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Concussion in youth sports

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https://www.readbyqxmd.com/read/27900197/research-priorities-of-international-sporting-federations-and-the-ioc-research-centres
#1
Caroline F Finch, Scott Talpey, Ashley Bradshaw, Torbjorn Soligard, Lars Engebretsen
BACKGROUND/AIM: To be fully effective, the prevention of injury in sport and promotion of athlete's health needs to be both targeted and underpinned by scientific evidence. This study aimed to identify the research priorities of International Sporting Federation (ISFs) compared to the current research focus of the International Olympic Committee Research Centres (IOC-RCs). METHODS: Online survey of ISF Medical Chairpersons (n=22, 69% response) and IOC-RC Directors (n=7, 78% response)...
2016: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/27836360/american-pediatric-surgical-association-journal-of-pediatric-surgery-lecture
#2
REVIEW
Michael W Collins, Melissa N Womble
Every year in the United States, 1.6 to 3.8 million concussions occur secondary to injuries sustained during sports and recreational activities. Major advances have been made in terms of identifying specific clinical profiles following concussion. Nevertheless, there are continued misunderstandings regarding this injury and variable clinical management strategies being employed that may result in protracted recovery periods for youth athletes. Therefore, it is essential that individualized treatment plans target the particular clinical profile(s) present following concussion...
October 25, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27834505/concussion-like-symptoms-in-child-and-youth-athletes-at-baseline-what-is-typical
#3
Anne Williams Hunt, Melissa Paniccia, Nick Reed, Michelle Keightley
CONTEXT:  After a concussion, guidelines emphasize that an athlete should be asymptomatic before starting a return-to-play protocol. However, many concussion symptoms are nonspecific and may be present in individuals without concussion. Limited evidence exists regarding the presence of "typical" or preinjury (baseline) symptoms in child and youth athletes. OBJECTIVE:  To describe the frequency of symptoms reported at baseline by child and youth athletes and identify how age, sex, history of concussion, and learning factors influence the presence of baseline symptoms...
November 11, 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27789472/a-positive-vestibular-ocular-motor-screening-voms-is-associated-with-increased-recovery-time-after-sports-related-concussion-in-youth-and-adolescent-athletes
#4
Anthony J Anzalone, Damond Blueitt, Tami Case, Tiffany McGuffin, Kalyssa Pollard, J Craig Garrison, Margaret T Jones, Robert Pavur, Stephanie Turner, Jonathan M Oliver
BACKGROUND: Vestibular and ocular motor impairments are routinely reported in patients with sports-related concussion (SRC) and may result in delayed return to play (RTP). The Vestibular/Ocular Motor Screening (VOMS) assessment has been shown to be consistent and sensitive in identifying concussion when used as part of a comprehensive examination. To what extent these impairments or symptoms are associated with length of recovery is unknown. PURPOSE: To examine whether symptom provocation or clinical abnormality in specific domains of the VOMS results in protracted recovery (time from SRC to commencement of RTP protocol)...
October 27, 2016: American Journal of Sports Medicine
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
#5
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...
October 27, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27747734/the-effects-of-a-state-concussion-law-on-the-frequency-of-sport-related-concussions-as-seen-in-two-emergency-departments
#6
Thomas Trojian, Pina Violano, Matthew Hall, Charles Duncan
BACKGROUND: Connecticut (CT) passed its original sport-related concussion (SRC) law (PA 10-62) in 2010. The law requires that a health-care professional evaluate high school athletes with concussion symptoms. The purpose of this study was to evaluate two level 1 Trauma Center Emergency Department (ED) records for SRC before and after the Connecticut Public Act (CT PA) 10-62 to determine if the law had an effect on the presentation to the ED of SRCs. METHODS: A retrospective analysis of two level 1 Trauma Center Emergency Departments database was performed...
December 2015: Injury Epidemiology
https://www.readbyqxmd.com/read/27733960/awareness-of-the-cdc-heads-up-to-youth-sports-campaign-among-pediatric-sports-coaches-a-pilot-survey-study
#7
Thor S Stead, Vaibhav Rastogi, Vishnumurthy S Hedna, Latha Ganti
OBJECTIVES: This study sought to: 1) estimate the penetrance (in terms of youth coaches being aware of them) of the CDC "Heads Up!" guidelines, 2) determine whether these guidelines changed the coaches' practice, and 3) understand whether these guidelines resulted in a perceived decrease in the number of concussions. METHODS: This was a cross-sectional survey of pediatric sports coaches in the United States designed to assess the impact of the CDC "Heads Up!" GUIDELINES: "Heads Up!" Concussion in Youth Sports is a free, online course available to coaches, parents, and others helping to keep athletes safe from concussions...
