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Concussion in youth sports

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https://www.readbyqxmd.com/read/29701560/high-prevalence-of-prior-contact-sports-play-and-concussion-among-orthopedic-and-neurosurgical-department-chairs
#1
Je Yeong Sone, S Courtney-Kay Lamb, Kristina Techar, Vikalpa Dammavalam, Mohit Uppal, Cedric Williams, Thomas Bergman, David Tupper, Paul Ort, Uzma Samadani
OBJECTIVE Increased understanding of the consequences of traumatic brain injury has heightened concerns about youth participation in contact sports. This study investigated the prevalence of high school and collegiate contact sports play and concussion history among surgical department chairs. METHODS A cross-sectional survey was administered to 107 orthopedic and 74 neurosurgery chairs. Responses were compared to published historical population norms for contact sports (high school 27.74%, collegiate 1.44%), football (high school 10...
April 27, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29667530/effects-of-developmental-age-on-symptom-reporting-and-neurocognitive-performance-in-youth-after-sports-related-concussion-compared-to-control-athletes
#2
Donna L Murdaugh, Kim E Ono, Sarah O Morris, Thomas G Burns
There is increased necessity to focus research on school-aged athletes with sports-related concussion (SRC). This study assessed differences in symptom reporting and neurocognitive performance in youth athletes who sustained a sports-related concussion. A total of 1345 concussed and 3529 nonconcussed athletes (ages 8-21) completed the Immediate Post-concussive Assessment and Cognitive Testing (ImPACT). Analyses of covariance were conducted in order to assess differences in neurocognitive performance and symptom reporting between the sports-related concussion and control groups across age ranges...
January 1, 2018: Journal of Child Neurology
https://www.readbyqxmd.com/read/29571863/the-new-mobile-universal-lexicon-evaluation-system-mules-a-test-of-rapid-picture-naming-for-concussion-sized-for-the-sidelines
#3
Omar Akhand, Matthew S Galetta, Lucy Cobbs, Lisena Hasanaj, Nikki Webb, Julia Drattell, Prin Amorapanth, John-Ross Rizzo, Rachel Nolan, Liliana Serrano, Janet C Rucker, Dennis Cardone, Barry D Jordan, Arlene Silverio, Steven L Galetta, Laura J Balcer
OBJECTIVE: Measures of rapid automatized naming (RAN) have been used for over 50 years to capture vision-based aspects of cognition. The Mobile Universal Lexicon Evaluation System (MULES) is a test of rapid picture naming under investigation for detection of concussion and other neurological disorders. MULES was designed as a series of 54 grouped color photographs (fruits, random objects, animals) that integrates saccades, color perception and contextual object identification. Recent changes to the MULES test have been made to improve ease of use on the athletic sidelines...
April 15, 2018: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/29557889/feasibility-and-effect-of-cervical-resistance-training-on-head-kinematics-in-youth-athletes-a-pilot-study
#4
James T Eckner, Alireza Goshtasbi, Kayla Curtis, Aliaksandra Kapshai, Erik Myyra, Lea M Franco, Michael Favre, Jon A Jacobson, James A Ashton-Miller
Greater neck girth and strength may be associated with a lower risk of sport-related concussion due to mitigation of head accelerations by the neck. However, neck strengthening exercise remains unstudied in youth athletes. Therefore, this pilot study assessed the feasibility and effect of targeted neck strengthening exercises in youth athletes. Seventeen participants were allocated to perform 8-wk manual resistance-based neck strengthening (n = 13) or control resistance exercise (n = 4) programs. Before and after the intervention, participants completed laboratory-based assessments of neck size, strength, and head kinematics during standardized test loading in each plane of motion...
April 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29554189/incidence-and-risk-of-concussions-in-youth-athletes-comparisons-of-age-sex-concussion-history-sport-and-football-position
#5
William T Tsushima, Andrea M Siu, Hyeong Jun Ahn, Bolin L Chang, Nathan M Murata
Objective: This study was designed to determine concussion incidence, risk, and relative risk among middle and high school athletes participating in various sports. Method: Data were retrospectively obtained from 10,334 athletes of 12 different sports in Hawaii. In addition to determining the overall concussion incidence, comparisons of incidence, risk, and relative risk were made according to age, sex, concussion history, sport, and football position. Results: The overall incidence of concussion among youth athletes was 1,250 (12...
March 15, 2018: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/29552994/knowledge-attitudes-and-concussion-information-sources-among-first-nations-in-ontario
#6
Cindy Hunt, Alicja Michalak, Elaine Johnston, Chrissy Lefkimmiatis, Leila Macumber, Tony Jocko, Donna Ouchterlony
OBJECTIVE: Hockey is a popular sport played by many First Nation youth. Concussion frequently goes unrecognized and unreported in youth hockey. Unintentional injuries among Indigenous youth occur at rates three to four times the national Canadian average. The study sought to examine knowledge, attitudes and sources of concussion information among First Nations people attending a provincial hockey tournament. METHODS: A cross-sectional survey was undertaken. The survey by Mzazik et al...
