difference in current headaches between the two groups (20% soccer; 32% non-contact). Among soccer athletes, 56% of goalkeepers, defenders, and forwards collectively reported a concussion, while only 23% of midfielders reported a concussion (p=0.03). Rates of reported headaches were significantly higher in soccer athletes with <15 years of experience (38% versus 11%, p=0.009).

CONCLUSION: Collegiate female soccer athletes had a higher rate of concussions versus non-contact-sport athletes, but no difference in rate of current headaches existed. Soccer athletes with <15 years of experience reported higher rates of headaches.

Author Biographies

  • Morgan Liu, University of Hawaii - John A Burns School of Medicine

    Morgan Liu is a fourth-year medical student at the University of Hawaii John A. Burns School of Medicine. She received her bachelor’s degree in biological sciences and psychology from Carnegie Mellon University.

  • Kristen Hori, University of Hawaii - John A Burns School of Medicine

    Kristen Hori is a third-year medical student at the University of Hawaii John A. Burns School of Medicine. She received her bachelor’s degree in molecular and cellular biology from John Hopkins University.

  • Loren Yamamoto, MD, MPH, MBA, University of Hawaii - John A Burns School of Medicine

    Loren Yamamoto is a Pediatric Emergency Medicine-certified physician at Kapiolani Medical Center for Women & Children and a Professor of Pediatrics at the University of Hawaii John A. Burns School of Medicine. He received his bachelor’s degree in biology and went on to complete a Masters of Public Health and Masters of Business Administration at the University of Hawaii. Loren Yamamoto completed medical school as well as his Pediatric residency and Pediatric Emergency Medicine fellowship at the University of Hawaii. He has over 120 articles in peer-reviewed journals, 90 abstracts, 80 national research/educational presentations, 75 electronic publications, and 40 reference and textbook chapters.

References

Schwarb A. NCAA Champion Magazine. How American Women Got A Foot In Soccer. Indianapolis (IN): The National Collegiate Athletic Association; 2019 [accessed 2020 Aug 18]. http://www.ncaa.org/static/champion/how-women-got-a-foot-in-the-game/

Comstock RD, Currie DW, Pierpoint LA. National High School Sports-Related Injury Surveillance Study: Summary Report, 2015–2016 School Year. Aurora (CO): Program for Injury Prevention, Education, and Research program; 2017 [accessed 2020 Aug 18].

https://coloradosph.cuanschutz.edu/docs/librariesprovider204/default-document-library/original-report_final-2015-16-09-03-16.pdf?sfvrsn=7f6300b9_2

Kerr ZY, Register-Mihalik JK, Kroshus E, Baugh CM, Marshall SW. Motivations Associated With Nondisclosure of Self-Reported Concussions in Former Collegiate Athletes. Am J Sports Med. 2016;44(1):220-5. doi: 10.1177/0363546515612082. Cited in: PMID: 26582799.

Marar M, McIlvain NM, Fields SK, Comstock RD. Epidemiology of concussions among United States high school athletes in 20 sports. Am J Sports Med. 2012;40(4):747-55. doi: 10.1177/0363546511435626. Cited in: PMID: 22287642.

Gessel LM, Fields SK, Collins CL, Dick RW, Comstock RD. Concussions among United States high school and collegiate athletes. J Athl Train. 2007;42(4):495-503. Cited in: PMID: 18174937.

Kerr ZY, Chandran A, Nedimyer AK, Arakkal A, Pierpoint LA, Zuckerman SL. Concussion Incidence and Trends in 20 High School Sports. Pediatrics. 2019;144(5):e20192180. doi: 10.1542/peds.2019-2180. Cited in: PMID: 31615955.

Tanveer S, Zecavati N, Delasobera EB, Oyegbile TO. Gender Differences in Concussion and Postinjury Cognitive Findings in an Older and Younger Pediatric Population. Pediatr Neurol. 2017;70:44-49. doi: 10.1016/j.pediatrneurol.2017.02.001. Cited in: PMID: 28320567.

Collie A, Makdissi M, Maruff P, Bennell K, McCrory P. Cognition in the days following concussion: comparison of symptomatic versus asymptomatic athletes. J Neurol Neurosurg Psychiatry. 2006;77(2):241-5. doi: 10.1136/jnnp.2005.073155. Cited in: PMID: 16421129.

Fazio VC, Lovell MR, Pardini JE, Collins MW. The relation between post concussion symptoms and neurocognitive performance in concussed athletes. NeuroRehabilitation. 2007;22(3):207-16. Cited in: PMID: 17917171.

Guty E, Arnett P. Post-concussion Symptom Factors and Neuropsychological Outcomes in Collegiate Athletes. J Int Neuropsychol Soc. 2018;24(7):684-692. doi: 10.1017/S135561771800036X. Cited in: PMID: 29925450.

