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Concussion management

Jennifer L Savage, Tracey Covassin
CONTEXT:  Diagnostic and return-to-play assessments of athletes with sport-related concussions (SRCs) have changed dramatically over the past decade. Currently, SRC assessment and management has taken a multifaceted approach, with new SRC measures being developed yearly. However, to date, no researchers have examined certified athletic trainers' (ATs') self-efficacy in assessing and managing a patient with an SRC. OBJECTIVE:  To examine the self-efficacy of ATs in assessing and managing athletes with SRCs, with a secondary purpose of examining job setting (high school and college)...
October 12, 2018: Journal of Athletic Training
Jean-François Chermann, Thomas Romeas, Flore Marty, Jocelyn Faubert
Objectives: While the rate of sport-related concussion is increasing, more effective tools are needed to help monitor the diagnosis and return to play of athletes. The three-dimensional multiple-object tracking (3D-MOT) exercise is a perceptual-cognitive task that has shown predictive power towards the dynamic requirements of real-world activities such as sport. This study introduced the use of the 3D-MOT task, along with the Standardized Assessment of Concussion (SAC) and Modified Balance Error Scoring System (M-BESS) tests, for diagnosis and return to play in professional sports...
2018: BMJ Open Sport & Exercise Medicine
Kaitlin E Romm, Jatin P Ambegaonkar, Amanda M Caswell, Candace Parham, Nelson E Cortes, Zachary Kerr, Donna K Broshek, Shane V Caswell
BACKGROUND: Concussions are a public health concern and concussion management in school requires a team approach. We examined schoolteachers' and administrators' perceptions of concussions, management, and implementation of return-to-learn (RTL) guidelines. METHODS: We audio-recorded and transcribed semistructured interviews with teachers (N = 16) and administrators (N = 6) from a public school system. We analyzed data using an analytic induction and constant comparison approach...
November 2018: Journal of School Health
Shannon Cleary, Victoria Chi, Ronald Feinstein
PURPOSE OF REVIEW: The purpose of this review is to provide an updated summary on the unique aspects of caring for female youth and adolescent athletes. RECENT FINDINGS: Recent research on female athletes has led to a better understanding of injuries and conditions that are more likely to occur in female youth and adolescent athletes, including the frequency and severity of concussions, musculoskeletal injury such as involving the anterior cruciate ligament, and the female athlete triad...
October 8, 2018: Current Opinion in Pediatrics
Kathryn J Schneider, Alberto Nettel-Aguirre, Luz Palacios-Derflingher, Martin Mrazik, Brian L Brooks, Kaikanani Woollings, Tracy Blake, Carly McKay, Constance Lebrun, Karen Barlow, Kirsten Taylor, Nicole Lemke, Willem H Meeuwisse, Carolyn A Emery
OBJECTIVE: To examine rates of concussion and more severe concussion (time loss of greater than 10 days) in elite 13- to 17-year-old ice hockey players. METHODS: This is a prospective cohort study (Alberta, Canada). Bantam (13-14 years) and Midget (15-17 years) male and female elite (top 20% by division of play) youth ice hockey players participated in this study. Players completed a demographic and medical history questionnaire and clinical test battery at the beginning of the season...
October 8, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Robert A Leark
No abstract text is available yet for this article.
October 9, 2018: Developmental Neuropsychology
Cayden Peixoto, Lindsay Hyland, Derrick Matthew Buchanan, Erika Langille, Richard Nahas
Background: The polytrauma clinical triad (PCT) is a complex disorder composed of three comorbid diagnoses of chronic pain, post-traumatic stress disorder (PTSD), and postconcussion syndrome (PCS). PCT has been documented in veterans returning from deployment, but this is the first report on PCT prevalence in nonmilitary personnel after a motor vehicle collision (MVC). Methods: Data were drawn from routine intake assessments completed by 71 patients referred to a community-based clinic for chronic pain management...
