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Concussion clinic

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697 papers 100 to 500 followers
By David Rhine MD FRCPC. Emergency medicine. Special interest in concussion management.
https://www.readbyqxmd.com/read/29048967/new-and-recurrent-concussions-in-high-school-athletes-before-and-after-traumatic-brain-injury-laws-2005-2016
#1
Jingzhen Yang, R Dawn Comstock, Honggang Yi, Hosea H Harvey, Pengcheng Xun
OBJECTIVES: To examine the trends of new and recurrent sports-related concussions in high-school athletes before and after youth sports traumatic brain injury laws. METHODS: We used an interrupted time-series design and analyzed the concussion data (2005-2016) from High School Reporting Injury Online. We examined the trends of new or recurrent concussion rates among US representative high-school athletes participating in 9 sports across prelaw, immediate-postlaw, and postlaw periods by using general linear models...
October 19, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29027478/educational-initiative-to-standardize-concussion-management-in-pediatric-primary-care
#2
Alex M Taylor, Lise E Nigrovic, Meredith L Saillant, Emily K Trudell, Jonathan R Modest, Madeleine Kuhn, Louis Vernacchio
Pediatric primary care providers report limited training and tools to manage concussion. We developed a learning community intervention for a large independent pediatric practice association affiliated with a university hospital to standardize concussion management and improve the use of consensus-based guidelines. The learning community included in-person and online didactics, followed by a web-based reinforcement platform to educate and train clinicians on our treatment algorithm and decision support tools...
October 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29023272/sensitivity-of-the-cogstate-test-battery-for-detecting-prolonged-cognitive-alterations-stemming-from-sport-related-concussions
#3
Veronik Sicard, Robert D Moore, Dave Ellemberg
OBJECTIVE: To determine if the Cogstate test battery contains the requisite sensitivity to detect prolonged cognitive alterations. METHODS: One hundred twenty collegiate athletes (71 with a history of concussion; 49 controls) completed the Cogstate test battery, to which we added a 2-back condition. In addition to the Cogstate clinical (transformed variables), we analyzed the raw data. RESULTS: The clinical variables failed to reveal any group differences...
October 5, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/28989074/safety-of-active-rehabilitation-for-persistent-symptoms-after-pediatric-sport-related-concussion-a-randomized-controlled-trial
#4
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/28981340/vestibular-consequences-of-mild-traumatic-brain-injury-and-blast-exposure-a-review
#5
Faith W Akin, Owen D Murnane, Courtney D Hall, Kristal M Riska
The purpose of this article is to review relevant literature on the effect of mild traumatic brain injury (mTBI) and blast injury on the vestibular system. Dizziness and imbalance are common sequelae associated with mTBI, and in some individuals, these symptoms may last for six months or longer. In war-related injuries, mTBI is often associated with blast exposure. The causes of dizziness or imbalance following mTBI and blast injuries have been linked to white matter abnormalities, diffuse axonal injury in the brain, and central and peripheral vestibular system damage...
2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28981348/traumatic-brain-injury-clinical-practice-guidelines-and-best-practices-from-the-va-state-of-the-art-conference
#6
Joel Scholten, Jennifer J Vasterling, Jamie B Grimes
Management of symptoms following traumatic brain injury (TBI) can be complex and remains a high priority for Department of Defense (DoD) and Department of Veteran Affairs (VA). Concurrently, awareness of TBI in the public has increased. VA convened a State of the Art (SOTA) Conference to identify priorities for future research and promote best practices for TBI care. Scientific evidence of effective management of symptoms following TBI is expanding, and this evidence has been synthesized into Clinical Practice Guidelines (CPGs) and Clinical Practice Recommendations (CPRs)...
2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28981349/hearing-complaints-among-veterans-following-traumatic-brain-injury
#7
Frederick J Gallun, Melissa A Papesh, M Samantha Lewis
It has been shown that there is an increased risk for impaired auditory function following traumatic brain injury (TBI) in Veterans. Evidence is strongest in the area of self-report, but behavioural and electrophysiological data have been obtained that are consistent with these complaints. Peripheral and central dysfunction have both been observed. Historically, studies have focused on penetrating head injuries where central injury is more easily documented than in mild closed head injuries, but several recent reports have expanded the literature to include closed head injuries as well...
