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Sports related concussion

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https://www.readbyqxmd.com/read/29772943/school-nurses-management-and-collaborative-practices-for-student-athletes-following-sport-related-concussion
#1
Michelle L Weber, Cailee E Welch Bacon, Tamara Valovich McLeod
The purpose of this study was to examine school nurses' management and collaboration with health-care providers (HCPs) for student-athletes following a concussion. Secondary school nurses accessed an online survey titled the Beliefs, Attitudes, and Knowledge of Pediatric Athletes with Concussions (access rate = 15.6%; n = 1,246/8,000). Approximately 40% of schools where nurses were employed administered baseline and postinjury concussion assessments. No significant differences were found between employment model (single vs...
January 1, 2018: Journal of School Nursing: the Official Publication of the National Association of School Nurses
https://www.readbyqxmd.com/read/29764297/identifying-dyslexia-risk-for-sport-related-concussion-management-sensitivity-and-specificity-of-self-report-and-rapid-naming
#2
Rebecca Wiseheart, Robin Wellington
BACKGROUND: Dyslexia is the most common type of learning disability and studies have shown that student-athletes with learning disabilities sustain more concussions than their non-affected peers. However, current methods of dyslexia identification in college students are potentially invalid because they rely on students to self-report formal dyslexia diagnoses. METHODS: To test the accuracy of self-report against two alternative methods of dyslexia screening, 94 college students completed three dyslexia symptom inventories, two rapid naming (RAN) tasks, and a standard word reading measure...
May 15, 2018: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/29762156/preliminary-use-of-the-physical-and-neurological-examination-of-subtle-signs-for-detecting-subtle-motor-signs-in-adolescents-with-sport-related-concussion
#3
Jaclyn A Stephens, Martha B Denckla, Teri McCambridge, Beth S Slomine, E Mark Mahone, Stacy J Suskauer
Sensitive examination tools are needed to optimize evaluation after sports-related concussion. The Physical and Neurological Examination of Subtle Signs was preliminarily examined for sensitivity to motor changes in a pilot cohort of adolescents aged 13-17 yrs with sports-related concussion. A total of 15 adolescents (5 female adolescents) with sports-related concussion were evaluated up to three times: within 2 wks of injury, approximately 1 mo later (mean, 35 days between visits), and for those not recovered at the second visit, again after clinical recovery (mean, 70 days between the first and last visits for all participants)...
June 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29741916/test-performance-and-test-retest-reliability-of-the-vestibular-ocular-motor-screening-and-king-devick-test-in-adolescent-athletes-during-a-competitive-sport-season
#4
Phillip R Worts, Philip Schatz, Scott O Burkhart
BACKGROUND: The Vestibular/Ocular Motor Screening (VOMS) and King-Devick (K-D) test are tools designed to assess ocular or vestibular function after a sport-related concussion. PURPOSE: To determine the test-retest reliability and rate of false-positive results of the VOMS and K-D test in a healthy athlete sample. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 2. METHODS: Forty-five healthy high school student-athletes (mean age, 16...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29734457/11-361-sports-injuries-in-a-15-year-survey-of-a-level-i-emergency-trauma-department-reveal-different-severe-injury-types-in-the-6-most-common-team-sports
#5
Werner Krutsch, Volker Krutsch, Franz Hilber, Christian Pfeifer, Florian Baumann, Johannes Weber, Paul Schmitz, Maximilian Kerschbaum, Michael Nerlich, Peter Angele
INTRODUCTION:  Severe sports-related injuries are a common affliction treated in Level I trauma departments. Detailed knowledge on injury characteristics from different medical settings is essential to improve the development of injury prevention strategies in different team sports. METHODS:  Team sport injuries were retrospectively analysed in a Level I trauma department registry over 15 years. Injury and treatment data were compared with regard to competition and training exposure...
May 7, 2018: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
https://www.readbyqxmd.com/read/29732944/pre-injury-migraine-history-as-a-risk-factor-for-prolonged-return-to-school-and-sports-following-concussion
#6
Douglas P Terry, Nathan Huebschmann, Bruce Maxwell, Nathan Cook, Rebekah Mannix, Ross D Zafonte, Tad Seifert, Paul D Berkner, Grant L Iverson
Having a pre-existing migraine disorder might be a risk factor for a prolonged recovery following a sport-related concussion. We examined whether having a migraine history was associated with a prolonged return to academics and athletics following a concussion. High school and collegiate athletes (N=1,265; 42% female) who sustained a sport-related concussion were monitored by athletic trainers using a web-based surveillance system that collects information about concussion recovery. Nonparametric Kolmogorov-Smirnov tests (KS) were used to compare days to return to academics/athletics across groups due to non-normally distributed outcome variables and unequal distributions of scores between groups...
