New developments in the management of sports concussion

Collins, Michael James; Stump, Jamie E.; Lovell, Mark R.

doi:10.1097/00001433-200404000-00010

Cited by 19 publications

(18 citation statements)

References 19 publications

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“…However, the majority of concussions result in more subtle findings. 33,34,38,39,43,73,[82][83][84][85] Furthermore, LOC is not a reliable predictor of cerebral dysfunction or length of recovery. 38,39,86 Headache and dizziness are the most commonly reported symptoms of concussion.…”

Section: Underreportingmentioning

confidence: 99%

Sport-Related Concussion

2009

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Sport-related concussion is a common injury in children and adolescents. Athletes seldom report concussive symptoms, which makes the diagnosis a challenge. The management of sport-related concussion has changed significantly over the last several years. The previously used grading systems and return-to-play guidelines have been abandoned in favor of more individualized assessment and management. Neuropsychological testing is being used more frequently to assist in management. After recovery, it is recommended that an athlete's return-to-play progress in a gradual, stepwise fashion while being monitored by a health care provider. Proper assessment and management of a sport-related concussion is crucial, because repeat concussions can result in decreased neurocognitive functioning, increased symptomatology, and, at times, catastrophic outcomes.

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Section: Underreportingmentioning

confidence: 99%

Sport-Related Concussion

2009

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“…[9][10][11] Decreased reaction time is an important marker of mTBI. 12 If player reaction time is impaired, the risk of injury in contact sports such as the football codes, significantly increases. 12 At present, the decision to return-to-play after sustaining a mTBI in sport is subjective and recommendations are inconsistent.…”

Section: Introductionmentioning

confidence: 99%

“…12 If player reaction time is impaired, the risk of injury in contact sports such as the football codes, significantly increases. 12 At present, the decision to return-to-play after sustaining a mTBI in sport is subjective and recommendations are inconsistent. 12 This is particularly true at community and junior levels of competition.…”

Section: Introductionmentioning

confidence: 99%

“…12 At present, the decision to return-to-play after sustaining a mTBI in sport is subjective and recommendations are inconsistent. 12 This is particularly true at community and junior levels of competition. Evidence suggests that younger players in contact sport are twice as likely to sustain a brain injury than their senior counterparts.…”

Section: Introductionmentioning

confidence: 99%

“…Evidence suggests that younger players in contact sport are twice as likely to sustain a brain injury than their senior counterparts. 10,[11][12][13] This is indicative of the vulnerability of the adolescent brain to closed trauma. 14 This injury remains a significant public health issue at all levels of competition, and in all age groups.…”

Section: Introductionmentioning

confidence: 99%

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Management of brain injury in non-elite field hockey and Australian football – a qualitative study

McManus

2006

Health Promot J Aust

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Issue addressed: This study aimed to assess the current understanding of brain injury in sport, and to identify existing management and return-to-play guidelines associated with mild traumatic brain injury (mTBI), in non-elite field hockey and Australian rules football in Western Australia. Methods:In-depth interviews were conducted with key injury management personnel in nonelite field hockey and Australian football in Western Australia.Results: None of the twenty clubs surveyed followed a standardised procedure for the management of head and brain injury in their team or sport. Conclusions:Findings from the study indicate that the management of head and brain injury was variable, subjective in nature, and that there were no evidence-based guidelines available for the management of mTBI to any of the respondents in this study. So what:Sporting associations and governing bodies should drive the development of evidence-based policies and guidelines that incorporate initial management of head and brain injury, and return-to-play guidelines following mTBI in sport. The primary focus of the initial drive should be towards junior sport where the incidence of head and brain injury is significant.

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