The Association between Length of Recovery Following Sport-Related Concussion and Generic and Specific Health-Related Quality of Life in Adolescent Athletes: A Prospective, Longitudinal Study

Document Type

Article

Publication Title

Journal of Head Trauma Rehabilitation

Abstract

Objective: Our purpose was to determine the association between concussion recovery and health-related quality of life (HRQOL). Setting: Secondary school athletic training facilities. Participants: Patients (N = 122) with a concussion. Study Design: Prospective, longitudinal cohort. Main Measures: The Pediatric Quality-of-Life Inventory (PedsQL), PedsQL Multidimensional Fatigue Scale (MFS), and Headache Impact Test-6 (HIT-6) were completed at preseason and days 3 (D3), 10 (D10), and 30 (D30) postconcussion. The independent variable was the recovery group. Results: Interactions between group and time (P <.001) were noted for all PedsQL subscales, except Social Functioning (P =.75). Significantly lower scores were found among Prolonged than in Short on D3 (P <.05). Significant interactions (P <.001) were also noted for all MFS subscales. Pairwise comparisons for General and Sleep subscales revealed Prolonged had lower scores than Short and Moderate on D3 and D10. A group by time interaction was found for the HIT-6 (P <.001), with scores being higher (P <.01) in Prolonged than in Short on D3 and D10. Conclusions: Adolescents with a prolonged recovery demonstrated lower HRQOL in the immediate days postinjury, particularly in physical and school functioning, fatigue, and headache. There was a strong association between recovery length and school functioning. Additional research is needed to understand how to minimize the impact of concussion on HRQOL.

First Page

E1

Last Page

E9

DOI

10.1097/HTR.0000000000000394

Publication Date

1-1-2019

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