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Cognitive Rest AND Concussion

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https://www.readbyqxmd.com/read/29147822/psychiatric-sequelae-of-concussions
#1
REVIEW
David A Brent, Jeffrey Max
PURPOSE OF REVIEW: The purpose of this study was to review the frequency, risk factors, phenomenology, and course of prolonged recovery from concussion and of psychiatric sequelae in pediatric populations. RECENT FINDINGS: Youth with prolonged recovery from concussions have higher initial symptoms, a history of multiple and/or recent concussions, and a tendency to somatization. Depression, post-traumatic stress disorder, behavioral disorders, and perhaps, suicidal behavior disorder are more common as both short- and longer-term sequelae of concussions...
November 17, 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/29139355/-post-concussion-syndrome-is-a-neuro-cognitive-condition
#2
EDITORIAL
Line Kirstine Hauptmann, Mahmoud Ashkanian
Post-concussion syndrome (PCS) is often caused by an uncomplicated mild head injury but followed by long-lasting somatic, cognitive and psychiatric symptoms. For many years PCS has been an area of controversy between clinicians. New diagnostic techniques and clinical researches has shed light to some neurobiological aspects behind PCS. In Diagnostic and Statistical Manual of Mental Disorders V PCS is redefined as a neuro-cognitive condition emphasizing the importance of neuropsychological deficits among these patients...
November 13, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29138156/return-to-learn-after-concussion-in-children
#3
Andrew Irvine, Shelina Babul, Ran D Goldman
Question Despite recent interest in the pathophysiology and management of concussion in children, as well as the ongoing concern about return to activity, advice regarding the type and length of cognitive rest has been inconsistent. What should I recommend to the children and adolescents in my clinic regarding cognitive rest following mild concussion? Answer Strict cognitive rest is not needed in those with mild concussion. Evidence suggests a decrease in usual activity to a level that allows children to remain asymptomatic, followed by a gradual return to learning, is appropriate...
November 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29061878/bet-2-should-children-with-sport-related-concussion-observe-strict-physical-rest-until-symptom-free
#4
Andrew C Kline
A short cut review was carried out to establish whether strict physical rest following sports related concussion in children is better than normal activity in reducing post-concussional symptoms. two recent systematic reviews presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that children who present with a sport-related concussion should have a brief period of cognitive and physical rest followed by a gradual increase in activity...
November 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28944251/effects-of-exercise-on-sport-concussion-assessment-tool-third-edition-performance-in-professional-athletes
#5
Jin H Lee, David R Howell, William P Meehan, Grant L Iverson, Andrew J Gardner
BACKGROUND: The Sport Concussion Assessment Tool-Third Edition (SCAT3) is currently considered the standard sideline assessment for concussions. In-game exercise, however, may affect SCAT3 performance and the diagnosis of concussions. PURPOSE: To examine the influence of exercise on SCAT3 performance in professional male athletes. STUDY DESIGN: Controlled laboratory study. METHODS: We examined the SCAT3 performance of 82 professional male athletes under 2 conditions: at rest and after exercise...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28876140/school-nurses-perceptions-and-experiences-with-an-interprofessional-concussion-management-team-in-the-secondary-school-setting
#6
Cailee E Welch Bacon, Casey D Erickson, Melissa C Kay, Michelle L Weber, Tamara C Valovich McLeod
Following a concussion, both cognitive and physical rest are imperative aspects of injury management. The inclusion of academic adjustments and the formation of an interprofessional concussion management team (ICMT) provide a mechanism to manage academic issues following a concussion. As one of the sole healthcare providers presents during school hours, the school nurse may offer unique insight regarding the infrastructure of an ICMT in the secondary school setting. The purpose of this study was to explore school nurses' perceptions of and experiences with an ICMT for adolescents following a concussion in the secondary school setting...
September 6, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28836810/a-review-of-the-literature-on-pediatric-concussions-and-return-to-learn-rtl-implications-for-rtl-policy-research-and-practice
#7
Jilian A O'Neill, Molly K Cox, Olivio J Clay, James M Johnston, Thomas A Novack, David C Schwebel, Laura E Dreer
OBJECTIVE: While reintegration of concussed youth back into sports has been increasingly studied over the past decade, a noticeably lacking yet growing body of research has begun to focus on issues surrounding return to academics or "return-to-learn" (RTL). The objective of this article was to conduct a comprehensive literature review to identify the full range of themes and gaps in the current body of RTL research. STUDY DESIGN: Researchers analyzed PubMed, PsycINFO, and ERIC databases to identify all recent (January 2000 through May 2016) empirical publications on the RTL process following youth concussions...
