Concussion Management for Children Has Changed: New Pediatric Protocols Using the Latest Evidence

DeMatteo, Carol; Randall, Sarah; Falla, Katie; Lin, Chujun; Giglia, Lucy; Mazurek, Michael F.; Koelink, Eric

doi:10.1177/0009922819879457

Cited by 8 publications

(2 citation statements)

References 66 publications

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“…It is common for children and adolescents to experience difficulties with school re-entry following a concussion due to symptom burden. 135,149,150 Most children look physically normal after concussion, which belies the underlying neurologic dysfunction. Therefore, it is important to appreciate the importance of gradually returning the student into academics, even while still symptomatic.…”

Section: Return To Learnmentioning

confidence: 99%

Pediatric Sports-Related Concussion: An Approach to Care

Podolak

Arbogast

Master

et al. 2021

American Journal of Lifestyle Medicine

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Sports-related concussion (SRC) is a common sports injury in children and adolescents. With the vast amount of youth sports participation, an increase in awareness of concussion and evidence that the injury can lead to consequences for school, sports and overall quality of life, it has become increasingly important to properly diagnose and manage concussion. SRC in the student athlete is a unique and complex injury, and it is important to highlight the differences in the management of child and adolescent concussion compared with adults. This review focuses on the importance of developing a multimodal systematic approach to diagnosing and managing pediatric sports-related concussion, from the sidelines through recovery.

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Section: Return To Learnmentioning

confidence: 99%

Pediatric Sports-Related Concussion: An Approach to Care

Podolak

Arbogast

Master

et al. 2021

American Journal of Lifestyle Medicine

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“…To help guide youth in their recovery from concussion, our research team developed evidence-based return to activity (RTA) and return to school (RTS) protocols ( 13 , 14 ). These protocols [now updated ( 15 )] are based on the Sports Concussion Consensus statements ( 16 , 17 ), highlighting best practices in managing concussion recovery. The importance of returning to school cautiously is emphasized in current post-concussion recovery protocols ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

School performance in youth after a concussion

DeMatteo

Jakubowski

Randall

et al. 2022

Front. Sports Act. Living

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ObjectiveThis study aimed to identify school problems and levels of cognitive activity in youths aged 5–18 years with a concussion during the recovery stages of return to school (RTS).Study DesignIn a prospective cohort, participants completed in-person assessments at three time points: First Visit Post-injury, Symptom Resolution Visit, and Follow-Up Visit. These time points varied based on the participants’ recovery progress. The post-concussion symptom scale (PCSS) and a cognitive activity scale were completed every 2 days until symptom resolution was achieved. Participants and their parents completed a school questionnaire detailing how their concussion had impacted their school learning/performance and their level of concern about their injury as well as the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT).ResultsSixty-three percent (N = 44/70) of participants returned to school by the First Visit Post-injury (average 7.7 days following injury), and of these, 50% (N = 22) were experiencing school problems. Sixty-five participants (out of 70) returned to school at the Follow-Up Visit, and of these, 18% reported school problems. There was a significant difference in the school problems reported by parents and youth. At the First Visit Post-injury, the youth reported more problems (p = 0.02), and the In-Person Symptom Resolution Visit with parents reported more problems (p = 0.01). The cognitive activity score increased, while the PCSS score decreased from RTS Stage 1 to Stage 5.ConclusionsThis study identified that 50% of youth experienced school problems at the First Visit Post-injury, whereas only 18% reported school problems at the Follow-Up Visit. There is a significant difference in the perception of school problems reported by youth and their parents at different stages of recovery. The amount and complexity of cognitive activity increased with decreasing symptoms and increasing RTS stage. Findings can guide youth with a concussion and their parents in supporting a cautious return to school with accommodations. Healthcare providers and researchers can use this knowledge to better support youth in their return to school and understand the importance of gathering information from youth and their parents to gain the best insight into recovery.

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