Differentiating Concussion and Post-traumatic Headaches in Australian Rules Football-a Pilot Study

Makdissi, M., McCrory, P., Collie, A., Maruff, P., McStephen, M., Brukner, P. and K. Bennell, (2004). Differentiating Concussion and Post-traumatic Headaches in Australian Rules Football-a Pilot Study. In: British Journal of Sports Medicine; Proceedings Second International Symposium on Concussion in Sport. Second International Symposium on Concussion in Sport, Prague, (657-657). November, 2004.


Author Makdissi, M.
McCrory, P.
Collie, A.
Maruff, P.
McStephen, M.
Brukner, P.
K. Bennell,
Title of paper Differentiating Concussion and Post-traumatic Headaches in Australian Rules Football-a Pilot Study
Conference name Second International Symposium on Concussion in Sport
Conference location Prague
Conference dates November, 2004
Proceedings title British Journal of Sports Medicine; Proceedings Second International Symposium on Concussion in Sport   Check publisher's open access policy
Place of Publication England
Publisher BMJ Publishing Group
Publication Year 2004
ISSN 0306-3674
1473-0480
Volume 38
Issue 5
Start page 657
End page 657
Total pages 1
Language eng
Formatted Abstract/Summary
Background: Headaches are common in collision sports such as Australian Rules Football. Symptomatically, there is often significant overlap between concussion and acute post-traumatic headache syndromes. However, an accurate diagnosis is important as the management and follow-up of these two conditions differs considerably. Although neuropsychological deficits following concussion have been well documented, those following post-traumatic migraines and other forms of headache are inconsistent and poorly defined. The aim of this pilot study is to determine whether cognitive impairments are seen in footballers with post-traumatic headache syndromes and to compare any changes with those seen following concussion.

Methods:
240 players were recruited from six Australian football teams (4 elite, 1 junior elite, 1 amateur) and followed prospectively over a single season. All players performed CogSport baseline testing prior to the start of the season. Players with symptoms of concussion were referred for assessment and follow-up testing. Players who were suffering from post-traumatic headache were distinguished on clinical grounds using International Headache Society criteria.

Results:
20 players were referred for follow-up testing during the course of the season. Three players were identified as having suffered from post-traumatic headache syndromes. On follow-up testing with CogSport, there was no change from baseline in any of the domains tested. Conversely, concussed players demonstrated a significant deficit (50 ms) on a test of reaction time.

Conclusion:
this pilot study suggests that players with post-traumatic headache do not display cognitive impairments such as those observed in concussed athletes. This may be useful in distinguishing concussed players from those with post-traumatic headache syndromes and may have important implications for pharmacological and clinical management.
Subjects 110604 Sports Medicine
Keyword Sports medicine
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status Unknown
Additional Notes Abstract number: 012

 
Versions
Version Filter Type
Citation counts: Google Scholar Search Google Scholar
Created: Fri, 03 Apr 2009, 13:02:16 EST by Ms Karen Naughton on behalf of Faculty Of Health Sciences