In emergency departments, the leading causes of concussions are falls, motor vehicle trauma, assaults, and sports.
- Football 2.9
- Lacrosse 2.5
- Women’s Ice Hockey 2.1
- Men’s Ice Hockey 2.1
- Women’s Soccer 2.0
- Men’s Wrestling 1.6
- Men’s Soccer 1.3
- Women’s Lacrosse 1.2
- Women’s Field Hockey 1.1
- Women’s Basketball 1.0
- Men’s Basketball 0.6
- Women’s Softball 0.4
- Women’s Volleyball 0.2
- Men’s Baseball 0.2
Sport, position, and style of play. In sports-related concussions, contact sports have the highest rate of concussions. Below is a list of National Collegiate Athletic Association (NCAA) sports and the number of concussions reported per every 1,000 athletes.3
An athlete’s position and style of play also affect his or her risk of concussion. For example, a study of National Football League (NFL) data4 found that quarterbacks are the most likely players to suffer concussions, and that the overall risk of concussion was highest during kickoff plays. High school football play differs, and evidence shows that the defensive players who are at greatest risk of concussion are linebackers, while the offensive players who are at greatest risk are running backs.5
Individual sports with high incidences of concussions are boxing, karate, and tae kwon do.6,7
Previous concussion. People who have suffered a concussion(s) in the past are more likely to sustain another concussion in the future.
Age. People younger than 24 and people older than 75 are at the greatest risk for concussion.8 In fact, children ages 0 to 14 account for nearly half a million emergency room visits for concussion.9
Gender. Female athletes report more concussions and more severe symptoms than their male counterparts playing the same sport.10,11 For example, female soccer players are more likely to report concussions than male soccer players. It is not yet clear if this is a difference in reporting or an actual difference in injury risk.
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Learning and mood disorders. Concussions in people with learning disorder or mood disorders may have a more complicated recovery.12
Migraines. Some experts suspect that people who suffer migraines are more likely suffer a concussion and/or may have a longer concussion recovery.13
Risky behavior. People engaging in risky behavior, such as drinking and driving, have an increased risk for concussion.
Precautions such as wearing helmets (e.g. bike and football helmets) or car safety belts can reduce the risk of concussion but will not eliminate it.
- NCAA. SSI task force explores issues, challenges around concussions. http://www.ncaa.org/health-and-safety/medical-conditions/ssi-task-force-... Published July 11, 2013. Accessed September 21, 2014.
- Pellman EJ, Powell JW, Viano DC, Casson IR, Tucker AM, Feuer H, Lovell M, Waeckerle JF, Robertson DW. Concussion in professional football: epidemiological features of game injuries and review of the literature--part 3. Neurosurgery. 2004 Jan;54(1):81-94; discussion 94-6. Review. PubMed PMID: 14683544.
- Harmon KG, Drezner JA, Gammons M, Guskiewicz KM, Halstead M, Herring SA, Kutcher JS, Pana A, Putukian M, Roberts WO. American Medical Society for Sports Medicine position statement: concussion in sport. Br J Sports Med. 2013 Jan;47(1):15-26. doi: 10.1136/bjsports-2012-091941. Review. Erratum in: Br J Sports Med. 2013 Feb;47(3):184. PubMed PMID: 23243113.