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MULTICENTER STUDY
Jennifer Glaser, Sarah Jaeckle, Thomas Beblo, Gerhard Mueller, Andreas M Eidenmueller, Philipp Schulz, Ingo Schmehl, Witold Rogge, Karsten Hollander, Max Toepper, Andreas S Gonschorek
INTRODUCTION: The potential consequences of repeated concussions in sport are well documented. However, it remains unclear whether the cumulative impact of sports-related concussions differs between different contact sports. Therefore, the aim of the current study was to investigate the cumulative effects of sports-related concussions on clinical and neurocognitive health in different contact sports. MATERIALS AND METHODS: In a prospective multicenter study, we examined 507 (74 females) active professional athletes between 18 and 40 years of age from five different contact sports (soccer, handball, American football, basketball, and ice hockey)...
April 2024: Scandinavian Journal of Medicine & Science in Sports
#2
JOURNAL ARTICLE
Davide Frattini, Niklas Rosén, Tobias Wibble
PURPOSE: Post-concussion syndrome (PCS) is commonly associated with dizziness and visual motion sensitivity. This case-control study set out to explore altered motion processing in PCS by measuring gaze stabilization as a reflection of the capacity of the brain to integrate motion, and it aimed to uncover mechanisms of injury where invasive subcortical recordings are not feasible. METHODS: A total of 554 eye movements were analyzed in 10 PCS patients and nine healthy controls across 171 trials...
April 1, 2024: Investigative Ophthalmology & Visual Science
#3
JOURNAL ARTICLE
Abel S Mathew, Todd Caze, August M Price, Desi Vasquez, John P Abt, Scott O Burkhart
BACKGROUND: Researchers have highlighted the importance of early access to concussion care within one week of injury in reducing recovery times. However, a persisting question for concussion researchers is "just how early is important?" The purpose of this study was to examine differences in recovery time as predicted by the number of days elapsed since injury (DSI) to initial evaluation among patients who had access to a specialty concussion clinic within seven days. We hypothesized that DSI group membership, even within seven days, would significantly predict risk of protracted recovery (i...
April 2, 2024: BMC Sports Science, Medicine and Rehabilitation
#4
JOURNAL ARTICLE
Carter Burns, Jacob Jo, Kristen Williams, Phil Davis, Amad Amedy, Trevor J Anesi, Olivia L Prosak, Grant H Rigney, Douglas P Terry, Scott L Zuckerman
INTRODUCTION: In adolescent and collegiate athletes with sport-related concussion (SRC), we sought to evaluate the prevalence and predictors of long-term psychological symptoms. METHODS: A cohort study was conducted of athletes 12-24-year-old diagnosed with SRC between November 2017 and April 2022. Athletes/proxies were interviewed on psychological symptoms (i.e. anger, anxiety, depression, and stress). Participants who scored ≥75th percentile on one or more PROMIS (Patient-Reported Outcomes Measurement System) measures were operationalized to have subclinical, long-term psychological symptoms...
April 4, 2024: Brain Injury
#5
REVIEW
Ioannis Mavroudis, Alin Ciobica, Andreea Cristina Bejenariu, Romeo Petru Dobrin, Mihai Apostu, Irina Dobrin, Ioana-Miruna Balmus
Background: Mild Traumatic Brain Injury (mTBI) has been increasingly recognized as a public health concern due to its prevalence and potential to induce long-term cognitive impairment. We aimed to consolidate this observation by focusing on findings of neuropsychological assessments, neuroimaging, risk factors, and potential strategies for intervention to prevent and treat mTBI-associated cognitive impairments. Methods: A thorough search of PubMed, PsycINFO, and Embase databases was performed for studies published until 2024...
February 24, 2024: Medicina
#6
JOURNAL ARTICLE
Michael W Williams, Justin E Karr, Alyssa M Day, Amanda C Glueck, Siddharth Kapoor, Dong Y Han
This study examined the relationships between post-traumatic headache (PTH) and mental health symptoms after concussions to inform adolescent concussion management. Headache is the most common complaint following adolescent concussion. In this sample of 123 adolescents with concussion, there was a 5-fold increase in odds of clinically elevated anxiety, as well as increased mental health symptoms (anxiety, depression, anger, and disruptive behaviours), among adolescents with PTH relative to those without PTH...
2022: Neurology and neurobiology
#7
JOURNAL ARTICLE
Steven P Broglio, Johna K Register-Mihalik, Tamara C Valovich McLeod
No abstract text is available yet for this article.
