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Concussion youth diagnosis

Michael R Flaherty, Toby Raybould, Aziza Jamal-Allial, Haytham M A Kaafarani, Jarone Lee, Alice Gervasini, Richard Ginsburg, Mark Mandell, Karen Donelan, Peter T Masiakos
OBJECTIVE: To determine physician-reported adherence to and support of the 2010 Massachusetts youth concussion law, as well as barriers to care and clinical practice in the context of legislation. STUDY DESIGN: Primary care physicians (n = 272) in a large pediatric network were eligible for a cross-sectional survey in 2014. Survey questions addressed key policy and practice provisions: concussion knowledge, state regulations and training, practice patterns, referrals, patient characteristics, and barriers to care...
September 2, 2016: Journal of Pediatrics
Alan L Zhang, David C Sing, Caitlin M Rugg, Brian T Feeley, Carlin Senter
BACKGROUND: Concussion injuries have been highlighted to the American public through media and research. While recent studies have shown increased traumatic brain injuries (TBIs) diagnosed in emergency departments across the United States, no studies have evaluated trends in concussion diagnoses across the general US population in various age groups. PURPOSE: To evaluate the current incidence and trends in concussions diagnosed across varying age groups and health care settings in a large cross-sectional population...
August 2016: Orthopaedic Journal of Sports Medicine
Matthew E Eagles, David J Bradbury-Squires, Maria F Powell, Justin R Murphy, Graeme D Campbell, Falah B Maroun
BACKGROUND: The diagnosis of a sports-related concussion is often dependent on the athlete self-reporting their symptoms. It has been suggested that improving youth athlete knowledge and attitudes toward concussion may increase self-reporting behaviour. The objective of this study was to determine if a novel Concussion-U educational program improves knowledge of and attitudes about concussion among a cohort of elite male Bantam and Midget AAA hockey players. METHODS: Fifty-seven male Bantam and Midget AAA-level hockey players (mean age=14...
September 2016: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
Edie E Zusman, Peter Zopfi, Joshua Kuluva, Scott Zuckerman
Hiroshi Yokota's article "Acute subdural hematoma in judo player with repeated head injuries" shines a light on the serious risks of traumatic brain injuries associated with the traditional Japanese sport of judo, and of a relative lack of policies and guidelines for proper handling of concussion in young athletes more generally. The article also highlights the dangers of returning concussed athletes to play prematurely and the risk of second impact syndrome (SIS), a hotly debated diagnosis worldwide. The article, which details a single case, helps demonstrate that protocols in management of concussion and sports related traumatic brain injury (TBI) should not rely on imaging alone, but primarily be based on the athlete's symptoms...
June 8, 2016: World Neurosurgery
Richelle M Williams, Margaret Dowling, Kathryn L O'Connor
CONTEXT: Concussive injuries are at the forefront of sports medicine research. Recently, researchers have used a variety of head- and helmet-based impact-monitoring devices to quantify impacts sustained during contact sport participation. This review provides an up-to-date collection of head accelerometer use at the youth, high school, and collegiate levels. EVIDENCE ACQUISITION: PubMed was searched for articles published between 1980 and 2015 using the terms accelerometer and concussion, impact sensor and concussion, head impact telemetry system, head impact telemetry, and linear acceleration and concussion...
April 8, 2016: Sports Health
Patricia Mortenson, Ashutosh Singhal, Alexander R Hengel, Jacqueline Purtzki
OBJECTIVES: To investigate the effectiveness and feasibility of early intervention telephone counseling with parents in limiting postconcussion symptoms and impacts on children and youth. SETTING: Recruitment occurred postdischarge from one pediatric emergency department. PARTICIPANTS: Sixty-six parents of children aged 5 to 16 years with a diagnosis of a concussion injury. DESIGN: A pilot, randomized controlled study compared the efficacy of telephone counseling (reviewing symptom management and return to activity with parents at 1 week and 1 month postinjury) with usual care (no formalized follow-up)...
