Return to learn: Transitioning to school and through ascending levels of academic support for students following a concussion

McAvoy, Karen; Eagan-Johnson, Brenda; Halstead, Mark

doi:10.3233/nre-172381

Cited by 34 publications

(44 citation statements)

References 6 publications

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“…The majority of students will only require informal post‐concussion supports provided by teachers and monitored by the school‐based concussion management team. Schools are required to support all students experiencing learning or behavior impacts resulting from a medical, psychological, behavioral, or social condition 30 . Consensus participants recommend that schools consider concussion as a health condition that naturally falls within a school's existing system of supports.…”

Section: Discussionmentioning

confidence: 99%

Establishing Consensus for Essential Elements in Returning to Learn Following a Concussion

McAvoy

Eagan-Johnson²,

Dymacek

et al. 2020

Journal of School Health

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BACKGROUND Returning to learn following a concussion is the process of managing a student's recovery during the school day by implementation of academic supports with varying intensity. Due to a lack of consensus or even guidance on Return to Learn, this paper set out to establish cross discipline consensus on some essential elements of Return to Learn using a Delphi method. METHODS Sixteen national organizations participated in a Delphi process to reach consensus on overarching themes of Return to Learn focused on: returning a student to school, composition of the school‐based concussion management team, progress‐monitoring, educational safeguards, neuropsychological testing, and legislation. Two rounds of questionnaires were disseminated via email using a Delphi process. Consensus was established during round 2. RESULTS Twelve national organizations were able to reach consensus and endorse 13 essential elements of Return to Learn following a concussion. CONCLUSIONS There continues to be limited research on concussion Return to Learn leading to confusion in the field. In this paper, we demonstrate consensus on a number of essential elements, from a wide variety of professional disciplines who participate in the care of students following a concussion, as a starting place for some guidance on Return to Learn.

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Section: Discussionmentioning

confidence: 99%

Establishing Consensus for Essential Elements in Returning to Learn Following a Concussion

McAvoy

Eagan-Johnson²,

Dymacek

et al. 2020

Journal of School Health

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“…9,11,18 Our finding that adequate school accommodations were associated with improved school HRQOL in SRC patients provides support for providing SRC patients with return-to-learn programs that allow students to make a gradual return to school and help minimize cognitive-related symptoms. 20,32,33 Future studies are needed to address the added clinical value of incorporating patient-reported HRQOL outcome measures into the standardized management of patients with acute concussion and PCSS.…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life following adolescent sports-related concussion or fracture: a prospective cohort study

Russell

Selci

Black³

et al. 2019

Journal of Neurosurgery: Pediatrics

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OBJECTIVEThe longitudinal effects of sports-related concussion (SRC) in adolescents on health-related quality of life (HRQOL) remain poorly understood. Hence, the authors established two objectives of this study: 1) compare HRQOL outcomes among adolescents with an acute SRC or a sports-related extremity fracture (SREF) who were followed up until physician-documented clinical recovery; and 2) identify the clinical variables associated with worse HRQOL among adolescent SRC patients.METHODSThe authors conducted a prospective cohort study of adolescents with acute SRC and those with acute SREF who underwent clinical assessment and follow-up at tertiary subspecialty clinics. Longitudinal patient-reported HRQOL was measured at the time of initial assessment and at each follow-up appointment by using the adolescent version (age 13–18 years) of the Pediatric Quality of Life Inventory (PedsQL) Generic Core Scale and Cognitive Functioning Scale.RESULTSA total of 135 patients with SRC (60.0% male; mean age 14.7 years; time from injury to initial assessment 6 days) and 96 patients with SREF (59.4% male; mean age 14.1 years; time from injury to initial assessment 8 days) participated in the study. At the initial assessment, the SRC patients demonstrated significantly worse cognitive HRQOL and clinically meaningful impairments in school and overall HRQOL compared to the SREF patients. Clinical variables associated with a worse HRQOL among SRC patients differed by domain but were significantly affected by the patients’ initial symptom burden and the development of delayed physician-documented clinical recovery (> 28 days postinjury). No persistent impairments in HRQOL were observed among SRC patients who were followed up until physician-documented clinical recovery.CONCLUSIONSAdolescent SRC is associated with temporary impairments in HRQOL that have been shown to resolve in patients who are followed up until physician-documented clinical recovery. Future studies are needed to identify the clinicopathological features that are associated with impaired HRQOL and to assess whether the initiation of multidisciplinary, targeted rehabilitation strategies would lead to an improvement in HRQOL.

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“…Return to learn is the process of transitioning back to the classroom following concussion using individualised academic adjustments87 88 (see table 4). School personnel should be informed of the injury and implement an initial school support plan without delay 89. Many concussed athletes recover quickly enough to return to the classroom with no or very brief adjustment of academic activities, but schools should be prepared to provide additional support in the event that recovery takes longer.…”

Section: Management Of Concussionmentioning

confidence: 99%

American Medical Society for Sports Medicine position statement on concussion in sport

et al. 2019

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Sport-related concussion (SRC) is a common injury in recreational and organised sport. Over the past 30 years, there has been significant progress in our scientific understanding of SRC, which in turn has driven the development of clinical guidelines for diagnosis, assessment and management of SRC. In addition to a growing need for knowledgeable healthcare professionals to provide evidence-based care for athletes with SRC, media attention and legislation have created awareness and, in some cases, fear about many issues and unknowns surrounding SRC. The American Medical Society for Sports Medicine (AMSSM) formed a writing group to review the existing literature on SRC, update its previous position statement, and to address current evidence and knowledge gaps regarding SRC. The absence of definitive outcomes-based data is challenging and requires relying on the best available evidence integrated with clinical experience and patient values. This statement reviews the definition, pathophysiology and epidemiology of SRC, the diagnosis and management of both acute and persistent concussion symptoms, the short-term and long-term risks of SRC and repetitive head impact exposure, SRC prevention strategies, and potential future directions for SRC research. The AMSSM is committed to best clinical practices, evidence-based research and educational initiatives that positively impact the health and safety of athletes.

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Return to learn: Transitioning to school and through ascending levels of academic support for students following a concussion

Abstract: Allowing school districts to direct the application of existing ascending levels of educational support for students with concussion as they return to school can promote robust and positive outcomes.

Cited by 34 publications

References 6 publications

Establishing Consensus for Essential Elements in Returning to Learn Following a Concussion

Establishing Consensus for Essential Elements in Returning to Learn Following a Concussion

Health-related quality of life following adolescent sports-related concussion or fracture: a prospective cohort study

American Medical Society for Sports Medicine position statement on concussion in sport

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