March 1, 2024: Journal of Athletic Training
#8
JOURNAL ARTICLE
Steven P Broglio, Johna K Register-Mihalik, Kevin M Guskiewicz, John J Leddy, Alejandra Merriman, Tamara C Valovich McLeod
OBJECTIVE: To provide athletic trainers and team physicians with updated recommendations to the 2014 National Athletic Trainers' Association (NATA) concussion position statement regarding concussion management, specifically in the areas of education, assessment, prognostic factors, mental health, return to academics, physical activity, rest, treatment, and return to sport. BACKGROUND: Athletic trainers have benefited from the 2 previous NATA position statements on concussion management, and although the most recent NATA position statement is a decade old, knowledge gains in the medical literature warrant updating several (but not all) recommendations...
March 1, 2024: Journal of Athletic Training
#9
JOURNAL ARTICLE
Ivan Nisted, Line Amalie Hellemose, Peter Preben Eggertsen, Lene Odgaard, Toke Bek, Jørgen Feldbæk Nielsen
OBJECTIVE: To estimate the prevalence of convergence insufficiency (CI) in adult patients with post-concussion syndrome and determine the impact of CI on symptom load. METHODS: Cross-sectional study of 103 patients with neurological symptoms 2-6 months after a concussion. Symptoms were assessed with the Rivermead Post Concussion Symptoms Questionnaire (RPQ), and CI was diagnosed using near point of convergence, vergence facility, and the Convergence Insufficiency Symptom Survey...
March 26, 2024: Brain Injury
#10
JOURNAL ARTICLE
Zachary W Bevilacqua
No abstract text is available yet for this article.
2024: Frontiers in Neurology
#11
REVIEW
Hemangi Patel, Sneha Polam, Roody Joseph
A concussion is a type of mild traumatic brain injury (mTBI). It is prevalent among athletes across a wide variety of sports. The exact mechanism of a concussion is unknown, but it is currently accepted that the acceleration and deceleration of the brain is the insult causing disturbances in activity. The most common symptoms of concussions include but are not limited to dizziness, nausea, vomiting, and headaches. With repetitive concussive injuries, athletes can experience permanent changes such as chronic traumatic encephalopathy (gradual degeneration of brain tissue), which can lead to personality changes and memory deficits...
February 2024: Curēus
#12
JOURNAL ARTICLE
Noah D Silverberg, Grant L Iverson, Alison Cogan, Kristen Dams-O-Connor, Richard Delmonico, Min Jeong P Graf, Mary Alexis Iaccarino, Maria Kajankova, Joshua Kamins, Karen L McCulloch, Gary McKinney, Drew Nagele, William J Panenka, Amanda R Rabinowitz, Nick Reed, Jennifer V Wethe, Victoria Whitehair, Vicki Anderson, David B Arciniegas, Mark T Bayley, Jeffery J Bazarian, Kathleen R Bell, Steven P Broglio, David Cifu, Gavin A Davis, Jiri Dvorak, Ruben J Echemendia, Gerard A Gioia, Christopher C Giza, Sidney R Hinds, Douglas I Katz, Brad G Kurowski, John J Leddy, Natalie Le Sage, Angela Lumba-Brown, Andrew Ir Maas, Geoffrey T Manley, Michael McCrea, David K Menon, Jennie Ponsford, Margot Putukian, Stacy J Suskauer, Joukje van der Naalt, William C Walker, Keith Owen Yeates, Ross Zafonte, Nathan D Zasler, Roger Zemek
OBJECTIVE: To develop new diagnostic criteria for mild traumatic brain injury (TBI) that are appropriate for use across the lifespan and in sports, civilian trauma, and military settings. DESIGN: Rapid evidence reviews on 12 clinical questions and Delphi method for expert consensus. PARTICIPANTS: The Mild Traumatic Brain Injury Task Force of the American Congress of Rehabilitation Medicine Brain Injury Special Interest Group convened a Working Group of 17 members and an external interdisciplinary expert panel of 32 clinician-scientists...
August 2023: Archives of Physical Medicine and Rehabilitation
#13
JOURNAL ARTICLE
Tamara C Valovich McLeod, Richelle M Williams, Alison R Snyder Valier
CONTEXT: Assessment of sport-related concussion (SRC) has begun to include patient- reported outcome measures (PROMs). However, there is a limited understanding of which health limitations are most meaningful to adolescents following SRC. OBJECTIVE: To explore patient-perceived activity limitations following SRC and throughout recovery to return-to-play (RTP) and mapped according to the International Classification of Functioning, Disability, and Health (ICF) model...
