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Concussion return to play

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https://www.readbyqxmd.com/read/28294629/sport-concussion-management-using-facebook-a-feasibility-study-of-an-innovative-adjunct-icon
#1
Osman Hassan Ahmed, Anthony G Schneiders, Paul R McCrory, S John Sullivan
CONTEXT:   Sport concussion is currently the focus of much international attention. Innovative methods to assist athletic trainers in facilitating management after this injury need to be investigated. OBJECTIVE:   To investigate the feasibility of using a Facebook concussion-management program termed iCon (interactive concussion management) to facilitate the safe return to play (RTP) of young persons after sport concussion. DESIGN:   Observational study...
March 15, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28287034/exploration-of-us-men-s-professional-sport-organization-concussion-policies
#2
Graham Dean Cochrane, Matthew Owen, Joseph D Ackerson, Mathew H Hale, Sara Gould
OBJECTIVE: Concussion policies are increasingly being developed and adopted among professional sports organizations. We sought to compare the policies of the National Hockey League (NHL), the National Basketball Association (NBA), the National Football League (NFL), and Major League Baseball (MLB). Our objective was to summarize each policy and evaluate the extent to which each policy is organization-specific and/or consistent with medical guidelines. DESIGN: We visited websites for the NHL, NBA, NFL, and MLB...
March 11, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28283595/astroglial-activation-and-altered-amyloid-metabolism-in-human-repetitive-concussion
#3
Pashtun Shahim, Yelverton Tegner, Niklas Marklund, Kina Höglund, Erik Portelius, David L Brody, Kaj Blennow, Henrik Zetterberg
OBJECTIVE: To determine whether postconcussion syndrome (PCS) due to repetitive concussive traumatic brain injury (rcTBI) is associated with CSF biomarker evidence of astroglial activation, amyloid deposition, and blood-brain barrier (BBB) impairment. METHODS: A total of 47 participants (28 professional athletes with PCS and 19 controls) were assessed with lumbar puncture (median 1.5 years, range 0.25-12 years after last concussion), standard MRI of the brain, and Rivermead Post-Concussion Symptoms Questionnaire (RPQ)...
March 10, 2017: Neurology
https://www.readbyqxmd.com/read/28271806/cardiovascular-physiology-and-disease-in-youth-2016
#4
Thomas Rowland
The two articles in the area of cardiovascular physiology and disease in youth were chosen for commentary because of their exploration of new approaches to the diagnosis and management of cardiovascular derangements in young persons. The first, by Hinds et al., describes the potential clinical importance of detection of cardiovascular changes during exercise testing in adolescent athletes following concussions. This approach might prove useful in establishing safe return-to-play guidelines. The second, a review article by Van De Schoor et al, evaluates the frequency of myocardial scarring in athletes, some of adolescent age, which is a recognized risk factor for sudden cardiac death...
February 2017: Pediatric Exercise Science
https://www.readbyqxmd.com/read/28269244/portable-video-oculography-device-for-implementation-in-sideline-concussion-assessments-a-prototype
#5
Joshua D Fischer, Dawie J van den Heever
Concussion is currently a serious health problem and can lead to severe brain dysfunction. There is a definite need for sensitive and reliable tests to detect and evaluate the subtle changes in brain function caused by concussion. This study details the development of a low cost portable eye tracking device that can aid in the detection of concussions. The device evaluates ocular motor function and can be used on the sidelines of sporting events to give a quick indication of the severity of head trauma. It can further be used to evaluate and monitor mild Traumatic Brain Injuries and aid in the return to play decision making process...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28268276/preliminary-results-of-residual-deficits-observed-in-athletes-with-concussion-history-combined-eeg-and-cognitive-study
#6
Tamanna T K Munia, Jeffrey L Gendreau, Ajay K Verma, Benjamin D Johnson, Mark Romanick, Kouhyar Tavakolian, Reza Fazel-Rezai
Assessment, treatment, and management of sport-related concussions are a widely recognized public health issue. Although several neuropsychological and motor assessment tools have been developed and implemented for sports teams at various levels and ages, the sensitivity of these tests has yet to be validated with more objective measures to make return-to-play (RTP) decisions more confidently. The present study sought to analyze the residual effect of concussions on a sample of adolescent athletes who sustained one or more previous concussions compared to those who had no concussion history...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28238481/attitudes-and-counseling-practices-of-pediatricians-regarding-youth-sports-participation-and-concussion-risks
#7
Michael Fishman, Eleanor Taranto, Meryl Perlman, Kyran Quinlan, Holly J Benjamin, Lainie Friedman Ross
OBJECTIVE: To examine attitudes and practices of pediatricians toward sports-related head trauma and youth participation in tackle football and ice hockey. STUDY DESIGN: A respondent-anonymous electronic survey was distributed 3 times to members of the American Academy of Pediatrics Section of Bioethics, Council on Injury, Violence, and Poison Prevention, and Council on Sports Medicine and Fitness. RESULTS: Of 791 eligible pediatricians, 227 (29%) responded...
