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sport-related concussion

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https://www.readbyqxmd.com/read/29471410/risk-factors-associated-with-sustaining-a-sport-related-concussion-an-initial-synthesis-study-of-12-320-student-athletes
#1
Benjamin L Brett, Andrew W Kuhn, Aaron M Yengo-Kahn, Gary S Solomon, Scott L Zuckerman
Objective: The empirical identification of risk factors associated with sport-related concussion (SRC) may improve the management of student-athletes. The current study attempted to identify and quantify bio-cognitive risk factors associated with sustaining a SRC. Methods: Cross-sectional ambispective study; level of evidence, 3. Neurocognitive testing of 12,320 middle school, high school and collegiate athletes was completed at preseason baseline and post-SRC. Univariate and multivariable logistic regressions were used to determine which pre-injury variables accurately predicted the occurrence of SRC...
February 17, 2018: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/29465268/convergent-and-discriminant-validity-of-the-immediate-postconcussion-assessment-and-cognitive-testing-battery-impact-in-young-athletes
#2
Lisa M Koehl, Brittany D Walls, Stacey L Brothers, Sarah N Morris, Amanda C Glueck, Frederick A Schmitt, David T R Berry, Dong Y Han
Sports concussions are recognized as significant injuries among young athletes. Research demonstrates that return-to-play prior to becoming asymptomatic has significant repercussions including sustained cognitive deficits. Many programs have begun to use computerized testing rather than traditional neuropsychological tests to (a) determine baseline performance, (b) track symptoms, and (c) measure symptoms following concussion. Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is one such tool...
February 21, 2018: Applied Neuropsychology. Child
https://www.readbyqxmd.com/read/29456902/review-of-assessment-scales-for-diagnosing-and-monitoring-sports-related-concussion
#3
REVIEW
Alexa M Dessy, Frank J Yuk, Akbar Y Maniya, Alex Gometz, Jonathan J Rasouli, Mark R Lovell, Tanvir F Choudhri
Sports-related concussion has emerged as a public health crisis due to increased diagnosis of the condition and increased participation in organized and recreational athletics worldwide. Under-recognition of concussions can lead to premature clearance for athletic participation, leaving athletes vulnerable to repeat injury and subsequent short- and long-term complications. There is overwhelming evidence that assessment and management of sports-related concussions should involve a multifaceted approach. A number of assessment criteria have been developed for this purpose...
December 7, 2017: Curēus
https://www.readbyqxmd.com/read/29453743/neuromuscular-control-deficits-and-the-risk-of-subsequent-injury-after-a-concussion-a-scoping-review
#4
REVIEW
David R Howell, Robert C Lynall, Thomas A Buckley, Daniel C Herman
An emerging area of research has identified that an increased risk of musculoskeletal injury may exist upon returning to sports after a sport-related concussion. The mechanisms underlying this recently discovered phenomenon, however, remain unknown. One theorized reason for this increased injury risk includes residual neuromuscular control deficits that remain impaired despite clinical recovery. Thus, the objectives of this review were: (1) to summarize the literature examining the relationship between concussion and risk of subsequent injury and (2) to summarize the literature for one mechanism with a theorized association with this increased injury risk, i...
February 17, 2018: Sports Medicine
https://www.readbyqxmd.com/read/29435691/common-data-elements-collected-among-universities-for-sport-related-concussion-studies
#5
Jingzhen Yang, Corinne Peek-Asa, James M Noble, James Torner, Paul Schmidt, Martha L Cooper
BACKGROUND: Universities are increasingly implementing programs to effectively respond to and manage sport-related concussions (SRCs). One such effort is to develop common data elements (CDEs) and standardize data collection methods. The objectives of this study were to describe CDEs currently collected by Big Ten and Ivy League universities for SRC studies, and to compare the data collected with the core CDEs recommended by the National Institute of Neurological Disorders and Stroke (NINDS)...
February 12, 2018: Injury Epidemiology
https://www.readbyqxmd.com/read/29425698/assessment-of-sleep-quantity-and-sleep-disturbances-during-recovery-from-sports-related-concussion-in-youth-athletes
#6
Donna L Murdaugh, Kim E Ono, Andrew Reisner, Thomas G Burns
OBJECTIVE: To determine the relationship between sleep quantity and sleep disturbances on symptoms and neurocognitive ability at the acute phase (<7 days) and post-sports-related concussion (SRC; >21 days). DESIGN: Prospective inception cohort study SETTING: General community setting of regional middle and high schools. PARTICIPANTS: Sample included 528 youth athletes with SRC and 443 controls ages 10-18. MAIN OUTCOME MEASURES: Athletes completed the Immediate Post-Concussive Assessment and Cognitive Testing (ImPACT) battery...
