Research Articles

What is the difference in concussion management in children as compared with adults? A systematic review

Gavin A Davis,1 Vicki Anderson,1 Franz E Babl,1 Gerard A Gioia,2 Christopher C Giza,3, William Meehan,4 Rosemarie Scolaro Moser,5 Laura Purcell,6 Philip Schatz,7, Kathryn J Schneider,8 Michael Takagi,1 Keith Owen Yeates,9 Roger Zemek10

To evaluate the evidence regarding the management of sport-related concussion (SRC) in children and adolescents. The eight subquestions included the effects of age on symptoms and outcome, normal and prolonged duration, the role of computerised neuropsychological tests (CNTs), the role of rest, and strategies for return to school and return to sport (RTSp).

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The Sport Concussion Assessment Tool: a systematic review

Written by on March 27, 2017 in Assessment

Aaron M. Yengo-Kahn, BS ,1 Andrew T. Hale, BS ,1 Brian H. Zalneraitis, BS ,1 Scott L. Zuckerman, MD,1,2 Allen K. Sills, MD,1,2 and Gary S. Solomon, PhD1,2 1Vanderbilt Sports Concussion Center, and 2Department of Neurological Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee

Over the last 2 decades, sport-related concussion (SRC) has garnered significant attention. Even with increased awareness and athlete education, sideline recognition and real-time diagnosis remain crucial. The need for an objective and standardized assessment of concussion led to the eventual development of the Sport Concussion Assessment Tool (SCAT) during the Second International Conference on Concussion in Sport in 2004, which is now in its third iteration (SCAT3). In an effort to update our understanding of the most well-known sideline concussion assessment, the authors conducted a systematic review of the SCAT and the evidence supporting its use to date.

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Do Neurocognitive SCAT3 Baseline Test Scores Differ Between Footballers (Soccer) Living With and Without Disability? A Cross-Sectional Study

Written by on March 27, 2017 in Assessment

Richard Weiler, MBChB, MSc, Willem van Mechelen, MD, PhD, Colin Fuller, PhD, Osman Hassan Ahmed, PhD, and Evert Verhagen, PhD

To determine if baseline Sport Concussion Assessment Tool, third Edition (SCAT3) scores differ between athletes with and without disability.

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Reliability and Validity of the Sport Concussion Assessment Tool-3 (SCAT3) in High School and Collegiate Athletes

Written by on March 27, 2017 in Assessment

Esther Y. Chin, Lindsay D. Nelson, William B. Barr, Paul McCrory and Michael A. McCrea

The Sport Concussion Assessment Tool–3 (SCAT3) facilitates sideline clinical assessments of concussed athletes. Yet, there is little published research on clinically relevant metrics for the SCAT3 as a whole.

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The Child Sport Concussion Assessment Tool fifth edition (Child SCAT5).

Written by on March 27, 2017 in Assessment

Gavin A Davis,1,2 Laura Purcell,3 Kathryn J Schneider,4,5,6 Keith Yeates,7 Gerry Gioia,8,9 Vicki Anderson,1 Richard G Ellenbogen,10 Ruben J Echemendia,11 Michael Makdissi,2,12 Allen Sills,13 Grant L Iverson,14 Jiri Dvorak,15 Paul McCrory,2 Willem Meeuwisse,16, Jon Patricios17,18

This article presents the Child Sport Concussion Assessment Tool fifth edition (Child SCAT5). The Sport Concussion Assessment Tool was introduced in 2004, following the Second International Conference on Concussion in Sport in Prague, Czech Republic.

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Identifying concussion: when guidelines collide with real-world implementation—is a formal medical diagnosis necessary in every case once a proper protocol is implemented?

Written by on March 27, 2017 in Assessment

Pierre Frémont

Several countries, such as Canada, are in the process of defining strategies to address the public health problem of sport-related concussions. One of the challenges is to develop strategies that can apply at the earlier levels where the timely availability of qualified healthcare resources is limited.

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Association of Football Subconcussive Head Impacts With Ocular Near Point of Convergence

Written by on March 27, 2017 in Soccer

Keisuke Kawata, MS; Leah H. Rubin, PhD, MPH; Jong Hyun Lee; Thomas Sim; Masahiro Takahagi, MEd; Victor Szwanki, MS; Al Bellamy, MS; Kurosh Darvish, PhD; Soroush Assari, BS, MS; Jeffrey D. Henderer, MD; Ryan Tierney, PhD; Dianne Langford, PhD

An increased understanding of the relationship between subconcussive head impacts and near point of convergence (NPC) ocular-motor function may be useful in delineating traumatic brain injury. OBJECTIVE: To investigate whether repetitive subconcussive head impacts during preseason football practice cause changes in NPC.

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Clinical Risk Score for Persistent Postconcussion Symptoms Among Children With Acute Concussion in the ED

Written by on March 27, 2017 in Children and Concussion

2016 American Medical Association

To derive and validate a clinical risk score for PPCS among children presenting to the emergency department.

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Does a Unique Neuropsychiatric Profile Currently Exist for Chronic Traumatic Encephalopathy?

Written by on March 27, 2017 in Traumatic Brain Injury

Faith M. Hanlon, PhD1; Christopher A. McGrew, MD, FACSM2,3; and Andrew R. Mayer, PhD1,4,5

There is evidence that repetitive mild traumatic brain injury leads to specific patterns of neuropathological findings, labeled chronic traumatic encephalopathy (CTE). However, questions remain about whether these neuropathological changes produce changes in behavior, cognition, and emotional status that are associated with a unique neuropsychiatric profile that can be assessed using currently available clinical tools.

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What Definition Is Used to Describe Second Impact Syndrome in Sports? A Systematic and Critical Review

Written by on March 27, 2017 in Second Impact Syndrome

Steven D. Stovitz, MD, MS, FACSM1; Jonathan D. Weseman2; Matthew C. Hooks2; Robert J. Schmidt2; Jonathan B. Koffel3; and Jon S. Patricios, MD, FACSM4,5

Concern about what has been termed, ‘‘second impact syndrome’’ (SIS) is a major factor determining return-to-play decisions after concussion. However, definitions of SIS vary. We used Scopus to conduct a systematic review and categorize the definitions used to describe SIS.

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