Baugh, C M; Kroshus, E; Stamm, J M; Daneshvar, D H; Pepin, M J; Meehan, W P
Clinical practices in collegiate concussion management Journal Article
In: American Journal of Sports Medicine, vol. 44, no. 6, pp. 1391–1399, 2016.
Abstract | Links | BibTeX | Tags: best practices, clinical practice, college, Concussion, Health Policy
@article{Baugh2016,
title = {Clinical practices in collegiate concussion management},
author = {Baugh, C M and Kroshus, E and Stamm, J M and Daneshvar, D H and Pepin, M J and Meehan, W P},
doi = {10.1177/0363546516635639},
year = {2016},
date = {2016-01-01},
journal = {American Journal of Sports Medicine},
volume = {44},
number = {6},
pages = {1391--1399},
abstract = {Background: In recent years, sports leagues and sports medicine experts have developed guidelines for concussion management. The extent to which current clinical practice is consistent with guideline recommendations is unclear. At the collegiate level, there have been few examinations of concussion management practices and the extent to which meaningful differences across divisions of competition exist. Purpose: The purposes of this study were to (1) examine current practices in concussion diagnosis and management at National Collegiate Athletic Association (NCAA) member colleges, (2) explore the extent to which current practices reflect current recommendations for concussion diagnosis and management, and (3) determine whether there are differences in management patterns across divisions of competition. Design: Descriptive epidemiology study. Methods: An electronic questionnaire was sent to sports medicine clinicians at all NCAA member colleges during September and October 2013. Clinicians were asked about baseline assessments, diagnosis and management practices, return-to-play protocols, the perceived prevalence of underdiagnosis, and basic demographic information. Results: Approximately 30% (n = 866) of contacted clinicians, representing nearly 50% (n = 527) of NCAA member colleges, responded to the questionnaire. Preparticipation baseline examinations were administered at the majority of schools (95%), but most (87.5%) administered baseline assessments only to selected high-risk athletes. Computerized neurocognitive testing and balance assessments were most commonly used as preseason baseline and postinjury assessments. Multimodal examination in line with NCAA and other guidance was used only at a minority of institutions. Athletic trainers most commonly administered and interpreted the preseason baseline examination. Most clinicians reported that their institutions' practices were in line with NCAA guidelines during the first 24 hours of an athlete's concussion diagnosis, with exact percentages varying across measures. Differences across divisions of competition included shorter return-to-play time at Division I schools than Division III schools (9.13 vs 10.31 days, respectively) and more frequently referring concussed athletes to a physician within 24 hours of diagnosis at Division I schools. Conclusion: Concussion management at many colleges in the United States incorporates elements recommended by current guidelines; however, there is room to improve. Increasing the use of a multimodal baseline and postinjury examination will elevate the concussion care provided to college athletes and better align with best practice guidance. © American Orthopaedic Society for Sports Medicine.},
keywords = {best practices, clinical practice, college, Concussion, Health Policy},
pubstate = {published},
tppubtype = {article}
}
Crowley, P J; Crowley, M J
Dramatic impact of using protective equipment on the level of hurling-related head injuries: an ultimately successful 27-year programme Journal Article
In: British Journal of Sports Medicine, vol. 48, no. 2, pp. 147–150, 2014.
Abstract | BibTeX | Tags: *Craniocerebral Trauma/pc [Prevention & Control], *Head Protective Devices/ut [Utilization], *Track and Field/in [Injuries], Adolescent, Athletic Injuries/ep [Epidemiology], Athletic Injuries/pc [Prevention & Control], Attitudes, Child, Craniocerebral Trauma/ep [Epidemiology], Data Collection, Equipment Design, Health Knowledge, Health Policy, Health Promotion/og [Organization & Administration, Humans, Ireland/ep [Epidemiology], Practice, Risk Reduction Behavior, Track and Field/lj [Legislation & Jurisprudence], Track and Field/sn [Statistics & Numerical Data], Young Adult
@article{Crowley2014,
title = {Dramatic impact of using protective equipment on the level of hurling-related head injuries: an ultimately successful 27-year programme},
author = {Crowley, P J and Crowley, M J},
year = {2014},
date = {2014-01-01},
journal = {British Journal of Sports Medicine},
volume = {48},
number = {2},
pages = {147--150},
abstract = {BACKGROUND: Major head injuries are not uncommon in the Irish national game of hurling. Historically, helmets were not worn. METHODS: We report a multistage campaign to facilitate and encourage the use of appropriate headgear among the estimated 100 000 hurling players in Ireland. This campaign lasted for 27 years between 1985 and 2012, and involved a number of different stages including: (1) facilitating the establishment of a business dedicated to developing head protection equipment suitable for hurling, (2) placing a particular emphasis on continual product enhancement to the highest industrial standards, (3) engaging continually with the game's controlling body, the Gaelic Athletic Association (GAA), with the ultimate objective of securing a mandatory usage policy for protective helmets and faceguards, (4) longitudinal research to monitor hurling injury, equipment usage and players' attitudes and (5) widely communicating key research findings to GAA leaders and members, as well as to 1000 clubs and schools. RESULTS: One of our three relevant studies included 798 patients and identified a dramatic association between the type of head protection used by a player, if any, and the site of the injury requiring treatment. While 51% of the injured players without head protection suffered head trauma, this rate was only 35% among the players wearing helmets and 5% among players who were wearing full head protection (both a helmet and faceguard). CONCLUSION: The GAA responded in three stages to the accumulating evidence: (1) they introduced a mandatory regulation for those aged less than 18 years in 2005; (2) this ruling was extended to all players under 21 years in 2007 and (3) finally extended to all players irrespective of age, gender or grade from January 2010. The latter ruling applied to both games and organised training sessions.},
keywords = {*Craniocerebral Trauma/pc [Prevention \& Control], *Head Protective Devices/ut [Utilization], *Track and Field/in [Injuries], Adolescent, Athletic Injuries/ep [Epidemiology], Athletic Injuries/pc [Prevention \& Control], Attitudes, Child, Craniocerebral Trauma/ep [Epidemiology], Data Collection, Equipment Design, Health Knowledge, Health Policy, Health Promotion/og [Organization \& Administration, Humans, Ireland/ep [Epidemiology], Practice, Risk Reduction Behavior, Track and Field/lj [Legislation \& Jurisprudence], Track and Field/sn [Statistics \& Numerical Data], Young Adult},
pubstate = {published},
tppubtype = {article}
}
Baugh, C M; Kroshus, E; Stamm, J M; Daneshvar, D H; Pepin, M J; Meehan, W P
Clinical practices in collegiate concussion management Journal Article
In: American Journal of Sports Medicine, vol. 44, no. 6, pp. 1391–1399, 2016.
