Defining asymptomatic status following sports concussion: fact or fallacy?

Alla, Sridhar; Sullivan, S John; McCrory, Paul

doi:10.1136/bjsm.2010.081299

Cited by 58 publications

(40 citation statements)

References 106 publications

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“…However, it is clear that some athletes, and non-athletes will report symptoms commonly used to assess concussion when they have not suffered head injury 18. This study showed that normal high school students had a preinjury baseline symptom score of 19.75 of a total possible 22.…”

Section: Discussionmentioning

confidence: 72%

Sport Concussion Assessment Tool – 2: Baseline Values for High School Athletes

et al. 2012

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Non-concussed high school athletes scored near the total possible in most domains of the SCAT2 with the exception of concentration testing and balance testing. All athletes were able to complete the double-leg stance at baseline; however, there was significant variability of tandem and single-leg stance. Baseline testing is important when considering balance tests. Concentration testing in high school athletes is unreliable because of high baseline error and is likely to result in a high rate of false positives and false negatives. Return to play decisions should not rely on concentration testing without a baseline test for comparison.

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Section: Discussionmentioning

confidence: 72%

Sport Concussion Assessment Tool – 2: Baseline Values for High School Athletes

et al. 2012

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“…41 Several authors have also recently highlighted the feasibility of being able to precisely determine when a patient has truly become "asymptomatic." [42][43][44] A major source of the challenge is that postconcussion-like symptoms are nonspecific. They occur often in healthy people and are affected by daily stress.…”

Section: Practical Challenges To Implementing Restmentioning

confidence: 99%

Prolonged Activity Restriction After Concussion

DiFazio

Silverberg

Kirkwood

et al. 2015

Clin Pediatr (Phila)

150

108

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The current treatment of concussion or mild traumatic brain injury (mTBI) is primarily based on expert consensus. Most clinical practice guidelines advise cognitive and physical rest after injury including withdrawal from normal life activities such as school attendance, sports participation, and technology use until symptoms resolve. Some individuals who sustain an mTBI experience persistent physical, cognitive, and mental health problems. Activity restriction itself may contribute to protracted recovery and other complications. Williamson's Activity Restriction Model of Depression, formulated more than 20 years ago, is central to this hypothesis. We review research evidence for potential harms of prolonged activity restriction and report an mTBI case as an example of how an "activity restriction cascade" can unfold. According to this model, psychological consequences of removal from validating life activities, combined with physical deconditioning, contribute to the development and persistence of postconcussive symptoms after mTBI in some youth. A modification to mTBI guidelines that emphasizes prompt reengagement in life activities as tolerated is encouraged.

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“…Although, the focus in this review is the role of education and change in culture as it relates to prevention of concussions in youth sport, it is important to recognize that societal attitudes and sport culture has implications for all children and adolescents who participate in various sports (3,(43)(44)(45)(46)(47)(48)(49)(50). In contemporary American society, participation in sports by children and adolescents is considered a rite of passage.…”

Section: The Youth Sport Culturementioning

confidence: 99%

Sport-related concussions in adolescent athletes: a critical public health problem for which prevention remains an elusive goal

Patel¹,

Fidrocki²,

Parachuri³

2017

Transl. Pediatr.

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Sport-related concussions in young athletes are common, generally under reported and often unrecognized. Preventive strategies include education, modification of sport rules, use of equipment such as headgears, face masks and mouth guards, and neck muscle training. Evidence is limited to support effectiveness of these preventive measures with the exception of rule modification in some sports. In the United States, laws have been enacted that require medical evaluation and clearance prior to return to play; however, evidence thus far does not show that laws have been effective in reducing the incidence of concussions in sport. More research is needed in all areas of preventive measures. Sports participation is a complex personal decision on the part of the adolescent and his or her family. They should be provided with all information on inherent risks so that they can make an informed decision.

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Defining asymptomatic status following sports concussion: fact or fallacy?

Cited by 58 publications

References 106 publications

Sport Concussion Assessment Tool – 2: Baseline Values for High School Athletes

Sport Concussion Assessment Tool – 2: Baseline Values for High School Athletes

Prolonged Activity Restriction After Concussion

Sport-related concussions in adolescent athletes: a critical public health problem for which prevention remains an elusive goal

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