{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T06:07:12Z","timestamp":1789193232227,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T00:00:00Z","timestamp":1652918400000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010843","name":"Foundation for Physical Medicine and Rehabilitation","doi-asserted-by":"publisher","award":["Scott F. Nadler PASSOR MSK Research Grant"],"award-info":[{"award-number":["Scott F. Nadler PASSOR MSK Research Grant"]}],"id":[{"id":"10.13039\/100010843","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Studies have demonstrated an increased risk of musculoskeletal (MSK) injury after concussion in collegiate and professional athletes, but there has been relatively little study of this relationship in younger athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the odds of experiencing a subsequent MSK injury after concussion in high school athletes. It was hypothesized that concussion would increase the risk of MSK injury within 365\u2009days of the concussion event.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Twelve high school sports programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Athletes (n\u00a0=\u00a014,461) from athletic training room records queried between 2010 and 2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Independent Variables<\/jats:title>\n                    <jats:p>History of concussion and history of concussion and MSK injury in the year preceding MSK injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>General estimating equation analyses were conducted to examine the odds of MSK injury related to (1) concussion within the preceding 365\u2009days of injury; and (2) concussion and MSK injury within the preceding 365\u2009days of concussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Respectively, 8% and 8.3% of athletes were identified with a concussion and\n                      <jats:styled-content style=\"fixed-case\">MSK<\/jats:styled-content>\n                      injury. After controlling for gender and sport, athletes with a concussion and prior\n                      <jats:styled-content style=\"fixed-case\">MSK<\/jats:styled-content>\n                      injury (odds ratio\u00a0=\u00a02.19, 95%\n                      <jats:styled-content style=\"fixed-case\">confidence interval<\/jats:styled-content>\n                      : 1.02\u20134.67) and athletes with a concussion alone (\n                      <jats:styled-content style=\"fixed-case\">odds ratio<\/jats:styled-content>\n                      \u00a0=\u20091.67, 95% confidence interval: 1.15\u20132.44) both had higher odds of experiencing a subsequent\n                      <jats:styled-content style=\"fixed-case\">MSK<\/jats:styled-content>\n                      injury compared to athletes without prior concussion.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>High school athletes who sustain a concussion have elevated odds of MSK injury at rates comparable to those for collegiate athletes. These findings support the use of neuromuscular\u2013based rehabilitation and injury prevention protocols in the post\u2010concussion period. These findings may also suggest exploring methods to modify concussion return\u2010to\u2010play criteria with the goal to reduce the risk of future MSK injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmrj.12828","type":"journal-article","created":{"date-parts":[[2022,4,30]],"date-time":"2022-04-30T02:31:20Z","timestamp":1651285880000},"page":"597-603","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The effect of concussion on subsequent musculoskeletal injury risk in high school athletes"],"prefix":"10.1002","volume":"14","author":[{"given":"Alex J.","family":"Nusbickel","sequence":"first","affiliation":[{"name":"Department of Internal Medicine University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terrie","family":"Vasilopoulos","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation University of Florida  Gainesville Florida USA"},{"name":"Department of Anesthesiology University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley D.","family":"Zapf","sequence":"additional","affiliation":[{"name":"Department of Community Health and Family Medicine University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brady L.","family":"Tripp","sequence":"additional","affiliation":[{"name":"Department of Applied Kinesiology and Physiology University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6646-2975","authenticated-orcid":false,"given":"Daniel C.","family":"Herman","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of California at Davis  Sacramento California 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