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concussion School age student

Laura K Purcell, Gavin A Davis, Gerard A Gioia
OBJECTIVE: To evaluate the evidence regarding (1) factors affecting return to school (RTS) and (2) strategies/accommodations for RTS following a sport-related concussion (SRC) in children and adolescents. DESIGN: A systematic review of original studies specifically addressing RTS following concussion in the paediatric and sporting context. DATA SOURCES: MEDLINE (Ovid), Embase (Ovid), PsycInfo (Ovid) electronic databases and the grey literature OpenGrey, ClinicalTrials...
March 2, 2018: British Journal of Sports Medicine
Audrey McKinlay, Kimberly Buck
PURPOSE: To examine educational professionals' knowledge and understanding of childhood brain injury. MATERIALS AND METHODS: Educational professionals from all schools in the state of Victoria, Australia, were invited to participate in an online cross-sectional survey consisting of 20 questions assessing knowledge of concussion and 30 questions examining knowledge of traumatic brain injury (n = 364). RESULTS: On average, participants correctly answered 16/20 (80%) questions about concussion and 24...
January 28, 2018: Disability and Rehabilitation
Tamara C Valovich McLeod, Alyssa J Wagner, Cailee E Welch Bacon
Background: Previous studies have identified the effect of sport-related concussion on health-related quality of life through the use of patient-reported outcome measures. However, there has been little research exploring the underlying mechanisms that influence these perceptions of health-related quality of life among adolescent athletes who have sustained a sport-related concussion. Purpose: To explore the psychosocial aspects of concussion among adolescent athletes...
December 2017: Orthopaedic Journal of Sports Medicine
Peter K Kriz, Rebekah Mannix, Alex M Taylor, Danielle Ruggieri, William P Meehan
Background: Previous studies have evaluated high school and collegiate athletes in the pre-Zurich guidelines era; whether adolescent athletes demonstrate similar neurocognitive decrements in the current concussion management era remains unclear. Purpose: To assess for the presence of neurocognitive deficits in adolescents with a sport-related concussion at the time of self-reported symptom resolution. Study Design: Cross-sectional study; Level of evidence, 3...
November 2017: Orthopaedic Journal of Sports Medicine
Amy Coyle Connell
Purpose of this study was to identify whether children aged 12-14 years benefit from academic reentry plans when returning to school following a mild traumatic brain injury. An integrative review was carried out with data sourced from CINAHL, Medline, Education Full Text, Health Source: Nursing/Academic Edition, and hand searching of references. Abstracts were reviewed for inclusion/exclusion criteria, resulting with six articles appraised and analyzed for this article. The review shows the need for gradual return to physical and cognitive activity postconcussion to facilitate a quicker recovery with fewer postconcussive symptoms...
November 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
Cailee E Welch Bacon, Melissa C Kay, Tamara C Valovich McLeod
CONTEXT:   Athletic trainers (ATs) play a vital role in managing the care of student-athletes after a sport-related concussion, yet little is known about their specific involvement in the implementation of academic adjustments as part of the concussion-management plan. OBJECTIVE:   To explore ATs' perceived roles and responsibilities regarding the implementation of academic adjustments for concussed student-athletes. DESIGN:   Qualitative study...
October 2017: Journal of Athletic Training
Sameer K Deshpande, Raiden B Hasegawa, Amanda R Rabinowitz, John Whyte, Carol L Roan, Andrew Tabatabaei, Michael Baiocchi, Jason H Karlawish, Christina L Master, Dylan S Small
Importance: American football is the largest participation sport in US high schools and is a leading cause of concussion among adolescents. Little is known about the long-term cognitive and mental health consequences of exposure to football-related head trauma at the high school level. Objective: To estimate the association of playing high school football with cognitive impairment and depression at 65 years of age. Design, Setting, and Participants: A representative sample of male high school students who graduated from high school in Wisconsin in 1957 was studied...
August 1, 2017: JAMA Neurology
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
Scott L Zuckerman, Brian Holt Zalneraitis, Douglas J Totten, Kolin E Rubel, Andrew W Kuhn, Aaron M Yengo-Kahn, Christopher M Bonfield, Allen K Sills, Gary S Solomon
OBJECTIVE A significant proportion of patients experience long-term symptoms after sport-related concussion (SRC), and several factors have been associated with this protracted recovery. Limited data exist on the role of socioeconomic status (SES) on SRC outcomes. The objective in this study was to conduct a preliminary investigation to determine the effect of SES on outcomes after SRC in student-athletes treated at a regional sports concussion center. METHODS A retrospective cohort study of 282 middle school, high school, and collegiate student-athletes was conducted...
June 2017: Journal of Neurosurgery. Pediatrics
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
Magdalena Wojtowicz, Grant L Iverson, Noah D Silverberg, Rebekah Mannix, Ross Zafonte, Bruce Maxwell, Paul D Berkner
Relying on self-reported concussion injury history is common in both clinical care and research. However, young athletes may not provide consistent medical information. To date, little is known about the reliability of self-reported concussion history in high school students. This study examined whether student athletes reported their lifetime history of concussions consistently over time. Self-reported concussion history was examined in 4792 student athletes (ages 13-18) from Maine who completed a preseason health survey on two occasions (median re-test interval = 23...
