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Concussion therapy

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506 papers 500 to 1000 followers Concussion therapy
By David Rhine MD FRCPC. Emergency medicine. Special interest in concussion management.
https://www.readbyqxmd.com/read/29929203/a-history-of-concussion-does-not-lead-to-an-increase-in-ocular-near-point-of-convergence
#1
Paul van Donkelaar, Jill Dierijck, Alexander Wright, Jonathan Smirl
Ocular near point of convergence (NPC) has been shown to be sensitive to the effects of concussion and subconcussive impacts. To determine if NPC is also sensitive to a previous history of concussion, male contact-sport athletes either with (n=26) or without (n=16) a history of at least one previous concussion had their NPC assessed. The results showed that participants with a history of concussion displayed NPC values (9.4±1.6 cm) indistinguishable from those with no history of concussion (8.4±2.1 cm, t-test, p=0...
June 21, 2018: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/29876872/pharmacotherapy-for-persistent-posttraumatic-headaches-in-children-and-adolescents-a-brief-review-of-the-literature
#2
Joanne Kacperski
Concussion, now most often referred to as mild traumatic brain injury in recent literature, is common in pediatrics, and headache is often the most common complaint post-injury. Although most children and adolescents recover within 1-2 weeks, some develop frequent and debilitating headaches that can last for months or longer. Most clinicians would agree on the importance of managing both acute and persistent posttraumatic headaches appropriately to speed recovery, minimize disability, maximize function, and improve quality of life, but there are no well-established guidelines to instruct physicians in doing so...
June 7, 2018: Paediatric Drugs
https://www.readbyqxmd.com/read/29863622/reduced-resting-and-increased-elevation-of-heart-rate-variability-with-cognitive-task-performance-in-concussed-athletes
#3
Mu Huang, Justin Frantz, Gilbert Moralez, Tonia Sabo, Peter F Davis, Scott L Davis, Kathleen R Bell, Sushmita Purkayastha
OBJECTIVE: To examine heart rate variability (HRV) at rest and with a 2-Back cognitive task involving executive function and sustained attention in athletes during the acute phase following concussion and compare them with the controls. PARTICIPANTS: Twenty-three male and female collegiate athletes (20 ± 1 years) following (4 ± 1 days) a sports-related concussion and 23 sports- and sex-matched noninjured controls. PROCEDURE: Continuous R-R interval was acquired using 3-lead electrocardiogram for 3 minutes each at rest and during the 2-Back task...
May 31, 2018: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/29864101/prospective-changes-in-vestibular-and-ocular-motor-impairment-after-concussion
#4
R J Elbin, Alicia Sufrinko, Morgan N Anderson, Samantha Mohler, Philip Schatz, Tracey Covassin, Anne Mucha, Michael W Collins, Anthony P Kontos
BACKGROUND AND PURPOSE: The utility of prospective changes on the Vestibular/Ocular Motor Screening (VOMS) assessment are unknown, and 2 methods of scoring are published in the literature. Total scores are the total symptom scores for each VOMS component, and change scores are the difference between the pretest total symptom score and component total symptom scores. This study documented prospective changes in vestibular and ocular motor impairments and symptoms in high school athletes with concussion using the total and change scoring methods and compared the percentage of scores over clinical cutoffs using the total and change scoring methods for the VOMS...
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29757458/posttraumatic-headache-basic-mechanisms-and-therapeutic-targets
#5
REVIEW
Joshua Kamins, Andrew Charles
Frequent or continuous headache, often refractory to medical therapy, is a common occurrence after head trauma. In addition to being the most common acute symptom after traumatic brain injury (TBI), headache is also one of the most persistent and disabling symptoms. Different studies indicate that 18-58% of those suffering a TBI will have significant headache at 1 year following the trauma. In addition to being disabling on its own, posttraumatic headache (PTH) is a predictor of overall outcome after concussion...
June 2018: Headache
https://www.readbyqxmd.com/read/29685463/a-prospective-evaluation-of-the-influence-of-an-electronic-clinical-practice-guidelines-on-concussion-patients-future-activities-and-outcomes
#6
Brian H Rowe, Leeor Eliyahu, Justin Lowes, Lindsay A Gaudet, Jeremy Beach, Martin Mrazik, Garnet Cummings, Donald Voaklander
BACKGROUND: Patients with mild traumatic brain injury or concussion commonly present to the emergency department for assessment; providing patients with information on usual symptoms and their progression may encourage faster recovery. OBJECTIVES: This study aimed to document the role of an electronic clinical practice guideline (eCPG) patient handout on concussion recovery in adult patients discharged from the hospital. METHODS: A prospective cohort study was carried out in 3 Canadian urban emergency departments...