February 6, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29420313/preliminary-use-of-the-paness-for-detecting-subtle-motor-signs-in-adolescents-with-sport-related-concussion-a-brief-report
#7
Jaclyn A Stephens, Martha B Denckla, Teri McCambridge, Beth S Slomine, E Mark Mahone, Stacy J Suskauer
Sensitive examination tools are needed to optimize evaluation after sport-related concussion (SRC). We preliminarily examined the Physical and Neurological Examination of Subtle Signs (PANESS) for sensitivity to motor changes in a pilot cohort of adolescents aged 13-17 with SRC. 15 Adolescents (5 females) with SRC were evaluated up to 3 times: within 2 weeks of injury, approximately 1 month later (mean 35 days between visits), and for those not recovered at the second visit, again following clinical recovery (mean 70 days between first and last visits for all participants)...
February 8, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29420083/an-investigation-of-neuroinjury-biomarkers-after-sport-related-concussion-from-the-subacute-phase-to-clinical-recovery
#8
Alex P Di Battista, Shawn G Rhind, Andrew J Baker, Rakesh Jetly, Jeff D Debad, Doug Richards, Michael G Hutchison
OBJECTIVES: To characterise a panel of neuroinjury-related blood biomarkers after sport-related concussion (SRC). We hypothesised significant differences in biomarker profiles between athletes with SRC and healthy controls at both subacute and medical clearance time points. METHODS: Thirty-eight interuniversity athletes were recruited over two athletic seasons (n = 19 SRC; n = 19 healthy matched-control). High-sensitivity immunoassay was used to evaluate 11 blood analytes at both the subacute phase after SRC and at medical clearance...
February 8, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29416525/patient-specific-alterations-in-co2-cerebrovascular-responsiveness-in-acute-and-sub-acute-sports-related-concussion
#9
W Alan C Mutch, Michael J Ellis, Lawrence N Ryner, Patrick J McDonald, Marc P Morissette, Philip Pries, Marco Essig, David J Mikulis, James Duffin, Joseph A Fisher
Background: Preliminary studies suggest that sports-related concussion (SRC) is associated with alterations in cerebral blood flow (CBF) regulation. Here, we use advanced magnetic resonance imaging (MRI) techniques to measure CBF and cerebrovascular responsiveness (CVR) in individual SRC patients and healthy control subjects. Methods: 15 SRC patients (mean age = 16.3, range 14-20 years) and 27 healthy control subjects (mean age = 17.6, range 13-21 years) underwent anatomical MRI, pseudo-continuous arterial spin labeling (pCASL) MRI and model-based prospective end-tidal targeting (MPET) of CO2 during blood oxygenation level-dependent (BOLD) MRI...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29402530/subconcussive-head-impacts-in-sport-a-systematic-review-of-the-evidence
#10
Lynda Mainwaring, Kaleigh M Ferdinand Pennock, Sandhya Mylabathula, Benjamin Z Alavie
PURPOSE: To identify and evaluate the evidence that examines subconcussive impacts in sport-specific settings, and address two objectives: a) to determine how 'subconcussion' is characterized in the current literature, and b) to identify directions for future research. RESEARCH DESIGN: Systematic review. METHODS AND PROCEDURES: CINAHL, EMBASE, MedLine, PsycINFO, SportDiscus, and Web of Science were searched for articles that sought to assess subconcussive impacts or outcomes related to non-concussive head impact exposure...
February 2, 2018: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/29400570/analysis-of-serum-cortisol-to-predict-recovery-in-paediatric-sport-related-concussion
#11
E V Ritchie, C Emery, C T Debert
OBJECTIVE: To study the relationship between acute serum cortisol following pediatric sport-related concussion (SRC) and clinical outcome measures of symptom burden and length to return to sport (RTS) Methods: Prospective observational study of ice hockey players ages 11-12 recruited prior to the hockey season. Players sustaining a SRC were assessed by a sports medicine physician completed a child Sport Concussion Assessment Tool-3 (childSCAT-3) and serum cortisol samples. RESULTS: Of 636 ice hockey players enrolled, 41 sustained a SRC...
February 5, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29393810/effect-of-concussion-history-on-symptom-burden-and-recovery-following-pediatric-sports-related-concussion
#12
Michael Ellis, Cameron Krisko, Erin Selci, Kelly Russell
OBJECTIVE The aim of this study was to examine differences in symptom burden and duration until physician-documented clinical recovery among pediatric patients with sports-related concussion (SRC) with and without a history of concussion. METHODS A retrospective chart review was performed for all pediatric patients (7-19 years old) referred to the Pan Am Concussion Program in Winnipeg, Canada, with an SRC and evaluated < 30 days postinjury between September 1, 2013, and August 1, 2015. RESULTS A total of 322 patients with SRC (64...
February 2, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29392292/sport-related-concussion
#13
Christopher C Muth
No abstract text is available yet for this article.
February 1, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29387986/initial-symptom-presentation-after-high-school-football-related-concussion-varies-by-time-point-in-a-season-an-initial-investigation
#14
Benjamin L Brett, Andrew W Kuhn, Aaron M Yengo-Kahn, Zachary Y Kerr, Christopher M Bonfield, Gary S Solomon, Scott L Zuckerman
BACKGROUND: Schedule-based and in-season factors (e.g., competition type) have been shown to be associated with symptom reporting patterns and injury severity in sport-related concussion (SRC). To determine if acute neurocognitive and symptom presentation following SRC differ by time point within a high school football season. METHODS: Multicenter ambispective cohort of high school football players who sustained a SRC (N = 2594). Timing (early, mid, and late season) of SRC was based on median dates for the start of the pre-season, regular season, and playoffs of each states' football schedules...
