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Concussion therapy

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523 papers 500 to 1000 followers Concussion therapy
By David Rhine MD FRCPC. Emergency medicine. Special interest in concussion management.
https://read.qxmd.com/read/30763979/sports-related-concussion-neurometabolic-aspects
#1
Russell E Banks, Delfina C Domínguez
Concussion is a transitory brain injury resulting from a blow to the head. Concussion is considered a mild traumatic brain injury (mTBI), which is self-limited. Repetitive mTBI has been associated with chronic, progressive neurological damage. Extreme biochemical changes occur in neuron cells as a result of mTBI. These metabolic disturbances may reflect the symptoms observed in patients who had suffered concussions. However, it has been difficult to correlate clinical signs and symptoms. Currently, there are no laboratory tests to diagnose concussion, though several biomarkers are being investigated...
February 14, 2019: Seminars in Speech and Language
https://read.qxmd.com/read/30742254/a-physiologically-based-approach-to-prescribing-exercise-following-a-sport-related-concussion
#2
REVIEW
Phillip R Worts, Scott O Burkhart, Jeong-Su Kim
Clinical management of concussion has evolved over the last 20 years, and complete cognitive and physical rest remains a common clinical recommendation. The duration of rest may vary widely, from 24-48 h to several weeks or until the patient's symptoms have resolved or returned to near baseline levels. Following a period of rest, a stepwise progression of exercise is used for gradual return to play or to work. Previous research in healthy people suggested that prolonged periods of physical inactivity consistently induced deleterious physiological and psychological effects...
February 11, 2019: Sports Medicine
https://read.qxmd.com/read/30730326/balance-and-gait-alternations-observed-more-than-2-weeks-after-concussion-a-systematic-review-and-meta-analysis
#3
Tyler A Wood, Katherine L Hsieh, Ruopeng An, Randy A Ballard, Jacob J Sonoff
OBJECTIVE: To systematically review and quantitatively synthesize the existing evidence of balance and gait alternations lasting more than two weeks following concussion in adults. DESIGN: A systematic review was conducted through PubMed, CINAHL, SPORTDiscus, and Web of Science. Investigations must include adult participants with at least 1 concussion, were measured over 14 days after injury, and reported balance or gait measures. Balance error scoring system (BESS) scores, center of pressure (COP) sway area and displacement, and gait velocity were extracted for the meta-analysis...
February 5, 2019: American Journal of Physical Medicine & Rehabilitation
https://read.qxmd.com/read/30730386/american-medical-society-for-sports-medicine-position-statement-on-concussion-in-sport
#4
Kimberly G Harmon, James R Clugston, Katherine Dec, Brian Hainline, Stanley A Herring, Shawn Kane, Anthony P Kontos, John J Leddy, Michael A McCrea, Sourav K Poddar, Margot Putukian, Julie C Wilson, William O Roberts
Sport-related concussion (SRC) is a common injury in recreational and organized 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 health care 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...
February 4, 2019: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://read.qxmd.com/read/28521181/utility-of-a-brief-assessment-tool-developed-from-the-dizziness-handicap-inventory-to-screen-for-cervicogenic-dizziness-a-case-control-study
#5
COMPARATIVE STUDY
Susan A Reid, Robin Callister, Michael G Katekar, Julia M Treleaven
BACKGROUND: Cervicogenic dizziness (CGD) is hard to diagnose as there is no objective test. OBJECTIVE: Can a brief assessment tool be derived from the Dizziness Handicap Inventory (DHI) to assist in screening for CGD? DESIGN: Case-control study with split-sample analysis. METHOD: 86 people with CGD and 86 people with general dizziness completed the DHI as part of the assessment of their dizziness. Descriptive statistics were used to assess how frequently each question on the DHI was answered 'yes' or 'sometimes' by participants with CGD and by participants with general dizziness...
