Hyden, J; Petty, B
Sideline Management of Concussion Journal Article
In: Physical Medicine & Rehabilitation Clinics of North America, vol. 27, no. 2, pp. 395–409, 2016.
Links | BibTeX | Tags: anamnesis, athlete, Balance, Balance Error Scoring System, brain concussion, Concussion, Electroencephalography, human, King Devick Test, neurologic examination, neuropsychological test, Physical Examination, priority journal, response time, Review, SCAT3, scoring system, sensor, Sensory Organization Test, Sideline, sport concussion assessment tool, Standardized Assessment of Concussion, symptom, Symptom scale, virtual reality, Vision
@article{Hyden2016,
title = {Sideline Management of Concussion},
author = {Hyden, J and Petty, B},
doi = {10.1016/j.pmr.2015.12.004},
year = {2016},
date = {2016-01-01},
journal = {Physical Medicine \& Rehabilitation Clinics of North America},
volume = {27},
number = {2},
pages = {395--409},
keywords = {anamnesis, athlete, Balance, Balance Error Scoring System, brain concussion, Concussion, Electroencephalography, human, King Devick Test, neurologic examination, neuropsychological test, Physical Examination, priority journal, response time, Review, SCAT3, scoring system, sensor, Sensory Organization Test, Sideline, sport concussion assessment tool, Standardized Assessment of Concussion, symptom, Symptom scale, virtual reality, Vision},
pubstate = {published},
tppubtype = {article}
}
Leddy, J J; Baker, J G; Willer, B
Active Rehabilitation of Concussion and Post-concussion Syndrome Journal Article
In: Physical Medicine & Rehabilitation Clinics of North America, vol. 27, no. 2, pp. 437–454, 2016.
Links | BibTeX | Tags: Active, aerobic exercise, athlete, autonomic dysfunction, brain blood flow, Buffalo Concussion Treadmill Test, cognition, cognitive behavioral therapy, Cognitive rehabilitation, Concussion, DISEASE exacerbation, disease severity, exercise tolerance, functional assessment, functional magnetic resonance imaging, head injury, human, motor dysfunction, nerve cell plasticity, nonhuman, ocular motor dysfunction, ocular therapy, oculomotor training therapy, Pathophysiology, PHYSICAL ACTIVITY, Physical Examination, PHYSIOLOGY, physiotherapy, post concussion syndrome, Post-Concussion Syndrome, priority journal, Psychoeducation, psychologic assessment, Rehabilitation, rehabilitation care, rest, Review, Social behavior, social psychology, sport related concussion, traumatic brain injury, Treatment, treatment contraindication, vestibular disorder, Vestibular therapy
@article{Leddy2016a,
title = {Active Rehabilitation of Concussion and Post-concussion Syndrome},
author = {Leddy, J J and Baker, J G and Willer, B},
doi = {10.1016/j.pmr.2015.12.003},
year = {2016},
date = {2016-01-01},
journal = {Physical Medicine \& Rehabilitation Clinics of North America},
volume = {27},
number = {2},
pages = {437--454},
keywords = {Active, aerobic exercise, athlete, autonomic dysfunction, brain blood flow, Buffalo Concussion Treadmill Test, cognition, cognitive behavioral therapy, Cognitive rehabilitation, Concussion, DISEASE exacerbation, disease severity, exercise tolerance, functional assessment, functional magnetic resonance imaging, head injury, human, motor dysfunction, nerve cell plasticity, nonhuman, ocular motor dysfunction, ocular therapy, oculomotor training therapy, Pathophysiology, PHYSICAL ACTIVITY, Physical Examination, PHYSIOLOGY, physiotherapy, post concussion syndrome, Post-Concussion Syndrome, priority journal, Psychoeducation, psychologic assessment, Rehabilitation, rehabilitation care, rest, Review, Social behavior, social psychology, sport related concussion, traumatic brain injury, Treatment, treatment contraindication, vestibular disorder, Vestibular therapy},
pubstate = {published},
tppubtype = {article}
}
Willer, B S; Leddy, J J
Time to Change from a Symptom-based Concussion Assessment to a Structured Physical Examination Journal Article
In: Academic Emergency Medicine, vol. 23, no. 4, pp. 495–496, 2016.
BibTeX | Tags: *Brain Concussion/di [Diagnosis], *Post-Concussion Syndrome/di [Diagnosis], Athletic Injuries, Humans, Neuropsychological Tests, Physical Examination
@article{Willer2016,
title = {Time to Change from a Symptom-based Concussion Assessment to a Structured Physical Examination},
author = {Willer, B S and Leddy, J J},
year = {2016},
date = {2016-01-01},
journal = {Academic Emergency Medicine},
volume = {23},
number = {4},
pages = {495--496},
keywords = {*Brain Concussion/di [Diagnosis], *Post-Concussion Syndrome/di [Diagnosis], Athletic Injuries, Humans, Neuropsychological Tests, Physical Examination},
pubstate = {published},
tppubtype = {article}
}
Ellis, M J; Cordingley, D; Vis, S; Reimer, K; Leiter, J; Russell, K
Vestibulo-ocular dysfunction in pediatric sports-related concussion Journal Article
In: Journal of Neurosurgery: Pediatrics, vol. 16, no. 3, pp. 248–255, 2015.
