Assessment of High School Coaches' Knowledge of Sport-Related Concussions

O’Donoghue, Erin M.; Oñate, James A.; Lunen, Bonnie Van; Peterson, Connie L.

doi:10.3928/19425864-20090427-07

Cited by 37 publications

(49 citation statements)

References 22 publications

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“…25 There is a reported lack of awareness of concussion guidelines among pediatricians. 26 Other studies have reported the deficient TBI knowledge of coaches, 27,28 medical students, 29 emergency physicians, and family medical physicians. 30 Knowledge of chiropractors has not been well researched, and there is a lack of any cohort medical doctor (MD)/doctor of chiropractic (DC) studies.…”

Section: Introductionmentioning

confidence: 99%

Survey of Primary Contact Medical and Chiropractic Clinicians on Self-Reported Knowledge and Recognition of Mild Traumatic Brain Injuries: A Pilot Study

Taylor

Ponce²,

Dyess

2017

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to assess the self-reported knowledge of concussion recognition and treatment with first-contact family medical and chiropractic practitioners by means of a pilot study of the need, construct validity, and feasibility for further investigation of mild traumatic brain injury (MTBI) knowledge base. Methods: Two hundred forty-eight practicing chiropractic and 120 medical physicians in the south and northeastern sections of the United States were contacted by e-mail, telephone, and postal mail to answer an 18-item survey on knowledge, diagnosis, and common practice with respect to traumatic brain injury patients. Descriptive analysis was used to assess common trends. Results: Twenty-three chiropractic and 11 medical primary care practitioners returned completed surveys, making this a low-power pilot study. The majority claimed confidence in diagnosis of MTBI, but a lack of knowledge of many of the assessment tools and the international guidelines. Chiropractic and medical clinicians revealed similar competencies and differing deficiencies. Both groups admitted infrequent diagnosis of MTBI in practice. There was recognition of major TBI signs, but lack of recognition or inquiry for subtle MTBI signs. Conclusions: There is a need and feasibility for further study of the knowledge transfer to the chiropractic physician with a larger population. These findings correlate with similar medical practitioner studies, and may also support previous findings of underreporting of the prevalence of MTBI. The survey instrument appears to provide valid data on knowledge of MTBIs, with some modifications. (J Chiropr Med 2017;16:19-30)

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Section: Introductionmentioning

confidence: 99%

Survey of Primary Contact Medical and Chiropractic Clinicians on Self-Reported Knowledge and Recognition of Mild Traumatic Brain Injuries: A Pilot Study

Taylor

Ponce²,

Dyess

2017

Journal of Chiropractic Medicine

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“…Over the past several years there have been numerous studies evaluating the knowledge and awareness of concussion among athletes, 4,[28][29][30][31][32][33][34] parents, 34,35 and coaches. 36,37 Studies have also addressed health care providers' knowledge and use of various concussion management practices, 14,[38][39][40][41][42][43][44][45] yet findings from our study highlight that knowledge-to-practice gaps may still exist.…”

Section: Concussion Education and Awarenessmentioning

confidence: 77%

Athletic Trainers’ Perceived Challenges Toward Comprehensive Concussion Management in the Secondary School Setting