August 2017: Musculoskeletal Science & Practice
https://read.qxmd.com/read/29340206/how-to-diagnose-cervicogenic-dizziness
#6
REVIEW
Alexander S Reiley, Frank M Vickory, Sarah E Funderburg, Rachel A Cesario, Richard A Clendaniel
Cervicogenic dizziness (CGD) is a clinical syndrome characterized by the presence of dizziness and associated neck pain. There are no definitive clinical or laboratory tests for CGD and therefore CGD is a diagnosis of exclusion. It can be difficult for healthcare professionals to differentiate CGD from other vestibular, medical and vascular disorders that cause dizziness, requiring a high level of skill and a thorough understanding of the proper tests and measures to accurately rule in or rule out competing diagnoses...
2017: Archives of physiotherapy
https://read.qxmd.com/read/30641840/premorbid-migraine-history-as-a-risk-factor-for-vestibular-and-oculomotor-baseline-concussion-assessment-in-pediatric-athletes
#7
Ryan N Moran, Tracey Covassin, Jessica Wallace
OBJECTIVEMigraine history has recently been identified as a risk factor for concussion and recovery. The authors performed a cross-sectional study examining baseline outcome measures on newly developed and implemented concussion assessment tools in pediatrics. The purpose of this study was to examine the effects of premorbid, diagnosed migraine headaches as a risk factor on vestibular and oculomotor baseline assessment in pediatric athletes.METHODSPediatric athletes between the ages of 8 and 14 years with a diagnosed history of migraine headache (n = 28) and matched controls without a history of diagnosed migraine headache (n = 28) were administered a baseline concussion assessment battery, consisting of the Vestibular/Ocular Motor Screening (VOMS), near point of convergence (NPC), and the King-Devick (K-D) tests...
January 11, 2019: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/27741219/statements-of-agreement-from-the-targeted-evaluation-and-active-management-team-approaches-to-treating-concussion-meeting-held-in-pittsburgh-october-15-16-2015
#8
Michael W Collins, Anthony P Kontos, David O Okonkwo, Jon Almquist, Julian Bailes, Mark Barisa, Jeffrey Bazarian, O Josh Bloom, David L Brody, Robert Cantu, Javier Cardenas, Jay Clugston, Randall Cohen, Ruben Echemendia, R J Elbin, Richard Ellenbogen, Janna Fonseca, Gerard Gioia, Kevin Guskiewicz, Robert Heyer, Gillian Hotz, Grant L Iverson, Barry Jordan, Geoffrey Manley, Joseph Maroon, Thomas McAllister, Michael McCrea, Anne Mucha, Elizabeth Pieroth, Kenneth Podell, Matthew Pombo, Teena Shetty, Allen Sills, Gary Solomon, Danny G Thomas, Tamara C Valovich McLeod, Tony Yates, Ross Zafonte
BACKGROUND: Conventional management for concussion involves prescribed rest and progressive return to activity. Recent evidence challenges this notion and suggests that active approaches may be effective for some patients. Previous concussion consensus statements provide limited guidance regarding active treatment. OBJECTIVE: To describe the current landscape of treatment for concussion and to provide summary agreements related to treatment to assist clinicians in the treatment of concussion...
December 2016: Neurosurgery
https://read.qxmd.com/read/30531466/the-effect-of-exercise-training-on-autonomic-cardiovascular-regulation-from-cardiac-patients-to-athletes
#9
REVIEW
Ferdinando Iellamo, Maurizio Volterrani, Alessia Di Gianfrancesco, Chiara Fossati, Maurizio Casasco
Exercise training is increasingly promoted for physical and mental health and represents a major factor in both primary and secondary prevention of cardiovascular (CV) diseases. The beneficial effects of exercise, in part, can be ascribed to adaptations of neural CV regulation through several mechanisms. In this article, we summarize how exercise training affects neural CV regulation and outline the plasticity of neural network in the continuum from cardiac patients to elite athletes.
