This article reviews the status of concussion management in child and adolescent athletes. Children and adolescent athletes represent a distinct group from adult athletes, although past concussion guidelines have not specifically addressed these differences. It is the position of this article that younger athletes need to be considered as a separate group and that conservative management of concussion is often called for. Neurodevelopmental differences between adult and child athletes are highlighted and new developments in the management of concussion in youth sports are discussed.
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http://dx.doi.org/10.1097/01.CSMR.0000308671.45558.e2 | DOI Listing |
Clin J Sport Med
October 2024
Sports Medicine and Orthopaedics, Children's Health Andrews Institute, Plano, Texas.
Objective: To examine differences in the presentation and management of concussion in younger children (aged 4-8 years) versus preadolescents (9-12 years) and identify factors that influence recovery time.
Design: Retrospective analysis of prospectively collected data.
Setting: Pediatric sports medicine and orthopedics clinic.
J Funct Morphol Kinesiol
December 2024
Department of Exercise Science, Thomas Jefferson University, Philadelphia, PA 19144, USA.
Collision-sport athletes, such as rugby players, are at risk of sport-related concussion (SRC). Women are known to be at higher risk of SRC and may experience more severe and chronic symptomology than men. Knowledge of the factors that affect a player's disclosure of their concussive symptoms could help to inform strategies to improve compliance with reporting and management of head injuries.
View Article and Find Full Text PDFJ Sports Sci
December 2024
Department of Kinesiology and Rehabilitation Science, College of Education, University of Hawai'i at Mānoa, Honolulu, HI, USA.
Dual-task (DT) has been shown to detect post-concussion deficits even after traditional measures returned to normal. However, previous studies were conducted in laboratory settings that were not feasible in the clinical setting. Prospective Cohort Study.
View Article and Find Full Text PDFCNS Neurosci Ther
December 2024
Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Background: Mild traumatic brain injury (mTBI) frequently results in persistent cognitive, emotional, and functional impairments, closely linked to disruptions in the default mode network (DMN). Understanding the mechanisms driving these network abnormalities is critical for advancing diagnostic and therapeutic strategies.
Methods: This study adopted a multimodal approach, combining functional connectivity (FC) analysis, diffusion tensor imaging (DTI), and gene expression profiling to investigate DMN disruptions in mTBI.
Although concussion management and return to play/learn decision making focuses on reducing symptoms, there is growing interest in objective physiological approaches to treatment. Clinical and technological advancements have aided concussion management; however, the scientific study of the neurophysiology of concussion has not translated into its standard of care. This expert commentary is motivated by novel clinical applications of electroencephalographic-based neurofeedback approaches (eg, quantitative electroencephalography [QEEG]) for treating traumatic brain injury and emerging research interest in its translation for treating concussion.
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