Bacon

Cohen

Kay

et al. 2018

International Journal of Athletic Therapy and Training

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Available financial and personnel resources often dictate the specifics of concussion policies and procedures in the secondary school setting. The purpose of this qualitative study was to explore athletic trainers' perceived challenges toward comprehensive concussion management in the secondary school setting. The findings indicate several challenges exist toward concussion management in the secondary school, including facility, personnel, and community resources, education levels of various stakeholders, and general perceptions of concussion and athletic trainers. It is important to identify challenges athletic trainers may face in order to develop strategies to align current concussion management procedures with current best practices.Keywords: concussion education, traumatic brain injury, return-to-play, multidisciplinary collaborationIn the United States, between 1.1-1.9 million sport-related concussions occur annually among adolescents under the age of 18, and approximately 2,800-5,000 of these concussion cases result in hospitalization. 1 Therefore, proper assessment and management of this public health concern is crucial. Current best practice guidelines suggest concussion assessment should include a multidimensional evaluation (i.e., cognition, symptoms, balance assessment, oculomotor function) both pre-and postinjury. 2,3 While the most current consensus recommendations suggest the use of baseline testing is inconclusive, 2 benefits of baseline testing not only include an opportunity to educate student-athletes about the risks associated with concussion and the importance of reporting concussion symptoms, 4 but also provide clinicians with individualized patient data that can be used for direct comparison during postinjury concussion management. 5 However, although the utility and frequency of baseline testing for student-athletes that are still maturing and developing has been argued, 6-8 researchers have reported that baseline assessment scores improve as an adolescent matures. [8][9][10][11] Therefore, if baseline testing is considered for adolescent studentathletes, it is recommended that the student-athlete complete baseline testing for a second time prior to tenth grade, 9 if not on an annual basis.Following a concussion, a multifaceted approach, similar to baseline testing, is recommended for the diagnosis and management of a concussed student-athlete. 2,3 To effectively monitor the concussed student-athlete and manage all aspects of the studentathlete's health-related quality of life, a multidisciplinary concussion management team is recommended. 12 Outside medical professionals (e.g., primary care physician, concussion specialist) and school-affiliated health care personnel (e.g., athletic trainer, school nurse) should evaluate, monitor, and track symptoms, while school personnel should monitor and track academic and emotional changes of the concussed student-athlete. In the home environment, family members should monitor symptoms, including sleep-related symptoms, as well as impose prescribed...

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“…Finally, three studies (LaBond, Barber, & Golden, 2014;O'Donoghue, Onate, Van Lunen, & Peterson, 2009;Shroyer & Stewart, 2016) examined whether YSS understood that youth concussions should be managed more conservatively than those sustained by older athletes due to their physiological differences. The results of these studies overall revealed a low-tomoderate level of knowledge regarding the importance of conservatively managing youth concussions.…”

Section: Youth Concussion Factsmentioning

confidence: 99%

“…The results of these studies overall revealed a low-tomoderate level of knowledge regarding the importance of conservatively managing youth concussions. Specifically, 48% of coaches did not believe that youth athletes typically take longer than adults to recover from concussions (Shroyer & Stewart, 2016), and approximately 57% of coaches believed that all athletes, regardless of age, recover at the same rate (O'Donoghue et al, 2009). Additionally, approximately 33% of parents disagreed or did not know that head trauma was typically more serious in younger athletes (LaBond et al, 2014).…”

Section: Youth Concussion Factsmentioning

confidence: 99%

Concussion Knowledge of Youth Sport Athletes, Coaches, and Parents: A Review

Kim

Connaughton

Leeman

et al. 2018

JAS

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Mild traumatic brain injury, commonly known as a concussion, has gained widespread public attention. Approximately 1.1 to 1.9 million children ≤18 years old suffer sport/recreation-related concussions in the U.S. annually. The purpose of this review was to assess research articles examining concussion knowledge of youth sport athletes, coaches and parents. Twenty-one articles published from 2009-2016 were selected. The results of this review suggest that most athletes, coaches, and parents had good knowledge regarding the definition of a concussion, common signs/symptoms, and complications from repeated concussions, while most stakeholders had moderate knowledge about the causes, prevalence, and return-to-play guidelines. However, the majority of respondents did not correctly identify the emotional signs/symptoms associated with concussions, and did not know that youth concussions should be managed more conservatively than adult concussions. Notable knowledge gaps were found among youth athletes and parents compared to coaches. Suggestions to improve these youth sport stakeholders’ concussion knowledge are provided.

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Assessment of High School Coaches' Knowledge of Sport-Related Concussions

Cited by 37 publications

References 22 publications

Survey of Primary Contact Medical and Chiropractic Clinicians on Self-Reported Knowledge and Recognition of Mild Traumatic Brain Injuries: A Pilot Study

Survey of Primary Contact Medical and Chiropractic Clinicians on Self-Reported Knowledge and Recognition of Mild Traumatic Brain Injuries: A Pilot Study

Athletic Trainers’ Perceived Challenges Toward Comprehensive Concussion Management in the Secondary School Setting

Concussion Knowledge of Youth Sport Athletes, Coaches, and Parents: A Review

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