2018: Journal of Pain Research
Jingzhen Yang, Susan Davies, Kathryn Coxe, Hosea H Harvey, Bhavna Singichetti, Jinhong Guo
CONTEXT:  All 50 states and the District of Columbia have enacted laws governing concussion management and education. These concussion laws, featuring common tenets regarding removal from play, return to play, and concussion education, have shaped school and district policies. OBJECTIVE:  To evaluate the strategies commonly used to implement concussion laws at the school and district levels, as reported by certified athletic trainers (ATs). DESIGN:  Qualitative study...
October 4, 2018: Journal of Athletic Training
Melissa D McCradden, Michael D Cusimano
Background: Sport-related concussion is a significant public health concern. Little research has been conducted on sport-related concussion and injury prevention strategies in competitive sledding sports like bobsleigh, luge, and skeleton. Athletes have identified "sled head" as a key concern due to its symptom burden. Purpose: To summarize our knowledge of the prevalence of concussion and related symptoms in sledding sports; to utilize Haddon's Matrix to inform and define strategies for injury prevention...
2018: Frontiers in Neurology
Adam G Lamm, Ashwin Babu, Ross Zafonte, Mary Alexis Iaccarino
Select residency and medical student training programs have developed and researched skill-based workshops, focusing on mastering a surgical or communication skill, however they are less frequently studied in physiatry residency programs. Given the importance of concussion care in physiatric practice, this study sought to measure the effectiveness of a novel sports-related concussion workshop. Based on the 5 International Consensus Statement on Concussion in Sport, a six-hour concussion workshop was developed...
October 1, 2018: American Journal of Physical Medicine & Rehabilitation
Gavin A Davis, Michael Makdissi, Paul Bloomfield, Patrick Clifton, Ruben J Echemendia, Éanna Cian Falvey, Gordon Ward Fuller, Gary Green, Peter Rex Harcourt, Thomas Hill, Nathan McGuirk, Willem Meeuwisse, John W Orchard, Martin Raftery, Allen K Sills, Gary S Solomon, Alex Valadka, Paul McCrory
BACKGROUND: Video review has become an important tool in professional sporting codes to help sideline identification and management of players with a potential concussion. AIM: To assess current practices related to video review of concussion in professional sports internationally, and compare protocols and diagnostic criteria used to identify and manage potential concussions. METHODS: Current concussion management guidelines from professional national and international sporting codes were reviewed...
September 27, 2018: British Journal of Sports Medicine
Arnaud Jacquin, Saloni Kanakia, Doug Oberly, Leslie S Prichep
BACKGROUND: Prompt, accurate, objective assessment of concussion is crucial, particularly for children/adolescents and young adults. While there is currently no gold standard for the diagnosis of concussion, the importance of multidimensional/multimodal assessments has recently been emphasized. METHODS: Concussed subjects (N = 177), matched controls (N = 187) and healthy volunteers (N = 204) represented a convenience sample of male and female subjects between the ages of 13 and 25 years, enrolled at 29 Colleges and 19 High Schools in the US...
September 15, 2018: Computers in Biology and Medicine
Hallie Zwibel, Adena Leder, Sheldon Yao, Christina Finn
Concussions have been increasingly reported over the past decade, but the reported incidence likely minimizes the actual numbers of people affected. Associated symptoms include emotional, somatic, and cognitive complaints, which may be prolonged in patients with certain risk factors. Neurologic examination is necessary to exclude upper motor neuron lesions and thus the need for brain imaging. Cervical conditions are often found concurrently with head injury and displays a similar presentation to concussions...
October 1, 2018: Journal of the American Osteopathic Association
Ben Kirk, Jamie N Pugh, Rosanna Cousins, Shaun M Phillips
Using a cross-sectional survey concussion knowledge was evaluated among forty university-level athletes ( n = 20, rugby union players; n = 20, Gaelic football players) and eight experienced team coaches ( n = 2, rugby union; n = 2, Gaelic football; n = 1, soccer; n = 1, hockey; n = 1, netball; n = 1, basketball). Levels of knowledge of concussion were high across all participants. Coaches had higher knowledge scores for almost all areas; however, there was evidence of important gaps even in this group. Knowledge was not sufficient in identifying concussion, and when it is safe to return to play following a concussion...