June 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29665736/fear-avoidance-and-clinical-outcomes-from-mild-traumatic-brain-injury
#7
Noah D Silverberg, William Panenka, Grant L Iverson
Characterizing psychological factors that contribute to persistent symptoms after mild traumatic brain injury (MTBI) can inform early intervention. To determine whether fear avoidance, a known risk factor for chronic disability after musculoskeletal injury, is associated with worse clinical outcomes from MTBI, adults were recruited from four outpatient MTBI clinics and assessed at their first clinic visit (M=2.7, SD=1.5 weeks post-injury) and again 4-5 months later. Of 273 patients screened, 102 completed the initial assessment and 87 returned for the outcome assessment...
April 18, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29513549/reliability-and-normative-reference-values-for-the-vestibular-ocular-motor-screening-voms-tool-in-youth-athletes
#8
Ryan N Moran, Tracey Covassin, R J Elbin, Dan Gould, Sally Nogle
BACKGROUND: The Vestibular/Ocular Motor Screening (VOMS) measure is a newly developed vestibular and ocular motor symptom provocation screening tool for sport-related concussions. Baseline data, psychometric properties, and reliability of the VOMS are needed to further understand the applications of this tool, especially in the youth population, where research is scarce. PURPOSE: To establish normative data and document the internal consistency and false-positive rate of the VOMS in a sample of nonconcussed youth athletes...
May 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29507932/determining-if-rest-is-best-after-concussion
#9
Christopher C Giza, Meeryo C Choe, Karen M Barlow
No abstract text is available yet for this article.
April 1, 2018: JAMA Neurology
https://www.readbyqxmd.com/read/19433422/self-report-scales-checklists-for-the-measurement-of-concussion-symptoms-a-systematic-review
#10
REVIEW
S Alla, S J Sullivan, L Hale, P McCrory
OBJECTIVE: To identify self-reported sport concussion symptom scales and to describe the psychometric properties of these identified scales. DESIGN: Systematic review. INTERVENTION: PubMed, Medline, CINAHL, Scopus, Web of Science, Sport Discus, PsycINFO and AMED were searched from their establishment until December 2008. The medical subject heading terms "brain concussion", "signs or symptoms" and "athletic injuries"...
May 2009: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29488253/visual-problems-associated-with-traumatic-brain-injury
#11
REVIEW
Richard A Armstrong
Traumatic brain injury (TBI) and its associated concussion are major causes of disability and death. All ages can be affected but children, young adults and the elderly are particularly susceptible. A decline in mortality has resulted in many more individuals living with a disability caused by TBI including those affecting vision. This review describes: (1) the major clinical and pathological features of TBI; (2) the visual signs and symptoms associated with the disorder; and (3) discusses the assessment of quality of life and visual rehabilitation of the patient...
February 28, 2018: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/29368186/protection-before-impact-the-potential-neuroprotective-role-of-nutritional-supplementation-in-sports-related-head-trauma
#12
REVIEW
Jonathan M Oliver, Anthony J Anzalone, Stephanie M Turner
Even in the presence of underreporting, sports-related concussions/mild traumatic brain injuries (mTBI) are on the rise. In the absence of proper diagnosis, an athlete may return to play prior to full recovery, increasing the risk of second-impact syndrome or protracted symptoms. Recent evidence has demonstrated that sub-concussive impacts, those sustained routinely in practice and competition, result in a quantifiable pathophysiological response and the accumulation of both concussive and sub-concussive impacts sustained over a lifetime of sports participation may lead to long-term neurological impairments and an increased risk of developing neurodegenerative diseases...
March 2018: Sports Medicine
https://www.readbyqxmd.com/read/29287036/benign-paroxysmal-positional-vertigo-bppv-in-children-and-adolescents-clinical-features-and-response-to-therapy-in-110-pediatric-patients
#13
Jacob R Brodsky, Sophie Lipson, Jared Wilber, Guangwei Zhou
OBJECTIVE: This study aimed to characterize the clinical features and outcomes of benign paroxysmal positional vertigo (BPPV) in the pediatric population. STUDY DESIGN: Retrospective case review. SETTING: Tertiary care center. PATIENTS: One hundred ten patients, aged 5 to 19 years old, diagnosed with BPPV. MAIN OUTCOME MEASURES: Patient demographics, comorbidities, canal involvement, response to treatment, and incidence of recurrence...
