Gay, M
Treatment Perspectives Based on Our Current Understanding of Concussion Journal Article
In: Sports Medicine & Arthroscopy Review, vol. 24, no. 3, pp. 134–141, 2016.
Abstract | Links | BibTeX | Tags: Concussion, mild traumatic brain injury, Return to Play, Treatment
@article{Gay2016,
title = {Treatment Perspectives Based on Our Current Understanding of Concussion},
author = {Gay, M},
doi = {10.1097/JSA.0000000000000124},
year = {2016},
date = {2016-01-01},
journal = {Sports Medicine \& Arthroscopy Review},
volume = {24},
number = {3},
pages = {134--141},
abstract = {Sports-related concussion also referred to in the literature as mild traumatic brain injury remains a popular area of study for physicians, neurologists, neuropsychologists, neuroimaging, athletic trainers, and researchers across the other areas of brain sciences. Treatment for concussion is an emerging area of focus with investigators seeking to improve outcomes and protect patients from the deleterious short-term and long-term consequences which have been extensively studied and identified. Broadly, current treatment strategies for athletes recovering from concussion have remained largely unchanged since early 2000s. Knowledge of the complex pathophysiology surrounding injury should improve or advance our ability to identify processes which may serve as targets for therapeutic intervention. Clinicians working with athletes recovering from sports-related concussion should have an advanced understanding of the injury cascade and also be aware of the current efforts within the research to treat concussion. In addition, how clinicians use the word "treatment" should be carefully defined and promoted so the patient is aware of the level of intervention and what stage of recovery or healing is being affected by a specific intervention. The purpose of this review is to bring together efforts across disciplines of brain science into 1 platform where clinicians can assimilate this information before making best practices decisions regarding the treatment of patients and athletes under their care. © 2016 Wolters Kluwer Health, Inc. All rights reserved.},
keywords = {Concussion, mild traumatic brain injury, Return to Play, Treatment},
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}
}
Hecimovicha, Mark; Kingb, Doug; Maraisc, Ida
Player and parent concussion knowledge and awareness in youth Australian Rules Football Journal Article
In: Sport Journal, pp. 1–19, 2016, ISBN: 15439518.
Abstract | BibTeX | Tags: *ACADEMIC achievement, *BRAIN -- Concussion, *FIRST aid in illness & injury, *FOOTBALL injuries, *SLEEP disorders, *SPORTS participation, *SYMPTOMS, ADOLESCENCE, Australia, Australian Rules football, AWARENESS, Concussion, DESCRIPTIVE statistics, HEALTH literacy, Parent, PARENTS -- Attitudes, PROBABILITY theory, Questionnaires, STATISTICAL significance, Treatment, Youth
@article{Hecimovicha2016,
title = {Player and parent concussion knowledge and awareness in youth Australian Rules Football},
author = {Hecimovicha, Mark and Kingb, Doug and Maraisc, Ida},
isbn = {15439518},
year = {2016},
date = {2016-01-01},
journal = {Sport Journal},
pages = {1--19},
abstract = {Purpose: The purpose of this study was to measure concussion knowledge and awareness of youth Australian Rules Football players and parents. Secondary aims were examining if player's maturity in age, history of concussion and years played and parents who have undergone first aid and concussion training would increase knowledge. Methods: 1,441 parents and 284 youth ARF players completed a 23-item concussion knowledge survey consisting of three areas: concussion symptoms, management, and return-to-play criteria. Results: There was significant difference in knowledge of concussion management and return-to play criteria between players and parents (p= less than 0.01). Players age, years played and history of concussion did not increase knowledge, however, parents with concussion training had significantly higher scores than those without (p= less than 0.01). Some return-to-play criteria and signs and symptom not thought to be associated with concussion such as disturbed sleeping and difficulty studying were difficult for both groups to associate as related to concussion. Conclusions: Future concussion education opportunities for player and parents need to focus on return-to-play criteria and uncommon signs and symptoms such as sleep disturbances and problems studying. Applications in sport: The findings reflect certain areas that need to be incorporated into educational opportunities for players and parents, especially those who have limited access to qualified health care professionals such as ATC's. Although there is minimal evidence supporting concussion educational opportunities, awareness and knowledge of concussion is the greatest positive influence for symptom reporting among young athletes. However, the ideal delivery mode and educational content for interventions appropriate to each group has yet to be identified so steps such as defining the target group, measuring their level of awareness and knowledge, and monitoring of effectiveness. Overall, the goal should be to provide at least the basic information regarding concussion but as the results of this study demonstrate ensure lesser known aspects such as return-to-play criteria and signs and symptoms such as sleep disturbances and difficulty studying or concentrating are incorporated. ABSTRACT FROM AUTHOR},
keywords = {*ACADEMIC achievement, *BRAIN -- Concussion, *FIRST aid in illness \& injury, *FOOTBALL injuries, *SLEEP disorders, *SPORTS participation, *SYMPTOMS, ADOLESCENCE, Australia, Australian Rules football, AWARENESS, Concussion, DESCRIPTIVE statistics, HEALTH literacy, Parent, PARENTS -- Attitudes, PROBABILITY theory, Questionnaires, STATISTICAL significance, Treatment, Youth},
pubstate = {published},
tppubtype = {article}
}
Collins, M W; Kontos, A P; Okonkwo, D O; Almquist, J; Bailes, J; Barisa, M; Bazarian, J; Bloom, O J; Brody, D L; Cantu, R; Cardenas, J; Clugston, J; Cohen, R; Echemendia, R; Elbin, R J; Ellenbogen, R; Fonseca, J; Gioia, G; Guskiewicz, K; Heyer, R; Hotz, G; Iverson, G L; Jordan, B; Manley, G; Maroon, J; McAllister, T; McCrea, M; Mucha, A; Pieroth, E; Podell, K; Pombo, M; Shetty, T; Sills, A; Solomon, G; Thomas, D G; Valovich McLeod, T C; Yates, T; Zafonte, R
In: Neurosurgery, vol. 79, no. 6, pp. 912–929, 2016.
