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Concussion clinic

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775 papers 100 to 500 followers
By David Rhine MD FRCPC. Emergency medicine. Special interest in concussion management.
https://www.readbyqxmd.com/read/29621405/searching-for-effective-components-of-cognitive-rehabilitation-for-children-and-adolescents-with-acquired-brain-injury-a-systematic-review
#1
Christine Resch, Stefanie Rosema, Petra Hurks, Arend de Kloet, Caroline van Heugten
AIM: Cognitive rehabilitation is of interest after paediatric acquired brain injury (ABI). The present systematic review examined studies investigating cognitive rehabilitation interventions for children with ABI, while focusing on identifying effective components. Components were categorized as (1) metacognition and/or strategy use, (2) (computerized) drill-based exercises, and (3) external aids. METHODS: The databases PubMed (including MEDLINE), PsycInfo, and CINAHL were searched until 22nd June 2017...
April 5, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29635572/validation-of-visual-objective-biomarkers-for-acute-concussion
#2
José E Capó-Aponte, Thomas A Beltran, David V Walsh, Wesley R Cole, Joseph Y Dumayas
Objective: Despite an increase in the awareness and diagnosis of mild traumatic brain injury (mTBI), there remains a paucity of data examining the comparative efficacy of available assessments. This study aims to validate visual functions as potential biomarkers for mTBI. Methods: This case-control correlational design utilizes military personnel diagnosed with acute (≤72 h post-injury) mTBI (n = 100) and age-matched controls (n = 100) to examine the relative effectiveness of the pupillary light reflex (PLR), near point of convergence (NPC) break, King-Devick (KD) test time, and Convergence Insufficiency Symptom Survey (CISS) score to discriminate between participants with mTBI...
March 1, 2018: Military Medicine
https://www.readbyqxmd.com/read/29635578/preliminary-evidence-for-improvement-in-symptoms-cognitive-vestibular-and-oculomotor-outcomes-following-targeted-intervention-with-chronic-mtbi-patients
#3
Anthony P Kontos, Michael W Collins, Cyndi L Holland, Valerie L Reeves, Kathryn Edelman, Steven Benso, Walter Schneider, David Okonkwo
Introduction: To determine if targeted, active interventions would improve symptoms and impairment in previously intractable patients with chronic mild traumatic brain injury (mTBI). Materials and Methods: Twenty-six (20 males; 6 females) out of 51 (51%) former military and civilian patients with chronic (1-3 yr) mTBI enrolled in the TEAM traumatic brain injury (TBI) study completed both an initial and 6-mo post-intervention comprehensive mTBI assessment including symptoms (Post-concussion Symptom Scale [PCSS], Dizziness Handicap Inventory [DHI]), cognitive (Immediate Post-concussion Assessment and Cognitive Testing [ImPACT]), vestibular/oculomotor (Vestibular/Ocular Motor Screening [VOMS]), balance (Activities-specific Balance Confidence [ABC] scale, Balance Error Scoring System [BESS]), and cervical (Neck Disability Index [NDI])...
March 1, 2018: Military Medicine
https://www.readbyqxmd.com/read/29636295/concussion-diagnoses-among-adults-presenting-to-three-canadian-emergency-departments-missed-opportunities
#4
Brian H Rowe, Leeor Eliyahu, Justin Lowes, Lindsay A Gaudet, Jeremy Beach, Martin Mrazik, Garnet Cummings, Donald Voaklander
OBJECTIVES: Patients with concussion commonly present to the emergency department (ED) for assessment. Misdiagnosis of concussion has been documented in children and likely impacts treatment and discharge instructions. This study aimed to examine diagnosis of concussion in a general adult population. METHODS: Patients >17years old presenting meeting the World Health Organization's definition of concussion were recruited in one academic (Hospital 1) and two community (Hospitals 2 and 3) EDs in a Canadian city...
March 20, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29629181/comparison-of-baseline-and-postconcussion-scat3-scores-and-symptoms-in-varsity-athletes-an-investigation-into-differences-by-sex-and-history-of-concussion
#5
Johanna M Hurtubise, Cindy E Hughes, Lauren E Sergio, Alison K Macpherson
Objective: To investigate the use of the Sport Concussion Assessment Tool 3 (SCAT3) as an assessment tool in the varsity population, as well as the effects of sex and concussion history on both baseline and postconcussion scores. Methods: A comparison between baseline and postconcussion SCAT3 scores of varsity level athletes was conducted through retrospective chart review. Differences in both baseline and postconcussion scores were further analysed by sex and history of concussion...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29627189/variations-in-mechanisms-of-injury-for-children-with-concussion
#6
Juliet Haarbauer-Krupa, Kristy B Arbogast, Kristina B Metzger, Arlene I Greenspan, Ronni Kessler, Allison E Curry, Jeneita M Bell, Lara DePadilla, Melissa R Pfeiffer, Mark R Zonfrillo, Christina L Master
OBJECTIVES: To assess the distribution of injury mechanisms and activities among children with concussions in a large pediatric healthcare system. STUDY DESIGN: All patients, age 0-17 years, who had at least 1 clinical encounter with an International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis of concussion in the Children's Hospital of Philadelphia's electronic health record system from July 1, 2012 to June 30, 2014, were selected (N = 8233) and their initial concussion-related visit identified...