Abstract | Links | BibTeX | Tags: Adolescent, amnesia, Article, Athletic Injuries, Baseball, BASKETBALL, blurred vision, brain concussion, CANADA, Child, childhood disease, cohort analysis, complication, Concussion, consultation, controlled study, disease duration, Dizziness, Female, follow up, football, Hockey, human, Humans, interdisciplinary communication, major clinical study, Male, Manitoba, migraine, neuroimaging, neuropsychological test, Neuropsychological Tests, ODDS ratio, Pathophysiology, Pediatric, Physical Examination, physiotherapy, Post-Concussion Syndrome, postconcussion syndrome, Prevalence, priority journal, Reflex, Retrospective Studies, retrospective study, return to sport, saccadic eye movement, skating, skiing, Soccer, sport injury, sport related concussion, Sports-related concussion, Trauma, vestibular physiotherapy, Vestibular therapy, vestibulo ocular dysfunction, Vestibulo-Ocular, Vestibulo-ocular dysfunction, vestibuloocular reflex, VOLLEYBALL, Young Adult, youth sport
@article{Ellis2015,
title = {Vestibulo-ocular dysfunction in pediatric sports-related concussion},
author = {Ellis, M J and Cordingley, D and Vis, S and Reimer, K and Leiter, J and Russell, K},
doi = {10.3171/2015.1.PEDS14524},
year = {2015},
date = {2015-01-01},
journal = {Journal of Neurosurgery: Pediatrics},
volume = {16},
number = {3},
pages = {248--255},
abstract = {Object The objective of this study was 2-fold: 1) to examine the prevalence of vestibulo-ocular dysfunction (VOD) among children and adolescents with acute sports-related concussion (SRC) and postconcussion syndrome (PCS) who were referred to a multidisciplinary pediatric concussion program; and 2) to determine if VOD is associated with the development of PCS in this cohort. Methods The authors conducted a retrospective review of all patients with acute SRC (presenting 30 days or less postinjury) and PCS (3 or more symptoms for at least 1 month) referred to a multidisciplinary pediatric concussion program between September 2013 and July 2014. Initial assessment included clinical history, physical examination, and Post-Concussion Symptom Scale assessment. Patients were also assessed for VOD, which was defined as more than one subjective vestibular and oculomotor complaint (dizziness, blurred vision, and so on) and more than one objective physical examination finding (abnormal smooth pursuits, saccades, vestibulo-ocular reflex, and so on). This study was approved by the local institutional ethics review board. Results A total of 101 patients (mean age 14.2 years, SD 2.3 years; 63 male and 38 female patients) participated, including 77 (76.2%) with acute SRC and 24 (23.8%) with PCS. Twenty-two of the 77 patients (28.6%) with acute SRC and 15 of the 24 (62.5%) with PCS met the clinical criteria for VOD. The median duration of symptoms was 40 days (interquartile range [IQR] 28.5-54 days) for patients with acute SRC who had VOD compared with 21 days (IQR 13-32 days) for those without VOD (p = 0.0001). There was a statistically significant increase in the adjusted odds of developing PCS among patients with acute SRC who had VOD compared with those without VOD (adjusted OR 4.10; 95% CI 1.04-16.16). Conclusions Evidence of VOD was detected in a significant proportion of children and adolescents with acute SRC and PCS who were referred to a multidisciplinary pediatric concussion program. This clinical feature was a significant risk factor for the subsequent development of PCS in this pediatric acute SRC cohort. © AANS, 2015.},
keywords = {Adolescent, amnesia, Article, Athletic Injuries, Baseball, BASKETBALL, blurred vision, brain concussion, CANADA, Child, childhood disease, cohort analysis, complication, Concussion, consultation, controlled study, disease duration, Dizziness, Female, follow up, football, Hockey, human, Humans, interdisciplinary communication, major clinical study, Male, Manitoba, migraine, neuroimaging, neuropsychological test, Neuropsychological Tests, ODDS ratio, Pathophysiology, Pediatric, Physical Examination, physiotherapy, Post-Concussion Syndrome, postconcussion syndrome, Prevalence, priority journal, Reflex, Retrospective Studies, retrospective study, return to sport, saccadic eye movement, skating, skiing, Soccer, sport injury, sport related concussion, Sports-related concussion, Trauma, vestibular physiotherapy, Vestibular therapy, vestibulo ocular dysfunction, Vestibulo-Ocular, Vestibulo-ocular dysfunction, vestibuloocular reflex, VOLLEYBALL, Young Adult, youth sport},
pubstate = {published},
tppubtype = {article}
}
Pham, H; Zemek, R
A 15-year-old rugby player with a head injury Journal Article
In: CMAJ Canadian Medical Association Journal, vol. 187, no. 3, pp. 200–202, 2015.
BibTeX | Tags: *Brain Concussion/di [Diagnosis], *Football/in [Injuries], Adolescent, Athletic Injuries/di [Diagnosis], Athletic Injuries/rh [Rehabilitation], Brain Concussion/ra [Radiography], Brain Concussion/rh [Rehabilitation], Brain Concussion/th [Therapy], Female, Glasgow Coma Scale, Humans, Physical Examination, Recovery of Function, Tomography, X-Ray Computed
@article{Pham2015,
title = {A 15-year-old rugby player with a head injury},
author = {Pham, H and Zemek, R},
year = {2015},
date = {2015-01-01},
journal = {CMAJ Canadian Medical Association Journal},
volume = {187},
number = {3},
pages = {200--202},
keywords = {*Brain Concussion/di [Diagnosis], *Football/in [Injuries], Adolescent, Athletic Injuries/di [Diagnosis], Athletic Injuries/rh [Rehabilitation], Brain Concussion/ra [Radiography], Brain Concussion/rh [Rehabilitation], Brain Concussion/th [Therapy], Female, Glasgow Coma Scale, Humans, Physical Examination, Recovery of Function, Tomography, X-Ray Computed},
pubstate = {published},
tppubtype = {article}
}
Mirabelli, M H; Devine, M J; Singh, J; Mendoza, M
The preparticipation sports evaluation Journal Article
In: American Family Physician, vol. 92, no. 5, pp. 371–376, 2015.