Abstract | Links | BibTeX | Tags: Concussion, mTBI, Rehabilitation, Treatment
@article{Collins2016,
title = {Statements of Agreement from the Targeted Evaluation and Active Management (TEAM) Approaches to Treating Concussion Meeting Held in Pittsburgh, October 15-16, 2015},
author = {Collins, M W and Kontos, A P and Okonkwo, D O and Almquist, J and Bailes, J and Barisa, M and Bazarian, J and Bloom, O J and Brody, D L and Cantu, R and Cardenas, J and Clugston, J and Cohen, R and Echemendia, R and Elbin, R J and Ellenbogen, R and Fonseca, J and Gioia, G and Guskiewicz, K and Heyer, R and Hotz, G and Iverson, G L and Jordan, B and Manley, G and Maroon, J and McAllister, T and McCrea, M and Mucha, A and Pieroth, E and Podell, K and Pombo, M and Shetty, T and Sills, A and Solomon, G and Thomas, D G and {Valovich McLeod}, T C and Yates, T and Zafonte, R},
doi = {10.1227/NEU.0000000000001447},
year = {2016},
date = {2016-01-01},
journal = {Neurosurgery},
volume = {79},
number = {6},
pages = {912--929},
abstract = {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 the current landscape of treatment for concussion and to provide summary agreements related to treatment to assist clinicians in the treatment of concussion. METHODS: On October 14 to 16, 2015, the Targeted Evaluation and Active Management (TEAM) Approaches to Treating Concussion meeting was convened in Pittsburgh, Pennsylvania. Thirty-seven concussion experts from neuropsychology, neurology, neurosurgery, sports medicine, physical medicine and rehabilitation, physical therapy, athletic training, and research and 12 individuals representing sport, military, and public health organizations attended the meeting. The 37 experts indicated their agreement on a series of statements using an audience response system clicker device. RESULTS: A total of 16 statements of agreement were supported covering (1) Summary of the Current Approach to Treating Concussion, (2) Heterogeneity and Evolving Clinical Profiles of Concussion, (3) TEAM Approach to Concussion Treatment: Specific Strategies, and (4) Future Directions: A Call to Research. Support (ie, response of agree or somewhat agree) for the statements ranged from to 97% to 100%. CONCLUSION: Concussions are characterized by diverse symptoms and impairments and evolving clinical profiles; recovery varies on the basis of modifying factors, injury severity, and treatments. Active and targeted treatments may enhance recovery after concussion. Research is needed on concussion clinical profiles, biomarkers, and the effectiveness and timing of treatments. Copyright © 2016 by the Congress of Neurological Surgeons.},
keywords = {Concussion, mTBI, Rehabilitation, Treatment},
pubstate = {published},
tppubtype = {article}
}
Holtkamp, M D; Grimes, J; Ling, G
Concussion in the Military: an Evidence-Base Review of mTBI in US Military Personnel Focused on Posttraumatic Headache Journal Article
In: Current Pain & Headache Reports, vol. 20, no. 6, 2016.
Abstract | Links | BibTeX | Tags: apolipoprotein E4, assessment, biological marker, botulinum toxin, brain concussion, calcitonin gene related peptide receptor antagonis, comorbidity, Concussion, depression, DIAGNOSTIC imaging, disease course, genetic polymorphism, genetic predisposition, glial fibrillary acidic protein, headache, Headache disorder, human, MANAGEMENT, migraine, Military personnel, mTBI, neuroimaging, Pathophysiology, postconcussion syndrome, posttraumatic headache, posttraumatic stress disorder, Prognosis, Review, serotonin 1 agonist, serotonin 1F agonist, soldier, traumatic brain injury, Treatment, tricyclic antidepressant agent, triptan derivative, unclassified drug, UNITED States
@article{Holtkamp2016,
title = {Concussion in the Military: an Evidence-Base Review of mTBI in US Military Personnel Focused on Posttraumatic Headache},
author = {Holtkamp, M D and Grimes, J and Ling, G},
doi = {10.1007/s11916-016-0572-x},
year = {2016},
date = {2016-01-01},
journal = {Current Pain \& Headache Reports},
volume = {20},
number = {6},
abstract = {Traumatic brain injury (TBI) is defined as an alteration in brain function caused by an external force. Mild TBI or concussion is now well recognized to be a risk of military service as well as participation in athletic sports such as football. Posttraumatic headache (PTH) is the most common symptom after mTBI in US service members. PTH most commonly presents with migraine-like headache features. The following is an overview of the epidemiology, pathophysiology, clinical course, prognosis, complications, and treatment of mTBI and associated comorbidities with a focus on PTH. There is a particular emphasis on emerging evidence-based clinical practice. One important medical consequence of the recognition that mTBI is a highly prevalent among military service members is that the Department of Defense (DoD) is dedicating significant financial and intellectual resources to better understanding and developing treatments for TBI. The identification of the importance of TBI among the US military population has had the added benefit of increasing awareness of this condition among civilian populations, particularly those engaged in both professional and youth sports. The NIH and NSF are also supporting important TBI research. President Obama’s Brain Initiative is also providing additional impetus for these efforts. Unfortunately, the understanding of the acute and chronic effects of mTBI on the brain remains limited. Gratefully, there is hope that through innovative research, there will be advances in elucidating the underlying pathophysiology, which will lead to clinical and prognostic indicators, ultimately resulting in new treatment options for this very complicated set of disorders. © 2016, Springer Science+Business Media New York (outside the USA).},
keywords = {apolipoprotein E4, assessment, biological marker, botulinum toxin, brain concussion, calcitonin gene related peptide receptor antagonis, comorbidity, Concussion, depression, DIAGNOSTIC imaging, disease course, genetic polymorphism, genetic predisposition, glial fibrillary acidic protein, headache, Headache disorder, human, MANAGEMENT, migraine, Military personnel, mTBI, neuroimaging, Pathophysiology, postconcussion syndrome, posttraumatic headache, posttraumatic stress disorder, Prognosis, Review, serotonin 1 agonist, serotonin 1F agonist, soldier, traumatic brain injury, Treatment, tricyclic antidepressant agent, triptan derivative, unclassified drug, UNITED States},
pubstate = {published},
tppubtype = {article}
}
DiFazio, M; Silverberg, N D; Kirkwood, M W; Bernier, R; Iverson, G L
Prolonged Activity Restriction after Concussion: Are We Worsening Outcomes? Journal Article
In: Clinical Pediatrics, vol. 55, no. 5, pp. 443–451, 2015.