January 31, 2018: Sports Medicine—Open
https://www.readbyqxmd.com/read/29385018/quantitative-volumetric-imaging-and-clinical-outcome-characterization-of-symptomatic-concussion-in-10-to-14-year-old-adolescent-athletes
#15
Christine L Mac Donald, Jason Barber, Jason Wright, David Coppel, Nina De Lacy, Steve Ottinger, Suzanne Peck, Chris Panks, Kody Zalewski, Samantha Sun, Nancy Temkin
OBJECTIVE: Prior work suggests that younger athletes may be more vulnerable to postconcussive syndrome. We investigated measures of clinical outcome and quantitative volumetric imaging in 10- to 14-year-old adolescent athletes to better understand the impact of concussion on this younger population. SETTING: Outpatient clinics. PARTICIPANTS: Ten- to 14-year-old symptomatic pediatric sports concussion patients and typically developing active controls...
January 30, 2018: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/29384388/the-stability-of-engagement-over-comprehensive-neuropsychological-assessment-in-student-athletes-diagnosed-with-sports-related-concussion
#16
Danielle Chase, Philip Schatz, Nathan Smyk, R Robert Franks
We documented effort stability during neuropsychological (NP) testing examining failure rates on three Performance Validity Tests (PVTs). 65 student athletes, ages 8-21, were evaluated in an outpatient practice, following sports-related concussion over three sessions within 18 months of injury (mean=6 months). 7.7% of student athletes failed PVTs at all three test sessions, 7.7% failed PVTs at two test sessions, and 12.3% failed PVTs at one session; 28% of this sample was sub-optimally engaged for at least one test session, producing invalid neuropsychological data at the time of testing and 72% produced valid neuropsychological data across the comprehensive evaluation...
January 31, 2018: Developmental Neuropsychology
https://www.readbyqxmd.com/read/29368186/protection-before-impact-the-potential-neuroprotective-role-of-nutritional-supplementation-in-sports-related-head-trauma
#17
REVIEW
Jonathan M Oliver, Anthony J Anzalone, Stephanie M Turner
Even in the presence of underreporting, sports-related concussions/mild traumatic brain injuries (mTBI) are on the rise. In the absence of proper diagnosis, an athlete may return to play prior to full recovery, increasing the risk of second-impact syndrome or protracted symptoms. Recent evidence has demonstrated that sub-concussive impacts, those sustained routinely in practice and competition, result in a quantifiable pathophysiological response and the accumulation of both concussive and sub-concussive impacts sustained over a lifetime of sports participation may lead to long-term neurological impairments and an increased risk of developing neurodegenerative diseases...
January 24, 2018: Sports Medicine
https://www.readbyqxmd.com/read/29362210/concussion-assessment-with-smartglasses-validation-study-of-balance-measurement-toward-a-lightweight-multimodal-field-ready-platform
#18
Joseph P Salisbury, Neha U Keshav, Anthony D Sossong, Ned T Sahin
BACKGROUND: Lightweight and portable devices that objectively measure concussion-related impairments could improve injury detection and critical decision-making in contact sports and the military, where brain injuries commonly occur but remain underreported. Current standard assessments often rely heavily on subjective methods such as symptom self-reporting. Head-mounted wearables, such as smartglasses, provide an emerging platform for consideration that could deliver the range of assessments necessary to develop a rapid and objective screen for brain injury...
January 23, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29357675/stuck-in-a-state-of-inattention-functional-hyperconnectivity-as-an-indicator-of-disturbed-intrinsic-brain-dynamics-in-adolescents-with-concussion-a-pilot-study
#19
Angela M Muller, Naznin Virji-Babul
Sports-related concussion in youth is a major public health issue. Evaluating the diffuse and often subtle changes in structure and function that occur in the brain, particularly in this population, remains a significant challenge. The goal of this pilot study was to evaluate the relationship between the intrinsic dynamics of the brain using resting-state functional magnetic resonance imaging (rs-fMRI) and relate these findings to structural brain correlates from diffusion tensor imaging in a group of adolescents with sports-related concussions ( n = 6) and a group of healthy adolescent athletes ( n = 6)...
January 2018: ASN Neuro
https://www.readbyqxmd.com/read/29355581/a-history-of-sport-related-concussion-is-associated-with-sustained-deficits-in-conflict-and-error-monitoring
#20
Ryan L Olson, Christopher J Brush, Peter J Ehmann, Jennifer F Buckman, Brandon L Alderman
Previous research has demonstrated long-term deficits in neurocognitive function in individuals with a history of sport-related concussion. The purpose of this study was to examine the relationship between a history of concussion and behavioral and event-related potential (ERP) indices of pre- and post-response conflict and error monitoring. A secondary aim was to determine whether years of high risk sport participation were related to impairments in these cognitive control processes. Forty-seven former athletes (age = 20...
January 18, 2018: International Journal of Psychophysiology
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