Abstract | BibTeX | Tags: Article, asthma, athlete, bleeding disorder, bronchospasm, cardiovascular disease, drug abuse, Eating disorder, ELECTROCARDIOGRAPHY, Epilepsy, heart murmur, hematologic disease, HISTORY, human, imaging, lung disease, Marfan syndrome, medical society, mental disease, Morbidity, MORTALITY, musculoskeletal injury, neurologic disease, Physical Examination, physical performance, social participation, Sport, sport injury, sudden death, urinalysis
@article{Mirabelli2015,
title = {The preparticipation sports evaluation},
author = {Mirabelli, M H and Devine, M J and Singh, J and Mendoza, M},
year = {2015},
date = {2015-01-01},
journal = {American Family Physician},
volume = {92},
number = {5},
pages = {371--376},
abstract = {The preparticipation physical evaluation is a commonly requested medical visit for amateur and professional athletes of all ages. The overarching goal is to maximize the health of athletes and their safe participation in sports. Although studies have not found that the preparticipation physical evaluation prevents morbidity and mortality associated with sports, it may detect conditions that predispose the athlete to injury or illness and can provide strategies to prevent injuries. Clearance depends on the outcome of the evaluation and the type of sport (and sometimes position or event) in which the athlete participates. All persons undergoing a preparticipation physical evaluation should be questioned about exertional symptoms, presence of a heart murmur, symptoms of Marfan syndrome, and family history of premature serious cardiac conditions or sudden death. The physical examination should focus on the cardiovascular and musculoskeletal systems. U.S. medical and athletic organizations discourage screening electrocardiography and blood and urine testing in asymptomatic patients. Further evaluation should be considered for persons with heart or lung disease, bleeding disorders, musculoskeletal problems, history of concussion, or other neurologic disorders. © 2015 American Academy of Family Physicians.},
keywords = {Article, asthma, athlete, bleeding disorder, bronchospasm, cardiovascular disease, drug abuse, Eating disorder, ELECTROCARDIOGRAPHY, Epilepsy, heart murmur, hematologic disease, HISTORY, human, imaging, lung disease, Marfan syndrome, medical society, mental disease, Morbidity, MORTALITY, musculoskeletal injury, neurologic disease, Physical Examination, physical performance, social participation, Sport, sport injury, sudden death, urinalysis},
pubstate = {published},
tppubtype = {article}
}
Zottoli, T M; Hoover, S; Barr, W B
In: Clinical Neuropsychologist, vol. 29, no. 5, pp. 678–688, 2015.
Abstract | Links | BibTeX | Tags: brain concussion, Civil Litigation, Female, human, Humans, IME, Insufficient effort, legislation and jurisprudence, Male, malingering, Malpractice, middle aged, neuropsychological test, Neuropsychological Tests, neuropsychology, Physical Examination, questionnaire, Standardized assessment of concussion (SAC), statistics and numerical data, Surveys and Questionnaires
@article{Zottoli2015,
title = {Utility of the Standardized Assessment of Concussion (SAC) to Detect Insufficient Effort in Independent Medical Examinations and Civil Litigation Cases},
author = {Zottoli, T M and Hoover, S and Barr, W B},
doi = {10.1080/13854046.2015.1062562},
year = {2015},
date = {2015-01-01},
journal = {Clinical Neuropsychologist},
volume = {29},
number = {5},
pages = {678--688},
abstract = {Objective: The Standardized Assessment of Concussion (SAC) is a standardized mental status screening instrument initially developed for assessment and tracking of concussion symptoms in athletes. The purpose of the current study was to validate the utility of the SAC as an embedded screening measure for insufficient effort in independent medical examinations (IME) and personal injury cases. Method: A known-groups design was used to examine the SACs utility for the detection of insufficient effort in 75 de-identified private IME and civil litigation evaluations. Initial classifications of insufficient effort were made independently of SAC scores, on the basis of having two or more scores falling below established cut-offs on previously validated neuropsychological measures. Results: Results suggest that the total score on the SAC significantly distinguishes effortful respondents from those exhibiting insufficient effort. Empirically derived cut-off scores yielded adequate sensitivity (.62-.95) and negative predictive power (.93-.97). Conclusions: While optimal cut-off scores depend upon intended use, our data suggest that the SAC is useful as a potential screener for insufficient effort, after which one can employ additional measures to rule out false-positives. Further research is required before cut-off scores can be recommended for clinical use. © 2015 Taylor and Francis.},
keywords = {brain concussion, Civil Litigation, Female, human, Humans, IME, Insufficient effort, legislation and jurisprudence, Male, malingering, Malpractice, middle aged, neuropsychological test, Neuropsychological Tests, neuropsychology, Physical Examination, questionnaire, Standardized assessment of concussion (SAC), statistics and numerical data, Surveys and Questionnaires},
pubstate = {published},
tppubtype = {article}
}
Neal, Timothy L; Diamond, Alex B; Goldman, Scott; Liedtka, Karl D; Mathis, Kembra; Morse, Eric D; Putukian, Margot; Quandt, Eric; Ritter, Stacey J; Sullivan, John P; Welzant, Victor
In: Journal of Athletic Training, vol. 50, no. 3, pp. 231–249, 2015, ISBN: 1062-6050.
Links | BibTeX | Tags: alcohol abuse, Anxiety Disorders -- Symptoms, Athletes, ATHLETIC trainers, Attention Deficit Hyperactivity Disorder -- Diagno, Attention Deficit Hyperactivity Disorder -- Sympto, behavior, brain concussion, Bullying, Collaboration, Crisis Intervention, Depression -- Symptoms, Eating Disorders -- Symptoms, Health Promotion -- Methods, High School -- Psychosocial Factors, Mental Disorders -- Education, Mental Disorders -- Risk Factors, Mental Health, Patient History Taking, Physical Examination, Privacy and Confidentiality, Professional Role, Referral and Consultation, Sports Organizations, substance abuse, Suicide -- Risk factors
@article{Neal2015,
title = {Interassociation Recommendations for Developing a Plan to Recognize and Refer Student-Athletes With Psychological Concerns at the Secondary School Level: A Consensus Statement},
author = {Neal, Timothy L and Diamond, Alex B and Goldman, Scott and Liedtka, Karl D and Mathis, Kembra and Morse, Eric D and Putukian, Margot and Quandt, Eric and Ritter, Stacey J and Sullivan, John P and Welzant, Victor},
doi = {10.4085/1062-6050-50.3.03},
isbn = {1062-6050},
year = {2015},
date = {2015-01-01},
journal = {Journal of Athletic Training},
volume = {50},
number = {3},
pages = {231--249},
keywords = {alcohol abuse, Anxiety Disorders -- Symptoms, Athletes, ATHLETIC trainers, Attention Deficit Hyperactivity Disorder -- Diagno, Attention Deficit Hyperactivity Disorder -- Sympto, behavior, brain concussion, Bullying, Collaboration, Crisis Intervention, Depression -- Symptoms, Eating Disorders -- Symptoms, Health Promotion -- Methods, High School -- Psychosocial Factors, Mental Disorders -- Education, Mental Disorders -- Risk Factors, Mental Health, Patient History Taking, Physical Examination, Privacy and Confidentiality, Professional Role, Referral and Consultation, Sports Organizations, substance abuse, Suicide -- Risk factors},
pubstate = {published},
tppubtype = {article}
}
Anonymous,
SCAT3 Journal Article
In: British Journal of Sports Medicine, vol. 47, no. 5, pp. 259, 2013, ISBN: 1473-0480.