August 2017: Rehabilitation Psychology
https://www.readbyqxmd.com/read/28816519/the-effects-of-exercise-on-a-choice-reaction-time-task-in-individuals-with-post-concussion-syndrome
#8
Stephanie A Ramautar, Alyssa A Prangley, Michael E Cinelli
PURPOSE: To assess cognitive performance differences pre- and post-exercise in individuals without concussion (non-concussed, NC) and individuals with post-concussion syndrome (PCS). METHODS: A total of 30 participants completed a choice reaction time (CRT) task in the form of an iPad application, measuring each individual's decision-making capabilities, while wearing a head-mounted eye tracker system. Participants completed four blocks of testing; the time interval between the first two blocks of trials and the last two blocks of trials was 10 minutes...
August 17, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28795001/evaluation-and-management-of-sport-related-concussions-in-adolescent-athletes
#9
REVIEW
Dilip R Patel, Venu Parachuri, Amrith Shettigar
Sport-related concussions in young athletes are common, generally under reported and often go unrecognized. Concussion in sport may result either from a direct impact to the head or from indirect forces transmitted to the brain from impact elsewhere on the body. Concussions may also result from sudden acceleration, deceleration or rotational forces to the brain. The key features of concussion include confusion, impaired memory and reduced speed of information processing. Recovery may occur from a few days to several weeks or months...
July 2017: Translational pediatrics
https://www.readbyqxmd.com/read/28701360/multicentre-randomised-clinical-trial-of-paediatric-concussion-assessment-of-rest-and-exertion-pedcare-a-study-to-determine-when-to-resume-physical-activities-following-concussion-in-children
#10
Andrée-Anne Ledoux, Nicholas J Barrowman, Kathy Boutis, Adrienne Davis, Sarah Reid, Gurinder Sangha, Ken J Farion, Kevin Belanger, Mark S Tremblay, Keith Owen Yeates, Carol DeMatteo, Nick Reed, Roger Zemek
INTRODUCTION: Rest until symptom-free, followed by a progressive stepwise return to activities, is often prescribed in the management of paediatric concussions. Recent evidence suggests prolonged rest may hinder recovery, and early resumption of physical activity may be associated with more rapid recovery postconcussion. The primary objective is to determine whether the early reintroduction of non-contact physical activity beginning 72 hours postinjury reduces postconcussive symptoms at 2 weeks in children following an acute concussion as compared with a rest until asymptomatic protocol...
July 12, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28693073/-resting-state-fmri-study-of-emotional-network-in-patients-with-postconcussion-syndrome
#11
X Zhang, R B Qian, X M Fu, B Lin, D Zhang, C S Xia, X P Wei, C S Niu, Y H Wang
Objective: To discuss functional connectivity changes in the emotional network of patients with post-concussion syndrome (PCS) and their clinical significance by resting-state functional magnetic resonance imaging (rs-fMRI). Methods: Twenty-seven patients with PCS were recruited from the Department of Neurosurgery of Anhui provincial hospital affiliated to Anhui medical university from October 2015 to April 2016, and 27 healthy subjects were recruited as the controls. The Hamilton Anxiety Scale (HAMA) and The Hamilton Depression Scale (HAMD) were used to evaluate the emotional state of two groups of subjects...
July 4, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28657363/assessment-of-motor-cortex-excitability-and-inhibition-during-a-cognitive-task-in-individuals-with-concussion
#12
Eli K Edwards, Anita D Christie
PRIMARY OBJECTIVE: To examine the function of the motor cortex during executive function tasks in individuals with concussion, relative to healthy controls. METHODS AND PROCEDURES: Transcranial magnetic stimulation (TMS) was used to assess motor cortex excitability and inhibition acutely, within 72 hours, and over two months, post-concussion in 23 participants, nine individuals with concussion and 14 controls. Participants performed a cognitive task during TMS to determine the impact of cognitive task on the motor cortex...
2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28455361/what-is-the-difference-in-concussion-management-in-children-as-compared-with-adults-a-systematic-review
#13
REVIEW
Gavin A Davis, Vicki Anderson, Franz E Babl, Gerard A Gioia, Christopher C Giza, William Meehan, Rosemarie Scolaro Moser, Laura Purcell, Philip Schatz, Kathryn J Schneider, Michael Takagi, Keith Owen Yeates, Roger Zemek
AIM: To evaluate the evidence regarding the management of sport-related concussion (SRC) in children and adolescents. The eight subquestions included the effects of age on symptoms and outcome, normal and prolonged duration, the role of computerised neuropsychological tests (CNTs), the role of rest, and strategies for return to school and return to sport (RTSp). DESIGN: Systematic review. DATA SOURCES: MEDLINE (OVID), Embase (OVID) and PsycInfo (OVID)...