Abstract | Links | BibTeX | Tags: activity restriction, Anxiety, Article, athletic trainer, brain concussion, case report, Concussion, daily life activity, depression, Dizziness, evolution, exercise, expectation, headache, human, Male, mood disorder, mTBI, nocebo effect, patient harm, PHYSICAL ACTIVITY, practice guideline, prolonged activity restriction, psychological aspect, Rehabilitation, rest, school, traumatic brain injury, Treatment, treatment outcome, wrestling
@article{DiFazio2015,
title = {Prolonged Activity Restriction after Concussion: Are We Worsening Outcomes?},
author = {DiFazio, M and Silverberg, N D and Kirkwood, M W and Bernier, R and Iverson, G L},
doi = {10.1177/0009922815589914},
year = {2015},
date = {2015-01-01},
journal = {Clinical Pediatrics},
volume = {55},
number = {5},
pages = {443--451},
abstract = {The current treatment of concussion or mild traumatic brain injury (mTBI) is primarily based on expert consensus. Most clinical practice guidelines advise cognitive and physical rest after injury including withdrawal from normal life activities such as school attendance, sports participation, and technology use until symptoms resolve. Some individuals who sustain an mTBI experience persistent physical, cognitive, and mental health problems. Activity restriction itself may contribute to protracted recovery and other complications. Williamson's Activity Restriction Model of Depression, formulated more than 20 years ago, is central to this hypothesis. We review research evidence for potential harms of prolonged activity restriction and report an mTBI case as an example of how an "activity restriction cascade" can unfold. According to this model, psychological consequences of removal from validating life activities, combined with physical deconditioning, contribute to the development and persistence of postconcussive symptoms after mTBI in some youth. A modification to mTBI guidelines that emphasizes prompt reengagement in life activities as tolerated is encouraged. © SAGE Publications.},
keywords = {activity restriction, Anxiety, Article, athletic trainer, brain concussion, case report, Concussion, daily life activity, depression, Dizziness, evolution, exercise, expectation, headache, human, Male, mood disorder, mTBI, nocebo effect, patient harm, PHYSICAL ACTIVITY, practice guideline, prolonged activity restriction, psychological aspect, Rehabilitation, rest, school, traumatic brain injury, Treatment, treatment outcome, wrestling},
pubstate = {published},
tppubtype = {article}
}
Onieal, Marie-Eileen
Don't Put Me in, Coach Journal Article
In: Clinician Reviews, vol. 23, pp. 10–11, 2013, ISBN: 10520627.
Abstract | BibTeX | Tags: 1969-2012, BRAIN -- Concussion, BRAIN -- Wounds & injuries -- Prevention, Football (American), HIGH school football players, Junior, Legal & Policy Issues, Overviews, SEAU, SPORTS injuries, Treatment
@article{Onieal2013,
title = {Don't Put Me in, Coach},
author = {Onieal, Marie-Eileen},
isbn = {10520627},
year = {2013},
date = {2013-01-01},
journal = {Clinician Reviews},
volume = {23},
pages = {10--11},
abstract = {The author reflects on traumatic brain injury (TBI) sustained by athletes. She highlights the need for TBI awareness by mentioning a study on high school football players in 2010, the suicide of former football player Junior Seau in May 2012 and laws regarding concussion management. She asserts the need for TBI prevention and suggests that minor injuries be brought to closer investigation.},
keywords = {1969-2012, BRAIN -- Concussion, BRAIN -- Wounds \& injuries -- Prevention, Football (American), HIGH school football players, Junior, Legal \& Policy Issues, Overviews, SEAU, SPORTS injuries, Treatment},
pubstate = {published},
tppubtype = {article}
}
LeBlanc, Jeanne M; McLachlan, Kaitlyn
Prevention of Post-Concussional Syndrome in North American Workers: The Importance of Early Intervention on Vocational Outcome Journal Article
In: Australian Journal of Rehabilitation Counselling, vol. 16, no. 1, pp. 36–44, 2010, ISBN: 13238922.
Abstract | BibTeX | Tags: *BRAIN -- Wounds & injuries, *OUTPATIENT medical care, *POSTCONCUSSION syndrome, *REHABILITATION, Concussion, employment, INDIVIDUALIZED education programs, INDUSTRIAL hygiene, mild traumatic brain injury, mTBI, outpatient, PCS, post-concussive syndrome, Rehabilitation, Treatment
@article{LeBlanc2010,
title = {Prevention of Post-Concussional Syndrome in North American Workers: The Importance of Early Intervention on Vocational Outcome},
author = {LeBlanc, Jeanne M and McLachlan, Kaitlyn},
isbn = {13238922},
year = {2010},
date = {2010-01-01},
journal = {Australian Journal of Rehabilitation Counselling},
volume = {16},
number = {1},
pages = {36--44},
abstract = {The purpose of this study was to: (1) Establish whether or not specific rehabilitation for mild brain injury is effective for return to work; and (2) compare the efficacy of an impairment-focused model of treatment versus an early education approach in respect to ability to return to work. Two different approaches to intervention and treatment for those with a suspected concussion from a work-related injury were utilised by an urban, interdisciplinary, outpatient rehabilitation facility. The first approach, Group Treatment (GT), provided minimal early education at time of initial intake, emphasising an extensive group-focused interdisciplinary assessment and treatment. The second approach, Individualized Education and Treatment, (IET) emphasised early education, instead coupled with specific individualised services. Both groups received employment services. Post-discharge, GT ( N = 26) resulted in 46% ( n = 12) of individuals returning to competitive employment, while IET ( N = 23) resulted in 78% ( n = 18) of individuals returning to competitive employment. An asset-oriented early individualised educational approach appears to be a more effective for employment re-engagement. ABSTRACT FROM AUTHOR},
keywords = {*BRAIN -- Wounds \& injuries, *OUTPATIENT medical care, *POSTCONCUSSION syndrome, *REHABILITATION, Concussion, employment, INDIVIDUALIZED education programs, INDUSTRIAL hygiene, mild traumatic brain injury, mTBI, outpatient, PCS, post-concussive syndrome, Rehabilitation, Treatment},
pubstate = {published},
tppubtype = {article}
}
Gay, M
Treatment Perspectives Based on Our Current Understanding of Concussion Journal Article
In: Sports Medicine & Arthroscopy Review, vol. 24, no. 3, pp. 134–141, 2016.
