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PT2Go.co Concussion

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445 papers 25 to 100 followers
By Jessica Schwartz Orthopedic residency trained doctor of physical therapy
https://www.readbyqxmd.com/read/28693073/-resting-state-fmri-study-of-emotional-network-in-patients-with-postconcussion-syndrome
#1
X Zhang, R B Qian, X M Fu, B Lin, D Zhang, C S Xia, X P Wei, C S Niu, Y H Wang
Objective: To discuss functional connectivity changes in the emotional network of patients with post-concussion syndrome (PCS) and their clinical significance by resting-state functional magnetic resonance imaging (rs-fMRI). Methods: Twenty-seven patients with PCS were recruited from the Department of Neurosurgery of Anhui provincial hospital affiliated to Anhui medical university from October 2015 to April 2016, and 27 healthy subjects were recruited as the controls. The Hamilton Anxiety Scale (HAMA) and The Hamilton Depression Scale (HAMD) were used to evaluate the emotional state of two groups of subjects...
July 4, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28735282/a-systematic-review-of-criteria-used-to-define-recovery-from-sport-related-concussion-in-youth-athletes
#2
REVIEW
Mohammad Nadir Haider, John J Leddy, Sonja Pavlesen, Melissa Kluczynski, John G Baker, Jeffrey C Miecznikowski, Barry S Willer
OBJECTIVE: The Concussion in Sport Group guidelines recommend a multifaceted approach to help clinicians make return to sport decisions. The purpose of this study was to identify the most common multifaceted measures used to define clinical recovery from sport-related concussion in young athletes (high school and/or college level) and to summarise existing knowledge of criteria used to make return to sport decisions. DESIGN: Systematic review. DATA SOURCES: The PubMed (MEDLINE), SPORTDiscus and Embase electronic databases were searched from 1 January 2000 to 1 March 2017 by three independent reviewers...
July 22, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28545542/recognition-and-treatment-of-sleep-disordered-breathing-an-important-component-of-chronic-disease-management
#3
REVIEW
Peter C Farrell, Glenn Richards
Sleep-disordered breathing (SDB) is a highly prevalent condition, and is associated with many debilitating chronic diseases. The role of untreated obstructive sleep apnea (OSA) in arterial hypertension has been recognized in international guidelines. Treatment with continuous positive airway pressure (CPAP) is associated with clinically-relevant reductions in blood pressure. In heart failure (HF), SDB is associated with worse prognosis and increased mortality. Major HF guidelines recommend that patients should be treated for sleep apnea to improve their HF status...
May 25, 2017: Journal of Translational Medicine
https://www.readbyqxmd.com/read/28753688/the-role-of-neck-muscle-activities-on-the-risk-of-mild-traumatic-brain-injury-in-american-football
#4
Xin Jin, Zhaoying Feng, Valerie Mika, Haiyan Li, David C Viano, King H Yang
Concussion, or mild traumatic brain injury (mTBI), is frequently associated with sports activities. It has generally been accepted that neck strengthening exercises are effective as a preventive strategy for reducing sports-related concussion risks. However, the interpretation of the link between neck strength and concussion risks remains unclear. In this study, a typical helmeted head-to-head impact in American football was simulated using the head and neck complex finite element (FE) model. The impact scenario selected was previously reported in lab-controlled incident reconstructions from high-speed video footages of the National Football League using two head-neck complexes taken from Hybrid III dummies...
