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Concussion in Hockey: Compliance with Return to Play Advice and Follow-up Status

Published online by Cambridge University Press:  04 July 2016

Alun Ackery ,
Christine Provvidenza  and
Charles H. Tutor
Alun Ackery
Affiliation:
ThinkFirst Canada, University of Toronto, Toronto, Ontario, Canada Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
Christine Provvidenza
Affiliation:
ThinkFirst Canada, University of Toronto, Toronto, Ontario, Canada
Charles H. Tutor*
Affiliation:
ThinkFirst Canada, University of Toronto, Toronto, Ontario, Canada Department of Surgery, Division of Neurosurgery, University of Toronto, Toronto, Ontario, Canada
*
399 Bathurst St. 4W-433, Toronto Western Hospital, Toronto, Ontario, M5T 2S8, Canada
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Abstract

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Objectives:

To determine the compliance rate among hockey players with concussion or other head injuries who were advised by a physician about return to play. To assess compliance of hockey players with return to play advice and to assess the incidence of long-term post-concussion symptoms.

Methods:

A retrospective chart review, telephone questionnaire and follow-up analysis of income, level of education and professional aspirations. The study examined 40 hockey players with concussion or other head injury treated at a neurosurgical ambulatory clinic, who had initial visits between 1995 and 2003, and had been seen at least two years prior to completing the questionnaire.

Results:

There was a 58% (23 of 40) participation rate in the study. Fifteen (65%) of the 23 participants were advised to never return to play, and 5 (33%) were non-compliant and returned to play. Four (80%) of the five non-compliant players continued to suffer from post concussion symptoms. Overall, 15 (65%) of the 23 players participating in the study continued to suffer post concussion symptoms at least two years after the clinic visit.

Conclusions:

Five (33%) of 15 hockey players advised to never return to play were non-compliant and returned to play, and four continued to suffer from post concussion symptoms two or more years later. After repeated concussions, 65% of hockey players had long-term sequelae that prevented return to play and produced long-term post-concussion symptoms.

Type
Original Article
Information
Canadian Journal of Neurological Sciences , Volume 36 , Issue 2 , March 2009 , pp. 207 - 212
Copyright
Copyright © The Canadian Journal of Neurological 2009

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