Development of the 2012 American Chiropractic Board of Sports Physicians position statement on concussion in athletics

Abstract

The Position Statement on Concussion in Athletics has been accepted by the ACBSP. This document offers guidance on the management of concussion in sport and provides qualifying DCs information to make return-to-play decisions.

Multidisciplinary Management of Pediatric Sports-Related Concussion

“…Studies in pediatric patients suggest that those with mild, moderate, and severe TBI are at an elevated risk of psychiatric and mental health related disorders. [63][64][65] In pediatric SRC patients, post-injury psychiatric outcomes can manifest as novel psychiatric conditions whether or not there is a lifetime history of psychiatric illness, isolated suicidal ideation, or worsening symptoms of a pre-injury psychiatric disorder. In a previous study we found that female sex, higher presenting PCSS and emotional PCSS scores, presence of a pre-injury psychiatric disorder, and previous family history of psychiatric illness were significantly associated with the development of a post-injury psychiatric outcome.…”

Sport Concussion Knowledge and Clinical Practices: A Survey of Doctors of Chiropractic With Sports Certification

“…This concept has been reinforced by the diverse wording of recent position statements. 15,16 The ACBSP is the credentialing body for 2 postgraduate certificates of additional qualification (CAQs) in sports medicine in the United States. The 2 ACBSP CAQs are the entry-level sports chiropractic certificate CCSP and a higher-level Diplomate program, the DACBSP.…”

“…Specific ACBSP-recommended resources for concussion are inclusive of the Fourth Zurich Statement on Concussion, the ACBSP Position Statement on Concussion in Athletics, the CDC "Head's Up" online training portal, and the American Medical Society for Sports Medicine Position Statement on Concussion. 15,16,21,38 To the authors' knowledge, the DACBSP is the only sports medicine certification in the United States that requires successful completion of an evidence-based practical examination which demonstrates clinical competency regarding emergency procedures and the evaluation, management, and return-to-play decision process of sports-related head injury as a requisite for certification. The ACBSP has implemented and reviewed these standards since 1997.…”

“…The American Academy of Neurology, American Chiropractic Board of Sports Physicians (ACBSP), American College of Sports Medicine, American Medical Society for Sports Medicine, National Athletic Trainers Association, and National Association of School Nurses each have recently released position statements on concussion management. [14][15][16][17][18][19] Review of these consensus-based position statements suggests that there are common themes of identified best practices in concussion management. However, little is known in regard to how well the knowledge of best practices is translated from the statement to the field of clinical setting.…”

Management of Mild Traumatic Brain Injury Symptoms in a 31-Year-Old Woman Using Cervical Manipulation and Acupuncture: A Case Report

“…Multiple reviews outline the high incidence of mTBI and indicated that chiropractors as first-contact providers should have awareness of symptoms, educational materials for patients, and stress rest before a return to play or activities. 1,15,16 In addition, manual adjustments both with and without soft tissue therapies have been shown to be effective in the treatment of some mTBI symptoms including somatic pain related to mTBI, whiplash, headache, migraine, loss of motion in the cervical spine, and additional sequelae from trauma. [17][18][19][20] In Traditional Chinese Medicine (TCM), it is theorized that external trauma such as in mTBI often causes a TCM condition known as blood stasis which causes pain and dysfunction in the injured area and can be alleviated with TCM treatments such as acupuncture.…”