Lifetime History of Concussion Among Youth With ADHD Presenting to a Specialty Concussion Clinic
Child and adolescent student athletes with attention-deficit/hyperactivity disorder (ADHD) report a greater lifetime history of concussion than those without ADHD. This case-control study compared youth with and without ADHD presenting for care at a specialty concussion clinic on their lifetime hist...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-01-01
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| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2021.780278/full |
| _version_ | 1798015578789642240 |
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| author | Nathan E. Cook Nathan E. Cook Nathan E. Cook Elizabeth Teel Grant L. Iverson Grant L. Iverson Grant L. Iverson Grant L. Iverson Debbie Friedman Debbie Friedman Debbie Friedman Lisa Grilli Isabelle Gagnon Isabelle Gagnon |
| author_facet | Nathan E. Cook Nathan E. Cook Nathan E. Cook Elizabeth Teel Grant L. Iverson Grant L. Iverson Grant L. Iverson Grant L. Iverson Debbie Friedman Debbie Friedman Debbie Friedman Lisa Grilli Isabelle Gagnon Isabelle Gagnon |
| author_sort | Nathan E. Cook |
| collection | DOAJ |
| description | Child and adolescent student athletes with attention-deficit/hyperactivity disorder (ADHD) report a greater lifetime history of concussion than those without ADHD. This case-control study compared youth with and without ADHD presenting for care at a specialty concussion clinic on their lifetime history of concussion. We hypothesized that a greater proportion of youth with ADHD would report a history of prior concussion. Archival clinical data from patients presenting to a specialty concussion clinic in Montreal, Québec, Canada between September 2015 and August 2019 were analyzed. The sample included 2,418 children and adolescents (age: M = 13.6, SD = 2.7, range 5–18 years; 50.9% girls), including 294 (12.2%) with ADHD and 2,124 (87.8%) without ADHD. The proportion with prior concussion among youth with ADHD (43.9%) was significantly greater than youth without ADHD [37.5%, χ2 = 4.41, p = 0.04, OR = 1.30, 95% confidence interval (CI): 1.02–1.67]. A significantly higher proportion of boys with ADHD had a prior concussion history (48.1%) than boys without ADHD [38.4%, χ2 = 5.33, p = 0.02, OR = 1.48 (95% CI: 1.06–2.09)], but this difference was not observed for girls (χ2 = 0.31, p = 0.58). Youth with ADHD did not differ with regard to their estimated longest duration of symptoms from a prior concussion (Z = 1.52, p = 0.13) and the proportion who reported taking longer than 28 days to recover from a prior concussion did not differ between those with ADHD (15.3%) and without ADHD (12.2%), χ2 = 2.20, p = 0.14. Among youth presenting to a specialty clinic, ADHD was associated with greater lifetime history of concussion but not a greater duration of symptoms from a prior injury. |
| first_indexed | 2024-04-11T15:36:53Z |
| format | Article |
| id | doaj.art-6e14fb771121489ca41d1f215c8c1ffc |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-11T15:36:53Z |
| publishDate | 2022-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-6e14fb771121489ca41d1f215c8c1ffc2022-12-22T04:15:56ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-01-011210.3389/fneur.2021.780278780278Lifetime History of Concussion Among Youth With ADHD Presenting to a Specialty Concussion ClinicNathan E. Cook0Nathan E. Cook1Nathan E. Cook2Elizabeth Teel3Grant L. Iverson4Grant L. Iverson5Grant L. Iverson6Grant L. Iverson7Debbie Friedman8Debbie Friedman9Debbie Friedman10Lisa Grilli11Isabelle Gagnon12Isabelle Gagnon13Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United StatesMassGeneral Hospital for Children Sports Concussion Program, Boston, MA, United StatesDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United StatesSchool of Physical and Occupational Therapy, McGill University, Montréal, QC, CanadaDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United