2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28961710/the-age-variable-in-childhood-concussion-management-a-systematic-review
#8
Rosemarie Scolaro Moser, Gavin A Davis, Philip Schatz
Background: Sports-related concussion in young children has become a significant international public health issue. This paper reviews the research literature in an effort to shed light on the question, "At what age should young children be managed differently than adults or older adolescents?" Method: A systematic review, registered with PROSPERO and using PRISMA guidelines, was conducted rendering 37 sports concussion original research studies that examined age as a variable (5-18 years), and which met specific inclusion/exclusion criteria...
August 31, 2017: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/28961684/validity-and-reliability-of-baseline-testing-in-a-standardized-environment
#9
Kathryn L Higgins, Todd Caze, Arthur Maerlender
Objective: The Immediate Postconcussion Assessment and Cognitive Testing (ImPACT) is a computerized neuropsychological test battery commonly used to determine cognitive recovery from concussion based on comparing post-injury scores to baseline scores. This model is based on the premise that ImPACT baseline test scores are a valid and reliable measure of optimal cognitive function at baseline. Growing evidence suggests that this premise may not be accurate and a large contributor to invalid and unreliable baseline test scores may be the protocol and environment in which baseline tests are administered...
August 11, 2017: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/28958987/tablet-based-patient-centered-decision-support-for-minor-head-injury-in-the-emergency-department-pilot-study
#10
Navdeep Singh, Erik Hess, George Guo, Adam Sharp, Brian Huang, Maggie Breslin, Edward Melnick
BACKGROUND: The Concussion or Brain Bleed app is a clinician- and patient-facing electronic tool to guide decisions about head computed tomography (CT) use in patients presenting to the emergency department (ED) with minor head injury. This app integrates a patient decision aid and clinical decision support (using the Canadian CT Head Rule, CCHR) at the bedside on a tablet computer to promote conversations around individualized risk and patients' specific concerns within the ED context...
September 28, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28952910/the-effects-of-early-physical-activity-compared-to-early-physical-rest-on-concussion-symptoms
#11
Landon Lempke, Abbis Jaffri, Nicholas Erdman
No abstract text is available yet for this article.
September 27, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28952858/sub-symptomatic-aerobic-exercise-for-patients-with-post-concussion-syndrome-a-critically-appraised-topic
#12
Katrina G Ritter, Matthew J Hussey, Tamara C Valovich McLeod
Clinical Scenario: Patients who experience prolonged concussion symptoms can be diagnosed with Post-Concussion Syndrome (PCS) when those symptoms persist past 4 weeks. Aerobic exercise protocols have been shown to be effective in improving physical and mental aspects of health. Emerging research suggests that aerobic exercise maybe useful as a treatment for PCS, where exercise allows patients to feel less isolated and more active during the recovery process. CLINICAL QUESTION: Is aerobic exercise more beneficial in reducing symptoms than current standard care in patients with prolonged symptoms or PCS lasting longer than 4 weeks? Summary of Key Findings: After a thorough literature search, 4 studies were selected relevant to the clinical question...
September 27, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28943830/the-clinical-implications-of-youth-sports-concussion-laws-a-review
#13
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/28939755/the-new-concussion-in-sport-guidelines-are-here-but-how-do-we-get-them-out-there
#14
EDITORIAL
Caroline F Finch, Peta White
No abstract text is available yet for this article.
September 22, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28930492/time-trends-in-concussion-symptom-presentation-and-assessment-methods-in-high-school-athletes
#15
Dustin W Currie, Matthew J Kraeutler, John B Schrock, Eric C McCarty, R Dawn Comstock
BACKGROUND: Concussion rates have increased significantly over the past decade. This may reflect an increase in the knowledge and diagnosis of the symptoms of a concussion rather than a true increase in the incidence. Assessing trends in the way that concussions are presenting to and being identified by clinicians over the same period may provide additional insight into the apparent rise in concussions. PURPOSE: To evaluate patterns of change in concussion symptom presentation, diagnostic/evaluation methods, and symptom resolution time reported for United States high school athletes from the 2007-2008 through 2014-2015 academic years...
