Source: post-gazette.com | Re-Post Duerson Foundation 9/1/2016 –
As a postdoctoral research fellow at the UPMC Sports Medicine Concussion Program, R.J. Elbin saw posters that cautioned athletes to remove themselves from a game if they had a concussion.
“When in doubt, sit them out,” they might say, or, “It’s better to miss one game than the whole season.”
The sayings were catchy and memorable, but not exactly grounded in research.
“You know,” Elbin thought when he came across one poster, “there’s not really any data to support that.”
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Now, there is: Researchers at UPMC and three universities have found that young athletes who continued to play a sport immediately after a concussion took twice as much time to recover and experienced worse and more symptoms than athletes who were removed from that activity. Their study, “Removal From Play After Concussion and Recovery Time,” was published online and is included in the September issue of the journal Pediatrics.
Scientists have long accepted the notion that athletes should be removed from play after concussions. This study fortifies that viewpoint, and researchers hope it will persuade athletes to sit on the sidelines after a concussion.
“I am very confident in these results,” said Elbin, the lead researcher on the study, who is now on the faculty of the University of Arkansas.
While a study published in April used medical records to study the effect of delayed reporting and removal from activity on concussion recovery, this is the first study to use clinical data to study that issue. The study also supports “removal from play status” as a predictor of protracted recoveries — ones that take at least 21 days. That variable — whether an athlete was removed from play — was a stronger predictor of such lengthy recoveries than previously known factors such as sex and age, according to the research.