Emergency Physicians' Knowledge of Sports-Related Concussion, Referral Patterns, and Use of Return to Play Guidelines

Mitchell, Steven H.; Hildenbrand, Kasee; Pietz, Katy

doi:10.3928/19425864-20160617-01

Cited by 7 publications

(4 citation statements)

References 16 publications

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“…Because of the complexity of the diagnosis and varying clinical presentations (McCrory et al, 2017), as well as the evolving literature related to concussion, health care professionals working with this population should have a comprehensive understanding of this complex diagnosis, and they should also be up-to-date on the most recent literature. However, recent literature reports varying knowledge levels among currently practicing health care professionals (Lebrun et al, 2013;Mitchell, Hildenbrand, & Pietz, 2016;Salisbury, Kolessar, Callender, & Bennett, 2017). Occupational therapists, in particular, scored lower on a concussion knowledge assessment as compared to their peers in other professions (physical therapist, speech and language pathologist, physician, athletic trainer), as found in a recent study (Salisbury et al, 2017).…”

Section: Challenges In Current Practice Knowledge Of Concussion and Bmentioning

confidence: 80%

An Occupation-Based Approach to Management of Concussion: Guidelines for Practice

Finn¹

2019

The Open Journal of Occupational Therapy

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Concussion and the cumulative effects of repetitive head trauma have become a growing health concern both in the mainstream media and in the health care community. Although symptoms of concussion are not always outwardly visible, evidence suggests that post-concussion symptoms may interfere with an individual's ability to work, play, and participate in school. In the past, the recommendations following concussion emphasized a complete rest approach, whereas current approaches focus on a gradual engagement in functional activities shortly after the injury. Since current recommendations are focused on a gradual engagement in occupation and activity, occupational therapy may be a valuable service for individuals who have sustained concussions. However, despite the valuable role that occupational therapy may offer, there is limited literature supporting the role of occupational therapy in the management of concussion, and there are currently no clear guidelines for clinical practice. This paper will provide an overview of an occupation-based, client-centered framework for the management of concussion and specific guidelines for occupation-based assessments and interventions. Comments The author reports that they have nothing to disclose.

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Section: Challenges In Current Practice Knowledge Of Concussion and Bmentioning

confidence: 80%

An Occupation-Based Approach to Management of Concussion: Guidelines for Practice

Finn¹

2019

The Open Journal of Occupational Therapy

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“…These specialty clinics then hold the responsibility to determine RTP and RTL [10][11][12]. Accordingly, there has been an increase in referrals to specialty multidisciplinary concussion clinics based on the evolution of concussion consensus statements and guidelines [13].…”

Section: Current Statusmentioning

confidence: 99%

Management and Treatment of Concussions via Tele-Concussion in a Pediatric Setting: Methodological Approach and Descriptive Analysis (Preprint)

Caze¹,

Knell²,

Abt³

et al. 2020

Preprint

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BACKGROUND Approximately 2.0 million children in the United States sustain a concussion annually, resulting in an economic impact as high as $20 billion. Patients who receive treatment at concussion specialty clinics versus primary care experience faster recovery, thereby reducing patient burden and subsequent medical related costs. Accessibility to specialty clinics is typically limited by the availability of in-office visits. This is particularly relevant in light of the SARS-CoV2 pandemic and subsequent guidance to eliminate all non-medically necessary in-clinic visits. Telehealth has been used to effectively deliver in-clinic care across several disciplines including psychiatry, psychology, and neuropsychology. However, a model of telehealth delivered concussion assessment, treatment, and management has not been established. OBJECTIVE The purpose of this paper is two-fold: to describe the methods of telehealth delivered concussion services, and to provide preliminary descriptive data to guide future comparison studies of telehealth efficacy vs. in-office visits. METHODS The specialty concussion clinic described herein began providing telehealth services in 2019, and is part of the largest pediatric and fastest growing telehealth hospital network in the United States. The entire clinical care process will be described, including appointment scheduling, assessment during initial appointment, injury management including communication with relevant patient stakeholders (e.g., parent/guardians, athletic trainers, etc.), dissemination of rehabilitation exercises, and nature of follow-up visits. Descriptive data will include radius of care, access time between calling to schedule and initial visit, average number of follow-up visits, and days until medically cleared to return-to-learn and return-to-sport. The analytic sample included all telehealth concussion visits August 2019-April 2020. RESULTS During the period of observation, 18 patients, with a mean (standard deviation [sd]) age of 14.5 (2.5) years received tele-concussion care. Radius of care was a median (interquartile range [IQR]) 17 (11.0-31.0) miles from the clinic, with median (IQR) time between injury and the first visit 21 (6.0-41.5) days. Mean (sd) number of visits was 2.2 (0.8) with a median (IQR) days between visits of 5.4 (3.0-9.3) to manage and treat the concussion. Of the 18 patients, 55.6% (10/18) were medically cleared to return to learn/play in a median (IQR) 15.5 (11.0-29.0) days. CONCLUSIONS This is the first paper to provide a clinically relevant framework for the assessment, management, and treatment of acute concussion via telehealth in an adolescent population. Limited access to health care is a well understood barrier for receiving quality care. Subsequently, there are increasing demands for flexibility in delivering concussion services remotely and in-clinic. These preliminary results are promising for providing future directions in the treatment and management of adolescent concussion remotely.

