Children and Concussion
Paediatric Concussion
Concussion Rates in School Sports
Dr Janesh P Ganda, Sports and Exercise Physician
It was recently estimated that 3.8 million recreation and sport related concussions occur annually in the United States (2).
A lack of a proper Injury tracker in youth sports (2), makes this number in accurate for concussions in the paediatrics population, however, highlights the need for school injury surveillance to be able to quantify concussions in this population group. Represents approximately 8.9% of all high school injuries in the USA. (3)
Emergency Department Visits for Sports- and Recreation-Related Traumatic Brain Injuries Among Children — United States, 2010–2016
Kelly Sarmiento, MPH1; Karen E. Thomas, MPH2; Jill Daugherty, PhD1; Dana Waltzman, PhD1; Juliet K. Haarbauer-Krupa, PhD1; Alexis B. Peterson, PhD1; Tadesse Haileyesus, MS2; Matthew J. Breiding, PhD1
Traumatic brain injuries (TBIs), including concussions, are at the forefront of public concern about athletic injuries sustained by children. Caused by an impact to the head or body, a TBI can lead to emotional, physiologic, and cognitive sequelae in children (1). Physiologic factors (such as a child’s developing nervous system and thinner cranial bones) might place children at increased risk for TBI (2,3). A previous study demonstrated that 70% of emergency department (ED) visits for sports- and recreation-related TBIs (SRR-TBIs) were among children (4). Because surveillance data can help develop prevention efforts, CDC analyzed data from the National Electronic Injury Surveillance System–All Injury Program (NEISS-AIP)*
Returning to Learning Following a Concussion
Mark E. Halstead, MD, FAAP, Karen McAvoy, PsyD, Cynthia D. Devore, MD, FAAP, Rebecca Carl, MD, FAAP, Michael Lee, MD, FAAP, Kelsey Logan, MD, FAAP, Council on Sports Medicine and Fitness, and Council on School Health
Following a concussion, it is common for children and adolescents to experience difficulties in the school setting. Cognitive difficulties, such as learning new tasks or remembering previously learned material, may pose challenges in the classroom.
Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children
Angela Lumba-Brown, MD; Keith Owen Yeates, PhD; Kelly Sarmiento, MPH; Matthew J. Breiding, PhD; TamaraM. Haegerich, PhD; Gerard A. Gioia, PhD; Michael Turner, MD; Edward C. Benzel, MD; Stacy J. Suskauer, MD; Christopher C. Giza, MD; Madeline Joseph, MD; Catherine Broomand, PhD; BarbaraWeissman, MD;Wayne Gordon, PhD; DavidW.Wright, MD; Rosemarie Scolaro Moser, PhD; Karen McAvoy, PhD; Linda Ewing-Cobbs, PhD; Ann-Christine Duhaime, MD; Margot Putukian, MD; Barbara Holshouser, PhD; David Paulk, EdD; Shari L.Wade, PhD; Stanley A. Herring, MD; Mark Halstead, MD; Heather T. Keenan, MD, PhD; Meeryo Choe, MD; CindyW. Christian, MD; Kevin Guskiewicz, PhD, ATC; P. B. Raksin, MD; Andrew Gregory, MD; Anne Mucha, PT, DPT; H. Gerry Taylor, PhD; JamesM. Callahan, MD; John DeWitt, PT, DPT, ATC; MichaelW. Collins, PhD; MichaelW. Kirkwood, PhD; John Ragheb, MD; Richard G. Ellenbogen, MD; Theodore J. Spinks, MD; Theodore G. Ganiats, MD; Linda J. Sabelhaus, MLS; Katrina Altenhofen, MPH; Rosanne Hoffman, MPH; TomGetchius, BA; Gary Gronseth, MD; Zoe Donnell, MA; Robert E. O’Connor,MD, MPH; Shelly D. Timmons, MD, PhD
Mild traumatic brain injury (mTBI), or concussion, in children is a rapidly growing public health concern because epidemiologic data indicate a marked increase in the number of emergency department visits for mTBI over the past decade. However, no evidence-based clinical guidelines have been developed to date for diagnosing and managing pediatric mTBI in the United States.
Kids and concussions – the latest science on risks and long-term effects
Isaac was 7 years old when he sustained his first concussion. He playing non-contact hockey. Joanna was 15 years old when she got her first concussion while playing competitive soccer. It was a long and hard road to recovery for both of them. They each suffered a number of setbacks and subsequent concussions. And they are just two examples of a silent epidemic that stems from playing sports.
Brain Injury Awareness Month — March 2019
Brain Injury Awareness Month, observed each March, was established 3 decades ago to educate the public about the incidence of brain injury and the needs of persons with brain injuries and their families (1). Caused by a bump, blow, or jolt to the head, or penetrating head injury, a traumatic brain injury (TBI) can lead to short- or long-term changes affecting thinking, sensation, language, or emotion.
Clinical Risk Score for Persistent Postconcussion Symptoms Among Children With Acute Concussion in the ED
2016 American Medical Association
To derive and validate a clinical risk score for PPCS among children presenting to the emergency department.
What are the most appropriate return-to-play guidelines for concussed child athletes?
Author: L Purcell
To examine concussion literature for specific guidelines regarding return to play (RTP) following sportrelated concussion in child athletes. To make recommendations regarding the most appropriate RTP guidelines for child athletes following sport-related concussion.
Factors associated with delayed recovery in athletes with concussion treated at a pediatric neurology concussion clinic
Authors: Suzanne Bock1 & Rod Grim1 & Todd F. Barron2,9 & Andrew Wagenheim3 & Yaowen Eliot Hu4,5,6 & Matthew Hendell2 & John Deitch7 & Ellen Deibert 2,8
With the increase in knowledge and management of sport-related concussion over the last 15 years, there has been a shift from a grading scale approach to an individualized management approach. As a result, there is an increased need to better understand the factors involved in delayed recovery of concussion. The purpose of this retrospective study was to examine factors that may be associated with recovery from sport-related concussion in student athletes aged 11 to 18 years old.
