Sport-related
concussion is a
growing health concern, particularly in younger, at-risk athletic
populations. Between 1.6 and 3.8 million sport- and recreation-related
traumatic brain injuries occur annually in the U.S. Recently, there has
been a focus on sex differences in concussion and related outcomes.
Research has suggested that females are at higher risk for concussion
than males and may take longer to recovery from a concussion compare to
males. Specifically, female athletes have reported more total symptoms,
vestibular and ocular-motor deficits and neurocognitive impairments
following a sport-related concussion. Our research focuses on sex
differences in concussion outcomes among athletes.
Moran, R.,
Covassin, T.,
Elbin, RJ. (2019). Sex differences on vestibular and ocular motor
assessment in youth athletes.
Journal
of Athletic Training. 54(4), 445-448. [
PubMed]
Covassin,
T., Savage, J. L., Bretzin, A. C., LaFevor, M. E. (2018).
Sex Differences in Acute and Sub-Acute Outcomes Following
Sports-Related Concussion.
International
Journal of Psychophysiology. 132, 9-13. [
PubMed]
Wallace, J.,
Covassin, T.,
Beidler,
E. (2017). Sex Differences in Knowledge of Concussion and Reporting
Behaviors among High School Student Athletes.
Clinical
Journal of Sports Medicine. 27(2), 133-138. [
PubMed]
Sufrinko, A.,
Covassin, T., Mucha,
A., Marchetti, G., Elbin, RJ., Collins, M., Kontos, A. (2017). Sex
Differences in Vestibular/Ocular and Neurocognitive Outcomes After
Sport-Related Concussion.
Clinical
Journal of Sports Medicine. 27(2), 133-138. [
PubMed]
Covassin,
T., Moran, R., Elbin,
R.J., (2016). Sex Differences in Concussion Injury Rates and Time Loss
from Participation: An Update of the NCAA ISS from 2004-2005 to 2008 –
2009.
Journal of
Athletic Training. 51(3), 189-194. [
PubMed]
Identifying
athletes who are at
risk for sport-related concussion and/or prolonged recovery is
important for informing prevention efforts and management approaches.
In addition, clinicians who are aware of factors that influence
sport-related concussion risk and recovery are more informed and better
prepared to discuss prognosis and expectations for recovery with the
injured athlete. Researchers have suggested that the concussion history
and age are association with future risk of injury and prolonged
recovery. Our research examines neurocognitive deficits and symptom
reports that predict protracted recovery pediatric population and
athletes with multiple concussions.
McGowan, A.L., Bretzin, A.B.,
Savage, J.L., Petit, K.M.,
Covassin,
T., Pontifex, M.B. (2019). Acute and persistent
disruptions to inhibitory control following sports-related concussion.
Neuropsychologia.
131, 223-232. [
PubMed]
Moran, R., Wallace, J.,
Covassin, T. (2019).
Premorbid migraine history as a risk factor for vestibular and
oculomotor baseline concussion assessment in pediatric athletes.
Journal of Neurosurgery:
Pediatrics. 23(4), 465-470. [
PubMed]
Elbin, R.J.,
Covassin, T.,
Gallion,
C., Kontos, A.P. (2015). Factors Influencing Risk and Recovery from
Sport-related Concussion: Reviewing the Evidence.
Neurophysiology and
Neurogenic Speech and Language Disorders. 25, 4-16. [
Link]
Covassin,T.,
Moran, R., Wilhelm, K.
(2013). Concussion Symptoms and Neurocognitive Performance of High
School and College Athletes who Incur Multiple Concussions.
American Journal of
Sports Medicine. 41(12). 2885-2890. [
PubMed]
Elbin, R.J.,
Covassin, T., Hakun,
J., Kontos, A.P., Berger, K. Pfeiffer, K. & Ravizza, S. (2012).
Do Brain Activation Changes Persist in Athletes with a History of
Multiple Concussions Who Are Asymptomatic?
Brain Injury. 26,
1217-1225. [
PubMed]
Covassin,
T., Elbin, R.J., Parker,
T., Harris, B., Kontos, A.P. (2012). The Role of Age and Sex on
Symptoms, Neurocognitive Performance, and Postural Stability in
Athletes after Concussion.