@article{Gay2016,
title = {Treatment Perspectives Based on Our Current Understanding of Concussion},
author = {Gay, M},
doi = {10.1097/JSA.0000000000000124},
year = {2016},
date = {2016-01-01},
journal = {Sports Medicine \& Arthroscopy Review},
volume = {24},
number = {3},
pages = {134--141},
abstract = {Sports-related concussion also referred to in the literature as mild traumatic brain injury remains a popular area of study for physicians, neurologists, neuropsychologists, neuroimaging, athletic trainers, and researchers across the other areas of brain sciences. Treatment for concussion is an emerging area of focus with investigators seeking to improve outcomes and protect patients from the deleterious short-term and long-term consequences which have been extensively studied and identified. Broadly, current treatment strategies for athletes recovering from concussion have remained largely unchanged since early 2000s. Knowledge of the complex pathophysiology surrounding injury should improve or advance our ability to identify processes which may serve as targets for therapeutic intervention. Clinicians working with athletes recovering from sports-related concussion should have an advanced understanding of the injury cascade and also be aware of the current efforts within the research to treat concussion. In addition, how clinicians use the word "treatment" should be carefully defined and promoted so the patient is aware of the level of intervention and what stage of recovery or healing is being affected by a specific intervention. The purpose of this review is to bring together efforts across disciplines of brain science into 1 platform where clinicians can assimilate this information before making best practices decisions regarding the treatment of patients and athletes under their care. © 2016 Wolters Kluwer Health, Inc. All rights reserved.},
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}
}
Hecimovicha, Mark; Kingb, Doug; Maraisc, Ida
Player and parent concussion knowledge and awareness in youth Australian Rules Football Journal Article
In: Sport Journal, pp. 1–19, 2016, ISBN: 15439518.
@article{Hecimovicha2016,
title = {Player and parent concussion knowledge and awareness in youth Australian Rules Football},
author = {Hecimovicha, Mark and Kingb, Doug and Maraisc, Ida},
isbn = {15439518},
year = {2016},
date = {2016-01-01},
journal = {Sport Journal},
pages = {1--19},
abstract = {Purpose: The purpose of this study was to measure concussion knowledge and awareness of youth Australian Rules Football players and parents. Secondary aims were examining if player's maturity in age, history of concussion and years played and parents who have undergone first aid and concussion training would increase knowledge. Methods: 1,441 parents and 284 youth ARF players completed a 23-item concussion knowledge survey consisting of three areas: concussion symptoms, management, and return-to-play criteria. Results: There was significant difference in knowledge of concussion management and return-to play criteria between players and parents (p= less than 0.01). Players age, years played and history of concussion did not increase knowledge, however, parents with concussion training had significantly higher scores than those without (p= less than 0.01). Some return-to-play criteria and signs and symptom not thought to be associated with concussion such as disturbed sleeping and difficulty studying were difficult for both groups to associate as related to concussion. Conclusions: Future concussion education opportunities for player and parents need to focus on return-to-play criteria and uncommon signs and symptoms such as sleep disturbances and problems studying. Applications in sport: The findings reflect certain areas that need to be incorporated into educational opportunities for players and parents, especially those who have limited access to qualified health care professionals such as ATC's. Although there is minimal evidence supporting concussion educational opportunities, awareness and knowledge of concussion is the greatest positive influence for symptom reporting among young athletes. However, the ideal delivery mode and educational content for interventions appropriate to each group has yet to be identified so steps such as defining the target group, measuring their level of awareness and knowledge, and monitoring of effectiveness. Overall, the goal should be to provide at least the basic information regarding concussion but as the results of this study demonstrate ensure lesser known aspects such as return-to-play criteria and signs and symptoms such as sleep disturbances and difficulty studying or concentrating are incorporated. ABSTRACT FROM AUTHOR},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Collins, M W; Kontos, A P; Okonkwo, D O; Almquist, J; Bailes, J; Barisa, M; Bazarian, J; Bloom, O J; Brody, D L; Cantu, R; Cardenas, J; Clugston, J; Cohen, R; Echemendia, R; Elbin, R J; Ellenbogen, R; Fonseca, J; Gioia, G; Guskiewicz, K; Heyer, R; Hotz, G; Iverson, G L; Jordan, B; Manley, G; Maroon, J; McAllister, T; McCrea, M; Mucha, A; Pieroth, E; Podell, K; Pombo, M; Shetty, T; Sills, A; Solomon, G; Thomas, D G; Valovich McLeod, T C; Yates, T; Zafonte, R
In: Neurosurgery, vol. 79, no. 6, pp. 912–929, 2016.
@article{Collins2016,
title = {Statements of Agreement from the Targeted Evaluation and Active Management (TEAM) Approaches to Treating Concussion Meeting Held in Pittsburgh, October 15-16, 2015},
author = {Collins, M W and Kontos, A P and Okonkwo, D O and Almquist, J and Bailes, J and Barisa, M and Bazarian, J and Bloom, O J and Brody, D L and Cantu, R and Cardenas, J and Clugston, J and Cohen, R and Echemendia, R and Elbin, R J and Ellenbogen, R and Fonseca, J and Gioia, G and Guskiewicz, K and Heyer, R and Hotz, G and Iverson, G L and Jordan, B and Manley, G and Maroon, J and McAllister, T and McCrea, M and Mucha, A and Pieroth, E and Podell, K and Pombo, M and Shetty, T and Sills, A and Solomon, G and Thomas, D G and {Valovich McLeod}, T C and Yates, T and Zafonte, R},
doi = {10.1227/NEU.0000000000001447},
year = {2016},
date = {2016-01-01},
journal = {Neurosurgery},
volume = {79},
number = {6},
pages = {912--929},
abstract = {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 the current landscape of treatment for concussion and to provide summary agreements related to treatment to assist clinicians in the treatment of concussion. METHODS: On October 14 to 16, 2015, the Targeted Evaluation and Active Management (TEAM) Approaches to Treating Concussion meeting was convened in Pittsburgh, Pennsylvania. Thirty-seven concussion experts from neuropsychology, neurology, neurosurgery, sports medicine, physical medicine and rehabilitation, physical therapy, athletic training, and research and 12 individuals representing sport, military, and public health organizations attended the meeting. The 37 experts indicated their agreement on a series of statements using an audience response system clicker device. RESULTS: A total of 16 statements of agreement were supported covering (1) Summary of the Current Approach to Treating Concussion, (2) Heterogeneity and Evolving Clinical Profiles of Concussion, (3) TEAM Approach to Concussion Treatment: Specific Strategies, and (4) Future Directions: A Call to Research. Support (ie, response of agree or somewhat agree) for the statements ranged from to 97% to 100%. CONCLUSION: Concussions are characterized by diverse symptoms and impairments and evolving clinical profiles; recovery varies on the basis of modifying factors, injury severity, and treatments. Active and targeted treatments may enhance recovery after concussion. Research is needed on concussion clinical profiles, biomarkers, and the effectiveness and timing of treatments. Copyright © 2016 by the Congress of Neurological Surgeons.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Holtkamp, M D; Grimes, J; Ling, G
Concussion in the Military: an Evidence-Base Review of mTBI in US Military Personnel Focused on Posttraumatic Headache Journal Article
In: Current Pain & Headache Reports, vol. 20, no. 6, 2016.