February 24, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/28227478/portable-video-oculography-device-for-implementation-in-sideline-concussion-assessments-a-prototype
#8
Joshua D Fischer, Dawie J van den Heever, Joshua D Fischer, Dawie J van den Heever, Dawie J Van den Heever, Joshua D Fischer
Concussion is currently a serious health problem and can lead to severe brain dysfunction. There is a definite need for sensitive and reliable tests to detect and evaluate the subtle changes in brain function caused by concussion. This study details the development of a low cost portable eye tracking device that can aid in the detection of concussions. The device evaluates ocular motor function and can be used on the sidelines of sporting events to give a quick indication of the severity of head trauma. It can further be used to evaluate and monitor mild Traumatic Brain Injuries and aid in the return to play decision making process...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226433/preliminary-results-of-residual-deficits-observed-in-athletes-with-concussion-history-combined-eeg-and-cognitive-study
#9
Tamanna T K Munia, Jeffrey L Gendreau, Ajay K Verma, Benjamin D Johnson, Mark Romanick, Kouhyar Tavakolian, Reza Fazel-Rezai, Tamanna T K Munia, Jeffrey L Gendreau, Ajay K Verma, Benjamin D Johnson, Mark Romanick, Kouhyar Tavakolian, Reza Fazel-Rezai, Reza Fazel-Rezai, Jeffrey L Gendreau, Benjamin D Johnson, Tamanna T K Munia, Ajay K Verma, Kouhyar Tavakolian, Mark Romanick
Assessment, treatment, and management of sport-related concussions are a widely recognized public health issue. Although several neuropsychological and motor assessment tools have been developed and implemented for sports teams at various levels and ages, the sensitivity of these tests has yet to be validated with more objective measures to make return-to-play (RTP) decisions more confidently. The present study sought to analyze the residual effect of concussions on a sample of adolescent athletes who sustained one or more previous concussions compared to those who had no concussion history...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28211600/feasibility-of-early-physical-therapy-for-dizziness-after-a-sports-related-concussion-a-randomized-clinical-trial
#10
J C Reneker, A Hassen, R S Phillips, M C Moughiman, M Donaldson, J Moughiman
The purpose of this study was to (a) assess the feasibility of recruitment/retention of participants, protocol/resource management, and participant safety, and (b) estimate the size of the effect between the experimental and control groups. This was a feasibility study conducted as a prospective pilot double-blind randomized clinical trial. Subjects aged 10-23 years old with acute concussion and dizziness were enrolled from sports medicine centers. Forty-one participants were randomized into treatment and were seen for physical therapy beginning at 10 days post-concussion...
February 17, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28202206/retrospective-chart-analysis-of-concussion-discharge-instructions-in-the-emergency-department
#11
Allison D Lane, Matthew R Berkman, David Verbunker, Taylor Shekell, Michael Bouska, Lauren Barnett, Allie Keogh, Tomas Nuno, Uwe Stolz, Anna L Waterbrook
BACKGROUND: Recognition and diagnosis of concussion is increasing, but current research shows these patients are discharged from the emergency department (ED) with a wide variability of recommendations and instructions. OBJECTIVE: To assess the adequacy of documentation of discharge instructions given to patients discharged from the ED with concussions. METHODS: This was a quality-improvement study conducted at a University-based Level I trauma center...
February 12, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28180920/injury-mechanism-of-midfacial-fractures-in-football-causes-in-over-40-typical-neurological-symptoms-of-minor-brain-injuries
#12
Volker Krutsch, Markus Gesslein, Oliver Loose, Johannes Weber, Michael Nerlich, Axel Gaensslen, Viktor Bonkowsky, Werner Krutsch
PURPOSE: The injury mechanisms of midfacial fractures may be typical causes of concussion, but hardly any scientific data on midfacial injuries sustained in football are available. Head and brain trauma represent frequent injuries in athletes of different sports that require appropriate treatment by sports and trauma physicians. This study investigated the management of midfacial fractures in football and the association of such fractures with concomitant brain injury. METHODS: In a prospective cohort study lasting 24 months (2012 to 2013), midfacial injuries of football players were analysed with regard to the injury mechanisms, first aid procedures on the field, treatment and return-to-play...
February 8, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28167303/psychological-and-lifestyle-factors-that-influence-the-serial%C3%A2-reporting-of-postconcussion-like-symptoms-in-a-nonconcussed-population
#13
Arun Prasad Balasundaram, Josie Athens, Anthony Gerard Schneiders, Paul McCrory, Stephen John Sullivan
BACKGROUND: Symptoms related to concussion are generally found to be nonspecific in nature, as they are also reported by nonconcussed individuals. What is currently not known is whether the symptoms vary over time, and whether they are also influenced by a multitude of factors. OBJECTIVE: The aim of this study was to investigate the potential influence of psychological, lifestyle, and situational factors on the change in postconcussion-like symptoms reported over 7 consecutive days in a cohort of normal individuals...
