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Item Age of First Concussion and Cognitive, Psychological, and Physical Outcomes in NCAA Collegiate Student Athletes(Springer, 2022-11) Moody, Jena N.; Hayes, Jasmeet P.; Buckley, Thomas A.; Schmidt, Julianne D.; Broglio, Steven P.; McAllister, Thomas W.; McCrea, Michael; Pasquina, Paul F.; Caccese, Jaclyn B.; CARE Consortium Investigators; Psychiatry, School of MedicineObjective: Concussions are common among youth athletes and could disrupt critical neurodevelopment. This study examined the association between age of first concussion (AFC) and neurocognitive performance, psychological distress, postural stability, and symptoms commonly associated with concussion in healthy collegiate men and women student athletes. Methods: Participants included 4267 collegiate athletes from various contact, limited-contact, and non-contact sports (1818 women and 2449 men) who completed baseline assessments as part of the Concussion Assessment, Research and Education (CARE) Consortium. Psychological distress was assessed with the Brief Symptom Inventory 18; neurocognitive performance was assessed with the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT); symptoms commonly associated with concussion were assessed with the ImPACT Post-Concussion Symptom Scale; postural stability was assessed with the Balance Error Scoring System. Generalized linear models were used to examine the effects of AFC on clinical outcomes separately in men and women. Results: Later AFC was associated with lower global (Exp(B) = 0.96, P = 0.001) and somatic (Exp(B) = 0.96, P = 0.002) psychological distress on the Brief Symptom Inventory 18 and faster ImPACT reaction time (B = - 0.003, P = 0.001) in women. AFC was not associated with any clinical outcomes in men. Conclusion: Younger AFC was associated with some differences in psychological distress and reaction time among women but not men; however, these results are likely not clinically meaningful. Sociodemographic disparities, pre-existing conditions, and sport type may impact clinical and cognitive outcomes in collegiate athletes more than concussion history. Future work should examine the relationship between AFC and lifespan-related outcomes.Item COVID-19 Implications on Student Athletes Occupational Engagement and Mental Health(2021-04-28) DePue, Brianna; Wilburn, Victoria; Pierce, David; Wilburn, Victoria; Department of Occupational Therapy, School of Health and Human Sciences; Wilburn, VictoriaOccupational engagement in preferred activities has been difficult to obtain throughout the Coronavirus-19 (COVID-19) pandemic for high school athletes with the disruption to high school sports. High school athletes utilize sports as a way to interact within their environment and engage in play which is a key factor for facilitating normative development. The purpose of this capstone project is to further understand if associated mental health outcomes exist in high school athletes due to limited occupational engagement within sports through self-reported measurements. This project utilized a cross sectional, mixed methods survey, from a convenience sample of 104 high school athletes in order to obtain student athletes perspectives regarding the impact of COVID-19 on their sport performance, mental health, occupational deprivation, and future collegiate goals/scholarships. This project used a chi square analysis with a linear regression to understand relationships between datasets. Statistically significant (p= .003) relationships were found between grade level and student's self-reported occupational deprivation. This study also found indications of other predictive relationships between factors such as limited playing time or different rules while participating in sports and student's self-reported negative mental health symptoms (r= 2.3). With limited research on COVID-19 in this vulnerable population, this study provides foundational evidence for the need to engage within preferred occupations for normative development in high school athletes and the need to address mental health in this population who undergo feelings of adverse mental health within circumstances out of their control such as the impact of COVID-19.Item A Volunteer Basketball Clinic for Children with Disabilities: Professional Development Impact on Student-Athletes and Physical Therapy Students(Association of Schools of Allied Health Professions, 2017) Altenburger, Peter; Wilson, Anne M.; Physical Medicine and Rehabilitation, School of MedicineThe purpose of this study was to assess the change in perceptions of student-athletes, physical therapy students, and parents of children who helped to facilitate an athletic skills camp for children with disabilities. Participants experienced 3 hours of basketball activity yearly. Data were collected for 3 consecutive years from a total of 51 parents, 15 student-athletes, and 22 physical therapy students. Preand post-survey data were evaluated by two independent researchers. Common themes were developed for all participant groups and cross-group comparisons were evaluated. Findings indicated a synergistic benefit for student-athletes and physical therapy students derived from their impact and children with disabilities. Perceptual changes in students included a decrease in fear in working with disabled children, an appreciation for the value of having fun, and increased growth in civic identity and desire to volunteer.