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Concussion return to play

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https://www.readbyqxmd.com/read/29018545/concussion-in-field-hockey-a-retrospective-analysis-into-the-incidence-rates-mechanisms-symptoms-and-recovery-of-concussive-injuries-sustained-by-elite-field-hockey-players
#1
Michael Rossiter, Michael Challis
OBJECTIVES: To identify the incidence and mechanisms of concussion in elite Field Hockey in different age groups and also the postconcussion symptoms and recovery times. METHODS: Data was collected retrospectively, for both training and matches, over a 12-month period from national level Field Hockey players across under-16, under-18, under-21, Development and Senior players. Mechanism of injury (including player role and field position), postconcussive symptoms and recovery times were recorded following a semistructured interview with each player...
2017: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/28989074/safety-of-active-rehabilitation-for-persistent-symptoms-after-pediatric-sport-related-concussion-a-randomized-controlled-trial
#2
Catherine Chan, Grant L Iverson, Jacqueline Purtzki, Kathy Wong, Vivian Kwan, Isabelle Gagnon, Noah D Silverberg
OBJECTIVE: To examine the safety and tolerability of an active rehabilitation program for adolescents who are slow to recover from a sport-related concussion. A secondary objective was to estimate the treatment effect for this intervention. DESIGN: Single-site parallel open-label randomized controlled trial (RCT) comparing treatment as usual (TAU) to TAU plus active rehabilitation. SETTING: Outpatient concussion clinic. PARTICIPANTS: Adolescents aged 12-18 with postconcussion symptoms lasting >1 month after a sports-related concussion...
October 5, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28943830/the-clinical-implications-of-youth-sports-concussion-laws-a-review
#3
Jeneita M Bell, Christina L Master, Michael R Lionbarger
The recent passage of state youth sports concussion laws across the country introduces clinical implications for health care professionals caring for student-athletes. Although the laws were established to provide protections for student-athletes and prevent adverse outcomes, efforts aimed at implementation have uncovered various challenges in concussion diagnosis and management. Some of the most salient issues include medical evaluation, return to play, and return to learn. For this reason, health care professionals play a pivotal role in determining the critical next steps after a student is removed from play with a suspected concussion...
2017: American Journal of Lifestyle Medicine
https://www.readbyqxmd.com/read/28933327/concussion-in-sports-what-trauma-orthopedic-surgeons-need-to-know
#4
A Gänsslen, T Neubauer, W Krutsch
Concussion in sport is often underdiagnosed with the potential risk of long-term sequelae. This article presents the mechanisms, the underlying pathophysiology and typical primary signs and symptoms. The recognition and resulting medical measures including the present recommendations and decisions on return to play are described. The majority of patients with concussion present with clinical and cognitive symptoms only for short time intervals. As a rule a complete subjective recovery is observed within a few hours or days...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28902761/care-of-water-polo-players
#5
Jennifer D Stromberg
Water polo is a team sport that combines swimming with overhead throwing and wrestling. This places water polo players at risk for a unique group of illnesses and injuries. In addition to the medical problems and injuries seen in competitive swimmers, water polo players are at risk for a variety of traumatic injuries, including concussions, eye injuries, tympanic membrane perforation, fractures, dislocations, and lacerations. Repetitive overhead throwing also places these athletes at risk for related injuries, such as shoulder problems, including rotator cuff strain and impingement, and elbow problems, such as ulnar collateral ligament injuries, posteromedial impingement, and osteochondritis dissecans of the radial capitellum...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28900059/neuroimaging-of-sports-concussions
#6
Teresa G Odle
Concussions resulting from sports activities have received attention in recent years, and failure to prevent head injury has undergone scrutiny. Although many factors contribute to sports concussion incidence, determining when an athlete can return to play is crucial to minimizing long-term effects of concussion. To date, neuroimaging plays a limited role in concussion evaluation, but conventional and advanced neuroimaging techniques are contributing to the body of research on their future use in evaluation...
July 2017: Radiologic Technology
https://www.readbyqxmd.com/read/28872354/video-and-clinical-screening-of-national-rugby-league-players-suspected-of-sustaining-concussion
#7
Andrew J Gardner, Magdalena Wojtowicz, Douglas P Terry, Christopher R Levi, Ross Zafonte DO, Grant L Iverson
PRIMARY OBJECTIVE: This study reviewed the available sideline Sport Concussion Assessment Tool-Third Edition (SCAT3) performance of players who were removed from play using the 'concussion interchange rule' (CIR), the available video footage of these incidences, and associated return to play and concussion diagnosis decisions. RESEARCH DESIGN: Descriptive, observational case series. METHODS AND PROCEDURES: Data were collected from all NRL players who used the CIR during the 2014 season...