BibTeX | Tags: Assessment/Testing article, ataxia, body equilibrium, brain concussion, cognitive defect, emergency treatment, human, injury scale, memory disorder, METHODOLOGY, neurologic examination, neuropsychological test, Physical Examination, questionnaire, sport injury, unconsciousness
@article{Anonymous2013b,
title = {SCAT3},
author = {Anonymous},
isbn = {1473-0480},
year = {2013},
date = {2013-01-01},
journal = {British Journal of Sports Medicine},
volume = {47},
number = {5},
pages = {259},
keywords = {Assessment/Testing article, ataxia, body equilibrium, brain concussion, cognitive defect, emergency treatment, human, injury scale, memory disorder, METHODOLOGY, neurologic examination, neuropsychological test, Physical Examination, questionnaire, sport injury, unconsciousness},
pubstate = {published},
tppubtype = {article}
}
Hyden, J; Petty, B
Sideline Management of Concussion Journal Article
In: Physical Medicine & Rehabilitation Clinics of North America, vol. 27, no. 2, pp. 395–409, 2016.
@article{Hyden2016,
title = {Sideline Management of Concussion},
author = {Hyden, J and Petty, B},
doi = {10.1016/j.pmr.2015.12.004},
year = {2016},
date = {2016-01-01},
journal = {Physical Medicine \& Rehabilitation Clinics of North America},
volume = {27},
number = {2},
pages = {395--409},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Leddy, J J; Baker, J G; Willer, B
Active Rehabilitation of Concussion and Post-concussion Syndrome Journal Article
In: Physical Medicine & Rehabilitation Clinics of North America, vol. 27, no. 2, pp. 437–454, 2016.
@article{Leddy2016a,
title = {Active Rehabilitation of Concussion and Post-concussion Syndrome},
author = {Leddy, J J and Baker, J G and Willer, B},
doi = {10.1016/j.pmr.2015.12.003},
year = {2016},
date = {2016-01-01},
journal = {Physical Medicine \& Rehabilitation Clinics of North America},
volume = {27},
number = {2},
pages = {437--454},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Willer, B S; Leddy, J J
Time to Change from a Symptom-based Concussion Assessment to a Structured Physical Examination Journal Article
In: Academic Emergency Medicine, vol. 23, no. 4, pp. 495–496, 2016.
@article{Willer2016,
title = {Time to Change from a Symptom-based Concussion Assessment to a Structured Physical Examination},
author = {Willer, B S and Leddy, J J},
year = {2016},
date = {2016-01-01},
journal = {Academic Emergency Medicine},
volume = {23},
number = {4},
pages = {495--496},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Ellis, M J; Cordingley, D; Vis, S; Reimer, K; Leiter, J; Russell, K
Vestibulo-ocular dysfunction in pediatric sports-related concussion Journal Article
In: Journal of Neurosurgery: Pediatrics, vol. 16, no. 3, pp. 248–255, 2015.
@article{Ellis2015,
title = {Vestibulo-ocular dysfunction in pediatric sports-related concussion},
author = {Ellis, M J and Cordingley, D and Vis, S and Reimer, K and Leiter, J and Russell, K},
doi = {10.3171/2015.1.PEDS14524},
year = {2015},
date = {2015-01-01},
journal = {Journal of Neurosurgery: Pediatrics},
volume = {16},
number = {3},
pages = {248--255},
abstract = {Object The objective of this study was 2-fold: 1) to examine the prevalence of vestibulo-ocular dysfunction (VOD) among children and adolescents with acute sports-related concussion (SRC) and postconcussion syndrome (PCS) who were referred to a multidisciplinary pediatric concussion program; and 2) to determine if VOD is associated with the development of PCS in this cohort. Methods The authors conducted a retrospective review of all patients with acute SRC (presenting 30 days or less postinjury) and PCS (3 or more symptoms for at least 1 month) referred to a multidisciplinary pediatric concussion program between September 2013 and July 2014. Initial assessment included clinical history, physical examination, and Post-Concussion Symptom Scale assessment. Patients were also assessed for VOD, which was defined as more than one subjective vestibular and oculomotor complaint (dizziness, blurred vision, and so on) and more than one objective physical examination finding (abnormal smooth pursuits, saccades, vestibulo-ocular reflex, and so on). This study was approved by the local institutional ethics review board. Results A total of 101 patients (mean age 14.2 years, SD 2.3 years; 63 male and 38 female patients) participated, including 77 (76.2%) with acute SRC and 24 (23.8%) with PCS. Twenty-two of the 77 patients (28.6%) with acute SRC and 15 of the 24 (62.5%) with PCS met the clinical criteria for VOD. The median duration of symptoms was 40 days (interquartile range [IQR] 28.5-54 days) for patients with acute SRC who had VOD compared with 21 days (IQR 13-32 days) for those without VOD (p = 0.0001). There was a statistically significant increase in the adjusted odds of developing PCS among patients with acute SRC who had VOD compared with those without VOD (adjusted OR 4.10; 95% CI 1.04-16.16). Conclusions Evidence of VOD was detected in a significant proportion of children and adolescents with acute SRC and PCS who were referred to a multidisciplinary pediatric concussion program. This clinical feature was a significant risk factor for the subsequent development of PCS in this pediatric acute SRC cohort. © AANS, 2015.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Pham, H; Zemek, R
A 15-year-old rugby player with a head injury Journal Article
In: CMAJ Canadian Medical Association Journal, vol. 187, no. 3, pp. 200–202, 2015.