@article{Holtkamp2016,
title = {Concussion in the Military: an Evidence-Base Review of mTBI in US Military Personnel Focused on Posttraumatic Headache},
author = {Holtkamp, M D and Grimes, J and Ling, G},
doi = {10.1007/s11916-016-0572-x},
year = {2016},
date = {2016-01-01},
journal = {Current Pain \& Headache Reports},
volume = {20},
number = {6},
abstract = {Traumatic brain injury (TBI) is defined as an alteration in brain function caused by an external force. Mild TBI or concussion is now well recognized to be a risk of military service as well as participation in athletic sports such as football. Posttraumatic headache (PTH) is the most common symptom after mTBI in US service members. PTH most commonly presents with migraine-like headache features. The following is an overview of the epidemiology, pathophysiology, clinical course, prognosis, complications, and treatment of mTBI and associated comorbidities with a focus on PTH. There is a particular emphasis on emerging evidence-based clinical practice. One important medical consequence of the recognition that mTBI is a highly prevalent among military service members is that the Department of Defense (DoD) is dedicating significant financial and intellectual resources to better understanding and developing treatments for TBI. The identification of the importance of TBI among the US military population has had the added benefit of increasing awareness of this condition among civilian populations, particularly those engaged in both professional and youth sports. The NIH and NSF are also supporting important TBI research. President Obama’s Brain Initiative is also providing additional impetus for these efforts. Unfortunately, the understanding of the acute and chronic effects of mTBI on the brain remains limited. Gratefully, there is hope that through innovative research, there will be advances in elucidating the underlying pathophysiology, which will lead to clinical and prognostic indicators, ultimately resulting in new treatment options for this very complicated set of disorders. © 2016, Springer Science+Business Media New York (outside the USA).},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
DiFazio, M; Silverberg, N D; Kirkwood, M W; Bernier, R; Iverson, G L
Prolonged Activity Restriction after Concussion: Are We Worsening Outcomes? Journal Article
In: Clinical Pediatrics, vol. 55, no. 5, pp. 443–451, 2015.
@article{DiFazio2015,
title = {Prolonged Activity Restriction after Concussion: Are We Worsening Outcomes?},
author = {DiFazio, M and Silverberg, N D and Kirkwood, M W and Bernier, R and Iverson, G L},
doi = {10.1177/0009922815589914},
year = {2015},
date = {2015-01-01},
journal = {Clinical Pediatrics},
volume = {55},
number = {5},
pages = {443--451},
abstract = {The current treatment of concussion or mild traumatic brain injury (mTBI) is primarily based on expert consensus. Most clinical practice guidelines advise cognitive and physical rest after injury including withdrawal from normal life activities such as school attendance, sports participation, and technology use until symptoms resolve. Some individuals who sustain an mTBI experience persistent physical, cognitive, and mental health problems. Activity restriction itself may contribute to protracted recovery and other complications. Williamson's Activity Restriction Model of Depression, formulated more than 20 years ago, is central to this hypothesis. We review research evidence for potential harms of prolonged activity restriction and report an mTBI case as an example of how an "activity restriction cascade" can unfold. According to this model, psychological consequences of removal from validating life activities, combined with physical deconditioning, contribute to the development and persistence of postconcussive symptoms after mTBI in some youth. A modification to mTBI guidelines that emphasizes prompt reengagement in life activities as tolerated is encouraged. © SAGE Publications.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Onieal, Marie-Eileen
Don't Put Me in, Coach Journal Article
In: Clinician Reviews, vol. 23, pp. 10–11, 2013, ISBN: 10520627.
@article{Onieal2013,
title = {Don't Put Me in, Coach},
author = {Onieal, Marie-Eileen},
isbn = {10520627},
year = {2013},
date = {2013-01-01},
journal = {Clinician Reviews},
volume = {23},
pages = {10--11},
abstract = {The author reflects on traumatic brain injury (TBI) sustained by athletes. She highlights the need for TBI awareness by mentioning a study on high school football players in 2010, the suicide of former football player Junior Seau in May 2012 and laws regarding concussion management. She asserts the need for TBI prevention and suggests that minor injuries be brought to closer investigation.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
LeBlanc, Jeanne M; McLachlan, Kaitlyn
Prevention of Post-Concussional Syndrome in North American Workers: The Importance of Early Intervention on Vocational Outcome Journal Article
In: Australian Journal of Rehabilitation Counselling, vol. 16, no. 1, pp. 36–44, 2010, ISBN: 13238922.
@article{LeBlanc2010,
title = {Prevention of Post-Concussional Syndrome in North American Workers: The Importance of Early Intervention on Vocational Outcome},
author = {LeBlanc, Jeanne M and McLachlan, Kaitlyn},
isbn = {13238922},
year = {2010},
date = {2010-01-01},
journal = {Australian Journal of Rehabilitation Counselling},
volume = {16},
number = {1},
pages = {36--44},
abstract = {The purpose of this study was to: (1) Establish whether or not specific rehabilitation for mild brain injury is effective for return to work; and (2) compare the efficacy of an impairment-focused model of treatment versus an early education approach in respect to ability to return to work. Two different approaches to intervention and treatment for those with a suspected concussion from a work-related injury were utilised by an urban, interdisciplinary, outpatient rehabilitation facility. The first approach, Group Treatment (GT), provided minimal early education at time of initial intake, emphasising an extensive group-focused interdisciplinary assessment and treatment. The second approach, Individualized Education and Treatment, (IET) emphasised early education, instead coupled with specific individualised services. Both groups received employment services. Post-discharge, GT ( N = 26) resulted in 46% ( n = 12) of individuals returning to competitive employment, while IET ( N = 23) resulted in 78% ( n = 18) of individuals returning to competitive employment. An asset-oriented early individualised educational approach appears to be a more effective for employment re-engagement. ABSTRACT FROM AUTHOR},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Gay, M
Treatment Perspectives Based on Our Current Understanding of Concussion Journal Article
In: Sports Medicine & Arthroscopy Review, vol. 24, no. 3, pp. 134–141, 2016.