December 2018: Current Sports Medicine Reports
https://read.qxmd.com/read/30540572/preinjury-and-postinjury-factors-that-predict-sports-related-concussion-and-clinical-recovery-time
#10
Margot Putukian, Kaitlin Riegler, Stephanie Amalfe, Jared Bruce, Ruben Echemendia
OBJECTIVES: To evaluate the relationship between preinjury risk factors (RFs) and subsequent occurrence of concussion and examine whether preinjury RFs or postinjury assessments predict clinical recovery in collegiate athletes. METHODS: Risk factors (sex, sport, and self-report history of concussion, migraine, attention-deficit disorder, learning disability, depression, and anxiety) and Sport Concussion Assessment Tool (SCAT), depression/anxiety screenings, and neuropsychological testing were obtained before the season...
December 6, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://read.qxmd.com/read/30506568/behavioral-therapies-and-mind-body-interventions-for-posttraumatic-headache-and-post-concussive-symptoms-a-systematic-review
#11
REVIEW
Mia Minen, Sarah Jinich, Gladys Vallespir Ellett
BACKGROUND: There are no clear guidelines on how to treat posttraumatic headache (PTH) or post-concussive symptoms (PCS). However, behavioral interventions such as cognitive behavioral therapy, biofeedback, and relaxation are Level-A evidence-based treatments for headache prevention. To understand how to develop and study further mind-body interventions (MBIs) and behavioral therapies for PTH and PCS, we developed the following question using the PICO framework: Are behavioral therapies and MBIs effective for treating PTH and PCS? METHODS: We conducted a systematic search of 3 databases (Medline, PsycINFO, and EMBASE) for behavioral interventions and MBIs with the subject headings and keywords for PTH, concussion, and traumatic brain injury (TBI)...
December 1, 2018: Headache
https://read.qxmd.com/read/30509333/narrative-review-of-the-pathophysiology-of-headaches-and-photosensitivity-in-mild-traumatic-brain-injury-and-concussion
#12
Christopher Mares, Jehane H Dagher, Mona Harissi-Dagher
The most common symptom of post-concussive syndrome (PCS) is post-traumatic headache (PTH) accompanied by photophobia. Post-traumatic headache is currently categorized as a secondary headache disorder with a clinical phenotype described by its main features and resembling one of the primary headache disorders: tension, migraine, migraine-like cluster. Although PTH is often treated with medication used for primary headache disorders, the underlying mechanism for PTH has yet to be elucidated. The goal of this narrative literature review is to determine the current level of knowledge of these PTHs and photophobia in mild traumatic brain injury (mTBI) in order to guide further research and attempt to discover the underlying mechanism to both symptoms...
December 4, 2018: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://read.qxmd.com/read/30470420/vision-rehabilitation-after-traumatic-brain-injury
#13
REVIEW
Sandra M Fox, Paul Koons, Sally H Dang
Visual dysfunctions and symptoms are commonly experienced after even mild traumatic brain injury (TBI) despite excellent visual acuity. All individuals who have experienced a TBI/concussion should be screened for vision symptoms and visual dysfunction. A TBI-specific eye examination is necessary to identify the visual sequelae of TBI and address any vision/ocular issues that may be contributing to other post-TBI complaints. A vision rehabilitation plan that includes vision therapy can improve visual dysfunction secondary to TBI...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/30068005/impact-of-moderate-exercise-on-post-concussive-symptoms-and-cognitive-function-after-concussion-in-children-and-adolescents-compared-to-healthy-controls
#14
Vicki Anderson, Vicky Manikas, Franz E Babl, Stephen Hearps, Julian Dooley
Resolution of post-concussive symptoms (PCS) is a marker of recovery. However, it is unclear whether subtle impairments re-emerge in the context of increased demands. This study examined the effect of strenuous exercise on clinical symptoms and cognitive efficiency in children and adolescents after PCS resolution following concussion. We recruited concussed children and adolescents (n=30) on presentation to an Emergency Department (ED), and compared them to community-sourced non-injured controls (n=30), matched for age, and cognitive function...
September 2018: International Journal of Sports Medicine
https://read.qxmd.com/read/30060897/managing-patients-with-acute-episodic-dizziness
#15
REVIEW
Jonathan A Edlow
No abstract text is available yet for this article.