September 5, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28866109/a-three-year-epidemiological-prospective-cohort-study-of-rugby-league-match-injuries-from-the-european-super-league
#8
Anna C Fitzpatrick, Adam S Naylor, Peter Myler, Colin Robertson
OBJECTIVES: Conduct a comprehensive epidemiological study of match injury characteristics (incidence, severity, causes, diagnostics, and temporal trends) in professional rugby league. DESIGN: Prospective cohort design. METHODS: Data was captured over the 2013, '14, and '15 seasons, collected via an online-reporting survey tool, and underpinned by nominal group technique-agreed definitions. Injury details were provided by club medical staff in accordance to the survey fields from all European Super League teams (e...
August 24, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28841573/pediatric-providers-attitudes-and-practices-regarding-concussion-diagnosis-and-management
#9
Khalida Itriyeva, Ronald Feinstein, Linda Carmine
Background Concussions, a form of mild traumatic brain injury, are a current "hot topic" in sports and medicine, with current research focusing on diagnosis, treatment, and the long-term effects of repeated concussions on development of chronic traumatic encephalopathy. Concussions represent 8.9% of all high school athletic injuries, and pediatricians see many of these patients in their practices, however evolving guidelines and recommendations have resulted in varying practices among providers. Objective To assess how local pediatricians in New York Chapter 2 of the American Academy of Pediatrics (AAP) diagnose and treat concussion patients, and to evaluate the need for continuing education in this area...
August 25, 2017: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/28839132/neuroimaging-of-sport-concussion-persistent-alterations-in-brain-structure-and-function-at-medical-clearance
#10
Nathan W Churchill, Michael G Hutchison, Doug Richards, General Leung, Simon J Graham, Tom A Schweizer
The medical decision of return to play (RTP) after a sport concussion is largely based on symptom status following a graded exercise protocol. However, it is currently unknown how objective markers of brain structure and function relate to clinical recovery. The goal of this study was to determine whether differences in brain structure and function at acute injury remain present at RTP. In this longitudinal study, 54 active varsity athletes were scanned using magnetic resonance imaging (MRI), including 27 with recent concussion, imaged at both acute injury and medical clearance, along with 27 matched controls...
August 24, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28838286/self-reported-history-of-seizure-and-baseline-neurocognitive-test-performance-in-student-athletes-an-initial-investigation
#11
Brian H Zalneraitis, Alec J Pawlukiewicz, Aaron M Yengo-Kahn, Gary S Solomon
OBJECTIVES: Baseline neurocognitive assessment data can be critical in return to play (RTP) decision-making following a sport-related concussion (SRC). The literature indicates that many modifying factors of SRC have been studied empirically; however, there has been little investigation into the effect of a self-reported history of seizure(s) on baseline neurocognitive test data. The objective of this investigation was to determine whether a self-reported history of seizure(s) is associated with differences in baseline Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) performance...
August 25, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28804753/concussion-incidence-and-recurrence-in-professional-australian-football-match-play-a-14-year-analysis
#12
Nathan Gibbs, Mark Watsford
BACKGROUND: Concussion incidence rates in professional Australian football may be underreported due to the injury classification definition. A myriad of factors contribute to concussion risk; however, there is limited long-term surveillance in Australian football. This study analysed concussion in one Australian football team over an extended period. METHOD: Match-play concussion injuries in one team (n = 116 participants) were diagnosed and treated by the team physician over 14 years...
2017: Journal of Sports Medicine (Hindawi Publishing Corporation)
https://www.readbyqxmd.com/read/28800081/autonomic-dysfunction-after-mild-traumatic-brain-injury
#13
Dmitry Esterov, Brian D Greenwald
A mild traumatic brain injury (mTBI) is a complex pathophysiologic process that has a systemic effect on the body aside from solely an impairment in cognitive function. Dysfunction of the autonomic nervous system (ANS) has been found to induce abnormalities in organ systems throughout the body, and may contribute to cardiovascular dysregulation and increased mortality. Autonomic dysfunction, also known as dysautonomia, has been studied in moderate and severe TBI, and has emerged as a major contributing factor in the symptomatology in mTBI as well...
August 11, 2017: Brain Sciences
https://www.readbyqxmd.com/read/28795001/evaluation-and-management-of-sport-related-concussions-in-adolescent-athletes
#14
REVIEW
Dilip R Patel, Venu Parachuri, Amrith Shettigar
Sport-related concussions in young athletes are common, generally under reported and often go unrecognized. Concussion in sport may result either from a direct impact to the head or from indirect forces transmitted to the brain from impact elsewhere on the body. Concussions may also result from sudden acceleration, deceleration or rotational forces to the brain. The key features of concussion include confusion, impaired memory and reduced speed of information processing. Recovery may occur from a few days to several weeks or months...
