Treatment of Acute Sports-Related Concussion

Gupta, Anjali; Summerville, Greg; Senter, Carlin

doi:10.1007/s12178-019-09545-7

Cited by 17 publications

(9 citation statements)

References 51 publications

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“…Current treatment strategies for depression, anxiety and fear/PTSD in brain-injured patients utilize best practices that are in place for treating these disorders in patients that have not suffered a TBI ( Plantier and Luauté, 2016 ; Gupta et al, 2019 ; Silverberg and Panenka, 2019 ). Thus, serotonin reuptake inhibitors (SSRIs) are the most utilized therapy for post-traumatic depression ( Kraus et al, 2017 ; Silverberg and Panenka, 2019 ).…”

Section: Current Treatment Strategies For Post-traumatic Affective DImentioning

confidence: 99%

A Role for the Amygdala in Impairments of Affective Behaviors Following Mild Traumatic Brain Injury

McCorkle

Barson

Raghupathi

2021

Front. Behav. Neurosci.

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Mild traumatic brain injury (TBI) results in chronic affective disorders such as depression, anxiety, and fear that persist up to years following injury and significantly impair the quality of life for patients. Although a great deal of research has contributed to defining symptoms of mild TBI, there are no adequate drug therapies for brain-injured individuals. Preclinical studies have modeled these deficits in affective behaviors post-injury to understand the underlying mechanisms with a view to developing appropriate treatment strategies. These studies have also unveiled sex differences that contribute to the varying phenotypes associated with each behavior. Although clinical and preclinical studies have viewed these behavioral deficits as separate entities with unique neurobiological mechanisms, mechanistic similarities suggest that a novel approach is needed to advance research on drug therapy. This review will discuss the circuitry involved in the expression of deficits in affective behaviors following mild TBI in humans and animals and provide evidence that the manifestation of impairment in these behaviors stems from an amygdala-dependent emotional processing deficit. It will highlight mechanistic similarities between these different types of affective behaviors that can potentially advance mild TBI drug therapy by investigating treatments for the deficits in affective behaviors as one entity, requiring the same treatment.

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Section: Current Treatment Strategies For Post-traumatic Affective DImentioning

confidence: 99%

A Role for the Amygdala in Impairments of Affective Behaviors Following Mild Traumatic Brain Injury

McCorkle

Barson

Raghupathi

2021

Front. Behav. Neurosci.

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“…The perfect time to return to sport (RTS) after having an SRC is a highly discussed topic [ 15 , 29 , 42 , 44 , 45 , 46 ]. Each patient has to be treated individually by a step-by-step return to sport protocol.…”

Section: Discussionmentioning

confidence: 99%

“…In most recommendations, adequate rest is the main principle of treatment. Taking a break until concussion signs fade seems to be the best way to avoid the prolongation of symptoms so far [ 31 , 45 ], even if recent studies showed a converse thesis and demonstrated a reduced rate of PCS and a faster rehabilitation process after a shorter break, as well as an early beginning of moderate training [ 47 , 48 ]. Light aerobic exercise with cervical, vestibular, cognitive behavioral or vision therapy is also discussed as a potentially positive influence on returning to sport [ 46 , 49 ].…”

Section: Discussionmentioning

confidence: 99%

Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center

Weber

Huber

Frankewycz

et al. 2022

JPM

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Sports-related concussions (SRC) have developed into a highly discussed topic in sports medicine over the last few years and demonstrate a severe issue in the personalized treatment of patients. This retrospective cohort study investigated 86 patients with sports-related concussions in a level 1 trauma center, relating to the mechanism, symptoms, medical history, acute therapy including first assessment and the return to sport. The research is based on medical records as well as questionnaires six months after hospitalization. Loss of consciousness for under 30 min (41.2%), headache (36.5%) and amnesia (29.4%) were the most frequent symptoms when presenting in the emergency room. During the hospitalization, mainly headache and vertigo were documented. Most concussions occurred after incidents in equitation and cycling sports; the most common mechanism was falling to the ground with a subsequent impact (59.3%). At the time of discharge from hospital, in 13.4% of all cases, concussion symptoms were still documented in medical records, in contrast to 39.5% of the concerned athletes who reported symptoms for longer than 24 h, and 41.0% who reported ongoing post-concussion symptoms after six months. Concussions are difficult-to-treat disorders with a challenging diagnostic process and many symptoms in various values and levels of persistence. Therefore, a patient-involving treatment with a complaint-dependent return to sport process should be applied to concerned athletes.

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“…The analysis of variance showed significant differences in the degree of depression among the elderly in different living environments. 8 The depression in public places was the lowest, and the depression in hospitals was the highest.…”

Section: The Impact Of Different Living Environments On the Degree Of Depression In The Elderlymentioning

confidence: 99%

Physical Exercises in Relieving the Current State of Depression

Dang

2021

Rev Bras Med Esporte

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Introduction: Physical exercise has become a common method at home and abroad as a means of psychotherapy and mental health. Objective: Observing the current situation and characteristics of physical exercise and depressive disorders and examining the influence of physical exercise on depressive disorders in the human body. Methods: The article compares and analyzes the relationship between human physical exercise and the level of depression and body self-esteem from the perspective of psychology. Results: The incidence of depression is higher. There are significant differences in the attitude towards physical exercise and the degree of depression in the three types of subjects in the study. Physical exercise is conducive to the relief of depression. Conclusion: Physical exercise is one of the effective ways to improve the depressive state of the human body. The effect of an exercise has no relation with the specific exercise method selected. Level of evidence II; Therapeutic studies - investigation of treatment results.

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Treatment of Acute Sports-Related Concussion

Cited by 17 publications

References 51 publications

A Role for the Amygdala in Impairments of Affective Behaviors Following Mild Traumatic Brain Injury

A Role for the Amygdala in Impairments of Affective Behaviors Following Mild Traumatic Brain Injury

Sports-Related Concussion Is a Personalized Issue—Evaluation of Medical Assessment and Subjective Feeling of the Athlete in a German Level 1 Trauma Center

Physical Exercises in Relieving the Current State of Depression

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