StatesMassGeneral Hospital for Children Sports Concussion Program, Boston, MA, United StatesDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United StatesSpaulding Research Institute, Charlestown, MA, United StatesMontreal Children's Hospital, McGill University Health Centre, Montréal, QC, CanadaDepartment of Pediatrics and Pediatric Surgery, Faculty of Medicine and Health Sciences, McGill University, Montréal, QC, CanadaCHIRPP/Public Health Agency of Canada, Montréal, QC, CanadaMontreal Children's Hospital, McGill University Health Centre, Montréal, QC, CanadaSchool of Physical and Occupational Therapy, McGill University, Montréal, QC, CanadaMontreal Children's Hospital, McGill University Health Centre, Montréal, QC, CanadaChild and adolescent student athletes with attention-deficit/hyperactivity disorder (ADHD) report a greater lifetime history of concussion than those without ADHD. This case-control study compared youth with and without ADHD presenting for care at a specialty concussion clinic on their lifetime history of concussion. We hypothesized that a greater proportion of youth with ADHD would report a history of prior concussion. Archival clinical data from patients presenting to a specialty concussion clinic in Montreal, Québec, Canada between September 2015 and August 2019 were analyzed. The sample included 2,418 children and adolescents (age: M = 13.6, SD = 2.7, range 5–18 years; 50.9% girls), including 294 (12.2%) with ADHD and 2,124 (87.8%) without ADHD. The proportion with prior concussion among youth with ADHD (43.9%) was significantly greater than youth without ADHD [37.5%, χ2 = 4.41, p = 0.04, OR = 1.30, 95% confidence interval (CI): 1.02–1.67]. A significantly higher proportion of boys with ADHD had a prior concussion history (48.1%) than boys without ADHD [38.4%, χ2 = 5.33, p = 0.02, OR = 1.48 (95% CI: 1.06–2.09)], but this difference was not observed for girls (χ2 = 0.31, p = 0.58). Youth with ADHD did not differ with regard to their estimated longest duration of symptoms from a prior concussion (Z = 1.52, p = 0.13) and the proportion who reported taking longer than 28 days to recover from a prior concussion did not differ between those with ADHD (15.3%) and without ADHD (12.2%), χ2 = 2.20, p = 0.14. Among youth presenting to a specialty clinic, ADHD was associated with greater lifetime history of concussion but not a greater duration of symptoms from a prior injury.https://www.frontiersin.org/articles/10.3389/fneur.2021.780278/fullchildrenadolescentsattention-deficit/hyperactivity disordermild traumatic brain injuryhealth history |
| spellingShingle | Nathan E. Cook Nathan E. Cook Nathan E. Cook Elizabeth Teel Grant L. Iverson Grant L. Iverson Grant L. Iverson Grant L. Iverson Debbie Friedman Debbie Friedman Debbie Friedman Lisa Grilli Isabelle Gagnon Isabelle Gagnon Lifetime History of Concussion Among Youth With ADHD Presenting to a Specialty Concussion Clinic Frontiers in Neurology children adolescents attention-deficit/hyperactivity disorder mild traumatic brain injury health history |
| title | Lifetime History of Concussion Among Youth With ADHD Presenting to a Specialty Concussion Clinic |
| title_full | Lifetime History of Concussion Among Youth With ADHD Presenting to a Specialty Concussion Clinic |
| title_fullStr | Lifetime History of Concussion Among Youth With ADHD Presenting to a Specialty Concussion Clinic |
| title_full_unstemmed | Lifetime History of Concussion Among Youth With ADHD Presenting to a Specialty Concussion Clinic |
| title_short | Lifetime History of Concussion Among Youth With ADHD Presenting to a Specialty Concussion Clinic |
| title_sort | lifetime history of concussion among youth with adhd presenting to a specialty concussion clinic |
| topic | children adolescents attention-deficit/hyperactivity disorder mild traumatic brain injury health history |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2021.780278/full |
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