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Título Concussion Incidence by Type of Sport: Differences by Sex, Age Groups, Type of Session, and Level of Play An Overview of Systematic Reviews With Meta-analysis
Autores MATÍAS SOTO, JAVIER, Infante-Cano, Marta , GARCÍA MUÑOZ, CRISTINA, Pineda-Escobar, Saul , Martinez-Calderon, Javier
Publicación externa No
Medio J. Orthop. Sports Phys. Ther.
Alcance Article
Naturaleza Científica
Cuartil JCR 1
Cuartil SJR 1
Fecha de publicacion 01/11/2024
ISI 001355657100003
DOI 10.2519/jospt.2024.12677
Abstract OBJECTIVES: To (1) summarize pooled prevalence and incidence rates of concussion by type of sport and (2) synthesize the differences in prevalence or incidence rates of concussion by type of sports in terms of sex, age, type of session, and level of competition. @ DESIGN: An overview of systematic reviews with meta-analysis. @ LITERATURE SEARCH: CINAHL, Embase, Epistemonikos, PubMed, Scopus, SPORTDiscus, and the Cochrane Library databases were searched. @ STUDY SELECTION CRITERIA: Systematic reviews with meta-analyses reporting pooled incidence or prevalence of sport-related concussion. @ DATA SYNTHESIS: AMSTAR 2 was used to assess the methodological quality of reviews. Overlap between reviews was calculated. @ RESULTS: Ten systematic reviews with meta- analysis were included, all evaluating incidence rates of concussion. There were no meta-analyses of concussion prevalence. Concussions seem to have a higher incidence in rugby, snowboarding, ice hockey, and American football. In reviews that explored sex-based differences across subgroups, there was a higher incidence rate of concussion in baseball-softball, basketball, and soccer in females compared to males. There were no age subgroups analyzed. The incidence of concussions was higher during games compared to practice in American football, ice hockey, rugby, and soccer. Amateur rugby had higher concussion rates compared to professional rugby. @ CONCLUSIONS: Rugby, snowboarding, ice hockey, and American football had the highest incidence rate of concussion when no other differences (eg, type of session) were considered. However, important methodological flaws were detected, such as the lack of use of the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system and subgroups for specific factors (eg, age groups). J Orthop Sports Phys Ther2024;54(11):702-710. Epub 15 October 2024. doi:10.2519/jospt.2024.12677
Palabras clave athlete; concussion; incidence; meta-analysis; overview; sports
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