October 1, 2017: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/28716270/rapid-sideline-performance-meets-outpatient-clinic-results-from-a-multidisciplinary-concussion-center-registry
#5
G Kyle Harrold, Lisena Hasanaj, Nicholas Moehringer, Isis Zhang, Rachel Nolan, Liliana Serrano, Jenelle Raynowska, Janet C Rucker, Steven R Flanagan, Dennis Cardone, Steven L Galetta, Laura J Balcer
OBJECTIVE: This study investigated the utility of sideline concussion tests, including components of the Sports Concussion Assessment Tool, 3rd Edition (SCAT3) and the King-Devick (K-D), a vision-based test of rapid number naming, in an outpatient, multidisciplinary concussion center treating patients with both sports-related and non-sports related concussions. The ability of these tests to predict clinical outcomes based on the scores at the initial visit was evaluated. METHODS: Scores for components of the SCAT3 and the K-D were fit into regression models accounting for age, gender, and sport/non-sport etiology in order to predict clinical outcome measures including total number of visits to the concussion center, whether the patient reached a SCAT3 symptom severity score≤7, and the total types of referrals each patient received over their course...
August 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28387693/visual-vestibular-processing-deficits-in-mild-traumatic-brain-injury
#6
W G Wright, R T Tierney, J McDevitt
BACKGROUND: The search for reliable and valid signs and symptoms of mild traumatic brain injury (mTBI), commonly synonymous with concussion, has lead to a growing body of evidence that individuals with long-lasting, unremitting impairments often experience visual and vestibular symptoms, such as dizziness, postural and gait disturbances. OBJECTIVE: Investigate the role of visual-vestibular processing deficits following concussion. METHODS: A number of clinically accepted vestibular, oculomotor, and balance assessments as well as a novel virtual reality (VR)-based balance assessment device were used to assess adults with post-acute concussion (n = 14) in comparison to a healthy age-matched cohort (n = 58)...
2017: Journal of Vestibular Research: Equilibrium & Orientation
https://www.readbyqxmd.com/read/27753717/pediatric-referrals-to-an-emergency-department-from-urgent-care-centers
#7
Robert P Olympia, Robert Wilkinson, Jennifer Dunnick, Brendan J Dougherty, Debra Zauner
OBJECTIVE: The aims of this study were to describe pediatric emergency department (ED) referrals from urgent care centers and to determine the percentage of referrals considered essential and serious. METHODS: A prospective study was conducted between April 2013 and April 2015 on patients younger than 21 years referred directly to an ED in central Pennsylvania from surrounding urgent care centers. Referrals were considered essential or serious based on investigations/procedures performed or medications/consultations received in the ED...
October 8, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27567576/case-report-and-review-of-literature-of-delayed-acute-subdural-hematoma
#8
REVIEW
Saman Shabani, Ha Son Nguyen, Ninh Doan, Jamie L Baisden
BACKGROUND: The authors present a case of delayed acute subdural hematoma and review all reported cases in the literature. The focus of this paper is to identify the subset of the population who are at risk, and determine whether they should be admitted for observation in the setting of mild traumatic brain injury. CASE DESCRIPTION: A 75-year-old woman taking daily aspirin (81 mg) had a fall with loss of consciousness. Her Glasgow Coma Scale (GCS) score was 15 at the time of presentation to the emergency department...
December 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27554429/cerebral-perfusion-changes-in-post-concussion-syndrome-a-prospective-controlled-cohort-study
#9
Karen M Barlow, Lorenzo D Marcil, Deborah Dewey, Helen L Carlson, Frank P MacMaster, Brian L Brooks, R Marc Lebel
The biology of post-concussive symptoms is unclear. Symptoms are often increased during activities, and have been linked to decreased cerebrovascular reactivity and perfusion. The aim of this study was to examine cerebral blood flow (CBF) in children with different clinical recovery patterns following mild traumatic brain injury (mTBI). This was a prospective controlled cohort study of children with mTBI (ages 8 to 18 years) who were symptomatic with post-concussive symptoms at one month post-injury (symptomatic, n = 27) and children who had recovered quickly (asymptomatic, n = 24)...