August 29, 2016: Curēus
https://www.readbyqxmd.com/read/27621412/soccer-related-injuries-treated-in-emergency-departments-1990-2014
#8
Nicholas A Smith, Thiphalak Chounthirath, Huiyun Xiang
OBJECTIVE: To investigate the epidemiology of youth soccer-related injuries treated in emergency departments in the United States. METHODS: A retrospective analysis was conducted of soccer-related injuries among children 7 through 17 years of age from 1990 through 2014 with data from the National Electronic Injury Surveillance System. Injury rates were calculated from soccer participation data. RESULTS: An estimated 2 995 765 (95% confidence interval [CI], 2 309 112-3 682 418) children 7 through 17 years old were treated in US emergency departments for soccer-related injuries during the 25-year study period, averaging 119 831 (95% CI, 92 364-147 297) annually...
September 12, 2016: Pediatrics
https://www.readbyqxmd.com/read/27597735/impact-of-a-state-law-on-physician-practice-in-sports-related-concussions
#9
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
https://www.readbyqxmd.com/read/27587454/the-massachusetts-school-sports-concussions-law-a-qualitative-study-of-local-implementation-experiences
#10
Mitchell L Doucette, Maria T Bulzacchelli, Tameka L Gillum, Jennifer M Whitehill
BACKGROUND: Reducing the incidence and negative consequences of concussion among youth athletes is a public health priority. In 2010, Massachusetts passed legislation aimed at addressing the issue of concussions in school athletics. We sought to understand local-level implementation decisions of the Massachusetts concussion law. METHODS: A qualitative multiple-case study approach was utilized. Semi-structured interviews with school-employed actors associated with the law's implementation were used for analysis...
September 2016: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/27561090/comparison-of-neuropsychological-test-scores-of-high-school-athletes-in-high-and-low-contact-sports-a-replication-study
#11
William T Tsushima, Andrea M Siu, Nozomi Yamashita, Ross S Oshiro, Nathan M Murata
This replication study re-examined the neuropsychological effects of participation in high and low contact youth sports. Modeled after a recently published investigation, two contact sport groups of participants ages 12 to 18 were formed based on the rate of concussion in their respective sport, with the assumption that more head impacts and neuropsychological effects occur in high contact sports that have a greater number of reported concussions as compared with low contact sports. The preseason baseline ImPACT neuropsychological test scores and symptom scores of non-concussed youth athletes in a High Contact Sport (football, n = 139) and a Low Contact Sport (basketball, baseball, soccer, wrestling, volleyball, paddling, and cheerleading, n = 57) were compared...
August 25, 2016: Applied Neuropsychology. Child
https://www.readbyqxmd.com/read/27530613/the-legal-landscape-of-concussion-implications-for-sports-medicine-providers
#12
Andrew W Albano, Carlin Senter, Richard H Adler, Stanley A Herring, Irfan M Asif
CONTEXT: Concussion legislation has been enacted in all 50 of the United States, aiming to prevent mild traumatic brain injuries and the potential long-term sequelae of these injuries in youth athletics. Sports medicine providers, in addressing this major public health concern, are tasked with adhering to the established standards of medical care while also considering the legal implications. EVIDENCE ACQUISITION: The PubMed (2011-2016) database was searched using the following search terms: concussion, sports concussion, legislation, and concussion legislation...
September 2016: Sports Health
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/27437911/relationship-between-concussion-history-and-concussion-knowledge-attitudes-and-disclosure-behavior-in-high-school-athletes
#14
Johna K Register-Mihalik, Tamara C Valovich McLeod, Laura A Linnan, Kevin M Guskiewicz, Stephen W Marshall
OBJECTIVE: Examine the association between self-reported concussion history and measures of concussion knowledge, attitude, and disclosure behavior. DESIGN: Cross-sectional survey. SETTING: Classroom. PARTICIPANTS: A convenience sample of high school athletes (n = 167; mean age = 15.7 years) from multiple sports completed a validated survey. INDEPENDENT VARIABLES: Concussion history (main predictor) was defined as the number of self-recalled concussions during participants' high school career...