March 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29256929/influence-of-sex-and-previous-concussion-history-on-postconcussive-recovery-in-young-athletes
#14
Manisha R Chand, Sumit Kanwar, Cecilia Calvo, Evan Peck
OBJECTIVE: To determine whether concussed female athletes with a previous history of concussion have longer postconcussive recovery than that of male counterparts. DESIGN: Retrospective cohort study. SETTING: Outpatient sports medicine clinic in an academic practice. PARTICIPANTS: Male and female youth, high school, and collegiate athletes (n = 431; ages = 10-21 years) who sustained a sport-related concussion (SRC). INTERVENTIONS: The clinical courses of young athletes treated for concussion by 1 provider at an outpatient sports medicine clinic were retrospectively reviewed...
December 14, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29239280/perceived-injustice-and-its-correlates-after-mild-traumatic-brain-injury
#15
Grant L Iverson, Douglas P Terry, Justin E Karr, William J Panenka, Noah D Silverberg
Perceived injustice is a belief that one has been treated unfairly and disrespectfully, and is suffering unnecessarily as a result of another person's actions. Perceived injustice predicts chronic disability after musculoskeletal injury but to our knowledge has not been empirically studied in people with mild traumatic brain injuries (mTBIs). We examined perceived injustice and its correlates in patients who were slow to recover from mTBI. Patients (n = 102) were recruited from four concussion clinics. The sample was on average 41...
May 15, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29229375/the-pathophysiology-of-migraine-implications-for-clinical-management
#16
REVIEW
Andrew Charles
The understanding of migraine pathophysiology is advancing rapidly. Improved characterisation and diagnosis of its clinical features have led to the view of migraine as a complex, variable disorder of nervous system function rather than simply a vascular headache. Recent studies have provided important new insights into its genetic causes, anatomical and physiological features, and pharmacological mechanisms. The identification of new migraine-associated genes, the visualisation of brain regions that are activated at the earliest stages of a migraine attack, a greater appreciation of the potential role of the cervical nerves, and the recognition of the crucial role for neuropeptides are among the advances that have led to novel targets for migraine therapy...
February 2018: Lancet Neurology
https://www.readbyqxmd.com/read/29203617/diagnosis-and-treatment-of-obstructive-sleep-apnea-in-adults
#17
REVIEW
Cheryl R Laratta, Najib T Ayas, Marcus Povitz, Sachin R Pendharkar
No abstract text is available yet for this article.
December 4, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29198023/the-use-of-stimulant-medication-to-treat-attention-deficit-hyperactivity-disorder-in-elite-athletes-a-performance-and-health-perspective
#18
Annie A Garner, Ashley A Hansen, Catherine Baxley, Michael J Ross
The use of stimulants as a treatment for attention-deficit/hyperactivity disorder (ADHD) among elite athletes is a controversial area with some arguing that stimulant use should not be permitted because it offers an advantage to athletes (fair play perspective). Guided by an integrated model of athletic performance, we address common concerns raised about stimulant use in sports from our perspective, which we coined the "performance and health perspective," highlighting relevant research and pointing to gaps in empirical research that should be addressed before bans on use of stimulants for athletes with ADHD are considered...
March 2018: Sports Medicine
https://www.readbyqxmd.com/read/29164163/neurocognitive-deficits-of-concussed-adolescent-athletes-at-self-reported-symptom-resolution-in-the-zurich-guidelines-era
#19
Peter K Kriz, Rebekah Mannix, Alex M Taylor, Danielle Ruggieri, William P Meehan
Background: Previous studies have evaluated high school and collegiate athletes in the pre-Zurich guidelines era; whether adolescent athletes demonstrate similar neurocognitive decrements in the current concussion management era remains unclear. Purpose: To assess for the presence of neurocognitive deficits in adolescents with a sport-related concussion at the time of self-reported symptom resolution. Study Design: Cross-sectional study; Level of evidence, 3...
November 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29157505/sports-related-concussion-acute-management-and-chronic-postconcussive-issues
#20
REVIEW
Navid Mahooti
Sports-related concussion (SRC) is a common problem in youth sports. Concussion may occur after a forceful hit to the body or head, resulting in transient neuropathological changes that spontaneously resolve with relative rest and activity modification in most patients. Most SRCs are effectively managed by primary care physicians and sports medicine specialists. In some cases, symptoms may persist and the child and adolescent psychiatrist may be consulted. This article reviews important background information regarding SRC and highlights a variety of pharmacologic and nonpharmacologic treatment options that consultant psychiatrists should know...
January 2018: Child and Adolescent Psychiatric Clinics of North America
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