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concussion assessment

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https://www.readbyqxmd.com/read/29337721/continuing-play-symptom-severity-and-symptom-duration-after-concussion-in-youth-athletes
#1
David R Howell, Michael J OʼBrien, Joana Fraser, William P Meehan
OBJECTIVE: To determine whether continuing to play after a concussion is associated with higher symptom burden or prolonged symptom duration. DESIGN: Patients who presented for care at a sport concussion clinic within the first 3 weeks of injury were asked whether they continued to play immediately after their injury. SETTING: Sport concussion clinic within a regional tertiary care hospital. MAIN OUTCOME MEASURES: Clinical outcomes including symptom severity, symptom duration, age, time from injury-clinical presentation, sex, sport type, previous concussion history, and whether or not they experienced loss of consciousness or amnesia at the time of injury were recorded...
January 15, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29337649/neurocognitive-deficits-associated-with-adhd-in-athletes-a-systematic-review
#2
Poyrung Poysophon, Ashwin L Rao
CONTEXT: Attention deficit hyperactivity disorder (ADHD) is a common childhood disorder and is frequently diagnosed in young adults. Emerging studies suggest a relationship between ADHD and concussion. OBJECTIVE: To determine whether athletes with ADHD are at increased risk for neurocognitive deficits related to concussion risk, symptom reporting, and recovery. DATA SOURCES: A comprehensive search of PubMed, CINAHL, PsychInfo, and Cochrane Library databases was performed...
January 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29334834/mild-jugular-compression-collar-ameliorated-changes-in-brain-activation-of-working-memory-after-one-soccer-season-in-female-high-school-athletes
#3
Weihong Yuan, Jonathan Dudley, Kim Barber-Foss, Jonathan D Ellis, Staci Thomas, Ryan T Galloway, Christopher DiCesare, James Leach, Janet Adams, Thomas Maloney, Brooke Gadd, David Smith, Jeff Epstein, Dustin R Grooms, Kelsey Logan, David R Howell, Mekibib Altaye, Gregory D Myer
Recent neuroimaging studies have suggested that repetitive sub-concussive head impacts, even after only one sport season, may lead to pre- to post-season structural and functional alterations in male high school football athletes. However, data on female atheletes is limited. In the current investigation, we aimed to (1) assess the longitudinal pre- to post-season changes in fMRI of working memory and working memory performance, (2) quantify the association between the pre- to post-season change in fMRI of working memory and the exposure to head impact and working memory performance, and (3) assess whether wearing a neck collar designed to reduce intracranial slosh via mild compression of the jugular veins can ameliorate the changes in fMRI brain activation observed in the non-collar group after a full soccer season...
January 15, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29327631/the-association-between-adverse-childhood-experiences-and-adult-traumatic-brain-injury-concussion-a-scoping-review
#4
Zechen Ma, Mark T Bayley, Laure Perrier, Priya Dhir, Lana Dépatie, Paul Comper, Lesley Ruttan, Christine Lay, Sarah E P Munce
BACKGROUND: Adverse childhood experiences are significant risk factors for physical and mental illnesses in adulthood. Traumatic brain injury/concussion is a challenging condition where pre-injury factors may affect recovery. The association between childhood adversity and traumatic brain injury/concussion has not been previously reviewed. The research question addressed is: What is known from the existing literature about the association between adverse childhood experiences and traumatic brain injury/concussion in adults? METHODS: All original studies of any type published in English since 2007 on adverse childhood experiences and traumatic brain injury/concussion outcomes were included...
