Pediatricians’ Knowledge of Current Sports Concussion Legislation and Guidelines and Comfort With Sports Concussion Management

Carl, Rebecca; Kinsella, Sarah B.

doi:10.1177/0009922814526979

Cited by 37 publications

(37 citation statements)

References 25 publications

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“…This is inferred from 1 the low level of knowledge of common signs and symptoms of MTBIs and 2 the unfamiliarity or low familiarity of MDs (72%) and DCs (65%) with the latest consensus Zurich guidelines for evaluation and management of concussion. 21,38 These figures parallel Carl and Kinsella's 26 and Gordon et al's 35 findings of only 14% and 18% utilization of the Zurich guidelines by pediatricians. The Zurich guidelines also recommend improved methods of knowledge transfer, but addressed mainly the public's need.…”

Section: Discussionsupporting

confidence: 55%

“…26,[32][33][34][35][36] Specific questions were devised to provide insight into the baseline MTBI knowledge and clinical process of first-contact chiropractic and medical physicians in their evaluation and care of TBI patients. The questions were devised to reflect current concepts, guidelines, and clinical practice.…”

Section: Instrument Developmentmentioning

confidence: 99%

“…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%

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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: Discussionsupporting

confidence: 55%

Section: Instrument Developmentmentioning

confidence: 99%

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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“…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: 78%

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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“…Improve medical education about concussion. This includes better concussion education for students entering health professions but also improved education for health care professionals after graduation [10,11]. A study found that only 26.6 percent of general pediatricians were somewhat or very familiar with recently passed concussion legislation and that only 14.6 percent of general pediatricians used concussion consensus guidelines in their practice [12].…”

Section: Recommendationsmentioning

confidence: 99%

Addressing Concussion in Youth Sports

2014

Virtual Mentor

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Pediatricians’ Knowledge of Current Sports Concussion Legislation and Guidelines and Comfort With Sports Concussion Management

Abstract: General pediatricians are knowledgeable about concussions but most are not well aware of state concussion legislation and concussion consensus guidelines.

Cited by 37 publications

References 25 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

Addressing Concussion in Youth Sports

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