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Paediatric Concussion Return to Play

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11 papers 0 to 25 followers Articles associated with paediatric return to play decisions. For my undergrad assignment.
Mark List, Zach Nolz, Wesley Nord, Mark Huntington
BACKGROUND: In the primary care clinic, allowing young athletes to return to play following injuries and illnesses can be a challenging balancing act between promoting speed of recovery while still allowing for full recovery and prevention of future injuries or complications. METHODS: A literature review of relevant return-to-play articles was performed for musculoskeletal injuries, concussions, and infectious mononucleosis. RESULTS: We identified several evidence-based approaches to allowing athletes to return to activity following injuries and illnesses...
March 2015: South Dakota Medicine: the Journal of the South Dakota State Medical Association
Damian G Kelty-Stephen, Mona Qureshi Ahmad, Leia Stirling
The likelihood of suffering a concussion while playing a contact sport ranges from 15-45% per year of play. These rates are highly variable as athletes seldom report concussive symptoms, or do not recognize their symptoms. We performed a prospective cohort study (n = 206, aged 10-17) to examine visuomotor tracing to determine the sensitivity for detecting neuromotor components of concussion. Tracing variability measures were investigated for a mean shift with presentation of concussion-related symptoms and a linear return toward baseline over subsequent return visits...
December 2015: Psychological Assessment
Heather M Moor, Rita C Eisenhauer, Kathleen D Killian, Nick Proudfoot, Ashley A Henriques, Joseph A Congeni, Jennifer C Reneker
BACKGROUND: Adherence to rehabilitation is widely accepted as vital for recovery and return to play following sports injuries. Medical management of concussion is centered around physical and cognitive rest, a theory largely based on expert opinion, not empirical evidence. Current research on this topic focuses on factors that are predictive of adherence to rehabilitation, but fails to examine if patient adherence leads to a better outcome. The purpose of this study was to determine the adherence tendencies of adolescents to treatment recommendations provided by a sports-medicine physician after a concussion and to determine if adherence to each recommendation was a predictor of treatment duration...
April 2015: International Journal of Sports Physical Therapy
Harini P Haran, Silvia Bressan, Ed Oakley, Gavin A Davis, Vicki Anderson, Franz E Babl
OBJECTIVES: On-field management and return-to-play guidelines aim to ensure the identification and appropriate management of the concussed athlete. Compliance with current guidelines in many settings is unknown. We assessed whether key components of current concussion guidelines are being followed in child athletes. DESIGN: Prospective observational study. METHODS: Data were collected from children (5-18 years) presenting to a paediatric emergency department with sport-related concussion via researcher-administered surveys in the emergency department and during a follow up phone call...
March 2016: Journal of Science and Medicine in Sport
Meeryo C Choe, Christopher C Giza
Mild traumatic brain injury (mTBI), or concussion, constitutes a significant percentage of the millions of TBIs sustained in the United States each year. Symptoms are typically short-lived, and may correlate to physiologic changes in the acute period after injury. There are many available tools that can be utilized on the sideline as well as in the clinical setting for assessment and diagnosis of concussion. It is important to use validated tests in conjunction with a thorough history and physical examination...
February 2015: Seminars in Neurology
Nam Pham, Hungbo Akonasu, Rhonda Shishkin, Changiz Taghibiglou
Sport-related mild traumatic brain injury (mTBI) or concussion is a significant health concern to athletes with potential long-term consequences. The diagnosis of sport concussion and return to sport decision making is one of the greatest challenges facing health care clinicians working in sports. Blood biomarkers have recently demonstrated their potential in assisting the detection of brain injury particularly, in those cases with no obvious physical injury. We have recently discovered plasma soluble cellular prion protein (PrP(C)) as a potential reliable biomarker for blast induced TBI (bTBI) in a rodent animal model...
2015: PloS One
Rance McClain
This article discusses the relative risk of concussion/mild traumatic brain injury in school-aged children competing in athletics. It covers the initial assessment and diagnosis of concussion/mild traumatic brain injury. It also discusses the appropriate monitoring of any ongoing symptoms, and how to identify and address prolonged symptomatology. Finally, the current practice guidelines for return-to-play criteria are discussed, as well as the assessment of an athlete's risk of suffering from second impact syndrome...
March 2015: Primary Care
Ruben J Echemendia, Christopher C Giza, Jeffrey S Kutcher
BACKGROUND: Sports-related concussions are commonplace at all levels of play and across all age groups. The dynamic, evolving nature of this injury coupled with a lack of objective biomarkers creates a challenging management issue for the sports medicine team. Athletes who return to play following a concussion are known to be at higher risk for an additional brain injury, which necessitates a careful, informed return to play (RTP) process. AIM: The goal of this paper is to outline historical attempts at developing RTP guidelines and trace their evolution over time, culminating in a discussion of the process and outcomes of the most recent consensus statements/guidelines published by the international Concussion In Sport Group (CISG), the American Academy of Neurology (AAN), the National Athletic Trainers' Association, and the 2013 Team Physician Consensus Statement Update...
2015: Brain Injury: [BI]
P Minodier, J-M Guillaume, J-M Coudreuse, J-M Viton, J-L Jouve, T Merrot
Mild head trauma can be associated with concussion, defined as transient brain function impairment without radiological findings. Sports-related concussion is also reported in pediatrics (rugby, ice hockey, football, boxing, etc.). Misdiagnosis can lead to persistent neurocognitive signs with athletic and academic problems. Consensual tools are available, but they are not well-known by first-line doctors, coaches, and patients or parents. Concussed players should not be allowed to return to the field on the same day...
April 2015: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Carol DeMatteo, Kathy Stazyk, Sheila K Singh, Lucy Giglia, Robert Hollenberg, Charles H Malcolmson, William Mahoney, Jessica A Harper, Cheryl Missiuna, Mary Law, Dayle McCauley
BACKGROUND: Consensus-based guidelines exist for adult athletes returning to play after concussion, but there are no protocols developed specifically for children. The goal of this knowledge translation research was to develop evidence-based materials to inform physicians about pediatric concussion. METHODS: A pediatric concussion protocol was developed based on the National Institute for Health and Care Excellence procedures. RESULTS: This return to activity protocol was developed to guide management when children/youth sustain a concussion...
February 2015: Clinical Pediatrics
Jaebin Shim, Deanna H Smith, Bonnie L Van Lunen
CLINICAL SCENARIO: Over the past decade, sport-related concussions have received increased attention due to their frequency and severity over a wide range of athletics. Clinicians have developed return-to-play protocols to better manage concussions in young athletes; however, a standardized process projecting the length of recovery time after concussion has remained an elusive piece of the puzzle. The recovery times associated with such an injury once diagnosed can last anywhere from 1 wk to several months...
February 2015: Journal of Sport Rehabilitation
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