January 12, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29323926/investigating-effects-of-sex-differences-and-prior-concussions-on-symptom-reporting-and-cognition-among-adolescent-soccer-players
#5
Brian L Brooks, Noah Silverberg, Bruce Maxwell, Rebekah Mannix, Ross Zafonte, Paul D Berkner, Grant L Iverson
BACKGROUND: There has been increasing concern regarding the possible effect of multiple concussions on the developing brain, especially for adolescent females. Hypothesis/Purpose: The objectives were to determine if there are differences in cognitive functioning, symptom reporting, and/or sex effects from prior concussions. In a very large sample of youth soccer players, it was hypothesized that (1) there would be no differences in cognitive test performance between those with and without prior concussions, (2) baseline preseason symptoms would be better predicted by noninjury factors than concussion history, and (3) males and females with prior concussions would not have differences in cognition or symptoms...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29318971/-phenserine-and-inhibiting-pre-programmed-cell-death-in-pursuit-of-a-novel-intervention-for-alzheimer-s-disease
#6
Robert E Becker, Nigel H Greig, Debomoy K Lahiri, Joseph Bledsoe, Sarah Majercik, Clive Ballard, Dag Aarsland, Lon S Schneiderh, Douglas Flanagan, Ramprakash Govindarajani, Mary Sano, Luigi Ferrucci, Dimitrios Kapogiannisk
BACKGROUND: Concussion (mild) and other moderate traumatic brain injury (TBI) and Alzheimer's disease (AD) share overlapping neuropathologies, including neuronal pre-programmed cell death (PPCD), and clinical impairments and disabilities. Multiple clinical trials targeting mechanisms based on the Amyloid Hypothesis of AD have so far failed, indicating that it is prudent for new drug developments to also pursue mechanisms independent of the Amyloid Hypothesis. To address these issue, we have proposed the use of an animal model of concussion/TBI as a supplement to AD transgenic mice to provide an indication of an AD drug candidate's potential for preventing PPCD and resulting progression towards dementia in AD...
January 10, 2018: Current Alzheimer Research
https://www.readbyqxmd.com/read/29315170/efficacy-of-tandem-gait-to-identify-impaired-postural-control-following-concussion
#7
Jessie R Oldham, Melissa S DiFabio, Thomas W Kaminski, Ryan M DeWolf, David R Howell, Thomas A Buckley
PURPOSE: The purpose was to evaluate tandem gait (TG), Balance Error Scoring System (BESS), and modified Balance Error Scoring System (mBESS) performance acutely post-concussion in collegiate student-athletes. Additionally, we sought to evaluate the psychometric properties of TG, including minimal detectable change (MDC), sensitivity, and specificity. METHODS: Seventy-six NCAA student-athletes performed TG and BESS tests: 38 acutely post-concussion and 38 controls...
January 8, 2018: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29300847/an-interdisciplinary-approach-to-sports-concussion-evaluation-and-management-the-role-of-a-neuropsychologist
#8
Summer D Ott, Christopher M Bailey, Donna K Broshek
Sports neuropsychology is a rapidly emerging field that affords neuropsychologists, the opportunity to work with a diverse group of individuals in terms of age, gender, sports, ethnicity, and language and sports has a way of bringing diverse communities together. Although working with athletes can be associated with unique challenges, neuropsychological assessment with this population and being part of an interdisciplinary sports medicine team is both exciting and rewarding and can merge a passion for sports with professional interests...
December 29, 2017: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/29299391/the-auditory-comprehension-changes-over-time-after-sport-related-concussion-can-indicate-multisensory-processing-dysfunctions
#9
Anita Białuńska, Anthony P Salvatore
Background: Although science findings and treatment approaches of a concussion have changed in recent years, there continue to be challenges in understanding the nature of the post-concussion behavior. There is growing a body of evidence that some deficits can be related to an impaired auditory processing. Purpose: To assess auditory comprehension changes over time following sport-related concussion (SRC) in young athletes. Methods: A prospective, repeated measures mixed-design was used...