May 5, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29717643/the-national-institute-of-neurological-disorders-and-stroke-and-department-of-defense-sport-related-concussion-common-data-elements-version-1-0-recommendations
#7
Steven P Broglio, Anthony P Kontos, Harvey Levin, Kathryn Schneider, Elisabeth A Wilde, Robert C Cantu, Nina Feddermann-Demont, Gordon Fuller, Isabelle Gagnon, Gerry Gioia, Christopher C Giza, Grace Sophia Griesbach, John J Leddy, Michael L Lipton, Andrew Mayer, Thomas McAllister, Michael McCrea, Lara McKenzie, Margot Putukian, Stefano Signoretti, Stacy J Suskauer, Robert Tamburro, Michael Turner, Keith Owen Yeates, Roger Zemek, Sherita Ala'i, Joy Esterlitz, Katelyn Gay, Patrick S F Bellgowan, Kristen Joseph
AIM: Through a partnership with the National Institute of Neurological Disorders and Stroke (NINDS), National Institutes of Health (NIH), and Department of Defense (DoD), the development of Sport-Related Concussion (SRC) Common Data Elements (CDEs) was initiated. The aim of this collaboration was to increase the efficiency and effectiveness of clinical research studies and clinical treatment outcomes, increase data quality, facilitate data sharing across studies, reduce study start-up time, more effectively aggregate information into metadata results, and educate new clinical investigators...
May 2, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29715216/sports-related-concussions-in-children-differences-in-care-and-expectations-when-seen-in-an-emergency-department-versus-a-sports-medicine-clinic
#8
Kraigher Allan OʼKeefe, Bradley Beamon, Kori L Brewer, Brock Niceler
OBJECTIVES: Patient and parent expectations can potentially influence management of care. We compared expectations in the diagnosis of concussion between patients who presented to a pediatric emergency department (ED) and those who presented to a sports medicine clinic, and if there was a difference in computed tomography (CT) scans performed. METHODS: Head-injured athletes aged 8 to 18 years presenting to a pediatric ED and a sports medicine clinic were enrolled...
May 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29706930/a-preliminary-report-on-brain-derived-extracellular-vesicle-as-novel-blood-biomarkers-for-sport-related-concussions
#9
Keisuke Kawata, Masato Mitsuhashi, Randy Aldret
The purpose of the study was to test the utility of unique panel of blood biomarkers as a means to reflect one's recovery process after sport-related neurotrauma. We established a panel of biomarkers that reacted positive with CD81 (extracellular vesicle marker) and various neuron- and glia-specific antigens [e.g., neurofilament light polypeptide (NF-L), tau, synaptosome-associated protein 25 (SNAP25), glial fibrillary acidic protein, and myelin basic protein]. We first evaluated test-retest reliabilities of brain-derived exosome markers, followed by an application of these markers in eight professional ice hockey players to detect cumulative neuronal burden from a single ice hockey season...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29705573/the-long-term-outcomes-of-sport-related-concussion-in-pediatric-populations
#10
R Davis Moore, Jacob J Kay, Dave Ellemberg
Although the field of concussion research is rapidly growing, the majority of research has focused on injured adults, with children being an often-neglected population (Kirkwood et al., 2006). Traumatic brain injury is a leading cause of death and disability in children (Langlois et al., 2003), with over 1.5 million cases being treated in North America annually (Yeates et al., 1999). Approximately 75% of these injuries are classified as a concussion (Faul et al., 2010). Further, children are disproportionately affected by sports-related injuries, with 65% of all pediatric concussions occurring during sport and recreation (CDC, 2007)...
April 26, 2018: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/29701560/high-prevalence-of-prior-contact-sports-play-and-concussion-among-orthopedic-and-neurosurgical-department-chairs
#11
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/29689075/test-retest-reliability-of-the-kinarm-end-point-robot-for-assessment-of-sensory-motor-and-neurocognitive-function-in-young-adult-athletes
#12
Cameron S Mang, Tara A Whitten, Madeline S Cosh, Stephen H Scott, J Preston Wiley, Chantel T Debert, Sean P Dukelow, Brian W Benson
BACKGROUND: Current assessment tools for sport-related concussion are limited by a reliance on subjective interpretation and patient symptom reporting. Robotic assessments may provide more objective and precise measures of neurological function than traditional clinical tests. OBJECTIVE: To determine the reliability of assessments of sensory, motor and cognitive function conducted with the KINARM end-point robotic device in young adult elite athletes. METHODS: Sixty-four randomly selected healthy, young adult elite athletes participated...
