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UTSW leads groundbreaking effort to monitor youth concussions

Dr. Munro Cullum
Dr. Munro Cullum, principal investigator of the ConTex study.

The nation’s largest statewide effort to track concussions in youth athletes, led by UT Southwestern, has begun collecting data aimed at assessing the prevalence of brain injuries in high school sports. Launched in late 2016, the Concussion Network of North Texas (ConTex) registry is a partnership between the University Interscholastic League (UIL), which regulates athletics in public schools, and UT Southwestern.

The registry, which could be a key step in creating a nationwide database for concussions, fills a major gap in concussion research and may provide guidance as to whether certain rules or equipment changes are improving player safety.

Contex Logo
The statewide registry led by UT Southwestern and launched in 2016 tracks concussions in youth athletes in order to study the impact and frequency of sports-related brain injuries.

“This is a groundbreaking initial step. I think we’re on the verge of a very impactful project that will inform the nation about the frequency of concussions,” said neuropsychologist Dr. Munro Cullum, Professor of Psychiatry, Neurological Surgery, Neurology and Neurotherapeutics, and Rehabilitation Counseling with the Peter O’Donnell Jr. Brain Institute. Dr. Cullum, the study’s principal investigator, holds the Pam Blumenthal Distinguished Professorship in Clinical Psychology.

ConTex is administered by the Texas Institute for Brain Injury and Repair (TIBIR), a state-funded initiative to promote innovative research and education. With more than 800,000 students involved in high school sports in Texas, the registry has the potential to become the largest in the nation. The registry relies on middle and high school athletic trainers and school personnel to report all concussions that occur in UIL athletics. Data to be examined includes the cause of the injury, the player’s concussion history, the gender of the player, and more. Dr. Cullum said his research team will measure how often concussions occur in each sport and identify areas with low concussion rates. UT Southwestern also collects concussion incident information as part of the ongoing first phase of the study.

ConTex is modeled after a smaller, ongoing concussion study that Dr. Cullum helped launch in 2015 that assembles detailed information about concussions in the Dallas-Fort Worth area. That collaboration includes UT Southwestern, Children’s Medical Center Dallas, Texas Scottish Rite Hospital for Children, UT Dallas, and Texas Health Ben Hogan Sports Medicine. Dr. Cullum also led a first of-its-kind study published that same year that found NFL players who lost consciousness due to concussion showed key differences in brain structure later in life.

ConTex: A Texas-size look at concussions in youth

Dr. Munro Cullum and sports concussions

The Texas Institute for Brain Injury and Repair (TIBIR) launched a statewide concussion registry in partnership with the University Interscholastic League (UIL) to monitor concussions among youth athletes. TIBIR, a state-funded initiative to promote innovative research and education, is part of UT Southwestern’s O’Donnell Brain Institute. Here are some key facts:

  • The registry will track about two dozen sports, for both girls and boys.
  • Schools will report concussions via an app that includes more than a dozen questions, such as cause of injury, gender, concussion history, and more.
  • More than 800,000 youth in Texas participate in UIL-sanctioned high school sports, the most in the U.S.
  • Children under age 15 account for the most traumatic brain injury visits to emergency rooms.
  • A large study of high school athletes participating in nine sports – baseball, football, and wrestling (for boys); softball and volleyball (for girls); and basketball and soccer (for boys and girls) – reported a combined 2.44 injuries per 1,000 exposures, defined as practices and/or games. Football, followed by wrestling, had the highest injury rates for boys, while soccer and basketball topped the girls’ rates.
  • Up to 3.8 million recreational and athletic concussions occur in the U.S. each year.

Sources: UT Southwestern, Centers for Disease Control and Prevention, National Federation of State High School Associations