November 2018: Annals of Emergency Medicine
https://read.qxmd.com/read/30056743/the-effects-of-vestibular-rehabilitation-on-dizziness-and-balance-problems-in-patients-after-traumatic-brain-injury-a-randomized-controlled-trial
#16
Ingerid Kleffelgaard, Helene Lundgaard Soberg, Anne-Lise Tamber, Kari Anette Bruusgaard, Are Hugo Pripp, Maria Sandhaug, Birgitta Langhammer
OBJECTIVE: To investigate the effects of group-based vestibular rehabilitation in patients with traumatic brain injury. DESIGN: A single-blind randomized controlled trial. SETTING: University Hospital (recruitment and baseline assessments) and Metropolitan University (experimental intervention). SUBJECTS: A total of 65 patients (45 women) with mild-to-moderate traumatic brain injury (mean age 39.4 ± 13.0 years) were randomly assigned to intervention ( n = 33) or control group ( n = 32)...
July 30, 2018: Clinical Rehabilitation
https://read.qxmd.com/read/30015637/effects-of-exercise-on-sport-concussion-assessment-tool-third-edition-performance-in-women
#17
Jean-Paul Chung Pin Yong, Jin H Lee, David R Howell, William P Meehan, Grant L Iverson, Andrew J Gardner
OBJECTIVE: The purpose of this study was to examine the influence of a brief exercise protocol on Sport Concussion Assessment Tool-Third Edition (SCAT3) performance in amateur women athletes. DESIGN: Cross-over repeated-measures design. SETTING: Off-season, uninjured community amateur athletes. PARTICIPANTS: We examined 87 amateur women athlete volunteers (age = 29.9, SD = 6.9 years). INDEPENDENT VARIABLES: Participants were assessed using the SCAT3 under 2 conditions: at rest and after a 5-minute physical exertion protocol, completed in a counterbalanced order...
July 13, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://read.qxmd.com/read/29929203/a-history-of-concussion-does-not-lead-to-an-increase-in-ocular-near-point-of-convergence
#18
Paul van Donkelaar, Jill Dierijck, Alexander Wright, Jonathan Smirl
Ocular near point of convergence (NPC) has been shown to be sensitive to the effects of concussion and subconcussive impacts. To determine if NPC is also sensitive to a previous history of concussion, male contact-sport athletes either with (n=26) or without (n=16) a history of at least one previous concussion had their NPC assessed. The results showed that participants with a history of concussion displayed NPC values (9.4±1.6 cm) indistinguishable from those with no history of concussion (8.4±2.1 cm, t-test, p=0...
September 2018: International Journal of Sports Medicine
https://read.qxmd.com/read/29876872/pharmacotherapy-for-persistent-posttraumatic-headaches-in-children-and-adolescents-a-brief-review-of-the-literature
#19
Joanne Kacperski
Concussion, now most often referred to as mild traumatic brain injury in recent literature, is common in pediatrics, and headache is often the most common complaint post-injury. Although most children and adolescents recover within 1-2 weeks, some develop frequent and debilitating headaches that can last for months or longer. Most clinicians would agree on the importance of managing both acute and persistent posttraumatic headaches appropriately to speed recovery, minimize disability, maximize function, and improve quality of life, but there are no well-established guidelines to instruct physicians in doing so...
June 7, 2018: Paediatric Drugs
https://read.qxmd.com/read/29863622/reduced-resting-and-increased-elevation-of-heart-rate-variability-with-cognitive-task-performance-in-concussed-athletes
#20
Mu Huang, Justin Frantz, Gilbert Moralez, Tonia Sabo, Peter F Davis, Scott L Davis, Kathleen R Bell, Sushmita Purkayastha
OBJECTIVE: To examine heart rate variability (HRV) at rest and with a 2-Back cognitive task involving executive function and sustained attention in athletes during the acute phase following concussion and compare them with the controls. PARTICIPANTS: Twenty-three male and female collegiate athletes (20 ± 1 years) following (4 ± 1 days) a sports-related concussion and 23 sports- and sex-matched noninjured controls. PROCEDURE: Continuous R-R interval was acquired using 3-lead electrocardiogram for 3 minutes each at rest and during the 2-Back task...
January 2019: Journal of Head Trauma Rehabilitation
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