Abstract | Links | BibTeX | Tags: Concussion, mild traumatic brain injury, Return to Play, Treatment
@article{Gay2016,
title = {Treatment Perspectives Based on Our Current Understanding of Concussion},
author = {Gay, M},
doi = {10.1097/JSA.0000000000000124},
year = {2016},
date = {2016-01-01},
journal = {Sports Medicine \& Arthroscopy Review},
volume = {24},
number = {3},
pages = {134--141},
abstract = {Sports-related concussion also referred to in the literature as mild traumatic brain injury remains a popular area of study for physicians, neurologists, neuropsychologists, neuroimaging, athletic trainers, and researchers across the other areas of brain sciences. Treatment for concussion is an emerging area of focus with investigators seeking to improve outcomes and protect patients from the deleterious short-term and long-term consequences which have been extensively studied and identified. Broadly, current treatment strategies for athletes recovering from concussion have remained largely unchanged since early 2000s. Knowledge of the complex pathophysiology surrounding injury should improve or advance our ability to identify processes which may serve as targets for therapeutic intervention. Clinicians working with athletes recovering from sports-related concussion should have an advanced understanding of the injury cascade and also be aware of the current efforts within the research to treat concussion. In addition, how clinicians use the word "treatment" should be carefully defined and promoted so the patient is aware of the level of intervention and what stage of recovery or healing is being affected by a specific intervention. The purpose of this review is to bring together efforts across disciplines of brain science into 1 platform where clinicians can assimilate this information before making best practices decisions regarding the treatment of patients and athletes under their care. © 2016 Wolters Kluwer Health, Inc. All rights reserved.},
keywords = {Concussion, mild traumatic brain injury, Return to Play, Treatment},
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}
}
Hecimovicha, Mark; Kingb, Doug; Maraisc, Ida
Player and parent concussion knowledge and awareness in youth Australian Rules Football Journal Article
In: Sport Journal, pp. 1–19, 2016, ISBN: 15439518.
Abstract | BibTeX | Tags: *ACADEMIC achievement, *BRAIN -- Concussion, *FIRST aid in illness & injury, *FOOTBALL injuries, *SLEEP disorders, *SPORTS participation, *SYMPTOMS, ADOLESCENCE, Australia, Australian Rules football, AWARENESS, Concussion, DESCRIPTIVE statistics, HEALTH literacy, Parent, PARENTS -- Attitudes, PROBABILITY theory, Questionnaires, STATISTICAL significance, Treatment, Youth
@article{Hecimovicha2016,
title = {Player and parent concussion knowledge and awareness in youth Australian Rules Football},
author = {Hecimovicha, Mark and Kingb, Doug and Maraisc, Ida},
isbn = {15439518},
year = {2016},
date = {2016-01-01},
journal = {Sport Journal},
pages = {1--19},
abstract = {Purpose: The purpose of this study was to measure concussion knowledge and awareness of youth Australian Rules Football players and parents. Secondary aims were examining if player's maturity in age, history of concussion and years played and parents who have undergone first aid and concussion training would increase knowledge. Methods: 1,441 parents and 284 youth ARF players completed a 23-item concussion knowledge survey consisting of three areas: concussion symptoms, management, and return-to-play criteria. Results: There was significant difference in knowledge of concussion management and return-to play criteria between players and parents (p= less than 0.01). Players age, years played and history of concussion did not increase knowledge, however, parents with concussion training had significantly higher scores than those without (p= less than 0.01). Some return-to-play criteria and signs and symptom not thought to be associated with concussion such as disturbed sleeping and difficulty studying were difficult for both groups to associate as related to concussion. Conclusions: Future concussion education opportunities for player and parents need to focus on return-to-play criteria and uncommon signs and symptoms such as sleep disturbances and problems studying. Applications in sport: The findings reflect certain areas that need to be incorporated into educational opportunities for players and parents, especially those who have limited access to qualified health care professionals such as ATC's. Although there is minimal evidence supporting concussion educational opportunities, awareness and knowledge of concussion is the greatest positive influence for symptom reporting among young athletes. However, the ideal delivery mode and educational content for interventions appropriate to each group has yet to be identified so steps such as defining the target group, measuring their level of awareness and knowledge, and monitoring of effectiveness. Overall, the goal should be to provide at least the basic information regarding concussion but as the results of this study demonstrate ensure lesser known aspects such as return-to-play criteria and signs and symptoms such as sleep disturbances and difficulty studying or concentrating are incorporated. ABSTRACT FROM AUTHOR},
keywords = {*ACADEMIC achievement, *BRAIN -- Concussion, *FIRST aid in illness \& injury, *FOOTBALL injuries, *SLEEP disorders, *SPORTS participation, *SYMPTOMS, ADOLESCENCE, Australia, Australian Rules football, AWARENESS, Concussion, DESCRIPTIVE statistics, HEALTH literacy, Parent, PARENTS -- Attitudes, PROBABILITY theory, Questionnaires, STATISTICAL significance, Treatment, Youth},
pubstate = {published},
tppubtype = {article}
}
Collins, M W; Kontos, A P; Okonkwo, D O; Almquist, J; Bailes, J; Barisa, M; Bazarian, J; Bloom, O J; Brody, D L; Cantu, R; Cardenas, J; Clugston, J; Cohen, R; Echemendia, R; Elbin, R J; Ellenbogen, R; Fonseca, J; Gioia, G; Guskiewicz, K; Heyer, R; Hotz, G; Iverson, G L; Jordan, B; Manley, G; Maroon, J; McAllister, T; McCrea, M; Mucha, A; Pieroth, E; Podell, K; Pombo, M; Shetty, T; Sills, A; Solomon, G; Thomas, D G; Valovich McLeod, T C; Yates, T; Zafonte, R
In: Neurosurgery, vol. 79, no. 6, pp. 912–929, 2016.