July 2017: Translational pediatrics
https://www.readbyqxmd.com/read/28795000/sport-related-concussions-in-adolescent-athletes-a-critical-public-health-problem-for-which-prevention-remains-an-elusive-goal
#15
REVIEW
Dilip R Patel, Diana Fidrocki, Venu Parachuri
Sport-related concussions in young athletes are common, generally under reported and often unrecognized. Preventive strategies include education, modification of sport rules, use of equipment such as headgears, face masks and mouth guards, and neck muscle training. Evidence is limited to support effectiveness of these preventive measures with the exception of rule modification in some sports. In the United States, laws have been enacted that require medical evaluation and clearance prior to return to play; however, evidence thus far does not show that laws have been effective in reducing the incidence of concussions in sport...
July 2017: Translational pediatrics
https://www.readbyqxmd.com/read/28793153/a-collaborative-model-for-return-to-academics-after-concussion-athletic-training-and-speech-language-pathology
#16
Sarah A Dachtyl, Pedro Morales
Purpose: In this article, we describe an academic concussion management protocol designed for grades Pre-K to 12, called Cognitive Return to Exertion (CoRTEx). Collaboration between the speech-language pathologist (SLP) and athletic trainer (AT) is highlighted. Method: A description of CoRTEx is provided, and the need for collaboration is emphasized. A case study illustrates an example of how CoRTEx can be implemented at the individual student level. Results: A total of 165 students went through CoRTEx from the pilot in April 2014 through December 2016...
August 15, 2017: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/28736353/sport-related-structural-brain-injury-3-cases-of-subdural-hemorrhage-in-american-high-school-football
#17
Aaron M Yengo-Kahn, Ryan M Gardner, Andrew W Kuhn, Gary S Solomon, Christopher M Bonfield, Scott L Zuckerman
BACKGROUND: The risk of sport-related concussion (SRC) has emerged as a major public health concern. In rare instances, sport-related head injuries can be even more severe, such as subdural hemorrhage, epidural hemorrhage, or malignant cerebral edema. Unlike SRCs, sport-related structural brain injury (SRSBI) is rare, may require neurosurgical intervention, and can lead to permanent neurologic deficit or death. Data characterizing SRSBI are limited, and many have recognized the need to better understand these catastrophic brain injuries...
October 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28673417/neurologic-injuries-in-noncontact-sports
#18
REVIEW
Robert J Marquardt, Andrew Blake Buletko, Andrew Neil Russman
Noncontact sports are associated with a variety of neurologic injuries. Concussion, vascular injury (arterial dissection), and spinal cord trauma may be less common in noncontact sports, but require special attention from the sports neurologist. Complex regional pain disorders, muscle injury from repetitive use, dystonia, heat exposure, and vascular disorders (patent foramen ovale), occur with similar frequency in noncontact and contact sports. Management of athletes with these conditions requires an understanding of the neurologic consequences of these disorders, the risk of injury with return to play, and consideration for the benefits of exercise in health restoration and disease prevention...
August 2017: Neurologic Clinics
https://www.readbyqxmd.com/read/28673410/blood-based-biomarkers-for-the-identification-of-sports-related-concussion
#19
REVIEW
Martina Anto-Ocrah, Courtney Marie Cora Jones, Danielle Diacovo, Jeffrey J Bazarian
Sports-related concussions (SRCs) are common among athletes in the United States. Most athletes who sustain an SRC recover within 7 to 10 days; however, many athletes who sustain the injury do not recover as expected and experience prolonged, persistent symptoms. In this document, the authors provide an overview of the empirical evidence related to the use of blood-based brain biomarkers in the athlete population for diagnosis of SRCs, prognosis of recovery and return to play guidelines, and indications of neurodegeneration...
August 2017: Neurologic Clinics
https://www.readbyqxmd.com/read/28653870/osteoarthritis-prevalence-in-retired-national-football-league-players-with-a-history-of-concussion-and-lower-extremity-injury
#20
Robert C Lynall, Brian Pietrosimone, Zachary Y Kerr, Timothy C Mauntel, Jason P Mihalik, Kevin M Guskiewicz
CONTEXT:   Dynamic balance deficits have been described postconcussion, even after athletes return to play. Lower extremity (LE) musculoskeletal injury rates increase for up to 1 year after concussion, but the long-term musculoskeletal implications of concussion are unclear. OBJECTIVE:   To (1) examine the association of concussion and LE injury histories with osteoarthritis (OA) prevalence in retired National Football League players and (2) examine the association of concussion and LE injury histories with OA prevalence in those ≤55 years of age...
June 2, 2017: Journal of Athletic Training
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