@article{Pham2015,
title = {A 15-year-old rugby player with a head injury},
author = {Pham, H and Zemek, R},
year = {2015},
date = {2015-01-01},
journal = {CMAJ Canadian Medical Association Journal},
volume = {187},
number = {3},
pages = {200--202},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Mirabelli, M H; Devine, M J; Singh, J; Mendoza, M
The preparticipation sports evaluation Journal Article
In: American Family Physician, vol. 92, no. 5, pp. 371–376, 2015.
@article{Mirabelli2015,
title = {The preparticipation sports evaluation},
author = {Mirabelli, M H and Devine, M J and Singh, J and Mendoza, M},
year = {2015},
date = {2015-01-01},
journal = {American Family Physician},
volume = {92},
number = {5},
pages = {371--376},
abstract = {The preparticipation physical evaluation is a commonly requested medical visit for amateur and professional athletes of all ages. The overarching goal is to maximize the health of athletes and their safe participation in sports. Although studies have not found that the preparticipation physical evaluation prevents morbidity and mortality associated with sports, it may detect conditions that predispose the athlete to injury or illness and can provide strategies to prevent injuries. Clearance depends on the outcome of the evaluation and the type of sport (and sometimes position or event) in which the athlete participates. All persons undergoing a preparticipation physical evaluation should be questioned about exertional symptoms, presence of a heart murmur, symptoms of Marfan syndrome, and family history of premature serious cardiac conditions or sudden death. The physical examination should focus on the cardiovascular and musculoskeletal systems. U.S. medical and athletic organizations discourage screening electrocardiography and blood and urine testing in asymptomatic patients. Further evaluation should be considered for persons with heart or lung disease, bleeding disorders, musculoskeletal problems, history of concussion, or other neurologic disorders. © 2015 American Academy of Family Physicians.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Zottoli, T M; Hoover, S; Barr, W B
In: Clinical Neuropsychologist, vol. 29, no. 5, pp. 678–688, 2015.
@article{Zottoli2015,
title = {Utility of the Standardized Assessment of Concussion (SAC) to Detect Insufficient Effort in Independent Medical Examinations and Civil Litigation Cases},
author = {Zottoli, T M and Hoover, S and Barr, W B},
doi = {10.1080/13854046.2015.1062562},
year = {2015},
date = {2015-01-01},
journal = {Clinical Neuropsychologist},
volume = {29},
number = {5},
pages = {678--688},
abstract = {Objective: The Standardized Assessment of Concussion (SAC) is a standardized mental status screening instrument initially developed for assessment and tracking of concussion symptoms in athletes. The purpose of the current study was to validate the utility of the SAC as an embedded screening measure for insufficient effort in independent medical examinations (IME) and personal injury cases. Method: A known-groups design was used to examine the SACs utility for the detection of insufficient effort in 75 de-identified private IME and civil litigation evaluations. Initial classifications of insufficient effort were made independently of SAC scores, on the basis of having two or more scores falling below established cut-offs on previously validated neuropsychological measures. Results: Results suggest that the total score on the SAC significantly distinguishes effortful respondents from those exhibiting insufficient effort. Empirically derived cut-off scores yielded adequate sensitivity (.62-.95) and negative predictive power (.93-.97). Conclusions: While optimal cut-off scores depend upon intended use, our data suggest that the SAC is useful as a potential screener for insufficient effort, after which one can employ additional measures to rule out false-positives. Further research is required before cut-off scores can be recommended for clinical use. © 2015 Taylor and Francis.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Neal, Timothy L; Diamond, Alex B; Goldman, Scott; Liedtka, Karl D; Mathis, Kembra; Morse, Eric D; Putukian, Margot; Quandt, Eric; Ritter, Stacey J; Sullivan, John P; Welzant, Victor
In: Journal of Athletic Training, vol. 50, no. 3, pp. 231–249, 2015, ISBN: 1062-6050.
@article{Neal2015,
title = {Interassociation Recommendations for Developing a Plan to Recognize and Refer Student-Athletes With Psychological Concerns at the Secondary School Level: A Consensus Statement},
author = {Neal, Timothy L and Diamond, Alex B and Goldman, Scott and Liedtka, Karl D and Mathis, Kembra and Morse, Eric D and Putukian, Margot and Quandt, Eric and Ritter, Stacey J and Sullivan, John P and Welzant, Victor},
doi = {10.4085/1062-6050-50.3.03},
isbn = {1062-6050},
year = {2015},
date = {2015-01-01},
journal = {Journal of Athletic Training},
volume = {50},
number = {3},
pages = {231--249},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Anonymous,
SCAT3 Journal Article
In: British Journal of Sports Medicine, vol. 47, no. 5, pp. 259, 2013, ISBN: 1473-0480.
@article{Anonymous2013b,
title = {SCAT3},
author = {Anonymous},
isbn = {1473-0480},
year = {2013},
date = {2013-01-01},
journal = {British Journal of Sports Medicine},
volume = {47},
number = {5},
pages = {259},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Hyden, J; Petty, B
Sideline Management of Concussion Journal Article
In: Physical Medicine & Rehabilitation Clinics of North America, vol. 27, no. 2, pp. 395–409, 2016.
Links | BibTeX | Tags: anamnesis, athlete, Balance, Balance Error Scoring System, brain concussion, Concussion, Electroencephalography, human, King Devick Test, neurologic examination, neuropsychological test, Physical Examination, priority journal, response time, Review, SCAT3, scoring system, sensor, Sensory Organization Test, Sideline, sport concussion assessment tool, Standardized Assessment of Concussion, symptom, Symptom scale, virtual reality, Vision
@article{Hyden2016,
title = {Sideline Management of Concussion},
author = {Hyden, J and Petty, B},
doi = {10.1016/j.pmr.2015.12.004},
year = {2016},
date = {2016-01-01},
journal = {Physical Medicine \& Rehabilitation Clinics of North America},
volume = {27},
number = {2},
pages = {395--409},
keywords = {anamnesis, athlete, Balance, Balance Error Scoring System, brain concussion, Concussion, Electroencephalography, human, King Devick Test, neurologic examination, neuropsychological test, Physical Examination, priority journal, response time, Review, SCAT3, scoring system, sensor, Sensory Organization Test, Sideline, sport concussion assessment tool, Standardized Assessment of Concussion, symptom, Symptom scale, virtual reality, Vision},
pubstate = {published},
tppubtype = {article}
}
Leddy, J J; Baker, J G; Willer, B
Active Rehabilitation of Concussion and Post-concussion Syndrome Journal Article
In: Physical Medicine & Rehabilitation Clinics of North America, vol. 27, no. 2, pp. 437–454, 2016.