June 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28414395/the-role-of-active-recovery-and-rest-after-concussion
#14
Jeff Strelzik, Raquel Langdon
For several years both cognitive and physical rest remained at the forefront in pediatric postconcussion management. However, the concept of "rest" has not been well defined and there remains significant variability both in terms of rest recommendations provided as well as adherence to such recommendations. More recently, there has been growing evidence to suggest that an earlier return to light or moderate activity is not detrimental and may, in fact, facilitate symptomatic improvement, thereby highlighting a new role for active rehabilitation in recovery from concussion...
April 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28387547/rest-and-return-to-activity-after-sport-related-concussion-a-systematic-review-of-the-literature
#15
REVIEW
Tamara C Valovich McLeod, Joy H Lewis, Kate Whelihan, Cailee E Welch Bacon
OBJECTIVE: To systematically review the literature regarding rest and return to activity after sport-related concussion. DATA SOURCES: The search was conducted in the Cochrane Central Register of Controlled Trials, CINAHL, SPORTDiscus, Educational Resources Information Center, Ovid MEDLINE, and PubMed using terms related to concussion, mild traumatic brain injury, physical and cognitive rest, and return to activity. STUDY SELECTION: Studies were included if they were published in English; were original research; and evaluated the use of, compliance with, or effectiveness of physical or cognitive rest or provided empirical evidence supporting the graded return-to-activity progression...
March 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28341726/rest-and-treatment-rehabilitation-following-sport-related-concussion-a-systematic-review
#16
REVIEW
Kathryn J Schneider, John J Leddy, Kevin M Guskiewicz, Tad Seifert, Michael McCrea, Noah D Silverberg, Nina Feddermann-Demont, Grant L Iverson, Alix Hayden, Michael Makdissi
AIM OR OBJECTIVE: The objective of this systematic review was to evaluate the evidence regarding rest and active treatment/rehabilitation following sport-related concussion (SRC). DESIGN: Systematic review. DATA SOURCES: MEDLINE (OVID), CINAHL (EbscoHost), PsycInfo (OVID), Cochrane Central Register of Controlled Trials (OVID), SPORTDiscus (EbscoHost), EMBASE (OVID) and Proquest DissertationsandTheses Global (Proquest) were searched systematically...
June 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28170134/mild-traumatic-brain-injury-is-something-missing-when-comparing-cognitive-rest-and-graduated-return-to-usual-activities-versus-usual-care
#17
LETTER
Vaitsa Giannouli
No abstract text is available yet for this article.
May 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28092023/white-matter-alterations-in-college-football-players-a-longitudinal-diffusion-tensor-imaging-study
#18
Michael Christian Mayinger, Kian Merchant-Borna, Jakob Hufschmidt, Marc Muehlmann, Isabelle Ruth Weir, Boris-Stephan Rauchmann, Martha Elizabeth Shenton, Inga Katharina Koerte, Jeffrey John Bazarian
The aim of this study was to evaluate longitudinal changes in the diffusion characteristics of brain white matter (WM) in collegiate athletes at three time points: prior to the start of the football season (T1), after one season of football (T2), followed by six months of no-contact rest (T3). Fifteen male collegiate football players and 5 male non-athlete student controls underwent diffusion MR imaging and computerized cognitive testing at all three timepoints. Whole-brain tract-based spatial statistics (TBSS) were used to compare fractional anisotropy (FA), radial diffusivity (RD), axial diffusivity (AD), and trace between all timepoints...
January 14, 2017: Brain Imaging and Behavior
https://www.readbyqxmd.com/read/28076736/australian-institute-of-sport-and-australian-medical-association-position-statement-on-concussion-in-sport
#19
Lisa J Elkington, David C Hughes
Sport-related concussion is a growing health concern in Australia. Public concern is focused on the incidence and potential long term consequences of concussion. Children may be more prone to concussion and take longer to recover. The Australian Institute of Sport and the Australian Medical Association have collaborated to present the most contemporary evidence-based information in a format appropriate for all stakeholders. This position statement aims to ensure that participant safety and welfare is paramount when dealing with concussion in sport...
January 16, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/28073309/psychometric-evaluation-of-a-new-instrument-to-evaluate-school-nurses-perceptions-on-concussion-care-management
#20
Kathleen H Schneider
The rate of concussions in adolescents has risen over the last decade, resulting in cognitive and emotional problems. Neurologists recommend cognitive and physical rest during the recovery period, followed by a transitional return-to-classroom protocol. The purpose of the study was to develop and test an instrument that explores the beliefs and roles of school nurses in concussion care management. The instrument was a cross-sectional descriptive survey based on the theory of planned behavior, using Qualtrics®...
January 1, 2017: Journal of School Nursing: the Official Publication of the National Association of School Nurses
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