December 2017: Brain and Behavior
https://www.readbyqxmd.com/read/29282262/brain-health-and-healthy-ageing-in-retired-rugby-union-players-the-brain-study-study-protocol-for-an-observational-study-in-the-uk
#10
Valentina Gallo, Damien McElvenny, Catherine Hobbs, Donna Davoren, Huw Morris, Sebastian Crutch, Henrik Zetterberg, Nick C Fox, Simon Kemp, Matthew Cross, Nigel K Arden, Madeleine A M Davies, Andrea Malaspina, Neil Pearce
INTRODUCTION: Relatively little is known about the long-term health of former elite rugby players, or former sportspeople more generally. As well as the potential benefits of being former elite sportspersons, there may be potential health risks from exposures occurring during an individual's playing career, as well as following retirement. Each contact sport has vastly different playing dynamics, therefore exposing its players to different types of potential traumas. Current evidence suggests that these are not necessarily comparable in terms of pathophysiology, and their potential long-term adverse effects might also differ...
December 26, 2017: BMJ Open
https://www.readbyqxmd.com/read/29280684/sport-related-concussive-convulsions-a-systematic-review
#11
Nicholas O Kuhl, Aaron M Yengo-Kahn, Hannah Burnette, Gary S Solomon, Scott L Zuckerman
OBJECTIVES: The incidence of sport-related concussion (SRC) continues to rise. Presentations of concussed athletes vary from subtle symptoms to notable signs. Between the 4th and 5th iterations of the Concussion in Sport Group (CISG) guidelines, concussive convulsions were removed as a modifying factor, but little evidence or discussion supported this change. While considerable research exists regarding post-traumatic epilepsy in moderate to severe traumatic brain injury, convulsions following SRC are relatively understudied...
December 27, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29278998/neurocognitive-and-fine-motor-deficits-in-asymptomatic-adolescents-during-the-subacute-period-after-concussion
#12
Richard J Servatius, Kevin M Spiegler, Justin D Handy, Kevin C H Pang, Jack W Tsao, Catherine A Mazzola
Adolescents are at high risk for sustaining concussions. There is considerable controversy regarding the sensitivity of neurocognitive tests to detect and track dysfunction in the aftermath of concussion. Two neurocognitive test batteries were compared during the subacute phase of recovery from concussion to determine sensitivity to concussion. Adolescents (ages 11-17 years) with a concussion diagnosis (8 males, 7 females, 9-69 days after injury) were recruited through a concussion clinic and compared to community non-concussed volunteers (11 males, 3 females)...
December 26, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29277373/exertional-tolerance-assessments-after-mild-traumatic-brain-injury-a-systematic-review
#13
REVIEW
Catherine Quatman-Yates, Anna Bailes, Sara Constand, Mary Claire Sroka, Katharine Nissen, Brad Kurowski, Jason Hugentobler
OBJECTIVE: The objective of this study was to review the literature to identify and summarize strategies for evaluating responses to physical exertion after mild traumatic brain injury (mTBI) for clinical and research purposes. DATA SOURCES: PubMed and EBSCOHost through December 31, 2016. STUDY SELECTION: Two independent reviewers selected studies based on the following criteria: 1) inclusion of participants with mTBI/concussion, 2) use of a measurement of physiological or psychosomatic response to exertion, 3) a repeatable description of the exertion protocol was provided, 4) a sample of at least 10 participants with a mean age between 8-65 years, and 5) the article was in English...
December 22, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29259806/concussion-knowledge-and-experience-among-welsh-amateur-rugby-union-coaches-and-referees
#14
Steffan Arthur Griffin, Craig Ranson, Isabel Moore, Prabhat Mathema
Background: Rugby union is a collision sport where participants are at high risk of sustaining a concussion. In settings where there is little qualified medical supervision, certain stakeholders (eg, coaches and officials) should possess sufficient knowledge in regard to the recognition and management of concussion. Aim: The aim of this study was to assess the knowledge and experience of various aspects of concussion among coaches and referees involved in Welsh amateur rugby union...