Links | BibTeX | Tags: Active, aerobic exercise, athlete, autonomic dysfunction, brain blood flow, Buffalo Concussion Treadmill Test, cognition, cognitive behavioral therapy, Cognitive rehabilitation, Concussion, DISEASE exacerbation, disease severity, exercise tolerance, functional assessment, functional magnetic resonance imaging, head injury, human, motor dysfunction, nerve cell plasticity, nonhuman, ocular motor dysfunction, ocular therapy, oculomotor training therapy, Pathophysiology, PHYSICAL ACTIVITY, Physical Examination, PHYSIOLOGY, physiotherapy, post concussion syndrome, Post-Concussion Syndrome, priority journal, Psychoeducation, psychologic assessment, Rehabilitation, rehabilitation care, rest, Review, Social behavior, social psychology, sport related concussion, traumatic brain injury, Treatment, treatment contraindication, vestibular disorder, Vestibular therapy
@article{Leddy2016a,
title = {Active Rehabilitation of Concussion and Post-concussion Syndrome},
author = {Leddy, J J and Baker, J G and Willer, B},
doi = {10.1016/j.pmr.2015.12.003},
year = {2016},
date = {2016-01-01},
journal = {Physical Medicine \& Rehabilitation Clinics of North America},
volume = {27},
number = {2},
pages = {437--454},
keywords = {Active, aerobic exercise, athlete, autonomic dysfunction, brain blood flow, Buffalo Concussion Treadmill Test, cognition, cognitive behavioral therapy, Cognitive rehabilitation, Concussion, DISEASE exacerbation, disease severity, exercise tolerance, functional assessment, functional magnetic resonance imaging, head injury, human, motor dysfunction, nerve cell plasticity, nonhuman, ocular motor dysfunction, ocular therapy, oculomotor training therapy, Pathophysiology, PHYSICAL ACTIVITY, Physical Examination, PHYSIOLOGY, physiotherapy, post concussion syndrome, Post-Concussion Syndrome, priority journal, Psychoeducation, psychologic assessment, Rehabilitation, rehabilitation care, rest, Review, Social behavior, social psychology, sport related concussion, traumatic brain injury, Treatment, treatment contraindication, vestibular disorder, Vestibular therapy},
pubstate = {published},
tppubtype = {article}
}
Willer, B S; Leddy, J J
Time to Change from a Symptom-based Concussion Assessment to a Structured Physical Examination Journal Article
In: Academic Emergency Medicine, vol. 23, no. 4, pp. 495–496, 2016.
BibTeX | Tags: *Brain Concussion/di [Diagnosis], *Post-Concussion Syndrome/di [Diagnosis], Athletic Injuries, Humans, Neuropsychological Tests, Physical Examination
@article{Willer2016,
title = {Time to Change from a Symptom-based Concussion Assessment to a Structured Physical Examination},
author = {Willer, B S and Leddy, J J},
year = {2016},
date = {2016-01-01},
journal = {Academic Emergency Medicine},
volume = {23},
number = {4},
pages = {495--496},
keywords = {*Brain Concussion/di [Diagnosis], *Post-Concussion Syndrome/di [Diagnosis], Athletic Injuries, Humans, Neuropsychological Tests, Physical Examination},
pubstate = {published},
tppubtype = {article}
}
Ellis, M J; Cordingley, D; Vis, S; Reimer, K; Leiter, J; Russell, K
Vestibulo-ocular dysfunction in pediatric sports-related concussion Journal Article
In: Journal of Neurosurgery: Pediatrics, vol. 16, no. 3, pp. 248–255, 2015.
Abstract | Links | BibTeX | Tags: Adolescent, amnesia, Article, Athletic Injuries, Baseball, BASKETBALL, blurred vision, brain concussion, CANADA, Child, childhood disease, cohort analysis, complication, Concussion, consultation, controlled study, disease duration, Dizziness, Female, follow up, football, Hockey, human, Humans, interdisciplinary communication, major clinical study, Male, Manitoba, migraine, neuroimaging, neuropsychological test, Neuropsychological Tests, ODDS ratio, Pathophysiology, Pediatric, Physical Examination, physiotherapy, Post-Concussion Syndrome, postconcussion syndrome, Prevalence, priority journal, Reflex, Retrospective Studies, retrospective study, return to sport, saccadic eye movement, skating, skiing, Soccer, sport injury, sport related concussion, Sports-related concussion, Trauma, vestibular physiotherapy, Vestibular therapy, vestibulo ocular dysfunction, Vestibulo-Ocular, Vestibulo-ocular dysfunction, vestibuloocular reflex, VOLLEYBALL, Young Adult, youth sport
@article{Ellis2015,
title = {Vestibulo-ocular dysfunction in pediatric sports-related concussion},
author = {Ellis, M J and Cordingley, D and Vis, S and Reimer, K and Leiter, J and Russell, K},
doi = {10.3171/2015.1.PEDS14524},
year = {2015},
date = {2015-01-01},
journal = {Journal of Neurosurgery: Pediatrics},
volume = {16},
number = {3},
pages = {248--255},
abstract = {Object The objective of this study was 2-fold: 1) to examine the prevalence of vestibulo-ocular dysfunction (VOD) among children and adolescents with acute sports-related concussion (SRC) and postconcussion syndrome (PCS) who were referred to a multidisciplinary pediatric concussion program; and 2) to determine if VOD is associated with the development of PCS in this cohort. Methods The authors conducted a retrospective review of all patients with acute SRC (presenting 30 days or less postinjury) and PCS (3 or more symptoms for at least 1 month) referred to a multidisciplinary pediatric concussion program between September 2013 and July 2014. Initial assessment included clinical history, physical examination, and Post-Concussion Symptom Scale assessment. Patients were also assessed for VOD, which was defined as more than one subjective vestibular and oculomotor complaint (dizziness, blurred vision, and so on) and more than one objective physical examination finding (abnormal smooth pursuits, saccades, vestibulo-ocular reflex, and so on). This study was approved by the local institutional ethics review board. Results A total of 101 patients (mean age 14.2 years, SD 2.3 years; 63 male and 38 female patients) participated, including 77 (76.2%) with acute SRC and 24 (23.8%) with PCS. Twenty-two of the 77 patients (28.6%) with acute SRC and 15 of the 24 (62.5%) with PCS met the clinical criteria for VOD. The median duration of symptoms was 40 days (interquartile range [IQR] 28.5-54 days) for patients with acute SRC who had VOD compared with 21 days (IQR 13-32 days) for those without VOD (p = 0.0001). There was a statistically significant increase in the adjusted odds of developing PCS among patients with acute SRC who had VOD compared with those without VOD (adjusted OR 4.10; 95% CI 1.04-16.16). Conclusions Evidence of VOD was detected in a significant proportion of children and adolescents with acute SRC and PCS who were referred to a multidisciplinary pediatric concussion program. This clinical feature was a significant risk factor for the subsequent development of PCS in this pediatric acute SRC cohort. © AANS, 2015.},