March 13, 2024: Journal of Athletic Training
#14
JOURNAL ARTICLE
Ryan N Moran, Alexandra Curry, J Russell Guin, Margaret Stran
CONTEXT: Concussion assessment in adapted and para-sport athletes has continued to evolve with growing considerations in para-sports, but little is known about vestibular/ocular performance assessment in this sample. OBJECTIVE: To examine baseline performance on the Vestibular/Ocular Motor Screening (VOMS) in collegiate adapted athletes. A secondary objective was to investigate the role of sex, history of concussion, and functional classification on baseline measures...
March 13, 2024: Journal of Athletic Training
#15
JOURNAL ARTICLE
Matthew Neill, Joel Burma, Lauren N Miutz, Courtney Kennedy, Linden Penner, Kailey Newel, Jonathan Smirl
Sport-related concussion (SRC) can impair the cerebrovasculature both acutely and chronically. Transcranial Doppler (TCD) ultrasound assessment has the potential to illuminate the mechanisms of impairment and provide an objective evaluation of SRC. The current systematic review investigated studies employing TCD ultrasound assessment of intracranial arteries across three broad categories of cerebrovascular regulation: neurovascular coupling (NVC), cerebrovascular reactivity (CVR), and dynamic cerebral autoregulation (dCA)...
March 12, 2024: Journal of Neurotrauma
#16
REVIEW
Sarah Ray, Jude Luke, Natalie Kreitzer
INTRODUCTION: Traumatic brain injury (TBI) results in 2.5 million emergency department (ED) visits per year in the US, with mild traumatic brain injury (mTBI) accounting for 90% of cases. There is considerable evidence that many experience chronic symptoms months to years later. This population is rarely represented in interventional studies. Management of adult mTBI in the ED has remained unchanged, without consensus of therapeutic options. The aim of this review was to synthesize existing literature of patient-centered ED treatments for adults who sustain an mTBI, and to identify practices that may offer promise...
May 2024: American Journal of Emergency Medicine
#17
JOURNAL ARTICLE
Josh Elias, Emma Sutherland, Ewan Kennedy
OBJECTIVE: To map existing literature about concussion management in older people, identifying and analyzing gaps in our understanding. CONTEXT: Concussion injuries affect older people, yet little guidance is available about how to approach concussion management with older people. Research does not always include older populations, and it is unclear to what extent standard concussion management is appropriate for older people. DESIGN: Scoping review...
February 27, 2024: Journal of Head Trauma Rehabilitation
#18
JOURNAL ARTICLE
Edward J Weldon, Ryan W Nakamura, Tracy Van, Connor Goo, Anson Y Lee, Julia R Jahansooz, Enrique Carrazana, Kore K Liow
Introduction The recommendations on return to exercise post-traumatic brain injury (TBI) remain debatable. As recent as 10 years ago, the conventional recovery modality for a mild TBI was to reduce neurostimulating activity and encourage rest until the symptoms subsided. However, emerging literature has challenged this notion, stating that returning to exercise early in the course of mild TBI recovery may be beneficial to the recovery timeline. This study surveys Hawaii's diverse population to identify trends in exercise and recovery for TBI patients to shape recommendations on return to exercise...
February 2024: Curēus
#19
JOURNAL ARTICLE
Beatrice M Magnusson, Erik Ahrenby, Britt-Marie Stålnacke
BACKGROUND: Every year, many people suffer from traumatic brain injuries (TBI) with dramatic consequences for both the victim and their close relatives in the form of remaining lifelong symptoms and functional disabilities as a result. METHODS: This study evaluates the outcomes of 49 patients after mild TBI (mTBI) at follow-up after 5 years by using the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) to assess post-TBI symptoms and the Glasgow Outcome Scale Extended (GOSE) to assess disability...
February 22, 2024: Journal of Integrative Neuroscience
#20
REVIEW
Erin D Bigler
This Preface overviews a four-part opinion series on the role of tradtional neuropsychological tests in evaluating mild traumatic brain injury (mTBI), juxtaposed to all of the progress that has occurred with advanced neuroimaging and allied technologies. The four areas of review and critique are: I. Neuropathology; II: Limitations in Test Development, Statistical and Psychometric Issues; III. Implications of Advanced Neuroimaging Findings inn the Neuropsychological Assessment of the mTBI Patient, and IV: Clinical Applications and Future Directions...
February 28, 2024: Brain Injury
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