Concussion and Trauma in Young Athletes: Prevention, Treatment, and Return-to-Play

McClain, Rance

doi:10.1016/j.pop.2014.09.005

Cited by 5 publications

(3 citation statements)

References 20 publications

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“…Most cognitive symptoms improve within 3 months following a concussion. 63 Repetitive concussions may result in a slower recovery from cognitive symptoms, as well as other postconcussive symptoms. These symptoms may resemble symptoms of attention deficit and hyperactivity disorder and are usually treated "off label" in a similar manner.…”

Section: Cognitive Symptomsmentioning

confidence: 99%

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Assessment and Treatment of Concussion in the Pediatric Population

et al. 2021

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Traumatic brain injury (TBI) is common in children. The evaluation and management of children with TBI is based on the research performed in adults. There is a relative paucity of research in the literature involving children and many of the practice recommendations for this age are based on expert opinion in the absence of good research studies in both sports and non–sports-related injuries. The pediatric population is heterogeneous and the approach might be specific for infants, preschoolers, school age children, and adolescents. Children may also suffer from neurodevelopmental disabilities, making their evaluation even more challenging. Adult neurologists are often asked to see children due to increasing demands. This review will focus on specific issues related to TBI in children that might be useful to adult neurologists. Science, however, is evolving rapidly and physicians should make sure to remain up to date to offer evidence-based services to their patients.

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Section: Cognitive Symptomsmentioning

confidence: 99%

“…These problems can add more stress and, in turn, prolong recovery. 63,64 Premorbid emotional conditions play a role in recovery as well; so, it is important to gather an extensive psychiatric history. Risk factors in developing postconcussive include female sex, younger age, cognitive dysfunction, and psychiatric disorder.…”

Section: Psychiatric Symptomsmentioning

confidence: 99%

Assessment and Treatment of Concussion in the Pediatric Population

et al. 2021

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“…Once the athlete is again asymptomatic at that level, they may continue to proceed to gradually increasing levels of activity and continue toward returning to play, as long as they remain symptom free. 89 Most athletes will recover quickly and fully after a concussion, but should symptoms worsen at any time, remain present for greater than 10-14 days, or if athletes have a history of multiple concussion or mood disorders, a referral to a concussion specialist is warranted. It is the current practice of the senior author to evaluate athletes with a suspected SRC in a formal clinical setting before clearing them to return to the field of play.…”

Section: Treatment General Management Of Srcs and Return To Playmentioning

confidence: 99%

Sports-related concussions: diagnosis, complications, and current management strategies

Hobbs

Young

Bailes

2016

FOC

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Sports-related concussions (SRCs) are traumatic events that affect up to 3.8 million athletes per year. The initial diagnosis and management is often instituted on the field of play by coaches, athletic trainers, and team physicians. SRCs are usually transient episodes of neurological dysfunction following a traumatic impact, with most symptoms resolving in 7-10 days; however, a small percentage of patients will suffer protracted symptoms for years after the event and may develop chronic neurodegenerative disease. Rarely, SRCs are associated with complications, such as skull fractures, epidural or subdural hematomas, and edema requiring neurosurgical evaluation. Current standards of care are based on a paradigm of rest and gradual return to play, with decisions driven by subjective and objective information gleaned from a detailed history and physical examination. Advanced imaging techniques such as functional MRI, and detailed understanding of the complex pathophysiological process underlying SRCs and how they affect the athletes acutely and long-term, may change the way physicians treat athletes who suffer a concussion. It is hoped that these advances will allow a more accurate assessment of when an athlete is truly safe to return to play, decreasing the risk of secondary impact injuries, and provide avenues for therapeutic strategies targeting the complex biochemical cascade that results from a traumatic injury to the brain.

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