keywords = {Adolescent, amnesia, Article, Athletic Injuries, Baseball, BASKETBALL, blurred vision, brain concussion, CANADA, Child, childhood disease, cohort analysis, complication, Concussion, consultation, controlled study, disease duration, Dizziness, Female, follow up, football, Hockey, human, Humans, interdisciplinary communication, major clinical study, Male, Manitoba, migraine, neuroimaging, neuropsychological test, Neuropsychological Tests, ODDS ratio, Pathophysiology, Pediatric, Physical Examination, physiotherapy, Post-Concussion Syndrome, postconcussion syndrome, Prevalence, priority journal, Reflex, Retrospective Studies, retrospective study, return to sport, saccadic eye movement, skating, skiing, Soccer, sport injury, sport related concussion, Sports-related concussion, Trauma, vestibular physiotherapy, Vestibular therapy, vestibulo ocular dysfunction, Vestibulo-Ocular, Vestibulo-ocular dysfunction, vestibuloocular reflex, VOLLEYBALL, Young Adult, youth sport},
pubstate = {published},
tppubtype = {article}
}
Pham, H; Zemek, R
A 15-year-old rugby player with a head injury Journal Article
In: CMAJ Canadian Medical Association Journal, vol. 187, no. 3, pp. 200–202, 2015.
BibTeX | Tags: *Brain Concussion/di [Diagnosis], *Football/in [Injuries], Adolescent, Athletic Injuries/di [Diagnosis], Athletic Injuries/rh [Rehabilitation], Brain Concussion/ra [Radiography], Brain Concussion/rh [Rehabilitation], Brain Concussion/th [Therapy], Female, Glasgow Coma Scale, Humans, Physical Examination, Recovery of Function, Tomography, X-Ray Computed
@article{Pham2015,
title = {A 15-year-old rugby player with a head injury},
author = {Pham, H and Zemek, R},
year = {2015},
date = {2015-01-01},
journal = {CMAJ Canadian Medical Association Journal},
volume = {187},
number = {3},
pages = {200--202},
keywords = {*Brain Concussion/di [Diagnosis], *Football/in [Injuries], Adolescent, Athletic Injuries/di [Diagnosis], Athletic Injuries/rh [Rehabilitation], Brain Concussion/ra [Radiography], Brain Concussion/rh [Rehabilitation], Brain Concussion/th [Therapy], Female, Glasgow Coma Scale, Humans, Physical Examination, Recovery of Function, Tomography, X-Ray Computed},
pubstate = {published},
tppubtype = {article}
}
Mirabelli, M H; Devine, M J; Singh, J; Mendoza, M
The preparticipation sports evaluation Journal Article
In: American Family Physician, vol. 92, no. 5, pp. 371–376, 2015.
Abstract | BibTeX | Tags: Article, asthma, athlete, bleeding disorder, bronchospasm, cardiovascular disease, drug abuse, Eating disorder, ELECTROCARDIOGRAPHY, Epilepsy, heart murmur, hematologic disease, HISTORY, human, imaging, lung disease, Marfan syndrome, medical society, mental disease, Morbidity, MORTALITY, musculoskeletal injury, neurologic disease, Physical Examination, physical performance, social participation, Sport, sport injury, sudden death, urinalysis
@article{Mirabelli2015,
title = {The preparticipation sports evaluation},
author = {Mirabelli, M H and Devine, M J and Singh, J and Mendoza, M},
year = {2015},
date = {2015-01-01},
journal = {American Family Physician},
volume = {92},
number = {5},
pages = {371--376},
abstract = {The preparticipation physical evaluation is a commonly requested medical visit for amateur and professional athletes of all ages. The overarching goal is to maximize the health of athletes and their safe participation in sports. Although studies have not found that the preparticipation physical evaluation prevents morbidity and mortality associated with sports, it may detect conditions that predispose the athlete to injury or illness and can provide strategies to prevent injuries. Clearance depends on the outcome of the evaluation and the type of sport (and sometimes position or event) in which the athlete participates. All persons undergoing a preparticipation physical evaluation should be questioned about exertional symptoms, presence of a heart murmur, symptoms of Marfan syndrome, and family history of premature serious cardiac conditions or sudden death. The physical examination should focus on the cardiovascular and musculoskeletal systems. U.S. medical and athletic organizations discourage screening electrocardiography and blood and urine testing in asymptomatic patients. Further evaluation should be considered for persons with heart or lung disease, bleeding disorders, musculoskeletal problems, history of concussion, or other neurologic disorders. © 2015 American Academy of Family Physicians.},
keywords = {Article, asthma, athlete, bleeding disorder, bronchospasm, cardiovascular disease, drug abuse, Eating disorder, ELECTROCARDIOGRAPHY, Epilepsy, heart murmur, hematologic disease, HISTORY, human, imaging, lung disease, Marfan syndrome, medical society, mental disease, Morbidity, MORTALITY, musculoskeletal injury, neurologic disease, Physical Examination, physical performance, social participation, Sport, sport injury, sudden death, urinalysis},
pubstate = {published},
tppubtype = {article}
}
Zottoli, T M; Hoover, S; Barr, W B
In: Clinical Neuropsychologist, vol. 29, no. 5, pp. 678–688, 2015.