Seifert T, Sufrinko A, Cowan R, Scott WB, Watson D, Edwards B, Livingston S, Webster K, Akers D, Lively M, Kontos AP. Comprehensive Headache Experience in Collegiate Student-Athletes: An Initial Report From the NCAA Headache Task Force. Headache. 2017 Jun;57(6):877-886. doi: 10.1111/head.13104. Cited in: PMID: 28480575.

Evans RW. Sports and Headaches. Headache. 2018 Mar;58(3):426-437. doi: 10.1111/head.13263. Epub 2018 Feb 5. PMID: 29405284.

Dick R, Putukian M, Agel J, Evans TA, Marshall SW. Descriptive epidemiology of collegiate women's soccer injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2002-2003. J Athl Train. 2007;42(2):278-85. Cited in: PMID: 17710177.

Tsushima WT, Siu AM, Ahn HJ, Chang BL, Murata NM. Incidence and Risk of Concussions in Youth Athletes: Comparisons of Age, Sex, Concussion History, Sport, and Football Position. Arch Clin Neuropsychol. 2019;34(1):60-69. doi: 10.1093/arclin/acy019. Cited in: PMID: 29554189.

Covassin T, Swanik CB, Sachs ML. Sex Differences and the Incidence of Concussions Among Collegiate Athletes. J Athl Train. 2003;38(3):238-244. Cited in: PMID: 14608434.

Blume HK. Posttraumatic headache in pediatrics: an update and review. Curr Opin Pediatr. 2018;30(6):755-763. doi: 10.1097/MOP.0000000000000691. Cited in: PMID: 30188411.

Barlow KM, Crawford S, Stevenson A, Sandhu SS, Belanger F, Dewey D. Epidemiology of postconcussion syndrome in pediatric mild traumatic brain injury. Pediatrics. 2010;126(2):e374-81. doi: 10.1542/peds.2009-0925. Cited in: PMID: 20660554.

Montenigro PH, Alosco ML, Martin BM, Daneshvar DH, Mez J, Chaisson CE, Nowinski CJ, Au R, McKee AC, Cantu RC, et al. Cumulative Head Impact Exposure Predicts Later-Life Depression, Apathy, Executive Dysfunction, and Cognitive Impairment in Former High School and College Football Players. J Neurotrauma. 2017;34(2):328-340. doi: 10.1089/neu.2016.4413. Cited in: PMID: 27029716.

Weber AE, Trasolini NA, Bolia IK, Rosario S, Prodromo JP, Hill C, Romano R, Liu CY, Tibone JE, Gamradt SC. Epidemiologic Assessment of Concussions in an NCAA Division I Women's Soccer Team. Orthop J Sports Med. 2020;8(5): 2325967120921746. doi: 10.1177/2325967120921746. Cited in: PMID: 32478117.

Delaney JS, Lacroix VJ, Gagne C, Antoniou J. Concussions among university football and soccer players: a pilot study. Clin J Sport Med. 2001;11(4):234-40. doi: 10.1097/00042752-200110000-00005. Cited in: PMID: 11753060.

Tucker AM. Common soccer injuries. Diagnosis, treatment and rehabilitation. Sports Med. 1997;23(1):21-32. doi: 10.2165/00007256-199723010-00003. Cited in: PMID: 9017857.

Sullivan JA, Gross RH, Grana WA, Garcia-Moral CA. Evaluation of injuries in youth soccer. Am J Sports Med. 1980;8(5):325-7. doi: 10.1177/036354658000800505. Cited in: PMID: 7416349.

Institute of Medicine (US) Board on Neuroscience and Behavioral Health. Is Soccer Bad for Children's Heads? Summary of the IOM Workshop on Neuropsychological Consequences of Head Impact in Youth Soccer. Causes of Head Injuries in Soccer. Washington (DC): National Academies Press (US); 2002 [accessed 2020 Dec 16]. https://www.ncbi.nlm.nih.gov/books/NBK220609/

Press JN, Rowson S. Quantifying Head Impact Exposure in Collegiate Women's Soccer. Clin J Sport Med. 2017;27(2):104-110. doi: 10.1097/JSM.0000000000000313. Cited in: PMID: 26978008.

Lamond LC, Caccese JB, Buckley TA, Glutting J, Kaminski TW. Linear Acceleration in Direct Head Contact Across Impact Type, Player Position, and Playing Scenario in Collegiate Women's Soccer Players. J Athl Train. 2018;53(2):115-121. doi: 10.4085/1062-6050-90-17. Cited in: PMID: 29373056.

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Published

2022-04-05

Issue

Section

Original Research

How to Cite

Prevalence of Concussions and Chronic Headaches in Female Collegiate Athletes. (2022). Journal of Women’s Sports Medicine, 2(1), 30-40. https://doi.org/10.53646/jwsm.v2i1.14

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