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157 papers 25 to 100 followers Post concussion syndrome
By David Rhine MD FRCPC. Emergency medicine. Special interest in concussion management.
Benjamin S Elkin, James M Elliott, Gunter P Siegmund
Study Design Finite element modeling of experimental data. Background The clinical presentations of whiplash injury and concussion have considerable overlap. Both diagnoses are generally based on presenting signs and symptoms, and a history of neck or head trauma. With incomplete knowledge of the trauma, differentiating between whiplash injury and concussion can be clinically challenging. Objectives To estimate the brain strains that develop during rear-end car crashes, evaluate how these strains vary with different head kinematic parameters, and compare these strains to those generated during potentially concussive football helmet impacts...
October 2016: Journal of Orthopaedic and Sports Physical Therapy
Edrea Khong, Nicole Odenwald, Eyesha Hashim, Michael D Cusimano
OBJECTIVES: To review the evidence for the use of diffusion tensor imaging (DTI) parameters in the human brain as a diagnostic tool for and predictor of post-concussion syndrome (PCS) after a mild traumatic brain injury (mTBI). DESIGN: Systematic review. DATA SOURCES: All relevant studies in AMED, Embase, MEDLINE, Ovid, PubMed, Scopus, and Web of Science through 20 May, 2016. STUDY SELECTION: Studies that analyze traditional DTI measures [fractional anisotropy (FA), mean diffusivity (MD), radial diffusivity (RD), and axial diffusivity (AD)] and the severity of PCS symptoms or the development of PCS in humans after an mTBI...
2016: Frontiers in Neurology
Mia T Minen, Alexandra Boubour, Harjasleen Walia, William Barr
PURPOSE OF REVIEW: Post-traumatic headache (PTH) is a secondary headache disorder following traumatic brain injury. We sought to examine the recent literature on PTH and associated cognitive, psychiatric, and sleep conditions to understand the latest findings about the associated conditions and available screening tools, and to understand the available treatment options for PTH. RECENT FINDINGS: Up to one third of PTH patients may have depression and about one quarter may have insomnia...
November 2016: Current Neurology and Neuroscience Reports
Patrick Grabowski, John Wilson, Alyssa Walker, Dan Enz, Sijian Wang
OBJECTIVE: Demonstrate implementation, safety and feasibility of multimodal, impairment-based physical therapy (PT) combining vestibular/oculomotor and cervical rehabilitation with sub-symptom threshold exercise for the treatment of patients with post-concussion syndrome (PCS). SETTING: University hospital outpatient sports medicine facility. PARTICIPANTS: Twenty-five patients (12-20 years old) meeting World Health Organization criteria for PCS following sport-related concussion referred for supervised PT consisting of sub-symptom cardiovascular exercise, vestibular/oculomotor and cervical spine rehabilitation...
June 7, 2016: Physical Therapy in Sport
Konstantine K Zakzanis, Kyrsten M Grimes
It is well established that most people recover soon after a mild traumatic brain injury (mTBI), yet protracted neuropsychological impairment is evident in many individuals. We sought to elucidate the relationship between apathy and neuropsychological impairment and disability as it pertains to real-world function in patients who sustained a mTBI reporting and demonstrating protracted neuropsychological impaired (i.e., more than three months post-injury). We employed a battery of neuropsychological and psychological measures, along with a measure of apathy in 104 patients who sustained a mTBI reporting neuropsychological complaints (38 in the not disabled group and 66 in the disabled group)...
September 16, 2016: Applied Neuropsychology. Adult
Coco O Bernard, Jennie A Ponsford, Audrey McKinlay, Dean McKenzie, David Krieser
OBJECTIVES: A notable minority of children will experience persistent post-concussive symptoms (PCS) following mild traumatic brain injury (mTBI), likely maintained by a combination of injury and non-injury related factors. Adopting a prospective longitudinal design, this study aimed to investigate the relative influence of child, family, and injury factors on both acute and persistent PCS in young children. METHODS: Participants were 101 children aged 2-12 who presented to an Emergency Department, with either mTBI or minor bodily trauma (control)...
September 2016: Journal of the International Neuropsychological Society: JINS
Dean Cordingley, Richard Girardin, Karen Reimer, Lesley Ritchie, Jeff Leiter, Kelly Russell, Michael J Ellis
OBJECTIVE The objectives of this study were 2-fold: 1) to evaluate the safety, tolerability, and clinical use of graded aerobic treadmill testing in pediatric patients with sports-related concussion (SRC), and 2) to evaluate the clinical outcomes of treatment with a submaximal aerobic exercise program in patients with physiological post-concussion disorder (PCD). METHODS The authors conducted a retrospective chart review of pediatric patients (age < 20 years) with SRC who were referred to a multidisciplinary pediatric concussion program and underwent graded aerobic treadmill testing between October 9, 2014, and February 11, 2016...
September 13, 2016: Journal of Neurosurgery. Pediatrics
Michael J Ellis, John Leddy, Barry Willer
Historically, patients with sports-related concussion (SRC) have been managed in a uniform fashion consisting mostly of prescribed physical and cognitive rest with the expectation that all symptoms will spontaneously resolve with time. Although this approach will result in successful return to school and sports activities in the majority of athletes, an important proportion will develop persistent concussion symptoms characteristic of post-concussion syndrome (PCS). Recent advances in exercise science, neuroimaging, and clinical research suggest that the clinical manifestations of PCS are mediated by unique pathophysiological processes that can be identified by features of the clinical history and physical examination as well as the use of graded aerobic treadmill testing...
