Systematic Review of Prognosis and Return to Play After Sport Concussion: Results of the International Collaboration on Mild Traumatic Brain Injury Prognosis

Cancelliere, Carol; Hincapié, Cesar A.; Keightley, Michelle; Godbolt, Alison K.; Côté, Pierre; Kristman, Vicki L.; Stålnacke, Britt-Marie; Carroll, Linda; Hung, Ryan; Borg, Jörgen; Boussard, Catharina Nygren-de; Coronado, Victor G.; Donovan, James; Cassidy, J. David

doi:10.1016/j.apmr.2013.06.035

Cited by 116 publications

(79 citation statements)

References 47 publications

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“…35 The extrapolation of the effects of management of even MBTI influencing return to play policies in sport requires serious consideration, further investment and research. 36 The recent increased attention in the media and medical profession regarding the sequelae of MTBI, suggests the requirement of an expert neurological report including serial neurochemical markers (a 'neurobiological passport') prior to return-to-play in cases with clinical symptoms of impaired cognitive function and elevated post-concussive neurochemicals following MBTI, as a minimum.…”

Section: Discussionmentioning

confidence: 99%

Should an increase in cerebral neurochemicals following head kicks in full contact karate influence return to play?

Graham¹,

Pates²,

Davies

et al. 2015

Int J Immunopathol Pharmacol

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Background: Cerebral neurochemicals are markers of traumatic brain injury (TBI).Objectives: The aim of the study was to determine whether kicks to the head (KTH) in full contact karate significantly increased serum concentrations of protein S-100B, and neurone specific enolase (NSE). Kicks to the body (KTB) were also quantified to asses muscle tissue injury. Muscle damage was assessed by analysis of serum total creatine kinase (CK). Methods: Twenty-four full contact karate practitioners were observed and filmed during actual competition and divided into two main groups post event: (1) Kicks to the head and body group (KTH): n = 12; mean ± SD; age, 30.4 ± 6.7 years; height, 1.74 ± 0.1 m; weight, 79.1 ± 2.1 kg; and (2): Kicks to the body group (KTB): n = 12; mean ± SD; age, 28.2 ± 6.5 years; height, 1.75 ± 0.1 m; weight, 79.2 ± 1.7 kg. The KTH group received direct kicks to the head, while group KTB received kicks and punches to the body. Blood samples were taken before and immediately post-combat for analysis of serum S-100B, NSE, CK and cardiac troponin. Results: Significant increases in serum concentrations of S-100B (0.12 ± 0.17 vs. 0.37 ± 0.26, µg.L -1 ) and NSE (11.8 ± 4.1 vs. 20.2 ± 9.1 ng.mL -1 ) were encountered after combat in the KTH group and CK (123 ± 53 vs. 184 ± 103 U.L -1 ) in the KTB group (all P <0.05). Conclusions: Head kicks in full contact karate cause elevation of neurochemical markers associated with damaged brain tissue. The severity of injury is related to the early post-traumatic release of protein S-100B and NSE. The early kinetics and appearance post injury can reflect intracranial pathology, and suggest S-100B and NSE are extremely sensitive prognostic markers of TBI.

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Section: Discussionmentioning

confidence: 99%

Should an increase in cerebral neurochemicals following head kicks in full contact karate influence return to play?

Graham¹,

Pates²,

Davies

et al. 2015

Int J Immunopathol Pharmacol

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“…The authors specifically found that concussion was often used to refer to head injury with no significant or perceived long-term consequences in youth, which seems to be influenced by the literature submitting that most young concussed athletes make a full recovery (e.g., Terry et al, 2012). It is important to note, however, that although full recoveries are evident, age has been repeatedly found to be a predictor of post-concussion cognitive impairment, where interscholastic athletes (i.e., athletic competitors between the ages of 8 and 18, generally) have demonstrated slower recoveries than collegiate and professional athletes (Cancelliere et al, 2014;Pellman, Lovell, Viano, & Casson, 2006). That is, despite "full recoveries" having been proposed in concussed youth patients, pathology and severity of concussion should be of greater objective concern.…”

Section: Understanding Concussion and Mild Traumatic Brain Injurymentioning

confidence: 94%

“…This appears to occur largely alongside the difficultly in assessment, diagnosis, and management of sports-related concussion (e.g., Carroll, 2012;McCrory et al, 2013). Corresponding with the prevalence of recurrent concussion, though, researchers have found that athletes' concussion histories are associated with cognitive impairment (Bleiberg et al, 2004;Cancelliere et al, 2014;Thornton, Cox, Whitfield, & Fouladi, 2008), depression, anxiety, and suicidal thoughts (Caron et al, 2013;Omalu et al, 2006), and signs of lower mental health scores later in life (Guskiewicz et al, 2005).…”

mentioning

confidence: 99%

Trending Issues and Long-Term Effects of Recurrent Concussion in Sport

Mulholland¹

2015

JPESM

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The purpose of this literature review was to comprehensively assemble prevalent and current publications on the trending issues and long-term effects of recurrent concussion in contact sports to strengthen the understanding, awareness, and appreciation for sport personnel that might not be regularly exposed to this information. With a rising popularity in contact sports and estimated annual sportsrelated concussions topping 3.8 million, increasing knowledge in these professionals is imperative for collaboration throughout sport to improve concussion management and, correspondingly, improve sport management. The literature reviewed was collaborated based on long-term scope, significance of results, and contribution effect. All reviewed studies centralized on athletic populations in contact sports. This review identifies the causal relationships of recurrent concussion and suggests that evolving research in a more diversified manner will further the discipline's knowledge by revealing extensions of research needs and producing phenomenological explanations by potentially discovering sport or nature of impact trends with otherwise neglected populations.

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“…La récente aug mentation des traumatismes crâniens a été attribuée à divers facteurs, dont l'amélio ration de la saisie des données sur les trau matismes crâniens légers 16,17 . En revanche, selon une évaluation récente des consignes relatives au retour au jeu à la suite d'une commotion cérébrale 18 , et bien que les recherches dans ce secteur en soient encore à leurs débuts, rien n'indiquerait que ces consignes aient eu un effet sur le pronostic de traumatisme crânien 19 . D'autres études sur les facteurs associés à la hausse des traumatismes crâniens ainsi que sur le pro nostic de traumatisme crânien devraient aider à mieux orienter les lignes directrices fondées sur des preuves concernant la prise en charge des traumatismes crâniens 19 .…”

Section: Analyses Statistiquesunclassified

Aperçu - Prise en charge des traumatismes crâniens au Canada : évolution des tendances en matière de soins

Rao

McFaull

Thompson

et al. 2018

Promotion De La Santé Et Prévention Des Maladies Chroniques Au Canada

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Systematic Review of Prognosis and Return to Play After Sport Concussion: Results of the International Collaboration on Mild Traumatic Brain Injury Prognosis

Cited by 116 publications

References 47 publications

Should an increase in cerebral neurochemicals following head kicks in full contact karate influence return to play?

Should an increase in cerebral neurochemicals following head kicks in full contact karate influence return to play?

Trending Issues and Long-Term Effects of Recurrent Concussion in Sport

Aperçu - Prise en charge des traumatismes crâniens au Canada : évolution des tendances en matière de soins

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