Objective: To examine the incidence and characteristics of concussions for
one season in the Canadian Football League (CFL).
Design: Retrospective survey.
Participants: 289 players reporting to CFL training camp. Of these, 154 pla
yers had played in the CFL during the 1997 season.
Main Outcome Measures: Based on self-reported symptoms, calculations were m
ade to determine the number of concussions experienced during the previous
season, the duration of symptoms, the time for return to play after concuss
ion, and any associated risk factors for concussions.
Results: Of all the athletes who played during the 1997 season, 44.8% exper
ienced symptoms of a concussion. Only 18.8% of these concussed players reco
gnized they had suffered a concussion. 69.6% of all concussed players exper
ienced more than one episode. Symptoms lasted at least 1 day in 25.8% of ca
ses. The odds of experiencing a concussion increased 13% with each game pla
yed. A past history of a loss of consciousness while playing football and a
recognized concussion while playing football were both associated with inc
reased odds of experiencing a concussion during the 1997 season.
Conclusion: Many players experienced a concussion during the 1997 CFL seaso
n, but the majority of these players may not have recognized that fact. Pla
yers need to be better informed about the symptoms and effects of concussio
ns.