March 28, 2016: Journal of Head Trauma Rehabilitation
Joseph H Miller, Clarence Gill, Elizabeth N Kuhn, Brandon G Rocque, Joshua Y Menendez, Jilian A O'Neill, Bonita S Agee, Steven T Brown, Marshall Crowther, R Drew Davis, Drew Ferguson, James M Johnston
OBJECT Pediatric sports-related concussions are a growing public health concern. The factors that determine injury severity and time to recovery following these concussions are poorly understood. Previous studies suggest that initial symptom severity and diagnosis of attention deficit hyperactivity disorder (ADHD) are predictors of prolonged recovery (> 28 days) after pediatric sports-related concussions. Further analysis of baseline patient characteristics may allow for a more accurate prediction of which patients are at risk for delayed recovery after a sports-related concussion...
April 2016: Journal of Neurosurgery. Pediatrics
C Elaine Little, Carolyn Emery, Amanda Black, Stephen H Scott, Willem Meeuwisse, Alberto Nettel-Aguirre, Brian Benson, Sean Dukelow
BACKGROUND: Better diagnostic and prognostic tools are needed to address issues related to early diagnosis and management of concussion across the continuum of aging but particularly in children and adolescents. The purpose of the current study was to evaluate the reliability of robotic technology (KINARM robot) assessments of reaching, position sense, bimanual motor function, visuospatial skills, attention and decision making in youth ice hockey players (ages 10-14). METHODS: Thirty-four male children attended two testing days, one week apart...
2015: Journal of Neuroengineering and Rehabilitation
Sean C Rose, Kevin D Weber, James B Collen, Geoffrey L Heyer
BACKGROUND: Concussion is a complex brain injury that results in more than 100,000 emergency department visits for school-aged children each year in the United States. All 50 US states have passed concussion legislation designed to promote safety in youth sports. Most of these laws require medical clearance by a licensed health care provider before returning to sport, which may have contributed to an increase in pediatric subspecialty referrals, particularly referrals to the child neurologist...
August 2015: Pediatric Neurology
Richelle M Williams, Tim W Puetz, Christopher C Giza, Steven P Broglio
BACKGROUND: Concussion diagnosis and management is made through the clinical exam using assessment tools that include self-report symptomatology, postural control, and cognitive evaluations. The specific timing of concussion resolution varies between individuals. However, despite a lack of research in concussion recovery, it is widely accepted that the majority of young adults will recover in 7-10 days, with youth athletes taking longer. OBJECTIVES: The purpose of this review is to directly compare the recovery duration among high school and collegiate athletes on symptom reports and cognitive assessments following concussion...
June 2015: Sports Medicine
Rachel E Ventura, Jeffrey M Jancuska, Laura J Balcer, Steven L Galetta
BACKGROUND: Concussion, particularly in relation to sports and combat activities, is increasingly recognized as a potential cause of both short- and long-term neurologic sequelae. This review will focus on the neuro-ophthalmologic findings associated with concussion, the current tests for concussion, and the potential for visual performance measures to improve our detection and assessment of concussions. EVIDENCE ACQUISITION: A PubMed search using the specific key words "concussion," "mild traumatic brain injury," "neuro-ophthalmological findings," and "diagnostic and management tests" was performed...
March 2015: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
Gregory R Waryasz, Robert Tambone, Peter Kriz
Concussions are common injuries with increasing diagnostic incidence. The 4th International Conference on Concussion in Sport, held in November 2012 in Zurich, revised consensus statements regarding the definition of a concussion, diagnostic criteria, and management. Return-to-play guidelines require a graded return to activity in which concussed athletes remain symptom-free. In order to improve awareness pertaining to concussion diagnosis and management, legislation has now been enacted in all fifty states...
February 2015: Rhode Island Medical Journal
Jason Izraelski
Ice hockey has been identified as a sport with a high risk for concussions. Given the health sequelae associated with the injury, a great deal of attention has been placed on its diagnosis, management and return-to-play protocols. The highest level of ice hockey in North America is played in the National Hockey League (NHL), and concussions pose a serious threat to the health of the players and the game itself. Unfortunately, the scientific literature on concussions in ice hockey is derived mostly from research conducted on youth and amateur levels of play, leaving a gap in our knowledge at the professional level...