February 4, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28152320/fighting-to-keep-a-sport-safe-toward-a-structured-and-sport-specific-return-to-play-protocol
#14
Bryce Nalepa, Amy Alexander, Sarah Schodrof, Charles Bernick, Jamie Pardini
Combat sports are growing in popularity, viewership, and participation. The nature of these sports involves repetitive head contact, yet unlike most other professional contact sports, there are no endorsed guidelines or mandates for graduated and systematic return to play following concussion. Here, we review the literature related to concussion and fighting sports, and propose guidelines for concussion management and safe return to play following concussion.
February 15, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28148512/concussion-in-the-international-ice-hockey-world-championships-and-olympic-winter-games-between-2006-and-2015
#15
Markku Tuominen, Timo Hänninen, Jari Parkkari, Michael J Stuart, Teemu Luoto, Pekka Kannus, Mark Aubry
BACKGROUND: Concussions in sports are a growing concern. This study describes the incidence, injury characteristics and time trends of concussions in international ice hockey. METHODS: All concussions in the International Ice Hockey Federation (IIHF) World Championships (WC) and Olympic Winter Games were analysed over 9 ice hockey seasons between 2006 and 2015 using a standardised injury reporting system and diagnoses made by the team physicians. RESULTS: A total of 3293 games were played (169 tournaments, 1212 teams, 26 130 players) comprising 142 244 athletic game exposures...
February 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28130573/-school-re-integration-after-child-brain-dislocation-the-trauma-surgeon-s-role
#16
A Gänsslen, T Neubauer, C Hartl, N Moser, E Rickels, H Lüngen, M Nerlich, W Krutsch
Concussion injury of the brain is still a frequently underestimated injury, which can be associated with long-lasting consequences. Compared to adults, the recovery phase is often prolonged in childhood. Primary treatment consists of symptom-dependent physical and mental activities. Re-integration into daily life is crucial. In childhood, the primary focus is therefore on returning to school. New symptoms, or an increased presence of symptoms must be detected, to avoid prolonged recovery courses. School restrictions have to be minimized...
January 27, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28107556/do-post-concussion-like-symptom-responses-change-following-exercise-or-sports-participation-in-a-non-concussed-cohort
#17
A P Balasundaram, J Athens, A G Schneiders, P McCrory, S J Sullivan
The purposes of this study were (a) to determine the reliable change in post-concussion-like symptoms reported following self-selected exercise or sports activities and (b) to explore the potential influence of gender and exercise parameters on post-concussion-like symptoms reported by a non-concussed cohort following exercise/training. A pre-to-post observational design was used. A convenience sample of students aged 18-30 years who visited a university recreation center to engage in their chosen exercise activity and a purposeful sample of men's and women's rugby union players engaged in their regular training sessions were included in the study...
January 20, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28095082/effect-of-concussion-on-performance-of-national-football-league-players
#18
Nicole Reams, Rodney A Hayward, Jeffrey S Kutcher, James F Burke
PURPOSE: Lingering neurologic injury after concussion may expose athletes to increased risk if return-to-play is premature. We explored whether on-field performance after concussion is a marker of lingering neurologic injury. METHODS: Retrospective cohort study on 1,882 skill-position players who played in the National Football League (NFL) during 2007-2010. Players with concussion based on the weekly injury report, were compared to players with other head and neck injuries (controls) on measures of on-field performance using Football Outsiders' calculation of Defense-Adjusted Yards Above Replacement (DYAR): a measure of a player's contribution controlling for game context...
January 17, 2017: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/28092023/white-matter-alterations-in-college-football-players-a-longitudinal-diffusion-tensor-imaging-study
#19
Michael Christian Mayinger, Kian Merchant-Borna, Jakob Hufschmidt, Marc Muehlmann, Isabelle Ruth Weir, Boris-Stephan Rauchmann, Martha Elizabeth Shenton, Inga Katharina Koerte, Jeffrey John Bazarian
The aim of this study was to evaluate longitudinal changes in the diffusion characteristics of brain white matter (WM) in collegiate athletes at three time points: prior to the start of the football season (T1), after one season of football (T2), followed by six months of no-contact rest (T3). Fifteen male collegiate football players and 5 male non-athlete student controls underwent diffusion MR imaging and computerized cognitive testing at all three timepoints. Whole-brain tract-based spatial statistics (TBSS) were used to compare fractional anisotropy (FA), radial diffusivity (RD), axial diffusivity (AD), and trace between all timepoints...
January 14, 2017: Brain Imaging and Behavior
https://www.readbyqxmd.com/read/28067742/what-definition-is-used-to-describe-second-impact-syndrome-in-sports-a-systematic-and-critical-review
#20
REVIEW
Steven D Stovitz, Jonathan D Weseman, Matthew C Hooks, Robert J Schmidt, Jonathan B Koffel, Jon S Patricios
Concern about what has been termed, "second impact syndrome" (SIS) is a major factor determining return-to-play decisions after concussion. However, definitions of SIS vary. We used Scopus to conduct a systematic review and categorize the definitions used to describe SIS. Of the 91 sources identified, 79 (87%) clearly specified that SIS involved either cerebral edema or death after a concussion when a prior concussion had not resolved. Twelve articles (13%) could be interpreted as merely the events of two consecutive concussions...
January 2017: Current Sports Medicine Reports
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