PEER-REVIEWED

Articles

PREVENTION

The Risk of Exertional Heatstroke to Young Athletes

Growing up as an athlete in Louisiana, I was one of many teenagers who took to the football field for summer two-a-day practices. In the nearly tropical summer heat and humidity, we would practice and play in triple-digit temperatures – almost always in full padding. Between sessions...more
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Removal From Play After Concussion and Recovery Time

OBJECTIVE: Despite increases in education and awareness, many athletes continue to play with abstract signs and symptoms of a sport-related concussion (SRC). The impact that continuing to play has on recovery is unknown. This study compared recovery time and related outcomes between athletes who were immediately removed from play and athletes who continued to play with...more

Incidence of Concussion in Youth Ice Hockey Players

BACKGROUND: Ice hockey is a fast-paced collision sport that entails both intentional (ie, body abstract checking) and incidental contact that may involve the head. The objective of this study was to determine the incidence of concussions in relation to...more

Incidence of Sports-Related Concussion among Youth Football Players Aged 8-12 Years

OBJECTIVE: To determine the risk of concussion among youth football players (ages 8-12 years). STUDY DESIGN: Participants included 468 male youth football players in western Pennsylvania during the 2011 youth football season. Incidence rates (IRs) and incidence density ratios (IDRs) of concussion were calculated for games and practices and for age groups...more

Role of subconcussion in repetitive mild traumatic brain injury

Research now suggests that head impacts commonly occur during contact sports in which visible signs or symptoms of neurological dysfunction may not develop despite those impacts having the potential for neurological injury. Recent biophysics studies utilizing helmet accelerometers have indicated that athletes at the collegiate and high school levels sustain a surprisingly high...more

Study shows no statistically significant harmful association of playing football with a reduce composite cognitive score.

IMPORTANCE: American football is the largest participation sport in US high schools and is a
leading cause of concussion among adolescents. Little is known about the long-term
cognitive and mental health consequences of exposure to football-related head trauma at the
high school level.more

DIAGNOSIS

A Brief Vestibular/Ocular Motor Screening (VOMS) Assessment to Evaluate Concussions

BACKGROUND: Vestibular and ocular motor impairments and symptoms have been documented in patients with sport-related concussions. However, there is no current brief clinical screen to assess and monitor these issues...more

Examining Recovery Trajectories After Sport-Related Concussion With a Multimodal Clinical Assessment Approach

BACKGROUND: Ice hockey is a fast-paced collision sport that entails both intentional (ie, body abstract checking) and incidental contact that may involve the head. The objective of this study was to determine the incidence of concussions in relation to...more

Posttraumatic Migraine as a Predictor of Recovery and Cognitive Impairment After Sport-Related Concussion

BACKGROUND: Although previous research has demonstrated that patients with posttraumatic migraine (PTM) after concussionreport more symptoms and cognitive deficits after injury than do those without PTM, it is not known whether these effects persist
beyond the first week of injury or whether PTM predicts recovery time...more

TREATMENT

A comprehensive, targeted approach to the clinical care of athletes following sport related concussion

PURPOSE: The purpose of this paper is to discuss risk and prognostic factors for concussion outcomes, review comprehensive
approaches to assessment, and describe a new method for conceptualizing treatment...more

Role of subconcussion in repetitive mild traumatic brain injury

INTRODUCTION: The clinical signs and symptoms of sport concussion have long been recognized brought about by an extrinsic force applied directly or indirectly to the head or body. Much of the scientific literature surrounding this injury has focused on injury incidence, assessment tools,nd recovery patterns among athletes...more

Statements of Agreement From the Targeted Evaluation and Active Management (TEAM) Approaches to Treating Concussion Meeting Held in Pittsburgh, October 15-16, 2015

BACKGROUND: Conventional management for concussion involves prescribed rest and progressive return to activity. Recent evidence challenges this notion and suggests that active approaches may be effective for some patients. Previous concussion consensus statements provide limited guidance regarding active treatment. OBJECTIVE: To describe...more