{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T21:25:39Z","timestamp":1783718739393,"version":"3.55.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2020,3,19]],"date-time":"2020-03-19T00:00:00Z","timestamp":1584576000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Child Neurol"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>Our objective was to examine the effect of current neck or shoulder pain on concussion outcomes. Variables included symptom resolution and return-to-sport time, symptom severity, amount of school missed, and sleep disturbances. Three hundred twelve patients (37% female; median age = 15.0 years; evaluated median = 9 days postinjury) reported experiencing current neck or shoulder pain at initial evaluation, and 268 did not (31% female; median age = 14.7 years; evaluated median = 8 days postinjury). Neck or shoulder pain was associated with longer symptom resolution time (\u03b2 = 6.38, 95% confidence interval [CI] = 2.44, 10.31; P = .002), more severe symptoms (\u03b2 = 7.06, 95% CI = 4.91, 9.21; P &lt; .001), and greater odds of missing &gt;5 days of school (adjusted odds ratio [aOR] = 1.89, 95% CI = 1.23, 2.93; P = .004), and postinjury sleep problems (aOR = 2.20, 95% CI = 1.51, 3.21; P &lt; .001). Experiencing neck or shoulder pain during the initial postinjury clinical evaluation was associated with worsened clinical outcomes. Clinicians may consider referral to early rehabilitation following concussion among those who report neck or shoulder pain.<\/jats:p>","DOI":"10.1177\/0883073820909046","type":"journal-article","created":{"date-parts":[[2020,3,20]],"date-time":"2020-03-20T01:59:02Z","timestamp":1584669542000},"page":"456-462","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Presence of Neck or Shoulder Pain Following Sport-Related Concussion Negatively Influences Recovery"],"prefix":"10.1177","volume":"35","author":[{"given":"Aaron J.","family":"Provance","sequence":"first","affiliation":[{"name":"Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA"},{"name":"Sports Medicine Center, Children\u2019s Hospital Colorado, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2955-0191","authenticated-orcid":false,"given":"David R.","family":"Howell","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA"},{"name":"Sports Medicine Center, Children\u2019s Hospital Colorado, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan N.","family":"Potter","sequence":"additional","affiliation":[{"name":"School of Physical Therapy, University of Delaware, Newark, DE, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela E.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison M.","family":"D\u2019Lauro","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Children\u2019s Hospital Colorado, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie C.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA"},{"name":"Sports Medicine Center, Children\u2019s Hospital Colorado, Aurora, CO, USA"},{"name":"Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,3,19]]},"reference":[{"key":"bibr1-0883073820909046","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-4635"},{"key":"bibr2-0883073820909046","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117745788"},{"key":"bibr3-0883073820909046","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2011.08.007"},{"key":"bibr4-0883073820909046","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2017.03.002"},{"key":"bibr5-0883073820909046","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-51.12.15"},{"issue":"3","key":"bibr6-0883073820909046","first-page":"237","volume":"25","author":"Leddy JJ","year":"2015","journal-title":"Symptoms alone do not distinguish physiologic concussion from cervical\/vestibular injury. 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