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concussion School age student

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 D 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 4,792 student athletes (ages 13-18) from Maine who completed a preseason health survey on two occasions (median retest interval=23...
June 27, 2016: 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...
February 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...
February 11, 2016: 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
Danielle M Ransom, Christopher G Vaughan, Lincoln Pratson, Maegan D Sady, Catherine A McGill, Gerard A Gioia
OBJECTIVE: The aim of this work is to study the nature and extent of the adverse academic effects faced by students recovering from concussion. METHOD: A sample of 349 students ages 5 to 18 who sustained a concussion and their parents reported academic concerns and problems (eg, symptoms interfering, diminished academic skills) on a structured school questionnaire within 4 weeks of injury. Postconcussion symptoms were measured as a marker of injury severity. Results were examined based on recovery status (recovered or actively symptomatic) and level of schooling (elementary, middle, and high school)...
June 2015: Pediatrics
Linda Brown, Holly Hackman, Julie Kautz Mills, Carlene Pavlos, Jeanne Hathaway, MyDzung Chu, Colleen Maguire, Leonard Lee
STATEMENT OF PURPOSE: In 2013, 20% and 16% of Massachusetts middle and high school athletes, respectively, reported symptoms consistent with a traumatic brain injury (TBI) while playing sports in the past 12 months. The Massachusetts' 2010 legislation aimed to improve the prevention and management of sports related head injuries, thereby promoting brain healing and reducing the risk of serious health consequences among student athletes in grades 6-12. We describe our ongoing evaluation of this law and its associated regulations...
April 2015: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
Richelle M Williams, Cailee E Welch, John T Parsons, Tamara C Valovich McLeod
CONTEXT: Sport-related concussion can affect athletes' sport participation and academic success. With the recent emphasis on cognitive rest, student-athletes may benefit from academic accommodations (AA) in the classroom; however, athletic trainers' (ATs') perceived familiarity with, and use of, AA is unknown. OBJECTIVE: To assess secondary school ATs' perceived familiarity with, attitudes and beliefs about, and incorporation of AA for student-athletes after sport-related concussion...
March 2015: Journal of Athletic Training
Geoffrey L Heyer, Kevin D Weber, Sean C Rose, Sara Q Perkins, Caitlin E Schmittauer
OBJECTIVE: To determine high school principals' self-reported resources, knowledge, and practices regarding the management of students returning to school following concussion. STUDY DESIGN: A cross-sectional survey of public high school principals in the state of Ohio assessed respondent and school demographics, respondent concussion training, school resources, and monitoring and accommodation practices for students with concussion. RESULTS: Of the 695 eligible high school principals, 465 (66...
March 2015: Journal of Pediatrics
Grant L Iverson, Joseph E Atkins, Ross Zafonte, Paul D Berkner
Little is known about the rate of concussions in adolescents with attention-deficit hyperactivity disorder (ADHD). We hypothesized that high school athletes with ADHD would report a greater history of concussion than students without ADHD. 6,529 adolescent and young adult student athletes, between the ages of 13 and 19 (M=15.9, SD=1.3 years), completed a preseason health survey in 2010. Of those with ADHD, 26.1% reported a history of one or more concussions compared to 17.1% of those without ADHD (p<.00001; OR=1...
November 6, 2014: Journal of Neurotrauma
Gerard A Gioia
BACKGROUND: Significant attention has been focused on concussions in children, but a dearth of research evidence exists supporting clinical evaluation and management. AIM: The primary objective of this review paper is to describe a multimodal, developmentally adapted, standardized concussion assessment and active rehabilitation approach for children as young as 5 years old. METHODS: This study reviews the CDC-funded research programme, including the development of tools for post-concussion symptom assessment involving the child and parent, measurement of specific neurocognitive functions and assessment of dynamic cognitive exertional effects...
2015: Brain Injury: [BI]
Kenneth Mautner, Walter I Sussman, Matthew Axtman, Yahya Al-Farsi, Samir Al-Adawi
OBJECTIVE: To investigate whether attention deficit hyperactivity disorder (ADHD) influences postconcussion recovery, as measured by computerized neurocognitive testing. DESIGN: This is a retrospective case control study. SETTING: Computer laboratories across 10 high schools in the greater Atlanta, Georgia area. PARTICIPANTS: Immediate postconcussion assessment and cognitive testing (ImPACT) scores of 70 athletes with a self-reported diagnosis of ADHD and who sustained a sport-related concussion were compared with a randomly selected age-matched control group...
July 2015: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Carol Potera
AB School nurses can help students navigate recovery.
November 2014: American Journal of Nursing
Neal R Glaviano, Shari Benson, Howard P Goodkin, Donna K Broshek, Susan Saliba
OBJECTIVE: To compare baseline scores of middle and high school students on the Sport Concussion Assessment Tool 2 (SCAT2) by sex and age. DESIGN: Cross-sectional study. SETTING: Single private school athletic program. PARTICIPANTS: Three hundred sixty-one middle and high school student-athletes. INTERVENTION: Preseason SCAT2 was administered to student-athletes before athletic participation. MAIN OUTCOME MEASURES: Total SCAT2 score, symptoms, symptom severity, Glasgow coma scale, modified Balance Error Scoring System (BESS), coordination, and Standardized Assessment of Concussion (SAC) with subsections: Orientation, Immediate Memory, Concentration, and Delayed Recall...
July 2015: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
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