Which sports-related migraine is associated with longer recovery time, as well as cognitive, neurobehavioral, and somatic symptoms? What percentage of sports-related concussions is also associated with headache? Scroll through the slides for questions and answers.
Question 1: Headache is reported in up to what percentage of sports-related concussions? A. 90% B. 75% C. 60% D. 50%
According to a study by the National Collegiate Athletic Association Injury Surveillance Program, headache is reported in about 90% of sports-related concussions. The lowest percentage was reported in men’s baseball (75%), while the highest percentage was reported in women’s field hockey (100%).
Question 2: The first football helmet was invented in: A. 1893 B. 1906 C. 1937 D. 1945
Short-term neurological problems and long-term behavioral and psychological effects of concussion related to football have been recognized for over a century. The first football helmet was invented in 1893 and consisted of a moleskin hat with earflaps. Over 100 years ago, recognition of a significant number of concussions and deaths related to football lead for calls to outlaw the game or make it safer. The first epidemiological study of concussion and football was published in the Boston Medical and Surgical Journal in 1906. Conducted by doctors for the Harvard football team, it highlighted the high frequency of concussions per game.
Question 3: True or False. Footballer’s migraine is never accompanied by aura. A. True B. False
Footballer’s migraine refers to migraines with aura triggered by a minor blow to the head. These migraines can occur in any sport in which head impact occurs, such as hitting the ball with the head in soccer. Posttraumatic migraine like footballer’s migraine is associated with longer recovery time, as well as cognitive, neurobehavioral, and somatic symptoms.
Question 4: Which of the following is FALSE about exertional headache? A. Occurs during strenuous exercise B. Lasts less than 24 hours C. Often bilateral D. Increased risk with decreased fluid intake
An exertional headache can be brought on by any strenuous exercise like running, rowing, swimming, etc. It can last from a few minutes up to 48 hours, is often bilateral, and not usually associated with nausea and vomiting (although exercise can trigger migraines in migraine-prone individuals). Risk factors include high altitude, hot weather, extreme exertion, and decreased fluid intake.
Question 5: Which of the following is true about weightlifter’s headache? A. Lasts up to 24 hours B. Affects individuals under age 40 C. Usually unilateral D. Peaks almost immediately
Weightlifter’s, or cough, headache is precipitated by a Valsalva maneuver and usually bilateral and posterior, has sudden onset, peaks almost immediately, usually lasts from a few seconds to a few minutes (but can last up to 2 hours), and mostly affects individuals over aged 40 years. A first-time thunderclap weightlifting headache should raise suspicion for subarachnoid hemorrhage.