Does Mechanism of Injury Play a Role in Recovery from Concussion?

Seiger, Ashley N.; Goldwater, Eva; Deibert, Ellen

doi:10.1097/htr.0000000000000051

Cited by 46 publications

(25 citation statements)

References 15 publications

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“…Two of the broad injury mechanisms—MVC and assault—have been previously reported as likely to cause more severe TBI. 18,19 These mechanisms typically involve higher energy impacts that are more likely to affect multiple body regions. In addition, concussion symptoms often evolve over the subsequent hours and days after an injury, which may delay care seeking if there are no concomitant injuries.…”

Section: Discussionmentioning

confidence: 99%

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Variations in Mechanisms of Injury for Children with Concussion

Haarbauer‐Krupa

Arbogast

Metzger

et al. 2018

The Journal of Pediatrics

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Objectives To assess the distribution of injury mechanisms and activities among children with concussions in a large pediatric healthcare system. Study design All patients, age 0–17 years, who had at least 1 clinical encounter with an International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis of concussion in the Children’s Hospital of Philadelphia’s electronic health record system from July 1, 2012 to June 30, 2014, were selected (N = 8233) and their initial concussion-related visit identified. Approximately, 20% of the patients (n = 1625) were randomly selected for manual record review to examine injury mechanisms and activities. Results Overall, 70% of concussions were sports related; however, this proportion varied by age. Only 18% of concussions sustained by children aged 0–4 were sports related, compared with greater proportions for older children (67% for age 5–11, 77% for age 12–14, and 73% for age 15–17). When the concussion was not sports related, the primary mechanisms of injury were struck by an object (30%) and falls (30%). Conclusions Sports-related injuries in children older than 6 years of age contributed to the majority of concussions in this cohort; however, it is important to note that approximately one-third of concussions were from non–sports-related activities. Although there is increased participation in community and organized sports activities among children, a focus on prevention efforts in other activities where concussions occur is needed.

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Section: Discussionmentioning

confidence: 99%

“…17 Limited pediatric studies on causes of TBI in children indicate that TBI severity may be related to injury mechanism, with abusive head trauma and MVC resulting in more severe TBI. 18,19 In addition to age, pediatric TBI mechanisms vary by sociodemographic characteristics, such as race and insurance status. 20–22 …”

mentioning

confidence: 99%

Variations in Mechanisms of Injury for Children with Concussion

Haarbauer‐Krupa

Arbogast

Metzger

et al. 2018

The Journal of Pediatrics

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“…The term concussion often is applied in the context of sports injury, and mTBI in other injury scenarios [15]. Although sports mechanism may have a less severe recovery trajectory on average than other mechanisms of injury such as MVC [18], mechanism of injury is not the only parameter affecting outcome. For example, a large literature review found young age as a major favorable prognostic factor in outcome after mTBI.…”

Section: Discussionmentioning

confidence: 99%

Interdisciplinary Rehabilitation Referrals in a Concussion Clinic Cohort: An Exploratory Analysis

Vargo

Gunzler

et al. 2015

PM&R

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“…Of these injuries, 70.3 % are reported for children between the ages of 10 and 19, with 20.8 % occurring while playing football and soccer (Sieger et al 2015). These rates increased across the previous decade, with children and adolescents among the most likely to visit emergency departments (CDC 2014b).…”

mentioning

confidence: 99%

“…The average recovery time for concussions may be, for some athletes, as little as 1 week to a protracted course extending for weeks or even months (Sieger et al 2015). At times, difficulty will not be noted until the athlete returns to school particularly when there are attentional and fatigue difficulties (Lovell et al 2004).…”

mentioning

confidence: 99%

TBI and Concussions in Student Athletes: How do Severity of Injury, Age, and Gender Influence Recovery

Semrud‐Clikeman

Klipfel

2015

J Pediatr Neuropsychol

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Concussions and mild traumatic brain injuries are seen in increasing numbers of children and adolescents participating in sports as well as in playground activities. This review evaluated literature in the past 20 years studying gender, age, and neuropsychological effects of concussions and traumatic brain injuries. Studies have found differences in age and possibly gender among neuropsychological effects, emotional adjustment, and recovery. Females appear to be susceptible to visual memory and internalizing difficulties following recovery. Males have been found to have difficulty with externalizing behavior in some studies. Other studies have not found gender differences but have found age differences in the expression of depression and/or anxiety. In addition, several studies have demonstrated long-term difficulties in the areas of memory and internalizing behaviors suggesting that serial evaluations for complicated concussions and TBI are warranted. Based on the empirical evidence, suggestions for reintegration into school and for school reentry programming are provided.

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Does Mechanism of Injury Play a Role in Recovery from Concussion?

Cited by 46 publications

References 15 publications

Variations in Mechanisms of Injury for Children with Concussion

Variations in Mechanisms of Injury for Children with Concussion

Interdisciplinary Rehabilitation Referrals in a Concussion Clinic Cohort: An Exploratory Analysis

TBI and Concussions in Student Athletes: How do Severity of Injury, Age, and Gender Influence Recovery

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