March 27, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29620580/do-initial-symptom-factor-scores-predict-subsequent-impairment-following-concussion
#7
Paul E Cohen, Alicia Sufrinko, Robert J Elbin, Michael W Collins, Aaron M Sinnott, Anthony P Kontos
OBJECTIVE: Symptom factors present during the first week following concussion may predict subsequent concussion outcomes and recovery duration. We hypothesized that a high loading on cognitive-fatigue-migraine and somatic factors would be predictive of neurocognitive impairment following concussion. We also hypothesized that the affective factor would be related to vestibular symptoms and impairment. DESIGN: Prospective repeated measures. SETTING: Concussion specialty clinic...
March 28, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29597872/a-description-and-evaluation-of-the-concussion-education-application-heads-up-rocket-blades
#8
Jill Daugherty, Isa Miles, Kelly Sarmiento, Cristina Sansone, Emily Kroshus, Brittaney Bethea
BACKGROUND: Concussions are responsible for numerous emergency department visits and hospitalizations among children annually. However, there remains a great deal of confusion about how to prevent and manage concussions in youth. To teach children aged 6 to 8 years about concussion safety, the Centers for Disease Control and Prevention (CDC) created a mobile gaming application called HEADS UP Rocket Blades. This report introduces the game and presents findings on its evaluation. METHODS: The aim of the game is to teach children what a concussion is, its commons signs and symptoms, how to prevent one, and what to do if one occurs...
March 1, 2018: Health Promotion Practice
https://www.readbyqxmd.com/read/29571863/the-new-mobile-universal-lexicon-evaluation-system-mules-a-test-of-rapid-picture-naming-for-concussion-sized-for-the-sidelines
#9
Omar Akhand, Matthew S Galetta, Lucy Cobbs, Lisena Hasanaj, Nikki Webb, Julia Drattell, Prin Amorapanth, John-Ross Rizzo, Rachel Nolan, Liliana Serrano, Janet C Rucker, Dennis Cardone, Barry D Jordan, Arlene Silverio, Steven L Galetta, Laura J Balcer
OBJECTIVE: Measures of rapid automatized naming (RAN) have been used for over 50 years to capture vision-based aspects of cognition. The Mobile Universal Lexicon Evaluation System (MULES) is a test of rapid picture naming under investigation for detection of concussion and other neurological disorders. MULES was designed as a series of 54 grouped color photographs (fruits, random objects, animals) that integrates saccades, color perception and contextual object identification. Recent changes to the MULES test have been made to improve ease of use on the athletic sidelines...
April 15, 2018: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/29552934/postconcussive-symptoms-after-single-and-repeated-concussions-in-10-to-20-year-olds-a-cross-sectional-study
#10
Temitayo Oyefunmike Oyegbile, Bronson Elizabeth Delasobera, Nassim Zecavati
The objective was to characterize cognitive deficits and postconcussive symptoms in a pediatric population with no concussion, a single concussion, and ≥2 concussions, using a cross-sectional design. Cognitive function and postconcussive symptoms were assessed in participants (age 10-20) with no concussion (n = 1118), single concussion (n = 368), and repeated (≥2) concussions (n = 252). Analyses were adjusted for age and gender. Individuals with ≥2 concussions exhibited more total postconcussive symptoms; more loss of consciousness, amnesia and confusion; more headaches; and poorer cognitive function compared to no concussion and single concussion...
January 1, 2018: Journal of Child Neurology
https://www.readbyqxmd.com/read/29545567/long-term-effects-of-mild-traumatic-brain-injuries-to-oculomotor-tracking-performances-and-reaction-times-to-simple-environmental-stimuli
#11
Alessander Danna-Dos-Santos, Sambit Mohapatra, Maria Santos, Adriana M Degani
Understanding the long-term effects of concussive events remains a challenge for the development of modern medical practices and the prevention of recurrent traumas. In this study, we utilized indices of oculomotor performance and the ability to react to simple environmental stimuli to assess the long-term motor effects of traumatic brain injury in its mildest form (mTBI). We performed analysis of eye movement accuracy, investigated the presence of abnormal eye movements, and quantified time to react to simple environmental stimuli on long-term mTBI survivors...
