{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T09:22:20Z","timestamp":1771492940288,"version":"3.50.1"},"reference-count":39,"publisher":"National Athletic Trainers' Association","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,1]]},"abstract":"<jats:sec><jats:title>Context<\/jats:title><jats:p>Despite the increased risk of musculoskeletal (MSK) injury after a concussion, little is known about the determinants of such a risk. Moreover, the authors of previous reports of increased risk of MSK injury after a concussion have neglected to account for the high level of undisclosed concussions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the association between the intention to disclose a possible concussion and the intention to disclose an MSK injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross-sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Online survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients or Other Participants<\/jats:title><jats:p>One hundred seven National Collegiate Athletic Association Division I athletes (females = 79%, age = 19.4 \u00b1 1.4 years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measure(s)<\/jats:title><jats:p>Online survey exploring determinants such as injury knowledge, attitudes, perceived social norms, and perceived behavioral control surrounding concussive and MSK injury disclosure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A significant association between high intention to disclose a concussion and high intention to disclose an MSK injury (\u03c72 = 19.276, P &amp;lt; .001, Cramer V = 0.482) was observed. Spearman rank correlations suggested no correlation between concussion nondisclosure (25%) and MSK injury nondisclosure (52%). Multivariate binomial regressions indicated that perceived social norms were the strongest determinant (\u03b2 = 1.365, P = .002) of high intention to disclose concussion, while attitudes toward MSK injury (\u03b2 = 1.067, P = .005) and perceived social norms (\u03b2 = 1.099, P = .013) were the strongest determinants of high intention to report MSK injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Individuals with high intention to report concussion symptoms also demonstrated high intention to report MSK injury. Strong positive associations were seen between known determinants of intention to disclose concussion and adapted versions of those same determinant domains in intention to disclose MSK injury. As those with high intention to disclose concussion also displayed high intention to disclose MSK injury, intention to disclose injuries generally may play a role in explaining the increase in MSK injury after a concussion.<\/jats:p><\/jats:sec>","DOI":"10.4085\/1062-6050-0291.22","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T20:31:30Z","timestamp":1666038690000},"page":"563-572","source":"Crossref","is-referenced-by-count":3,"title":["The Identification and Comparison of Factors Affecting Musculoskeletal and Concussion Injury Disclosure"],"prefix":"10.4085","volume":"58","author":[{"given":"Kelly","family":"Cheever","sequence":"first","affiliation":[{"name":"*Applied Biomechanics Laboratory, Department of Kinesiology, University of Texas at San Antonio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aliza K.","family":"Nedimyer","sequence":"additional","affiliation":[{"name":"\u2020Human Movement Science Curriculum, University of North Carolina at Chapel Hill"},{"name":"\u2021Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"},{"name":"\u00a7Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, University of North Carolina at Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derek","family":"Dewig","sequence":"additional","affiliation":[{"name":"**Rockefeller Neuroscience Institute, West Virginia University, Morgantown"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johna K.","family":"Register-Mihalik","sequence":"additional","affiliation":[{"name":"\u2021Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"},{"name":"\u00a7Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, University of North Carolina at Chapel Hill"},{"name":"\u2016STAR Heel Performance Laboratory, University of North Carolina at Chapel Hill"},{"name":"\u00b6Motion Science Institute, University of North Carolina at Chapel Hill"},{"name":"#Injury Prevention Research Center, University of North Carolina at Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa K.","family":"Kossman","sequence":"additional","affiliation":[{"name":"\u2020\u2020School of Health Professions, University of Southern Mississippi, Hattiesburg"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","published-online":{"date-parts":[[2023,9,2]]},"reference":[{"issue":"(6)","key":"2023090214340658600_i1062-6050-58-6-563-b01","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1136\/ip.2006.014720","article-title":"Cost of injuries from a prospective cohort study of North Carolina high school athletes","volume":"13","author":"Knowles","year":"2007","journal-title":"Inj Prev"},{"issue":"(2)","key":"2023090214340658600_i1062-6050-58-6-563-b02","doi-asserted-by":"crossref","first-page":"29","DOI":"10.3810\/psm.2010.06.1780","article-title":"Sports injuries in young athletes: long-term outcome and prevention strategies","volume":"38","author":"Maffulli","year":"2010","journal-title":"Phys Sportsmed"},{"key":"2023090214340658600_i1062-6050-58-6-563-b03","unstructured":"Gerberding JL , BinderS. Report to Congress on mild traumatic brain injury in the United States: steps to prevent a serious public health problem. Centers for Disease Control and Prevention. Published 2003. 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