March 1, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27529079/cervical-spine-involvement-in-mild-traumatic-brain-injury-a-review
#10
REVIEW
Michael Morin, Pierre Langevin, Philippe Fait
Background. There is a lack of scientific evidence in the literature on the involvement of the cervical spine in mTBI; however, its involvement is clinically accepted. Objective. This paper reviews evidence for the involvement of the cervical spine in mTBI symptoms, the mechanisms of injury, and the efficacy of therapy for cervical spine with concussion-related symptoms. Methods. A keyword search was conducted on PubMed, ICL, SportDiscus, PEDro, CINAHL, and Cochrane Library databases for articles published since 1990...
2016: Journal of Sports Medicine (Hindawi Publishing Corporation)
https://www.readbyqxmd.com/read/27511792/increasing-lower-extremity-injury-rates-across-the-2009-2010-to-2014-2015-seasons-of-national-collegiate-athletic-association-football-an-unintended-consequence-of-the-targeting-rule-used-to-prevent-concussions
#11
Robert W Westermann, Zachary Y Kerr, Peter Wehr, Annuziato Amendola
BACKGROUND: Sports-related concussions (SRCs) have gained increased societal interest in the past decade. The National Collegiate Athletic Association (NCAA) has implemented legislation and rule changes to decrease the incidence and risk of head injury impacts. The "targeting" rule forbids initiating contact with the crown of a helmet and targeting defenseless players in the head and neck area; however, there are concerns that this rule change has unintentionally led to an increased incidence of lower extremity injuries...
December 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27317833/ephb3-signaling-propagates-synaptic-dysfunction-in-the-traumatic-injured-brain
#12
Enmanuel J Perez, Maria L Cepero, Sebastian U Perez, Joseph T Coyle, Thomas J Sick, Daniel J Liebl
Traumatic brain injury (TBI), ranging from mild concussion to severe penetrating wounds, can involve brain regions that contain damaged or lost synapses in the absence of neuronal death. These affected regions significantly contribute to sensory, motor and/or cognitive deficits. Thus, studying the mechanisms responsible for synaptic instability and dysfunction is important for protecting the nervous system from the consequences of progressive TBI. Our controlled cortical impact (CCI) injury produces ~20% loss of synapses and mild changes in synaptic protein levels in the CA3-CA1 hippocampus without neuronal losses...
October 2016: Neurobiology of Disease
https://www.readbyqxmd.com/read/27325635/sports-and-recreation-related-concussions-in-us-youth
#13
Mersine A Bryan, Ali Rowhani-Rahbar, R Dawn Comstock, Frederick Rivara
OBJECTIVE: The incidence of sports- and recreation-related concussions (SRRCs) in the United States is unknown. More than 44 million youth participate in sports annually, thus understanding the frequency of SRRCs in children is important on a population level. Our objective was to determine the number of SRRCs occurring annually among US youth ≤18 years old. METHODS: We identified SRRCs using 3 national databases: MarketScan, National Electronic Injury Surveillance System, and National High School Sports Related Injury Surveillance System, Reporting Injury Online...
July 2016: Pediatrics
https://www.readbyqxmd.com/read/27331336/epidemiologic-measures-for-quantifying-the-incidence-of-concussion-in-national-collegiate-athletic-association-sports
#14
Zachary Y Kerr, Karen G Roos, Aristarque Djoko, Sara L Dalton, Steven P Broglio, Stephen W Marshall, Thomas P Dompier
CONTEXT: Injury rates compare the relative frequency of sport-related concussions across groups. However, they may not be intuitive to policy makers, parents, or coaches in understanding the likelihood of concussion. OBJECTIVE: To describe 4 measures of incidence (athlete-based rate, athlete-based risk, team-based rate, and team-based risk) during the 2011-2012 through 2014-2015 academic years. DESIGN:  Descriptive epidemiology study. SETTING: Aggregate injury and exposure data collected from the National Collegiate Athletic Association Injury Surveillance Program in 13 sports (men's baseball, basketball, football, ice hockey, lacrosse, soccer, and wrestling and women's basketball, ice hockey, lacrosse, soccer, softball, and volleyball)...
