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Int J Sports Med 2023; 44(06): 454-459
DOI: 10.1055/a-1974-3965
Orthopedics & Biomechanics

Do Sports-related Concussions Induce Subsequent Injuries in Elite Male Football Players?

Florian Beaudouin
1   Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany
,
Tobias Tröss
1   Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany
,
Abed Hadji
1   Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany
,
Ida Bo Steendahl
1   Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany
,
Tim Meyer
1   Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany
,
Karen Aus der Fünten
1   Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany
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Abstract

To assess the players’ risk of a subsequent injury after sustaining concussive injuries and their return-to-competition in German professional men’s football. A prospective injury database in the 1st Bundesliga was created encompassing 7 seasons (2014/15–2020/21). Cox proportional hazard model analyzed whether a concussive injury increased the risk of a subsequent injury in the first year after the index injury. 6,651 injuries were reported (n=182 concussive injuries). The incidence rate was 0.15 (95% CI 0.13–0.17) per 1000 football hours. A concussive injury was associated with only a slightly numerical higher risk of 7% (HR=1.07, 95% CI 0.78–1.47) in the subsequent year after the injury compared to a randomly selected non-concussive injury, but the effect was not significant. The risk was higher after 6–12 months post-SRC reaching 70% (HR=1.70, 95% CI 1.15–2.52). For 0–3 months (HR=0.76, 95% CI 0.48–1.20) and 3–6 months (HR=0.97, 95% CI 0.62–1.50) the injury risk was lower. The present data do not confirm previously published investigations about an increased injury risk after SRC. Contrasting effects of lower hazard ratios were found early after SRC, followed by an increase after 6–12 months. Further research should look into compliance rates with regards to return-to-competition protocols.

Key words

head injury - traumatic brain injury - soccer - prevention - sequalae


Publication History

Received: 28 March 2022

Accepted: 08 November 2022

Accepted Manuscript online:
08 November 2022

Article published online:
17 March 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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