2018: PloS One
https://www.readbyqxmd.com/read/29685472/the-diagnosis-of-concussion-in-pediatric-emergency-departments-a-prospective-multicenter-study
#13
Kathy Boutis, Jocelyn Gravel, Stephen B Freedman, William Craig, Ken Tang, Carol A DeMatteo, Alexander Sasha Dubrovsky, Darcy Beer, Emma Burns, Gurinder Sangha, Roger Zemek
BACKGROUND: The accurate identification of children with a concussion by emergency physicians is important to initiate appropriate anticipatory guidance and management. OBJECTIVES: We compared the frequency of persistent concussion symptoms in children who were provided the diagnosis of concussion by an emergency physician versus those who met Berlin/Zurich international criteria for this diagnosis. We also determined the clinical variables independently associated with a physician-diagnosed concussion...
April 20, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29685283/blood-biomarkers-are-associated-with-brain-function-and-blood-flow-following-sport-concussion
#14
Alex P Di Battista, Nathan Churchill, Tom A Schweizer, Shawn G Rhind, Doug Richards, Andrew J Baker, Michael G Hutchison
BACKGROUND: Secondary injury pathophysiology after sport-related concussion (SRC) is poorly understood. Blood biomarkers may be a useful tool for characterizing these processes, yet there are limitations in their application as a single modality. Combining blood biomarker analysis with advanced neuroimaging may help validate their continued utility in brain injury research by elucidating important secondary injury mechanisms. Hence, the purpose of this study was to evaluate co-modulation between peripheral blood biomarkers and advanced functional brain imaging after SRC...
June 15, 2018: Journal of Neuroimmunology
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
#15
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/29660962/return-to-learn-transitioning-to-school-and-through-ascending-levels-of-academic-support-for-students-following-a-concussion
#16
Karen McAvoy, Brenda Eagan-Johnson, Mark Halstead
PURPOSE: The purpose of this article is to familiarize healthcare providers and parents with educational language, laws, and processes as they relate to a comprehensive ascending level of academic supports as it pertains to promoting a smooth and supported transition to school following a concussion. BACKGROUND: Returning to learn (RTL) following a concussion is of parallel importance to returning to sport (RTS). A successful RTL is a critical part of concussion management...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29648462/a-systematic-review-of-neuroimaging-findings-in-children-and-adolescents-with-sports-related-concussion
#17
Emilie Chamard, Jonathan D Lichtenstein
BACKGROUND: Sport-related concussion (SRC) generally does not result in structural anomalies revealed through clinical imaging techniques such as MRI and CT. While advanced neuroimaging techniques offer another avenue to investigate the subtle alterations following SRC, the current pediatric literature in this area has yet to be reviewed. The aim of this review is to systematically explore the literature on magnetic resonance spectroscopy (MRS), diffusion tensor imaging (DTI), functional magnetic resonance imaging (fMRI), and cortical thickness following SRC in children and adolescents...
April 12, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29627189/variations-in-mechanisms-of-injury-for-children-with-concussion
#18
Juliet Haarbauer-Krupa, Kristy B Arbogast, Kristina B Metzger, Arlene I Greenspan, Ronni Kessler, Allison E Curry, Jeneita M Bell, Lara DePadilla, Melissa R Pfeiffer, Mark R Zonfrillo, Christina L Master
OBJECTIVES: To assess the distribution of injury mechanisms and activities among children with concussions in a large pediatric healthcare system. STUDY DESIGN: All patients, age 0-17 years, who had at least 1 clinical encounter with an International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis of concussion in the Children's Hospital of Philadelphia's electronic health record system from July 1, 2012 to June 30, 2014, were selected (N = 8233) and their initial concussion-related visit identified...
March 27, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29619800/not-just-contact-sports-significant-numbers-of-sports-related-concussions-in-cycling
#19
Ingo Helmich, Daniel von Götz, Carina Emsermann, Fu Xuanjin, Anne Griese, Ilka Lauterbach, Hedda Lausberg
BACKGROUND: Although sports-related concussions (SRCs) / mild traumatic brain injuries (mTBIs) in contact sports have recently received much attention, investigation of SRCs in cycling - a sport yielding some of the highest percentages of SRC - remains strikingly limited. In particular, rates of incidence, cycling-specific causes, and potential long-term effects of SRC have not been examined in this sport. Here, a retrospective online survey was used to investigate the incidence and potential long-term effects of SRCs among cyclists...
April 4, 2018: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/29610049/the-king-devick-test-is-a-valid-and-reliable-tool-for-assessing-sport-related-concussion-in-australian-football-a-prospective-cohort-study
#20
Mark Hecimovich, Doug King, Alasdair R Dempsey, Myles Murphy
OBJECTIVES: Sport-related concussion (SRC) research has focused on impaired oculomotor function. The King-Devick (K-D) test measures oculomotor performance and is reported to identify suboptimal brain function. The use of the K-D test in Australian football (AF), a sport involving body contact and tackling, has not been documented. Therefore, the objective of this study was to determine the test-retest reliability and diagnostic accuracy of the K-D test on a sub-elite AF team. DESIGN: Prospective cohort study METHODS: In total, 22 male players (19...
March 28, 2018: Journal of Science and Medicine in Sport
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