2016: Frontiers in Neurology
Nigel Hawkes
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
Donald A Redelmeier, Sheharyar Raza
In their Perspective, Donald A. Redelmeier and Sheharyar Raza discuss the significance of Seena Fazel and colleagues' longitudinal study of traumatic brain injury (TBI)-associated outcomes.
August 2016: PLoS Medicine
Shira Segev, Maayan Shorer, Yuri Rassovsky, Tammy Pilowsky Peleg, Alan Apter, Silvana Fennig
OBJECTIVE: Persistent postconcussive symptoms (PPCS) are a set of physical, cognitive, emotional, and behavioral symptoms that often follow mild traumatic brain injury (mTBI). Some of these symptoms also occur in posttraumatic stress disorder (PTSD). The current study examined the unique contribution of mTBI and PTSD to PPCS. The roles of neurocognitive and motivational factors were also addressed. METHOD: Sixty one children and adolescents (ages 6-18), at least 3 months post motor vehicle accident (MVA), participated in the study...
October 2016: Neuropsychology
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)
Peter Reagh MacKean, Moira Stewart, Heather L Maddocks
OBJECTIVE: To discover the frequency of psychosocial and other diagnoses occurring at the end of a visit when patients present to their FPs with concerns about fatigue. DESIGN: Cross-sectional study of patient-FP encounters for fatigue. SETTING: Ten FP practices in southwestern Ontario. PARTICIPANTS: A total of 259 encounters involving 167 patients presenting to their FPs between March 1, 2006, and June 30, 2010, with concerns about fatigue...
August 2016: Canadian Family Physician M├ędecin de Famille Canadien
Harry Bramley, Justin Hong, Christopher Zacko, Christopher Royer, Matthew Silvis
Sport-related concussion typically resolves within a few weeks of the injury; however, persistent symptoms have been reported to occur in 10% to 15% of concussions. These ongoing symptoms can cause significant disability and be frustrating for the patient and family. In addition, factors other than brain injury can cause complications for these patients, such as adjustment disorder or exacerbation of preexisting conditions such as depression or migraine. Individuals with prolonged symptoms of concussion may be classified as having post-concussion syndrome...
September 2016: Sports Medicine and Arthroscopy Review
Latha Ganti, Yasamin Daneshvar, Sarah Ayala, Aakash N Bodhit, Keith R Peters
BACKGROUND: Traditionally, neurocognitive testing is performed weeks to months after head injury and is mostly performed on patients who continue to have symptoms or difficulties. In this study, we sought to determine whether these tests, when administered acutely, could assist in predicting short-term outcomes after acute traumatic brain injury (TBI). METHODS: This is an IRB-approved prospective study of adult patients who came to the emergency department of our Level-1 trauma center with TBI...
2016: Military Medical Research
Jacob S Young, Jonathan G Hobbs, Julian E Bailes
Traumatic brain injury (TBI) has come to the forefront of both the scientific and popular culture. Specifically, sports-related concussions or mild TBI (mTBI) has become the center of scientific scrutiny with a large amount of research focusing on the long-term sequela of this type of injury. As the populace continues to age, the impact of TBI on the aging brain will become clearer. Currently, reports have come to light that link TBI to neurodegenerative disorders such as Alzheimer's and Parkinson's diseases, as well as certain psychiatric diseases...
September 2016: Current Psychiatry Reports
Grant L Iverson, Magdalena Wojtowicz, Brian L Brooks, Bruce A Maxwell, Joseph E Atkins, Ross Zafonte, Paul D Berkner
OBJECTIVE: Examine lifetime history of concussions in adolescents who have developmental problems in comparison with those with no developmental problems. METHOD: Thirty-two thousand four hundred eighty-seven adolescent athletes completed baseline/pre-season evaluations. Based on self-reported histories, athletes were divided into four groups: ADHD only, ADHD and learning difficulties (LD), LD only, and controls. RESULTS: Athletes with ADHD, LD, or ADHD plus LD reported a greater prevalence of prior concussions than athletes without these developmental conditions (ps < ...
July 18, 2016: Journal of Attention Disorders
David R Howell, Emily Hanson, Dai Sugimoto, Andrea Stracciolini, William P Meehan
OBJECTIVE: Postural stability is often affected by sport-related injuries and subsequently evaluated during postinjury examinations. Intrinsic factors, however, may also affect postural control. We sought to compare the postural control of female and male athletes as measured simultaneously by (1) the modified balance error scoring system (mBESS) and (2) a video-force plate system. DESIGN: Cross-sectional study. SETTING: Sports injury prevention center...
July 15, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
James T Eckner, Tad Seifert, Allison Pescovitz, Max Zeiger, Jeffrey S Kutcher
OBJECTIVE: The purpose of this study was to investigate the association between migraine headache and concussion in athletes. DESIGN: Case-control observational study. SETTING: A university-associated combined sports neurology and orthopedic sports medicine clinic. PARTICIPANTS: A total of 221 male (n = 140) and female (n = 81) athletes aged 12 to 24 years, including 115 concussion cases (52%) and 106 orthopedic controls (48%), were included in this study...
July 15, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
2016-07-20 14:13:23
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