Concussion in Professional Football: Players Returning to the Same Game—Part 7

  title={Concussion in Professional Football: Players Returning to the Same Game—Part 7},
  author={Elliot J. Pellman and David C. Viano and Ira R. Casson and Cynthia L. Arfken and Henry Feuer},
OBJECTIVE:A 6-year study was conducted to determine the signs, symptoms, and outcome of players who were concussed and either returned immediately or were rested and returned to the same game in the National Football League (NFL). METHODS:From 1996 to 2001, concussions were recorded by NFL teams by use of a special standardized reporting form filled out by team physicians. Signs and symptoms were grouped by general symptoms, somatic complaints, cranial nerve effects, cognition problems, memory… 

Tables from this paper

Twelve Years of National Football League Concussion Data

The most recent 6 years of NFL concussion data show a remarkable similarity to the earlier period, however, there was a significant decrease in the percentage of players returning to the same game, and players were held out of play longer.

Concussions Involving 7 or More Days Out in the National Football League

In the more recent 6-year period, more players were managed conservatively by being held out 7+ days, even though the signs and symptoms of their concussions were similar to those in the earlier period.

Return to play management after concussion in football: recommendations for team physicians

In football, the management of concussion should primarily follow the recommendations proposed by the Concussion in Sports Group, and future studies on concussion should include validated and detailed information on RTP protocols.

Repeat Concussions in the National Football League

The defensive secondary, kick unit, running back, and linebacker have the highest incidence of repeat concussion in the NFL, and although concussion was managed more conservatively by team physicians in the recent 6 years, repeat concussions occurred at similar rates during both periods.

Concussions in the National Football League

The study of concussions in the NFL has been limited by lack of recent empirical data, reliance on self-reported concussion history, and ascertainment bias of brains donated for autopsy studies.

Sideline Management of Sport-related Concussions

The ongoing risk-benefit analysis of return-to-play must currently be based on experience, corollary data from traumatic brain injuries in animals and humans, and limited prospective data with sports-related concussions.

Return to play after sports concussion in elite and non-elite athletes?

The non-elite athlete may not have the same resources available as the elite athlete and as a result will generally be managed more conservatively, and be managed with less expertise and with limited resources.


A concussion model was developed to simulate the high velocity of impact and rapid head ΔV of concussions in National Football League players and can be used to evaluate immediate and latent effects of concussion and more severe injury with greater impact mass.

Tracking neuropsychological recovery following concussion in sport

The serial use of computerized neuropsychological screening with ImPACT to monitor recovery in a clinical case series of injured athletes is illustrated to illustrate the importance of analysing individual athletes’ test data because group analyses can obscure slow Recovery in a substantial minority of athletes.


A reduced neuropsychological performance was found after minor head impacts in soccer, even in allegedly asymptomatic players, however, the long-term cognitive consequences are uncertain.



Concussion in Professional Football: Repeat Injuries—Part 4

The most vulnerable players for repeat concussion in professional football are the ball return carrier on special teams and quarterbacks.

Concussion in Professional Football: Injuries Involving 7 or More Days Out—Part 5

The most vulnerable players for 7+ days out with concussion were quarterbacks and the secondary in professional football, and a greater fraction were given drug or medical therapies with prolonged days out.

Concussion in Professional Football: Epidemiological Features of Game Injuries and Review of the Literature—Part 3

The professional football players most vulnerable to concussions are quarterbacks, wide receivers, and defensive secondaries, and these players return to play within 1 day, and symptoms resolved in a short time in the vast majority of cases.

Concussions During the 1997 Canadian Football League Season

A past history of a loss of consciousness while playing football and a recognized concussion while playingfootball were both associated with increased odds of experiencing a concussion during the 1997 season.

Concussion incidences and severity in secondary school varsity football players.

Contin use of illegal techniques of butt-blocking and face-tackling by as many as 40 per cent of the players was associated with apparent increased risks of concussions and concussion symptoms.

Concussions Among University Football and Soccer Players

University football and soccer players seem to be experiencing a significant amount of concussions while participating in their respective sports, including a history of a recognized concussion.

Unreported Concussion in High School Football Players: Implications for Prevention

These findings reflect a higher prevalence of concussion in high school football players than previously reported in the literature and future prevention initiatives should focus on education to improve athlete awareness of the signs of concussion and potential risks of unreported injury.

Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA Concussion Study.

This study suggests thatPlayers with a history of previous concussions are more likely to have future concussive injuries than those with no history; 1 in 15 players with a concussion may have additional concussions in the same playing season; and previous concussion may be associated with slower recovery of neurological function.

Incidence of Concussion in High School Football Players of Ohio and Pennsylvania

The incidence of high school football players sustaining a concussion is much higher than previously established and the majority of these are mild (grade I) concussions.

Concussion in Professional Football: Neuropsychological Testing—Part 6

The data show that MTBI in this population is characterized by a rapid return of neuropsychological function in the days after injury, and Neuropsychological testing is used within the overall medical evaluation and care of NFL athletes.