January 15, 2017: Journal of Neurotrauma
Jennifer Reesman, Jill Pineda, Jenny Carver, Patrick J Brice, T Andrew Zabel, Philip Schatz
OBJECTIVE: The goals of the study included empirical examination of the utility of the Immediate and Post-Concussion Assessment and Cognitive Testing (ImPACT) test with adolescents who are deaf or hard-of-hearing and to investigate patterns of performance at baseline that may arise in the assessment of this population. Baseline assessment of student-athletes has been conducted on a widespread scale with focus on performance of typically developing student-athletes and some clinical groups, though to date no studies have examined adolescents who are deaf or hard-of-hearing...
2016: Clinical Neuropsychologist
Lisa Buckley, Rebekah L Chapman
Background: There is growing research finding associations between adolescents' concussion and negative outcomes, including violence, rarely however are the experiences of community-based early adolescents considered. Methods: This study examined associations between reports of concussion (Time-1) and reports of violence 1-year later (Time-2). Australian adolescents from 13 high-schools completed two identical surveys administered 12-months apart (n = 734 retained, initial mean age = 13...
March 1, 2017: Journal of Public Health
Vanessa C Denny, James S Cassese, Kathryn H Jacobsen
INTRODUCTION: The burden of injuries in Pacific Island countries is understudied despite the known challenges associated with many residents having limited access to advanced medical and surgical care when they sustain a serious injury. This paper examines nonfatal injuries among early adolescent schoolchildren (those primarily ages 13-15 years) from four Polynesian countries. METHODS: Self-reported data from the 5507 middle school students who were randomly sampled for participation in the nationwide Global School-based Student Health Surveys (GSHS) in the Cook Islands (in the year 2009), Niue (2010), Samoa (2011), and Tonga (2010) were analysed with various statistical methods including regression models...
May 2016: Injury
Tracey J Dickson, Stephen Trathen, Gordon Waddington, F Anne Terwiel, Daniel Baltis
OBJECTIVE: This study applied a human factors approach to snowsport resort systems to contribute to the understanding of the incidence and severity of pediatric snowsport head accelerations. BACKGROUND: Previous research indicates low magnitude head accelerations are common among snowsport participants. This study adds to the knowledge of snowsport safety by measuring aspects of participants' snowsport behavior and linking this with head acceleration data. METHOD: School-aged students (n = 107) wore telemetry-fitted helmets and Global Positioning System (GPS) devices during snowsport activity...
March 2016: Applied Ergonomics
B Alsalaheen, J Haines, A Yorke, J Diebold
The King-Devick test appears to be a promising tool in screening for concussions. However, limited evidence exists on the baseline associations between the K-D test and age and baseline screening tools used after concussion. Additionally, there are no published reference values for the K-D test in high school football players. The K-D test, the Balance Error Scoring System, and the Limits of Stability (LOS) test were administered to 157 high school football players. Additionally, a subsample of 62 participants completed the test twice to examine the reliability of K-D test...
February 2016: Scandinavian Journal of Medicine & Science in Sports
Cheree Iadevaia, Trevor Roiger, Mary Beth Zwart
CONTEXT: Moderate to severe traumatic brain injuries can negatively influence health-related quality of life (HRQOL) in adolescent patients. The effect of sport-related concussion on adolescent HRQOL remains unclear. OBJECTIVE: To investigate the perceptions of adolescent student-athletes and their parents regarding the adolescents' HRQOL 1 year after sport-related concussion. DESIGN: Qualitative study. SETTING: Secondary school...
November 2015: Journal of Athletic Training
Brad G Kurowski, Wendy J Pomerantz, Courtney Schaiper, Mona Ho, Michael A Gittelman
BACKGROUND: The benefit of preseason concussion education on athletes' knowledge, attitudes, and behaviors is unclear. The purpose of the study was to determine the influence of preseason concussion education on knowledge and self-reported attitudes and reporting behaviors. We hypothesized that preseason education would lead to better knowledge and self-reported attitudes and better reporting of concussion symptoms during the season. METHODS: This study involved a prospective cohort comparing the benefits of a preseason lectured-based concussion education session at one high school with a control school...
September 2015: Journal of Trauma and Acute Care Surgery
Noah D Silverberg, Paul D Berkner, Joseph E Atkins, Ross Zafonte, Grant L Iverson
OBJECTIVE: Baseline, preseason assessment of cognition, symptoms, and balance has been recommended as part of a comprehensive sport concussion management program. We examined the relationship between sleep and baseline test results. We hypothesized that adolescents who slept fewer hours the night before would report more symptoms and perform more poorly on cognitive testing than students who had a full night sleep. DESIGN: Cross-sectional observation study. SETTING: Preseason concussion testing for high school athletes...
May 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
John G Baker, John J Leddy, Scott R Darling, Brian P Rieger, Terry L Mashtare, Tania Sharma, Barry S Willer
The primary objective of this study was to determine factors in the clinic setting associated with concussion-related problems in the school setting. A total of 91 student athletes, 13 to 19 years old, completed the SCAT2 and computerized testing during their initial visit to the clinic. During a follow-up telephone interview, one-third reported problems with return to school. The presence of problems reported in school was associated with severity of concussion as represented by recovery time and the overall number of symptoms at the first clinic visit...
September 2015: Clinical Pediatrics
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