July 19, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27325635/sports-and-recreation-related-concussions-in-us-youth
#15
Mersine A Bryan, Ali Rowhani-Rahbar, R Dawn Comstock, Frederick Rivara
OBJECTIVE: The incidence of sports- and recreation-related concussions (SRRCs) in the United States is unknown. More than 44 million youth participate in sports annually, thus understanding the frequency of SRRCs in children is important on a population level. Our objective was to determine the number of SRRCs occurring annually among US youth ≤18 years old. METHODS: We identified SRRCs using 3 national databases: MarketScan, National Electronic Injury Surveillance System, and National High School Sports Related Injury Surveillance System, Reporting Injury Online...
July 2016: Pediatrics
https://www.readbyqxmd.com/read/27266445/evaluation-of-postural-stability-in-youth-athletes-the-relationship-between-two-rating-systems
#16
David R Howell, Benjamin J Shore, Emily Hanson, William P Meehan
OBJECTIVES: The Balance Error Scoring System (BESS) has been documented as a useful way to evaluate postural control following sport-related concussions sustained by youth athletes. However, limitations have been reported with its use due to the reliance on visual observation as the primary measurement outcome. The primary purpose of this study was to examine the correlation between the modified BESS (mBESS) as rated by a clinician and a simultaneous analysis performed by an integrated video-force plate system...
September 2016: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/27258426/aggression-violence-and-injury-in-minor-league-ice-hockey-avenues-for-prevention-of-injury
#17
Michael D Cusimano, Gabriela Ilie, Sarah J Mullen, Christopher R Pauley, Jennifer R Stulberg, Jane Topolovec-Vranic, Stanley Zhang
BACKGROUND: In North America, more than 800,000 youth are registered in organized ice hockey leagues. Despite the many benefits of involvement, young players are at significant risk for injury. Body-checking and aggressive play are associated with high frequency of game-related injury including concussion. We conducted a qualitative study to understand why youth ice hockey players engage in aggressive, injury-prone behaviours on the ice. METHODS: Semi-structured interviews were conducted with 61 minor ice hockey participants, including male and female players, parents, coaches, trainers, managers and a game official...
2016: PloS One
https://www.readbyqxmd.com/read/27244368/point-of-health-care-entry-for-youth-with-concussion-within-a-large-pediatric-care-network
#18
Kristy B Arbogast, Allison E Curry, Melissa R Pfeiffer, Mark R Zonfrillo, Juliet Haarbauer-Krupa, Matthew J Breiding, Victor G Coronado, Christina L Master
IMPORTANCE: Previous epidemiologic research on concussions has primarily been limited to patient populations presenting to sport concussion clinics or to emergency departments (EDs) and to those high school age or older. By examining concussion visits across an entire pediatric health care network, a better estimate of the scope of the problem can be obtained. OBJECTIVE: To comprehensively describe point of entry for children with concussion, overall and by relevant factors including age, sex, race/ethnicity, and payor, to quantify where children initially seek care for this injury...
July 5, 2016: JAMA Pediatrics
https://www.readbyqxmd.com/read/27230721/initial-somatic-symptoms-are-associated-with-prolonged-symptom-duration-following-concussion-in-adolescents
#19
David R Howell, Michael J O'Brien, Michael A Beasley, Rebekah C Mannix, William P Meehan
AIM: To determine which initial postinjury symptom domains are independently associated with symptoms lasting >28 days in youth athletes who sustained sport-related concussions. METHODS: Patients who presented for care at a sport concussion clinic completed the postconcussion symptom scale. They were classified into two groups: those who reported symptom resolution within 28 days of injury and those who did not. Logistic regression models were constructed for children and adolescents to determine the independent association between symptom recovery and potential predictor variables: initial symptom scores in 5 postconcussion symptom scale domains (somatic, vestibular-ocular, cognitive, sleep and emotional), sex, loss of consciousness or amnesia at the time of injury, history of prior concussion, prior treatment for headaches or migraines, or family history of concussion...
September 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/27172079/youth-concussion-laws-across-the-nation-implications-for-the-traveling-team-physician
#20
Lauren M Simon, Cory N Mitchell
There are an estimated 1.6 to 3.8 million sports and recreation-related concussions annually in the United States, with an average annual increase in incidence of 15.5% from 1998 to 2007. From 2009 to 2014, all 50 states enacted youth concussion legislation. This study clarifies core elements common to state concussion legislation and State Interscholastic Athletic Association (SIAA) implementation. A concussion literature, legislative, and SIAA concussion bylaw review was performed for all 50 U.S. states. Mandated concussion education varies in the frequency of certification and method of education...
May 2016: Current Sports Medicine Reports
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