Abstract | Links | BibTeX | Tags: Concussion, mTBI, Rehabilitation, Treatment
@article{Collins2016,
title = {Statements of Agreement from the Targeted Evaluation and Active Management (TEAM) Approaches to Treating Concussion Meeting Held in Pittsburgh, October 15-16, 2015},
author = {Collins, M W and Kontos, A P and Okonkwo, D O and Almquist, J and Bailes, J and Barisa, M and Bazarian, J and Bloom, O J and Brody, D L and Cantu, R and Cardenas, J and Clugston, J and Cohen, R and Echemendia, R and Elbin, R J and Ellenbogen, R and Fonseca, J and Gioia, G and Guskiewicz, K and Heyer, R and Hotz, G and Iverson, G L and Jordan, B and Manley, G and Maroon, J and McAllister, T and McCrea, M and Mucha, A and Pieroth, E and Podell, K and Pombo, M and Shetty, T and Sills, A and Solomon, G and Thomas, D G and {Valovich McLeod}, T C and Yates, T and Zafonte, R},
doi = {10.1227/NEU.0000000000001447},
year = {2016},
date = {2016-01-01},
journal = {Neurosurgery},
volume = {79},
number = {6},
pages = {912--929},
abstract = {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 the current landscape of treatment for concussion and to provide summary agreements related to treatment to assist clinicians in the treatment of concussion. METHODS: On October 14 to 16, 2015, the Targeted Evaluation and Active Management (TEAM) Approaches to Treating Concussion meeting was convened in Pittsburgh, Pennsylvania. Thirty-seven concussion experts from neuropsychology, neurology, neurosurgery, sports medicine, physical medicine and rehabilitation, physical therapy, athletic training, and research and 12 individuals representing sport, military, and public health organizations attended the meeting. The 37 experts indicated their agreement on a series of statements using an audience response system clicker device. RESULTS: A total of 16 statements of agreement were supported covering (1) Summary of the Current Approach to Treating Concussion, (2) Heterogeneity and Evolving Clinical Profiles of Concussion, (3) TEAM Approach to Concussion Treatment: Specific Strategies, and (4) Future Directions: A Call to Research. Support (ie, response of agree or somewhat agree) for the statements ranged from to 97% to 100%. CONCLUSION: Concussions are characterized by diverse symptoms and impairments and evolving clinical profiles; recovery varies on the basis of modifying factors, injury severity, and treatments. Active and targeted treatments may enhance recovery after concussion. Research is needed on concussion clinical profiles, biomarkers, and the effectiveness and timing of treatments. Copyright © 2016 by the Congress of Neurological Surgeons.},
keywords = {Concussion, mTBI, Rehabilitation, Treatment},
pubstate = {published},
tppubtype = {article}
}
Holtkamp, M D; Grimes, J; Ling, G
Concussion in the Military: an Evidence-Base Review of mTBI in US Military Personnel Focused on Posttraumatic Headache Journal Article
In: Current Pain & Headache Reports, vol. 20, no. 6, 2016.
Abstract | Links | BibTeX | Tags: apolipoprotein E4, assessment, biological marker, botulinum toxin, brain concussion, calcitonin gene related peptide receptor antagonis, comorbidity, Concussion, depression, DIAGNOSTIC imaging, disease course, genetic polymorphism, genetic predisposition, glial fibrillary acidic protein, headache, Headache disorder, human, MANAGEMENT, migraine, Military personnel, mTBI, neuroimaging, Pathophysiology, postconcussion syndrome, posttraumatic headache, posttraumatic stress disorder, Prognosis, Review, serotonin 1 agonist, serotonin 1F agonist, soldier, traumatic brain injury, Treatment, tricyclic antidepressant agent, triptan derivative, unclassified drug, UNITED States
@article{Holtkamp2016,
title = {Concussion in the Military: an Evidence-Base Review of mTBI in US Military Personnel Focused on Posttraumatic Headache},
author = {Holtkamp, M D and Grimes, J and Ling, G},
doi = {10.1007/s11916-016-0572-x},
year = {2016},
date = {2016-01-01},
journal = {Current Pain \& Headache Reports},
volume = {20},
number = {6},
abstract = {Traumatic brain injury (TBI) is defined as an alteration in brain function caused by an external force. Mild TBI or concussion is now well recognized to be a risk of military service as well as participation in athletic sports such as football. Posttraumatic headache (PTH) is the most common symptom after mTBI in US service members. PTH most commonly presents with migraine-like headache features. The following is an overview of the epidemiology, pathophysiology, clinical course, prognosis, complications, and treatment of mTBI and associated comorbidities with a focus on PTH. There is a particular emphasis on emerging evidence-based clinical practice. One important medical consequence of the recognition that mTBI is a highly prevalent among military service members is that the Department of Defense (DoD) is dedicating significant financial and intellectual resources to better understanding and developing treatments for TBI. The identification of the importance of TBI among the US military population has had the added benefit of increasing awareness of this condition among civilian populations, particularly those engaged in both professional and youth sports. The NIH and NSF are also supporting important TBI research. President Obama’s Brain Initiative is also providing additional impetus for these efforts. Unfortunately, the understanding of the acute and chronic effects of mTBI on the brain remains limited. Gratefully, there is hope that through innovative research, there will be advances in elucidating the underlying pathophysiology, which will lead to clinical and prognostic indicators, ultimately resulting in new treatment options for this very complicated set of disorders. © 2016, Springer Science+Business Media New York (outside the USA).},
keywords = {apolipoprotein E4, assessment, biological marker, botulinum toxin, brain concussion, calcitonin gene related peptide receptor antagonis, comorbidity, Concussion, depression, DIAGNOSTIC imaging, disease course, genetic polymorphism, genetic predisposition, glial fibrillary acidic protein, headache, Headache disorder, human, MANAGEMENT, migraine, Military personnel, mTBI, neuroimaging, Pathophysiology, postconcussion syndrome, posttraumatic headache, posttraumatic stress disorder, Prognosis, Review, serotonin 1 agonist, serotonin 1F agonist, soldier, traumatic brain injury, Treatment, tricyclic antidepressant agent, triptan derivative, unclassified drug, UNITED States},
pubstate = {published},
tppubtype = {article}
}
DiFazio, M; Silverberg, N D; Kirkwood, M W; Bernier, R; Iverson, G L
Prolonged Activity Restriction after Concussion: Are We Worsening Outcomes? Journal Article
In: Clinical Pediatrics, vol. 55, no. 5, pp. 443–451, 2015.
