{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T04:48:12Z","timestamp":1771822092253,"version":"3.50.1"},"reference-count":39,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Sports Med"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To assess the players\u2019 risk of a subsequent injury after sustaining\n                    concussive injuries and their return-to-competition in German professional\n                    men\u2019s football. A prospective injury database in the 1st\n                    Bundesliga was created encompassing 7 seasons\n                    (2014\/15\u20132020\/21). Cox proportional hazard model\n                    analyzed whether a concussive injury increased the risk of a subsequent injury\n                    in the first year after the index injury. 6,651 injuries were reported\n                    (n=182 concussive injuries). The incidence rate was 0.15 (95% CI\n                    0.13\u20130.17) per 1000 football hours. A concussive injury was associated\n                    with only a slightly numerical higher risk of 7% (HR=1.07,\n                    95% CI 0.78\u20131.47) in the subsequent year after the injury\n                    compared to a randomly selected non-concussive injury, but the effect was not\n                    significant. The risk was higher after 6\u201312 months post-SRC reaching\n                    70% (HR=1.70, 95% CI 1.15\u20132.52). For 0\u20133\n                    months (HR=0.76, 95% CI 0.48\u20131.20) and 3\u20136\n                    months (HR=0.97, 95% CI 0.62\u20131.50) the injury risk was\n                    lower. The present data do not confirm previously published investigations about\n                    an increased injury risk after SRC. Contrasting effects of lower hazard ratios\n                    were found early after SRC, followed by an increase after 6\u201312 months.\n                    Further research should look into compliance rates with regards to\n                    return-to-competition protocols.<\/jats:p>","DOI":"10.1055\/a-1974-3965","type":"journal-article","created":{"date-parts":[[2022,11,9]],"date-time":"2022-11-09T00:21:51Z","timestamp":1667953311000},"page":"454-459","source":"Crossref","is-referenced-by-count":5,"title":["Do Sports-related Concussions Induce Subsequent Injuries in Elite\n                    Male Football Players?"],"prefix":"10.1055","volume":"44","author":[{"given":"Florian","family":"Beaudouin","sequence":"additional","affiliation":[{"name":"Institute of Sports and Preventive Medicine, Saarland University,\n                    Saarbr\u00fccken, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Tr\u00f6ss","sequence":"additional","affiliation":[{"name":"Institute of Sports and Preventive Medicine, Saarland University,\n                    Saarbr\u00fccken, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abed","family":"Hadji","sequence":"additional","affiliation":[{"name":"Institute of Sports and Preventive Medicine, Saarland University,\n                    Saarbr\u00fccken, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ida Bo","family":"Steendahl","sequence":"additional","affiliation":[{"name":"Institute of Sports and Preventive Medicine, Saarland University,\n                    Saarbr\u00fccken, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Meyer","sequence":"additional","affiliation":[{"name":"Institute of Sports and Preventive Medicine, Saarland University,\n                    Saarbr\u00fccken, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen Aus der","family":"F\u00fcnten","sequence":"additional","affiliation":[{"name":"Institute of Sports and Preventive Medicine, Saarland University,\n                    Saarbr\u00fccken, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,3,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"838","DOI":"10.1136\/bjsports-2017-097699","article-title":"Consensus statement on concussion in sport-the 5(th) international conference on\n                    concussion in sport held in Berlin, October 2016","volume":"51","author":"P McCrory","year":"2017","journal-title":"Br J Sports Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"E6","DOI":"10.1055\/a-0808-2551","article-title":"Time trends of head injuries over multiple seasons in professional male football\n                    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players","volume":"48","author":"A Nordstrom","year":"2014","journal-title":"Br J Sports Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1003","DOI":"10.1007\/s40279-016-0607-9","article-title":"Concussion may increase the risk of subsequent lower extremity musculoskeletal\n                    injury in collegiate athletes","volume":"47","author":"D C Herman","year":"2017","journal-title":"Sports Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"742","DOI":"10.1177\/0363546515622387","article-title":"Concussion increases odds of sustaining a lower extremity musculoskeletal injury\n                    after return to play among collegiate athletes","volume":"44","author":"M A Brooks","year":"2016","journal-title":"Am J Sports Med"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"926","DOI":"10.1136\/bjsports-2015-094982","article-title":"Professional Rugby Union players have a 60% greater risk of time loss\n                    injury after 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Harriss","year":"2022","journal-title":"Int J Sports Med"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"e69122","DOI":"10.1371\/journal.pone.0069122","article-title":"Bodychecking rules and concussion in elite hockey","volume":"8","author":"L Donaldson","year":"2013","journal-title":"PLoS One"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1136\/bjsm.2005.025270","article-title":"Consensus statement on injury definitions and data collection procedures in\n                    studies of football (soccer) injuries","volume":"40","author":"C W Fuller","year":"2006","journal-title":"Br J Sports Med"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"786","DOI":"10.4085\/1062-6050-49.3.51","article-title":"Injury characteristics in the German professional male soccer leagues after a\n                    shortened winter break","volume":"49","author":"K aus der Funten","year":"2014","journal-title":"J Athl 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white matter integrity and hippocampal volume","volume":"49","author":"E M Palacios","year":"2013","journal-title":"Cortex"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"877","DOI":"10.1177\/0363546508328118","article-title":"A prospective study of postconcussive outcomes after return to play in\n                    Australian football","volume":"37","author":"M Makdissi","year":"2009","journal-title":"Am J Sports Med"},{"key":"ref25","first-page":"109","article-title":"Subsequent traumatic injuries after a concussion in elite ice hockey : A study\n                    over 28 years","volume":"2","author":"G Nyberg","year":"2015","journal-title":"Curr Res Concussion"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1016\/j.jshs.2020.11.005","article-title":"Impaired motor control after sport-related concussion could increase risk for\n                    musculoskeletal injury: Implications for clinical management and\n                    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Ekstrand","year":"2011","journal-title":"Br J Sports Med"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1111\/j.1600-0838.2009.01085.x","article-title":"Injury surveillance in male professional football; is medical staff reporting\n                    complete and accurate?","volume":"21","author":"J Bjorneboe","year":"2011","journal-title":"Scand J Med Sci Sports"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1016\/j.joms.2006.03.021","article-title":"Correlating facial fractures and cranial injuries","volume":"64","author":"B Pappachan","year":"2006","journal-title":"J Oral Maxillofac Surg"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"1295","DOI":"10.1007\/s00167-017-4431-z","article-title":"Injury mechanism of midfacial fractures in football causes in over 40%\n                    typical neurological symptoms of minor brain injuries","volume":"26","author":"V Krutsch","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"}],"container-title":["International Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1974-3965.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T22:54:10Z","timestamp":1685746450000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1974-3965"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,8]]},"references-count":39,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2023,6,2]]},"published-print":{"date-parts":[[2023,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1974-3965","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0172-4622","1439-3964"],"issn-type":[{"value":"0172-4622","type":"print"},{"value":"1439-3964","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,11,8]]},"published":{"date-parts":[[2022,11,8]]}}}