March 15, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29536502/concussion-a-history-of-science-and-medicine-1870-2005
#12
REVIEW
Stephen T Casper
OBJECTIVE: To review the intellectual history of concussion from the mid-19th century to the opening decade of the 21st century. BACKGROUND: Head injuries (HI) and their acute and long-term effects have been investigated for centuries, with major reviews of the topic appearing by 1870. Thus, while it has long been acknowledged that chronic traumatic encephalopathy was first described by Harrison Martland in 1928, an examination of the history of concussion research up to Martland's seminal report places his studies in a deeper historical context...
March 14, 2018: Headache
https://www.readbyqxmd.com/read/29538043/acute-concussion-making-the-diagnosis-and-state-of-the-art-management
#13
Matthew Eisenberg, Rebekah Mannix
PURPOSE OF REVIEW: Concussion is an increasingly common injury in children. We aim to review the basic epidemiology and management of acute concussion and highlight recent studies that have contributed to our understanding of care for this injury. RECENT FINDINGS: While concussion is considered a 'mild' form of traumatic brain injury, recent evidence suggests that as many as 30% of children are still symptomatic 1 month after injury. Although there is increasing interest in finding objective measures of injury and recovery, emerging imaging and serum biomarkers are not ready for routine clinical use...
March 13, 2018: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/29532087/the-changing-landscape-of-pediatric-migraine-therapy-a-review
#14
Carlyn Patterson-Gentile, Christina L Szperka
Importance: Migraine is a disabling and prevalent condition that affects the pediatric and adolescent population. This review describes current acute and preventive migraine pharmacologic therapies for the pediatric and adolescent population. Observations: Multiple pharmacotherapies that have been used in the treatment of acute headache and prevention in pediatric migraine are reviewed. There have been recent advances in the management of migraines among pediatric and adolescent patients, including US Food and Drug Administration approval of triptans for acute management in children as young as 6 years, and the first prospective, randomized, double-blind, placebo-controlled comparative study of preventive pharmacotherapy in pediatric migraine...
March 12, 2018: JAMA Neurology
https://www.readbyqxmd.com/read/29530871/medication-overuse-headache
#15
Andrew Micieli, Jennifer Robblee
No abstract text is available yet for this article.
March 12, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29521703/athletic-suicide-separating-fact-from-fiction-and-navigating-the-challenging-road-ahead
#16
Ashwin L Rao
No abstract text is available yet for this article.
March 2018: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/29517059/medical-retirement-from-sport-after-concussions-a-practical-guide-for-a-difficult-discussion
#17
REVIEW
Cecilia Davis-Hayes, David R Baker, Thomas S Bottiglieri, William N Levine, Natasha Desai, James D Gossett, James M Noble
Purpose of review: In patients with a considerable history of sports-related concussion, the decision of when to discontinue participation in sports due to medical concerns including neurologic disorders has potentially life-altering consequences, especially for young athletes, and merits a comprehensive evaluation involving nuanced discussion. Few resources exist to aid the sports medicine provider. Recent findings: In this narrative review, we describe 10 prototypical vignettes based upon the authors' collective experience in concussion management and propose an algorithm to help clinicians navigate retirement discussions...
February 2018: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29513549/reliability-and-normative-reference-values-for-the-vestibular-ocular-motor-screening-voms-tool-in-youth-athletes
#18
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: The purpose of this study was to establish normative data and document the internal consistency and false-positive rate of the VOMS in a sample of nonconcussed youth athletes...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29507932/determining-if-rest-is-best-after-concussion
#19
Christopher C Giza, Meeryo C Choe, Karen M Barlow
No abstract text is available yet for this article.
March 5, 2018: JAMA Neurology
https://www.readbyqxmd.com/read/29500251/what-factors-must-be-considered-in-return-to-school-following-concussion-and-what-strategies-or-accommodations-should-be-followed-a-systematic-review
#20
REVIEW
Laura K Purcell, Gavin A Davis, Gerard A Gioia
OBJECTIVE: To evaluate the evidence regarding (1) factors affecting return to school (RTS) and (2) strategies/accommodations for RTS following a sport-related concussion (SRC) in children and adolescents. DESIGN: A systematic review of original studies specifically addressing RTS following concussion in the paediatric and sporting context. DATA SOURCES: MEDLINE (Ovid), Embase (Ovid), PsycInfo (Ovid) electronic databases and the grey literature OpenGrey, ClinicalTrials...
March 2, 2018: British Journal of Sports Medicine
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