Guidelines for Managing Concussion in Sports

Roos, Robert

doi:10.3810/psm.1996.10.1327

Cited by 19 publications

(6 citation statements)

References 4 publications

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“…7 One would expect that sports medicine physicians would be in better compliance with return to play guidelines, but a survey of members of the American Society for Sports Medicine found that only 30% of sports medicine physicians treated concussions per established guidelines. 8…”

Section: Introductionmentioning

confidence: 99%

Physician Concussion Knowledge and the Effect of Mailing the CDC’s “Heads Up” Toolkit

Chrisman

Schiff

Rivara

2011

Clin Pediatr (Phila)

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Section: Introductionmentioning

confidence: 99%

Physician Concussion Knowledge and the Effect of Mailing the CDC’s “Heads Up” Toolkit

Chrisman

Schiff

Rivara

2011

Clin Pediatr (Phila)

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“…Continued controversy surrounds the use of classification scales used for MTBI sustained in sports [25]. Numerous scales have been published, and each differs considerably in its criterion for rating the severity of a head injury as well as return-to-play guidelines [26]. Yet, in each case, these classification scales lack appropriate scientific support [27].…”

Section: Discussionmentioning

confidence: 99%

Injury severity and neuropsychological and balance outcomes of four college athletes

Mrazik¹

2000

Brain Injury

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Recent evidence suggests significant short-term neurocognitive deficits following mild traumatic brain injury (MTBI) in sports. However, sequelae of mild head injuries is complicated by many factors including a history of multiple head injuries and injury severity. Few studies have considered the influence these variables may have on proper classification of a MTBI and their meaning for return-to-play guidelines. This study presents the short-term neuropsychological and balance outcomes of four college athletes who sustained mild head injuries of different severity (grade I, grade II, grade III and multiple head injured with a grade II based on American Academy of Neurology guidelines). The results demonstrated that self-report symptoms of concussion were slow to resolve in the grade III and multiple concussed individuals. For neuropsychological testing, Trails A & B, Symbol Digit Modalities Test and Digits Span Backwards were the most sensitive in identifying differences between the injuries. For balance assessments using the Neurocom Smart Balance System, the Sensory Organization Test and Reaction Time were also important variables in detecting differences among the various injuries. When these data are used together, it can assist physicians in determining safe return-to-play for athletes who sustain MTBI. There are contradindications in the numerous grading systems and return-to-play guidelines for MTBI. The results from this study provides new evidence which can be assimilated into a valid grading scale for MTBI sustained in sport.

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“…[38][39][40][41][42][43] In an attempt to standardize the definition and other aspects of sport-related concussion assessment and management, there have been several international conferences on concussion in sport, the last of which occurred in Zurich in 2012, [44][45][46][47] which defines concussion as follows: [38][39][40][41][42][43] In an attempt to standardize the definition and other aspects of sport-related concussion assessment and management, there have been several international conferences on concussion in sport, the last of which occurred in Zurich in 2012, [44][45][46][47] which defines concussion as follows:…”

Section: Definition Biomechanics and Pathophysiologymentioning

confidence: 99%