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“…Bu çalışmada ortalama doğru sayısı 13.4 bulunmuştur (9). Mitchell ve arkadaşları, acil tıp doktorlarının bilgi seviyesini ölçtükleri anket çalışmasında soruların çok büyük bir oranda doğru bilindiğini bildirmişlerdir (10). Kanada'da yapılan, 809 pediatristin katıldığı bir anket çalışması sonucunda pediatristlerin mevcut konküzyon kılavuzlarına uygun hareket ettiği bulunmuştur (11).…”

Section: Türkiye'de Mezuniyet öNcesi Tıp Eğitimi Ulusalunclassified

Concussion Awareness of Sports Physicians

Yüksel¹,

Akgül²,

Üngür³

et al. 2018

TurkJSportsMed

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Objectives:The aim of this study was to evaluate concussion awareness of sports medicine doctors. Materials and Methods:A pen and paper survey about concussion is conducted to sports medicine specialists and residents attending to 16th Turkish National Sports Medicine Congress. Survey was composed of 3 sections. First section was questioning if the participant is a resident or specialist, age, number of concussions managed per year and attendence to a lecture about concussion in the past. Participants were asked to choose concussion symptoms from 15 symptoms given in section two. Third section contained 10 true/false questions.Results: Forty five participants were included in the study. 53.3 % of the participants had never managed concussion in their practice. 64.4 % of the participants had never attended to a lecture about concussion. Mean symptom score was 9.9±1.8 over 15. The average number of correct answers to true/false questions was 4.31 ± 1.36 over 10. Conclusion:Concussion education and awareness of sports physicians in Turkey are below the expected. Comprehensive education on concussion should be included in medical school programs and sports medicine residency curriculum. ÖZAmaç: Bu çalışmanın amacı, spor hekimlerinin konküzyon farkındalıklarını değerlendirmekti. Gereç ve Yöntemler: 16. Ulusal Spor Hekimliği Kongresi sırasında kongreye katılan spor hekimliği uzmanlarına ve spor hekimliği asistanlarına konküzyon ile ilgili bir kâğıt-kalem anketi uygulandı. Üç bölümden oluşan anketin birinci bölümünde; katılımcıların yaşı, eğitim durumu, konküzyon değerlendirme sıklığı ve daha önce konküzyon ile ilgili bir etkinliğe katılıp katılmadığı (eğitim veya seminer gibi) sorgulandı. İkinci bölümde, sunulan15 semptomdan konküzyonla ilgili olanların seçilmesi istendi. Üçüncü bölümde, konküzyon ile ilgili verilmiş olan 10 adet ifadenin doğru ya da yanlış olarak değerlendirilmesi istendi. Bulgular: Toplam 45 katılımcı çalışmaya dahil edildi. Katılımcıların %53.3'ü hiç konküzyon takip etmiyordu, %64.4'ü daha önce hiç konküzyonla ilgili bir eğitim etkinliğine katılmamıştı. Katılımcıların 15 semptom üzerinden ortalama doğru semptom skoru 9.9±1.8

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Emergency Physicians' Knowledge of Sports-Related Concussion, Referral Patterns, and Use of Return to Play Guidelines

Cited by 7 publications

References 16 publications

An Occupation-Based Approach to Management of Concussion: Guidelines for Practice

An Occupation-Based Approach to Management of Concussion: Guidelines for Practice

Management and Treatment of Concussions via Tele-Concussion in a Pediatric Setting: Methodological Approach and Descriptive Analysis (Preprint)

Concussion Awareness of Sports Physicians

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