Abstract | Links | BibTeX | Tags: activity restriction, Anxiety, Article, athletic trainer, brain concussion, case report, Concussion, daily life activity, depression, Dizziness, evolution, exercise, expectation, headache, human, Male, mood disorder, mTBI, nocebo effect, patient harm, PHYSICAL ACTIVITY, practice guideline, prolonged activity restriction, psychological aspect, Rehabilitation, rest, school, traumatic brain injury, Treatment, treatment outcome, wrestling
@article{DiFazio2015,
title = {Prolonged Activity Restriction after Concussion: Are We Worsening Outcomes?},
author = {DiFazio, M and Silverberg, N D and Kirkwood, M W and Bernier, R and Iverson, G L},
doi = {10.1177/0009922815589914},
year = {2015},
date = {2015-01-01},
journal = {Clinical Pediatrics},
volume = {55},
number = {5},
pages = {443--451},
abstract = {The current treatment of concussion or mild traumatic brain injury (mTBI) is primarily based on expert consensus. Most clinical practice guidelines advise cognitive and physical rest after injury including withdrawal from normal life activities such as school attendance, sports participation, and technology use until symptoms resolve. Some individuals who sustain an mTBI experience persistent physical, cognitive, and mental health problems. Activity restriction itself may contribute to protracted recovery and other complications. Williamson's Activity Restriction Model of Depression, formulated more than 20 years ago, is central to this hypothesis. We review research evidence for potential harms of prolonged activity restriction and report an mTBI case as an example of how an "activity restriction cascade" can unfold. According to this model, psychological consequences of removal from validating life activities, combined with physical deconditioning, contribute to the development and persistence of postconcussive symptoms after mTBI in some youth. A modification to mTBI guidelines that emphasizes prompt reengagement in life activities as tolerated is encouraged. © SAGE Publications.},
keywords = {activity restriction, Anxiety, Article, athletic trainer, brain concussion, case report, Concussion, daily life activity, depression, Dizziness, evolution, exercise, expectation, headache, human, Male, mood disorder, mTBI, nocebo effect, patient harm, PHYSICAL ACTIVITY, practice guideline, prolonged activity restriction, psychological aspect, Rehabilitation, rest, school, traumatic brain injury, Treatment, treatment outcome, wrestling},
pubstate = {published},
tppubtype = {article}
}
Onieal, Marie-Eileen
Don't Put Me in, Coach Journal Article
In: Clinician Reviews, vol. 23, pp. 10–11, 2013, ISBN: 10520627.
Abstract | BibTeX | Tags: 1969-2012, BRAIN -- Concussion, BRAIN -- Wounds & injuries -- Prevention, Football (American), HIGH school football players, Junior, Legal & Policy Issues, Overviews, SEAU, SPORTS injuries, Treatment
@article{Onieal2013,
title = {Don't Put Me in, Coach},
author = {Onieal, Marie-Eileen},
isbn = {10520627},
year = {2013},
date = {2013-01-01},
journal = {Clinician Reviews},
volume = {23},
pages = {10--11},
abstract = {The author reflects on traumatic brain injury (TBI) sustained by athletes. She highlights the need for TBI awareness by mentioning a study on high school football players in 2010, the suicide of former football player Junior Seau in May 2012 and laws regarding concussion management. She asserts the need for TBI prevention and suggests that minor injuries be brought to closer investigation.},
keywords = {1969-2012, BRAIN -- Concussion, BRAIN -- Wounds \& injuries -- Prevention, Football (American), HIGH school football players, Junior, Legal \& Policy Issues, Overviews, SEAU, SPORTS injuries, Treatment},
pubstate = {published},
tppubtype = {article}
}
LeBlanc, Jeanne M; McLachlan, Kaitlyn
Prevention of Post-Concussional Syndrome in North American Workers: The Importance of Early Intervention on Vocational Outcome Journal Article
In: Australian Journal of Rehabilitation Counselling, vol. 16, no. 1, pp. 36–44, 2010, ISBN: 13238922.
Abstract | BibTeX | Tags: *BRAIN -- Wounds & injuries, *OUTPATIENT medical care, *POSTCONCUSSION syndrome, *REHABILITATION, Concussion, employment, INDIVIDUALIZED education programs, INDUSTRIAL hygiene, mild traumatic brain injury, mTBI, outpatient, PCS, post-concussive syndrome, Rehabilitation, Treatment
@article{LeBlanc2010,
title = {Prevention of Post-Concussional Syndrome in North American Workers: The Importance of Early Intervention on Vocational Outcome},
author = {LeBlanc, Jeanne M and McLachlan, Kaitlyn},
isbn = {13238922},
year = {2010},
date = {2010-01-01},
journal = {Australian Journal of Rehabilitation Counselling},
volume = {16},
number = {1},
pages = {36--44},
abstract = {The purpose of this study was to: (1) Establish whether or not specific rehabilitation for mild brain injury is effective for return to work; and (2) compare the efficacy of an impairment-focused model of treatment versus an early education approach in respect to ability to return to work. Two different approaches to intervention and treatment for those with a suspected concussion from a work-related injury were utilised by an urban, interdisciplinary, outpatient rehabilitation facility. The first approach, Group Treatment (GT), provided minimal early education at time of initial intake, emphasising an extensive group-focused interdisciplinary assessment and treatment. The second approach, Individualized Education and Treatment, (IET) emphasised early education, instead coupled with specific individualised services. Both groups received employment services. Post-discharge, GT ( N = 26) resulted in 46% ( n = 12) of individuals returning to competitive employment, while IET ( N = 23) resulted in 78% ( n = 18) of individuals returning to competitive employment. An asset-oriented early individualised educational approach appears to be a more effective for employment re-engagement. ABSTRACT FROM AUTHOR},
keywords = {*BRAIN -- Wounds \& injuries, *OUTPATIENT medical care, *POSTCONCUSSION syndrome, *REHABILITATION, Concussion, employment, INDIVIDUALIZED education programs, INDUSTRIAL hygiene, mild traumatic brain injury, mTBI, outpatient, PCS, post-concussive syndrome, Rehabilitation, Treatment},
pubstate = {published},
tppubtype = {article}
}