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Concussion youth diagnosis

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https://www.readbyqxmd.com/read/29431168/king-devick-test-identifies-real-time-concussion-and-asymptomatic-concussion-in-youth-athletes
#1
Priya S Dhawan, Danielle Leong, Lisa Tapsell, Amaal J Starling, Steven L Galetta, Laura J Balcer, Trenton L Overall, Jennifer S Adler, Rashmi B Halker-Singh, Bert B Vargas, David Dodick
Background: Sports concussion has an annual incidence of approximately 3.8 million. Over half go unreported and a substantial number may be asymptomatic. A rapid, cost-effective, and reliable tool that facilitates diagnosis of concussion is needed. The King-Devick (K-D) test is a vision-based tool of rapid number naming for assessment of concussion. In this study, we evaluated the utility of the K-D test in real time for identification of symptomatic concussion in youth athletes and to determine if similar impairment (subclinical concussion) exists in youth athletes without an obvious head injury or symptoms...
December 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29337721/continuing-play-symptom-severity-and-symptom-duration-after-concussion-in-youth-athletes
#2
David R Howell, Michael J OʼBrien, Joana Fraser, William P Meehan
OBJECTIVE: To determine whether continuing to play after a concussion is associated with higher symptom burden or prolonged symptom duration. DESIGN: Patients who presented for care at a sport concussion clinic within the first 3 weeks of injury were asked whether they continued to play immediately after their injury. SETTING: Sport concussion clinic within a regional tertiary care hospital. MAIN OUTCOME MEASURES: Clinical outcomes including symptom severity, symptom duration, age, time from injury-clinical presentation, sex, sport type, previous concussion history, and whether or not they experienced loss of consciousness or amnesia at the time of injury were recorded...
January 15, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29246592/risk-factors-associated-with-baseline-king-devick-performance
#3
R Moran, T Covassin
OBJECTIVE: This study examined the effect of baseline risk factors on the King-Devick (K-D) test in youth athletes, including of age, sex, and history of concussion. METHODS: A total of 422 youth football and soccer athletes between the ages of 8 and 14 completed a baseline K-D test prior to the start of their respective seasons. Participant age, sex, and history of concussion were analyzed for K-D performance (i.e., errors and baseline time). A series of Mann-Whitney U tests were conducted to determine the effects of risk factors on performance...
December 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/29238733/the-impact-of-body-checking-on-youth-ice-hockey-injuries
#4
David P Trofa, Caroline N Park, Manish S Noticewala, T Sean Lynch, Christopher S Ahmad, Charles A Popkin
Background: Body checking is a common cause of youth ice hockey injuries. Consequently, USA Hockey raised the minimum age at which body checking is permitted from the Pee Wee level (11-12 years old) to the Bantam level (13-14 years old) in 2011. Purpose/Hypothesis: The purpose of this investigation was to determine the impact of body checking on the distribution of injuries reported in youth ice hockey players. We hypothesized that the elimination of body checking at the Pee Wee level would lower the frequency of serious injuries, particularly concussions...
December 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29167908/a-pilot-single-centre-cross-sectional-study-to-determine-the-knowledge-and-management-of-sports-concussion-by-emergency-physicians-an-experience-from-singapore
#5
Dinesh Sirisena, Joy Walter, Joo Haw Ong, Joanne Probert
INTRODUCTION: Sports concussion remains a challenging condition to manage despite changes to policy and practice since the 2012 Concussion in Sport Group consensus meeting. Emergency physicians (EPs) are often the first line of medical care for athletes in amateur and youth collision sports. This single-centre cross-sectional study aimed to establish the understanding and management of concussion by EPs in Singapore. METHODS: An anonymised 17-item online questionnaire was sent out to EPs using the Google Forms application, requesting information on clinical experience, training, exposure to concussion cases in the emergency department (ED) and assessed knowledge of the condition...
November 13, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28943830/the-clinical-implications-of-youth-sports-concussion-laws-a-review
#6
Jeneita M Bell, Christina L Master, Michael R Lionbarger
The recent passage of state youth sports concussion laws across the country introduces clinical implications for health care professionals caring for student-athletes. Although the laws were established to provide protections for student-athletes and prevent adverse outcomes, efforts aimed at implementation have uncovered various challenges in concussion diagnosis and management. Some of the most salient issues include medical evaluation, return to play, and return to learn. For this reason, health care professionals play a pivotal role in determining the critical next steps after a student is removed from play with a suspected concussion...