March 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/27333460/football-players-head-impact-exposure-after-limiting-of-full-contact-practices
#15
Steven P Broglio, Richelle M Williams, Kathryn L O'Connor, Jason Goldstick
CONTEXT: Sporting organizations limit full-contact football practices to reduce concussion risk and based on speculation that repeated head impacts may result in long-term neurodegeneration. OBJECTIVE: To directly compare head-impact exposure in high school football players before and after a statewide restriction on full-contact practices. DESIGN: Cross-sectional study. SETTING: High school football field. PATIENTS OR OTHER PARTICIPANTS: Participants were varsity football athletes from a single high school...
July 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/26980845/reliability-and-associated-risk-factors-for-performance-on-the-vestibular-ocular-motor-screening-voms-tool-in-healthy-collegiate-athletes
#16
Anthony P Kontos, Alicia Sufrinko, R J Elbin, Alicia Puskar, Michael W Collins
BACKGROUND: The Vestibular/Ocular Motor Screening (VOMS) is a newly developed screening tool that evaluates vestibular and ocular motor symptom (eg, headache, dizziness, nausea, fogginess) provocation after a sport-related concussion. Baseline data on the VOMS are needed to extend the application of this measure to broad age groups and to document normal variations in performance. PURPOSE: The primary purpose of this study was to examine the internal consistency of the VOMS in a large sample of healthy, nonconcussed collegiate athletes...
June 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26991608/long-term-treatment-with-methylphenidate-for-fatigue-after-traumatic-brain-injury
#17
B Johansson, A-P Wentzel, P Andréll, L Rönnbäck, C Mannheimer
OBJECTIVES: Traumatic brain injury (TBI) may cause long-lasting post-concussive symptoms, such as mental fatigue and concentration difficulties, and this may become the main hindrance for returning to work and studies. There is currently no effective treatment for long-lasting mental fatigue. In this hypothesis generating study, the long-term effects of methylphenidate on mental fatigue, cognitive function, and safety were assessed. MATERIALS & METHODS: Thirty participants who suffered from long-term post-concussion symptoms after a mild TBI or moderate TBI and who had reported positive effects with methylphenidate during an initial phase of this follow-up study were treated with methylphenidate for a further six months...
January 2017: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/26933575/vestibular-deficits-following-concussion
#18
J Gordon Millichap
Investigators from the Division of Emergency Medicine, Sports Medicine, and Department of Pediatrics, Children's Hospital of Philadelphia, PA, and Sports Medicine, Somerset, NJ, performed a retrospective cohort study of 247 patients ages 5-18 years with concussion referred from July 2010 to Dec 2011; 81% of patients showed a vestibular abnormality on initial clinical examination.
May 2015: Pediatric neurology briefs
https://www.readbyqxmd.com/read/26647221/a-novel-approach-to-sports-concussion-assessment-computerized-multilimb-reaction-times-and-balance-control-testing
#19
Matti V Vartiainen, Anu Holm, Jani Lukander, Kristian Lukander, Sanna Koskinen, Robert Bornstein, Laura Hokkanen
INTRODUCTION: Mild traumatic brain injuries (MTBI) or concussions often result in problems with attention, executive functions, and motor control. For better identification of these diverse problems, novel approaches integrating tests of cognitive and motor functioning are needed. The aim was to characterize minor changes in motor and cognitive performance after sports-related concussions with a novel test battery, including balance tests and a computerized multilimb reaction time test...
2016: Journal of Clinical and Experimental Neuropsychology
https://www.readbyqxmd.com/read/26570184/523-rise-in-mtbi-concussions-in-trauma-patients-without-change-is-overall-numbers-of-tbi
#20
Dave Milzman, Aidan Neustadtl, Jeremy Altman, Danny Milzman, Jack Sava, Sam FRenkel
No abstract text is available yet for this article.
December 2015: Critical Care Medicine
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