American
Journal of Sports Medicine. 40(6),
1303-12. [
PubMed]
Mood
disturbances have been
suggested to be a potential modifying factor for concussed athletes.
Previously, we have documented depression in high school athletes up to
14 days post-injury and anxiety in collegiate athletes. Baseline
depression was the strongest predictor of post-concussion depression
and anxiety. These results call for programs to effectively address
both psychological predictors and consequences of concussions.
Therefore, our research focuses on psychosocial factors that may
influence recovery from a sports-related concussion.
Covassin,
T., Bretzin, A.B., Japinga, A., Teachnor-Hauk, D., Nogle,
S.
(2019). Exploring the relationship between depression and seasonal
affective disorder in collegiate athletes.
Athletic Training and Sports
Health Care. 11(3), 124-131. [
Link]
Covassin,
T., Elbin, R.J., Beidler, E., LaFevor, M., Kontos, A.
(2017). A Review of Psychological Issues that May be Associated with a
Sport-related Concussion in Youth and Collegiate Athletes.
Sport, Exercise and Performance
Psychology. 6(3), 220-229. [
Link]
Beidler. E., Donnellan, B.,
Covassin, T.,
Phelps, A., Kontos, A. (2017). Association Between Personality Traits
and Sport-related Concussion History in Collegiate Student-athletes.
Sport, Exercise and Performance
Psychology. 6(3), 252-261. [
Link]
Covassin,
T., Beidler, E.,
Oswtroski, J., Wallace, J. (2015). Psychological Aspects of
Rehabilitation in Sport.
Clinics
in Sports Medicine. 34. 199–212. [
PubMed]
Yang, G., Peek-Asa, C.,
Covassin,
T., Torner, J. (2015). Post-concussion Symptoms of
Depression and Anxiety in Division I Collegiate Athletes.
Developmental
Neuropsychology. 40(1), 18–23 . [
PubMed]
Covassin,
T., Crutcher, B., Fisher,
A., Yang, G., Heiden, E., Dailey, A. (2014). Post-injury Anxiety and
Social Support among Collegiate Athletes: a Comparison between
Orthopaedic Injuries and Concussions.
Journal
of Athletic Training. 49(4), 462–468. [
PubMed]
In
collegiate and high school
athletics, the participation of female athletes has increased
dramatically since the implementation of Title IX as part of the
Equality in Education Act of 1972. Due to this increase in sport
participation, it is expected that the annual incidence of
sport-related concussion will continue to rise. Our research suggests
that female concussed athletes participating in comparable sports
(i.e., soccer, basketball) have a higher injury rate than male
concussed athletes. Our research will continue to focus on
sport-related concussion injury rates at the youth, high school and
collegiate levels.
Bretzin, A.,
Covassin, T.,
LaFevor, M., Petit, K., Savage, J., Walker, L., Gould, D. (2018).
Sex Differences in Clinical Incidence, Missed School Days and Time-loss
in Michigan High School Student Athletes. Part 1.
American Journal of Sports
Medicine. 46(9), 2263-69. [
PubMed]
Covassin,
T., Petit, K., Savage, J., Bretzin, A., LaFevor, M.,
Walker, L., Gould, D. (2018). Sport-related concussion occurrence
at various time-points during high school athletic events: Part 2.
American Journal of Sports
Medicine. 46(9), 2270-76. [
PubMed]
Wasserman., E., Kerr, Z.,
Zuckerman, S.,
Covassin,T.
(2016). Epidemiology of Sports-Related Concussions in National
Collegiate Athletic Association Athletes From 2009-2010 to 2013-2014:
Symptom Prevalence, Symptom Resolution Time, and Return-to-Play Time.
American Journal of Sports
Medicine. 44(1), 226–233. [
PubMed]
Zuckerman, S., Kerr, Z.,
Yengo-Kahn, A., Wasserman., E.,
Covassin,
T., Solomon, G. (2015). Epidemiology of Sports-Related
Concussion in NCAA Athletes From 2009-2010 to 2013-2014: Incidence,
Recurrence, and Mechanisms.
American
Journal of Sports
Medicine. 43(11), 2654–2662. [
PubMed]