September 20, 2018: Sports
Christina B Vander Vegt, Johna K Register-Mihalik, Cassie B Ford, Corey J Rodrigo, Kevin M Guskiewicz, Jason P Mihalik
PURPOSE: To examine relationships among baseline demographics, symptom severity, computerized neurocognitive outcomes, and balance performance in collegiate athletes. METHODS: Collegiate varsity athletes (N=207, age=19.3 ± 1.0 years) participating in an ongoing clinical research program who completed concussion baseline assessments including a demographic questionnaire, graded symptom checklist, neurocognitive assessment, and the Sensory Organization Test (SOT) were included in this study...
September 19, 2018: Medicine and Science in Sports and Exercise
Kavelin Rumalla, Kyle A Smith, Vijay Letchuman, Mrudula Gandham, Rachana Kombathula, Paul M Arnold
OBJECTIVE: Posttraumatic seizures (PTSs) are the most common complication following a traumatic brain injury (TBI) and may lead to posttraumatic epilepsy. PTS is well described in the adult literature but has not been studied extensively in children. Here, the authors utilized the largest nationwide registry of pediatric hospitalizations to report the national incidence, risk factors, and outcomes associated with PTS in pediatric TBI. METHODS: The authors queried the Kids' Inpatient Database (KID) using ICD-9-CM codes to identify all patients (age < 21 years) who had a primary diagnosis of TBI (850...
September 21, 2018: Journal of Neurosurgery. Pediatrics
Corey P Ochs, Melissa C Kay, Johna K Register-Mihalik
Clinical Scenario: Collision sports are often at higher risk of concussion due to the physical nature and style of play. Typically, initial clinical recovery occurs within 7-10 days; however, even this timeframe may result in significant time lost play. Little has been done in previous research to analyze how individual game performance may be affected upon return to play post-concussion. Focused Clinical Question: Upon return-to-play clearance, how does sport-related concussion affect game performance of professional athletes in collision sports? Summary of Key Findings: All 3 studies included found no significant change in individual performance of professional collision-sport athletes upon returning to play from concussive injury...
September 17, 2018: Journal of Sport Rehabilitation
Siobhán OʼConnor, Giles Warrington, Grainne Whelan, Adrian McGoldrick, SarahJane Cullen
OBJECTIVE: To examine concussion history, knowledge, and attitudes among Irish professional and amateur jockeys. DESIGN: Cross-sectional survey. SETTING: Questionnaire was distributed through e-mails sent to all licensed jockeys, over social media and during professional and amateur race meetings. PARTICIPANTS: An average of 23.6% (12%-44%) Irish professional and amateur jockeys (n = 119) holding a license in 2017. MAIN OUTCOME MEASURES: Jockeys reported their previous concussion history, actions after their most recent concussion and responded to questions examining their knowledge and attitudes toward concussion...
August 30, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
William M Adams, Samantha E Scarneo, Douglas J Casa
CONTEXT:  Implementation of best-practice health and safety policies has been shown to be effective at reducing the risk of sudden death in sport; however, little is known about the extent to which these policies are required within secondary school athletics. OBJECTIVE:  To examine best-practice health and safety policies pertaining to the leading causes of sudden death and to concussion management in sport mandated at the state level for secondary school athletics...
August 2018: Journal of Athletic Training
Vehniah K Tjong, Hayden P Baker, Charles J Cogan, Melissa Montoya, Tory R Lindley, Michael A Terry
Background: The objective of this study was to understand the experiences and perspectives of varsity football athletes on return to play following a concussion injury. Methods: Two experienced interviewers conducted qualitative, semistructured interviews of college-level football players who had sustained at least one concussion during their varsity careers. Results: Twenty varsity football players who averaged 2.3 concussions each (range, 1-5) were interviewed regarding peer pressure, the culture of football, and player awareness as factors affecting return to sport following a concussion...
November 2017: Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews
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