Abstract | Links | BibTeX | Tags: brain concussion, Civil Litigation, Female, human, Humans, IME, Insufficient effort, legislation and jurisprudence, Male, malingering, Malpractice, middle aged, neuropsychological test, Neuropsychological Tests, neuropsychology, Physical Examination, questionnaire, Standardized assessment of concussion (SAC), statistics and numerical data, Surveys and Questionnaires
@article{Zottoli2015,
title = {Utility of the Standardized Assessment of Concussion (SAC) to Detect Insufficient Effort in Independent Medical Examinations and Civil Litigation Cases},
author = {Zottoli, T M and Hoover, S and Barr, W B},
doi = {10.1080/13854046.2015.1062562},
year = {2015},
date = {2015-01-01},
journal = {Clinical Neuropsychologist},
volume = {29},
number = {5},
pages = {678--688},
abstract = {Objective: The Standardized Assessment of Concussion (SAC) is a standardized mental status screening instrument initially developed for assessment and tracking of concussion symptoms in athletes. The purpose of the current study was to validate the utility of the SAC as an embedded screening measure for insufficient effort in independent medical examinations (IME) and personal injury cases. Method: A known-groups design was used to examine the SACs utility for the detection of insufficient effort in 75 de-identified private IME and civil litigation evaluations. Initial classifications of insufficient effort were made independently of SAC scores, on the basis of having two or more scores falling below established cut-offs on previously validated neuropsychological measures. Results: Results suggest that the total score on the SAC significantly distinguishes effortful respondents from those exhibiting insufficient effort. Empirically derived cut-off scores yielded adequate sensitivity (.62-.95) and negative predictive power (.93-.97). Conclusions: While optimal cut-off scores depend upon intended use, our data suggest that the SAC is useful as a potential screener for insufficient effort, after which one can employ additional measures to rule out false-positives. Further research is required before cut-off scores can be recommended for clinical use. © 2015 Taylor and Francis.},
keywords = {brain concussion, Civil Litigation, Female, human, Humans, IME, Insufficient effort, legislation and jurisprudence, Male, malingering, Malpractice, middle aged, neuropsychological test, Neuropsychological Tests, neuropsychology, Physical Examination, questionnaire, Standardized assessment of concussion (SAC), statistics and numerical data, Surveys and Questionnaires},
pubstate = {published},
tppubtype = {article}
}
Neal, Timothy L; Diamond, Alex B; Goldman, Scott; Liedtka, Karl D; Mathis, Kembra; Morse, Eric D; Putukian, Margot; Quandt, Eric; Ritter, Stacey J; Sullivan, John P; Welzant, Victor
In: Journal of Athletic Training, vol. 50, no. 3, pp. 231–249, 2015, ISBN: 1062-6050.
Links | BibTeX | Tags: alcohol abuse, Anxiety Disorders -- Symptoms, Athletes, ATHLETIC trainers, Attention Deficit Hyperactivity Disorder -- Diagno, Attention Deficit Hyperactivity Disorder -- Sympto, behavior, brain concussion, Bullying, Collaboration, Crisis Intervention, Depression -- Symptoms, Eating Disorders -- Symptoms, Health Promotion -- Methods, High School -- Psychosocial Factors, Mental Disorders -- Education, Mental Disorders -- Risk Factors, Mental Health, Patient History Taking, Physical Examination, Privacy and Confidentiality, Professional Role, Referral and Consultation, Sports Organizations, substance abuse, Suicide -- Risk factors
@article{Neal2015,
title = {Interassociation Recommendations for Developing a Plan to Recognize and Refer Student-Athletes With Psychological Concerns at the Secondary School Level: A Consensus Statement},
author = {Neal, Timothy L and Diamond, Alex B and Goldman, Scott and Liedtka, Karl D and Mathis, Kembra and Morse, Eric D and Putukian, Margot and Quandt, Eric and Ritter, Stacey J and Sullivan, John P and Welzant, Victor},
doi = {10.4085/1062-6050-50.3.03},
isbn = {1062-6050},
year = {2015},
date = {2015-01-01},
journal = {Journal of Athletic Training},
volume = {50},
number = {3},
pages = {231--249},
keywords = {alcohol abuse, Anxiety Disorders -- Symptoms, Athletes, ATHLETIC trainers, Attention Deficit Hyperactivity Disorder -- Diagno, Attention Deficit Hyperactivity Disorder -- Sympto, behavior, brain concussion, Bullying, Collaboration, Crisis Intervention, Depression -- Symptoms, Eating Disorders -- Symptoms, Health Promotion -- Methods, High School -- Psychosocial Factors, Mental Disorders -- Education, Mental Disorders -- Risk Factors, Mental Health, Patient History Taking, Physical Examination, Privacy and Confidentiality, Professional Role, Referral and Consultation, Sports Organizations, substance abuse, Suicide -- Risk factors},
pubstate = {published},
tppubtype = {article}
}
Anonymous,
SCAT3 Journal Article
In: British Journal of Sports Medicine, vol. 47, no. 5, pp. 259, 2013, ISBN: 1473-0480.
BibTeX | Tags: Assessment/Testing article, ataxia, body equilibrium, brain concussion, cognitive defect, emergency treatment, human, injury scale, memory disorder, METHODOLOGY, neurologic examination, neuropsychological test, Physical Examination, questionnaire, sport injury, unconsciousness
@article{Anonymous2013b,
title = {SCAT3},
author = {Anonymous},
isbn = {1473-0480},
year = {2013},
date = {2013-01-01},
journal = {British Journal of Sports Medicine},
volume = {47},
number = {5},
pages = {259},
keywords = {Assessment/Testing article, ataxia, body equilibrium, brain concussion, cognitive defect, emergency treatment, human, injury scale, memory disorder, METHODOLOGY, neurologic examination, neuropsychological test, Physical Examination, questionnaire, sport injury, unconsciousness},
pubstate = {published},
tppubtype = {article}
}