December 2014: Journal of the Canadian Chiropractic Association
Sinéad E Delahunty, Eamonn Delahunt, Brian Condon, David Toomey, Catherine Blake
BACKGROUND: Youth rugby players represent 45.2% (N = 69,472) of the Irish rugby union playing population. The risk and consequences of concussion injury are of particular concern in these young athletes, but limited epidemiological data exists. This study investigated annual and lifetime prevalence of concussion in an Irish schoolboy rugby union cohort. METHODS: An anonymous cross-sectional survey of youth rugby players was conducted. Diagnosed concussion was defined as an incident where diagnosis was confirmed by a health professional or coach...
January 2015: Journal of School Health
Kenneth Mautner, Walter I Sussman, Matthew Axtman, Yahya Al-Farsi, Samir Al-Adawi
OBJECTIVE: To investigate whether attention deficit hyperactivity disorder (ADHD) influences postconcussion recovery, as measured by computerized neurocognitive testing. DESIGN: This is a retrospective case control study. SETTING: Computer laboratories across 10 high schools in the greater Atlanta, Georgia area. PARTICIPANTS: Immediate postconcussion assessment and cognitive testing (ImPACT) scores of 70 athletes with a self-reported diagnosis of ADHD and who sustained a sport-related concussion were compared with a randomly selected age-matched control group...
July 2015: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
John W O'Kane, Marni R Levy, Moni Neradilek, Nayak L Polissar, Melissa A Schiff
BACKGROUND: Despite recent increased awareness about sports concussions, few studies have evaluated the effect of concussion laws on concussion outcomes among young athletes. The purpose of our study was to evaluate the effect of the Washington State Zachery Lystedt Concussion Law on playing with concussion symptoms and being evaluated by a health care provider. METHODS: We performed a prospective cohort study of 351 elite female soccer players, aged 12 to 15 years, from 33 randomly selected youth soccer teams in the Puget Sound region of Washington State from 2008 to 2012...
September 2014: Physician and Sportsmedicine
Rajeet Singh Saluja, Jen-Kai Chen, Isabelle J Gagnon, Michelle Keightley, Alain Ptito
Concussions are high incidence injuries with potentially devastating consequences. Youths are at risk because of a higher threat of repeated injury, and cumulative effects of concussions exist, making accurate diagnosis and follow-up essential. This study examines a navigational memory functional magnetic resonance imaging (fMRI) task to determine whether activation differences exist between children with concussion and uninjured controls. Fifty adolescents were recruited-35 controls and 15 with concussion...
May 15, 2015: Journal of Neurotrauma
P Patrick Mularoni
Concussion is a commonly encountered consequence of participation in sports. The symptoms of youth concussion are subtle and vary from athlete to athlete. Much attention has been paid recently to the diagnosis of concussion, and the understanding of this condition has increased significantly in the past 10 years. Legislative initiatives have focused on the diagnosis and management of concussion to keep children and adolescents with concussion away from the field of play until their symptoms have resolved fully...
February 2014: FP Essentials
Sara P D Chrisman, Laura P Richardson
PURPOSE: Previous studies in adults have suggested concussion and other brain injury presents a risk factor for depression. The goal of our study was to analyze the association between previous concussion and current depression diagnosis in a large nationally representative adolescent data set. METHODS: Retrospective cohort study using the National Survey of Children's Health 2007-2008, a nationally representative survey conducted via random digit dialing. Data were obtained by parental report...
May 2014: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Rosemarie Scolaro Moser, Philip Schatz, Jonathan D Lichtenstein
Media coverage, litigation, and new legislation have resulted in a heightened awareness of the prevalence of sports concussion in both adult and youth athletes. Baseline and postconcussion testing is now commonly used for the assessment and management of sports-related concussion in schools and in youth sports leagues. With increased use of computerized neurocognitive sports concussion testing, there is a need for standards for proper administration and interpretation. To date, there has been a lack of standardized procedures by which assessments are administered...
2015: Applied Neuropsychology. Child
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