2017: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29259575/visually-induced-dizziness-in-children-and-validation-of-the-pediatric-visually-induced-dizziness-questionnaire
#15
Marousa Pavlou, Susan L Whitney, Abdulaziz A Alkathiry, Marian Huett, Linda M Luxon, Ewa Raglan, Emma L Godfrey, Doris-Eva Bamiou
Aims: To develop and validate the Pediatric Visually Induced Dizziness Questionnaire (PVID) and quantify the presence and severity of visually induced dizziness (ViD), i.e., symptoms induced by visual motion stimuli including crowds and scrolling computer screens in children. Methods: 169 healthy (female n = 89; recruited from mainstream schools, London, UK) and 114 children with a primary migraine, concussion, or vestibular disorder diagnosis (female n = 62), aged 6-17 years, were included...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/29258949/outcome-of-traumatic-brain-injury-in-elderly-population-a-tertiary-centre-experience-from-a-developing-country
#16
G Lakshmi Prasad, N Anmol, Girish R Menon
BACKGROUND: The increasing ratio of elderly population has contributed to increased incidence of TBI in this cohort. Authors put forward their institutional experience in the management of elderly TBI. MATERIALS AND METHODS: A 3-year retrospective analysis of 73 consecutive patients aged ≥ 65 years admitted with TBI at our university hospital was performed. The following were excluded-concussion injuries, chronic subdural hematomas (SDH), patients discharged against medical advice (DAMA) and declared dead soon after arrival (within 6 hours)...
December 16, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29250458/comparison-of-psychological-response-between-concussion-and-musculoskeletal-injury-in-collegiate-athletes
#17
Samantha Turner, Jody Langdon, George Shaver, Victoria Graham, Kelly Naugle, Thomas Buckley
The psychological response to musculoskeletal injuries has been well documented, however, research on the psychological response to concussion is limited. The Profile of Mood States (POMS) and the State-Trait Anxiety Inventory (STAI) have recently been used to assess the psychological recovery of concussions. Although some studies indicate that psychological response is different for musculoskeletal injuries and concussion, there is currently not enough information to indicate this difference occurs at specific clinical milestones...
2017: Sport, Exercise, and Performance Psychology
https://www.readbyqxmd.com/read/29246592/risk-factors-associated-with-baseline-king-devick-performance
#18
R Moran, T Covassin
OBJECTIVE: This study examined the effect of baseline risk factors on the King-Devick (K-D) test in youth athletes, including of age, sex, and history of concussion. METHODS: A total of 422 youth football and soccer athletes between the ages of 8 and 14 completed a baseline K-D test prior to the start of their respective seasons. Participant age, sex, and history of concussion were analyzed for K-D performance (i.e., errors and baseline time). A series of Mann-Whitney U tests were conducted to determine the effects of risk factors on performance...
December 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/29242818/exploring-accelerometer-versus-self-report-sleep-assessment-in-youth-with-concussion
#19
Ivona Berger, Joyce Obeid, Brian W Timmons, Carol DeMatteo
This study examines accelerometer-based and self-report assessment of sleep disturbance from a larger prospective cohort of youth 5 to 18 years of age with postconcussive injury. Twenty-one participants with self-reported sleep disturbance were evaluated using accelerometers. Participants completed the Pittsburgh Sleep Quality Index (PSQI) every 48 hours and also measured sleep via accelerometry. Correlations were conducted matching PSQI scores to accelerometry assessment. PSQI scores were significantly correlated only with "average number of awakenings" (r = -0...
2017: Global Pediatric Health
https://www.readbyqxmd.com/read/29239998/seasonal-changes-in-functional-fitness-and-neurocognitive-assessments-in-youth-ice-hockey-players
#20
Michelle Avery, Nick Wattie, Michael Holmes, Shilpa Dogra
Deficits in balance and strength combined with differing rates of sensory and motor neural development may increase risk of sports related injury in youth. This study evaluated changes in functional fitness and concussion status over the course of a competitive season in youth ice-hockey players, and examined the relationship between these variables and injury occurrence. Thirty-six participants (8.9 ± 1.1 years) completed pre and post-season assessments including anthropometric measurements, the Functional Movement Screen (FMS), Lower Quarter Y-Balance Test (YBT-LQ), and a computerized neurocognitive assessment (ImPACT)...
December 11, 2017: Journal of Strength and Conditioning Research
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