2017: American Journal of Lifestyle Medicine
https://www.readbyqxmd.com/read/28475400/trends-in-sports-related-concussion-diagnoses-in-the-usa-a-population-based-analysis-using-a-private-payor-database
#7
Kelms Amoo-Achampong, Samuel Rosas, Nicholas Schmoke, Yves-Dany Accilien, Benedict U Nwachukwu, Frank McCormick
OBJECTIVE: To describe recent epidemiological trends in concussion diagnosis within the United States (US) population. METHODS: We conducted a retrospective review of PearlDiver, a private-payor insurance database. Our search included International Classification of Disease, Ninth Revision codes for sports-related concussions spanning 2010 through 2014. Overall study population included patients aged 5 to 39 with subgroup analysis performed on Cohort A (Youth), children and adolescents aged 5 to 19, and Cohort B (Adults), adults aged 20 to 39...
May 17, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28271806/cardiovascular-physiology-and-disease-in-youth-2016
#8
Thomas Rowland
The two articles in the area of cardiovascular physiology and disease in youth were chosen for commentary because of their exploration of new approaches to the diagnosis and management of cardiovascular derangements in young persons. The first, by Hinds et al., describes the potential clinical importance of detection of cardiovascular changes during exercise testing in adolescent athletes following concussions. This approach might prove useful in establishing safe return-to-play guidelines. The second, a review article by Van De Schoor et al, evaluates the frequency of myocardial scarring in athletes, some of adolescent age, which is a recognized risk factor for sudden cardiac death...
February 2017: Pediatric Exercise Science
https://www.readbyqxmd.com/read/28095029/utilization-of-conventional-neuroimaging-following-youth-concussion
#9
Sean C Rose, Caroline E Schaffer, Julie A Young, Kelly A McNally, Anastasia N Fischer, Geoffrey L Heyer
BACKGROUND/OBJECTIVE: Conventional neuroimaging is not recommended for the routine diagnosis of concussion, but some patients with concussion undergo computed tomography (CT) or magnetic resonance imaging (MRI). The objective of this study was to explore the clinical factors that predict neuroimaging utilization in concussion. METHODS: Concussion-related CT and MRI data were analysed from 1953 patients, aged 10-19 years, who presented to a sports concussion clinic within 30 days of injury...
2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/27789471/the-effect-of-the-zero-tolerance-for-head-contact-rule-change-on-the-risk-of-concussions-in-youth-ice-hockey-players
#10
Maciej P Krolikowski, Amanda M Black, Luz Palacios-Derflingher, Tracy A Blake, Kathryn J Schneider, Carolyn A Emery
BACKGROUND: Ice hockey is a popular winter sport in Canada. Concussions account for the greatest proportion of all injuries in youth ice hockey. In 2011, a policy change enforcing "zero tolerance for head contact" was implemented in all leagues in Canada. PURPOSE: To determine if the risk of game-related concussions and more severe concussions (ie, resulting in >10 days of time loss) and the mechanisms of a concussion differed for Pee Wee class (ages 11-12 years) and Bantam class (ages 13-14 years) players after the 2011 "zero tolerance for head contact" policy change compared with players in similar divisions before the policy change...
February 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27597735/impact-of-a-state-law-on-physician-practice-in-sports-related-concussions
#11
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...
November 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27579334/the-rise-of-concussions-in-the-adolescent-population
#12
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
https://www.readbyqxmd.com/read/27464985/the-impact-of-a-concussion-u-educational-program-on-knowledge-of-and-attitudes-about-concussion
#13
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
https://www.readbyqxmd.com/read/27288583/can-ideas-from-united-states-youth-sports-reduce-judo-related-head-injuries-in-japan
#14
COMMENT
Edie E Zusman, Peter Zopfi, Joshua Kuluva, Scott Zuckerman
No abstract text is available yet for this article.
January 2017: World Neurosurgery
https://www.readbyqxmd.com/read/27060184/head-impact-measurement-devices
#15
REVIEW
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...
May 2016: Sports Health
https://www.readbyqxmd.com/read/27022958/impact-of-early-follow-up-intervention-on-parent-reported-postconcussion-pediatric-symptoms-a-feasibility-study
#16
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
https://www.readbyqxmd.com/read/26684762/predictors-of-delayed-recovery-following-pediatric-sports-related-concussion-a-case-control-study
#17
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
https://www.readbyqxmd.com/read/26341424/test-retest-reliability-of-kinarm-robot-sensorimotor-and-cognitive-assessment-in-pediatric-ice-hockey-players
#18
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
https://www.readbyqxmd.com/read/26088839/the-diagnosis-and-management-of-concussion-in-children-and-adolescents
#19
REVIEW
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
https://www.readbyqxmd.com/read/25820456/concussion-recovery-time-among-high-school-and-collegiate-athletes-a-systematic-review-and-meta-analysis
#20
REVIEW
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
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