May 2018: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/29513549/reliability-and-normative-reference-values-for-the-vestibular-ocular-motor-screening-voms-tool-in-youth-athletes
#7
Ryan N Moran, Tracey Covassin, R J Elbin, Dan Gould, Sally Nogle
BACKGROUND: The Vestibular/Ocular Motor Screening (VOMS) measure is a newly developed vestibular and ocular motor symptom provocation screening tool for sport-related concussions. Baseline data, psychometric properties, and reliability of the VOMS are needed to further understand the applications of this tool, especially in the youth population, where research is scarce. PURPOSE: To establish normative data and document the internal consistency and false-positive rate of the VOMS in a sample of nonconcussed youth athletes...
May 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29471410/risk-factors-associated-with-sustaining-a-sport-related-concussion-an-initial-synthesis-study-of-12-320-student-athletes
#8
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/29431168/king-devick-test-identifies-real-time-concussion-and-asymptomatic-concussion-in-youth-athletes
#9
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/29425698/assessment-of-sleep-quantity-and-sleep-disturbances-during-recovery-from-sports-related-concussion-in-youth-athletes
#10
Donna L Murdaugh, Kim E Ono, Andrew Reisner, Thomas G Burns
OBJECTIVE: To determine the relation between sleep quantity and sleep disturbances on symptoms and neurocognitive ability during the acute phase (<7d) and after sports-related concussion (SRC; >21d). DESIGN: Prospective inception cohort study. SETTING: General community setting of regional middle and high schools. PARTICIPANTS: A sample (N=971) including youth athletes with SRC (n=528) and controls (n=443) (age, 10-18y)...
May 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29420685/gender-differences-in-symptom-reporting-on-baseline-sport-concussion-testing-across-the-youth-age-span
#11
Rosemarie Scolaro Moser, Lauren Olek, Philip Schatz
Background: Little is known regarding gender differences in concussion symptom reporting developmentally across the age span, specifically in pre-adolescent athletes. The present study asks: Do boys and girls differ in symptom reporting across the pre-adolescent to post-adolescent age span? Method: This retrospective study utilized baseline assessments from 11,695 10-22 year-old athletes assigned to 3 independent groups: Pre-adolescent 10-12 year olds (n = 1,367; 12%), Adolescent 13-17 year olds (n = 2,974; 25%), and Late Adolescent 18-22 year olds (n = 7,354; 63%)...
February 6, 2018: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/29381402/comparison-of-baseline-impact-performance-in-amateur-motocross-riders-to-football-and-basketball-athletes
#12
Natalie K Sandel, Phillip R Worts, Scott Burkhart, Luke Henry
PRIMARY OBJECTIVE: The American Motorcyclist Association requires professional riders to undergo baseline computerized neurocognitive testing (CNT) using the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) test for concussion management. It is recommended this practice be expanded to the amateur level, but limited research has explored whether baseline testing is necessary for youth when normative data is available. This study evaluates the utility of baseline testing for amateur riders by comparing their performance to those of traditional youth sports comprising normative datasets...
2018: Brain Injury: [BI]
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
#13
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/29337721/continuing-play-symptom-severity-and-symptom-duration-after-concussion-in-youth-athletes
#14
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
#15
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/29239998/seasonal-changes-in-functional-fitness-and-neurocognitive-assessments-in-youth-ice-hockey-players
#16
Michelle Avery, Nick Wattie, Michael Holmes, Shilpa Dogra
Deficits in balance and strength combined with differing rates of sensory and motor neural development may increase risk of sports related injury in youth. This study evaluated changes in functional fitness and concussion status over the course of a competitive season in youth ice-hockey players, and examined the relationship between these variables and injury occurrence. Thirty-six participants (8.9 ± 1.1 years) completed pre and post-season assessments including anthropometric measurements, the Functional Movement Screen (FMS), Lower Quarter Y-Balance Test (YBT-LQ), and a computerized neurocognitive assessment (ImPACT)...
December 11, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/29202937/youth-sport-related-concussions-perceived-and-measured-baseline-knowledge-of-concussions-among-community-coaches-athletes-and-parents
#17
Katherine N Nanos, John M Franco, Dirk Larson, Kristin Mara, Edward R Laskowski
OBJECTIVE: To assess concussion knowledge of athletes, coaches, and parents/guardians in a community setting and to understand trends/gaps in knowledge among subgroups to tailor efforts toward creating educational interventions. PARTICIPANTS AND METHODS: This prospective cross-sectional study involved 262 individuals (142 [55%] female): 115 athletes participating in noncontact and contact sports (ages 13-19 years), 15 coaches, and 132 parents. Recruitment occurred from August 30, 2015, through August 30, 2016, at 3 local high schools...
December 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/29199787/concussion-prevention-in-youth-sports-what-have-we-overlooked
#18
Gongbing Shan, Bingjun Wan, Peter Visentin, Xiang Zhang
No abstract text is available yet for this article.
December 1, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/29180519/understanding-the-resistance-to-creating-safer-ice-hockey-essential-points-for-injury-prevention
#19
Ryan A Todd, Sophie Soklaridis, Alice K Treen, Shree U Bhalerao, Michael D Cusimano
INTRODUCTION: Despite the known negative health outcomes of concussions in minor level boys' hockey, there has been significant resistance to creating a safer game with less body checking. METHODS: To better understand cultural barriers that prevent making the sport safer for youth and adolescents, semistructured interviews, with 20 ice hockey stakeholders, were conducted and analysed using thematic analysis. RESULTS: Through this analysis, two primary concepts arose from respondents...
November 27, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
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
#20
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
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