Do family physicans, emergency physicians and paediatricians give consistent sport-related concussion management advice?

Stoller, Jacqueline; Carson, James D.; Davidson, Bruce J.; Garel, Alisha; Bell, Margaret; Snow, Catherine L.; Law, Marcus

doi:10.1136/bjsports-2012-092101.23

Cited by 30 publications

(41 citation statements)

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“…21,38 No attention was given to the needs of the PCP for knowledge transfer. This study implies that there may be a similar knowledge transfer problem with chiropractic PCPs and parallels other studies performed on medical practitioners, 19,30 indicating the need for further study. This study is unique in that it is the first study performed on primary-contact chiropractic physicians.…”

Section: Discussionmentioning

confidence: 48%

“…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. Specific predoctoral training in diagnosis and management of TBI is not outlined by the Council on Chiropractic Accreditation Standards 31 and may vary between different training programs.…”

Section: Introductionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 48%

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: 73%

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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“…Stoller et al 16 reported that half of family practice and emergency department physicians had no knowledge of any consensus statement related to concussion in sport, whereas others discuss underreporting of concussion injuries. 1,2,4 This underscores the importance of having adequately trained staff present or readily available to athletes during times of practice and competition, especially for female athletes.…”

Section: Discussionmentioning

confidence: 99%

One-Year Concussion Prevalence in Marion County, Florida High School Athletes

Young

Chen²

2016

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to evaluate data on concussion prevalence in 1 geographic location and to identify which sports have a higher prevalence of concussion in the Marion County, Florida, school district. Methods: High school athletic trainers in Marion County, Florida, are required to compile statistics related to number of participants and concussions sustained in the county school district during each season. They provided the data for the 2011-2012 school year to independent analysts with the permission of the athletic director. The study evaluated 3689 student-athletes (2102 male, 1587 female), and 34 concussions (24 male, 10 female) were reported. Concussions were self-reported by the athletes and diagnosed by trainers on field or by follow-up after physician referral. Consent was included in consent to participate in interscholastic athletics, and all athletes enrolling in a sport during the 2011-2012 academic year were included regardless of participation level. Number of participants and concussions sustained was calculated per 100 participants for each sport and in total for 1 year. Results: The percentages of concussions per sport were as follows: basketball, 1.83%; cheerleading, 0.40%; football, 2.83%; soccer, 1.84%; track and field, 0.44%; and wrestling, 0.70%. Ten additional sports were included in the study but had no reported concussions. Total prevalence for the district was 0.922% (1.14% male, 0.63% female) during a 1-year period. Conclusion: The concussion prevalence in this district during the 2011-2012 school year was just under 1%. The sport reporting the highest prevalence was football, followed by soccer. Females reported a higher rate of concussions than males in sports played by both male and female participants. This highlights the need to minimize risk for concussion, especially in noncollision contact sports, and in female athletes. (J Chiropr Med 2016;15:204-207)

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Do family physicans, emergency physicians and paediatricians give consistent sport-related concussion management advice?

Cited by 30 publications

References 0 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

One-Year Concussion Prevalence in Marion County, Florida High School Athletes

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