September 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28926944/coach-cv-the-seven-clinical-phenotypes-of-concussion
#16
Neil Craton, Haitham Ali, Stephane Lenoski
Our understanding of the diverse physiological manifestations of concussion is changing rapidly. This has an influence on the clinical assessment of patients who have sustained a concussion. The 2017 Consensus Statement on Concussion in Sport states that numerous post-injury clinical findings, such as cognitive deficits, post-traumatic headaches, dizziness, difficulties with oculomotor function, and depression have all been associated with a poorer prognosis in concussed patients. This demonstrates that there are several potential clinical manifestations after head injury warranting clinical evaluation...
September 16, 2017: Brain Sciences
https://www.readbyqxmd.com/read/28926482/is-there-an-optimal-time-to-initiate-an-active-rehabilitation-protocol-for-concussion-management-in-children-a-case-series
#17
Danielle M Dobney, Lisa Grilli, Helen Kocilowicz, Christine Beaulieu, Meghan Straub, Debbie Friedman, Isabelle J Gagnon
OBJECTIVE: To estimate the time frame during which initiating an active rehabilitation intervention (aerobic exercise, balance, and sport specific skills) after concussion contributed to improvement in symptoms at follow-up in children and adolescents who are slow to recover (symptoms persisting beyond 2 weeks) from concussion. SETTING: Concussion clinic at a tertiary care pediatric teaching hospital. PARTICIPANTS: A total of 677 children and adolescents with concussion aged 7 to 18 years...
September 18, 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28919268/depression-and-sports-related-concussion-a-systematic-review
#18
Antoine Yrondi, David Brauge, Johanne LeMen, Christophe Arbus, Jérémie Pariente
CONTEXT: Head injuries are risk factors for chronic depressive disorders, but this association remains poorly explored with regards to concussion. OBJECTIVES: The objective of this review was to evaluate the incidence of depressive symptoms and depression after sports-related concussion. We also endeavored to identify the response elements regarding the pathophysiology of these symptoms. METHODS: A systematic search of PubMed and Embase was conducted focusing on papers published until 1st December, 2016, according to PRISMA criteria The following MESH terms were used: (concussion or traumatic brain injury) and sport and (depression or depressive disorder)...
September 14, 2017: La Presse Médicale
https://www.readbyqxmd.com/read/28919121/the-utility-of-instrumented-dual-task-gait-and-tablet-based-neurocognitive-measurements-after-concussion
#19
David R Howell, Alexandra Stillman, Thomas A Buckley, Brant Berkstresser, Francis Wang, William P Meehan
OBJECTIVES: Quantitative and non-invasive measurements acquired by neurocognitive or gait evaluations are useful concussion management components. Emerging technology has allowed for the development of portable and objective tests which may be potentially useful across many settings where evaluations take place. Our aim was to examine the association between instrumented dual-task gait and tablet-based neurocognitive outcome variables with an acute concussion. DESIGN: A total of 59 collegiate athletes were identified and tested within 5days of concussion (n=18, 50% female, 20±1years of age) or as a part of a baseline examination (n=41, 29% female, 19±1years of age)...
August 16, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28916167/structural-neuroimaging-in-sport-related-concussion
#20
Erin D Bigler
Structural neuroimaging of athletes who have sustained a sports-related concussion (SRC) can be viewed as either standard clinical imaging or with advanced neuroimaging methods that quantitatively assess brain structure. Negative findings from conventional computed tomography (CT) or magnetic resonance imaging (MRI) are the norm in SRC. Nonetheless, these conventional measures remain the first line of neuroimaging of the athlete as they do detect clinically significant pathologies, when present, such as hemorrhagic abnormalities in the form of hematomas, contusions and mircobleeds along with regions of focal encephalomalacia or other signal abnormalities, with CT best capable of detecting skull fractures...
September 12, 2017: International Journal of Psychophysiology
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