@article{Baugh2016,
title = {Clinical practices in collegiate concussion management},
author = {Baugh, C M and Kroshus, E and Stamm, J M and Daneshvar, D H and Pepin, M J and Meehan, W P},
doi = {10.1177/0363546516635639},
year = {2016},
date = {2016-01-01},
journal = {American Journal of Sports Medicine},
volume = {44},
number = {6},
pages = {1391--1399},
abstract = {Background: In recent years, sports leagues and sports medicine experts have developed guidelines for concussion management. The extent to which current clinical practice is consistent with guideline recommendations is unclear. At the collegiate level, there have been few examinations of concussion management practices and the extent to which meaningful differences across divisions of competition exist. Purpose: The purposes of this study were to (1) examine current practices in concussion diagnosis and management at National Collegiate Athletic Association (NCAA) member colleges, (2) explore the extent to which current practices reflect current recommendations for concussion diagnosis and management, and (3) determine whether there are differences in management patterns across divisions of competition. Design: Descriptive epidemiology study. Methods: An electronic questionnaire was sent to sports medicine clinicians at all NCAA member colleges during September and October 2013. Clinicians were asked about baseline assessments, diagnosis and management practices, return-to-play protocols, the perceived prevalence of underdiagnosis, and basic demographic information. Results: Approximately 30% (n = 866) of contacted clinicians, representing nearly 50% (n = 527) of NCAA member colleges, responded to the questionnaire. Preparticipation baseline examinations were administered at the majority of schools (95%), but most (87.5%) administered baseline assessments only to selected high-risk athletes. Computerized neurocognitive testing and balance assessments were most commonly used as preseason baseline and postinjury assessments. Multimodal examination in line with NCAA and other guidance was used only at a minority of institutions. Athletic trainers most commonly administered and interpreted the preseason baseline examination. Most clinicians reported that their institutions' practices were in line with NCAA guidelines during the first 24 hours of an athlete's concussion diagnosis, with exact percentages varying across measures. Differences across divisions of competition included shorter return-to-play time at Division I schools than Division III schools (9.13 vs 10.31 days, respectively) and more frequently referring concussed athletes to a physician within 24 hours of diagnosis at Division I schools. Conclusion: Concussion management at many colleges in the United States incorporates elements recommended by current guidelines; however, there is room to improve. Increasing the use of a multimodal baseline and postinjury examination will elevate the concussion care provided to college athletes and better align with best practice guidance. © American Orthopaedic Society for Sports Medicine.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Crowley, P J; Crowley, M J
Dramatic impact of using protective equipment on the level of hurling-related head injuries: an ultimately successful 27-year programme Journal Article
In: British Journal of Sports Medicine, vol. 48, no. 2, pp. 147–150, 2014.
@article{Crowley2014,
title = {Dramatic impact of using protective equipment on the level of hurling-related head injuries: an ultimately successful 27-year programme},
author = {Crowley, P J and Crowley, M J},
year = {2014},
date = {2014-01-01},
journal = {British Journal of Sports Medicine},
volume = {48},
number = {2},
pages = {147--150},
abstract = {BACKGROUND: Major head injuries are not uncommon in the Irish national game of hurling. Historically, helmets were not worn. METHODS: We report a multistage campaign to facilitate and encourage the use of appropriate headgear among the estimated 100 000 hurling players in Ireland. This campaign lasted for 27 years between 1985 and 2012, and involved a number of different stages including: (1) facilitating the establishment of a business dedicated to developing head protection equipment suitable for hurling, (2) placing a particular emphasis on continual product enhancement to the highest industrial standards, (3) engaging continually with the game's controlling body, the Gaelic Athletic Association (GAA), with the ultimate objective of securing a mandatory usage policy for protective helmets and faceguards, (4) longitudinal research to monitor hurling injury, equipment usage and players' attitudes and (5) widely communicating key research findings to GAA leaders and members, as well as to 1000 clubs and schools. RESULTS: One of our three relevant studies included 798 patients and identified a dramatic association between the type of head protection used by a player, if any, and the site of the injury requiring treatment. While 51% of the injured players without head protection suffered head trauma, this rate was only 35% among the players wearing helmets and 5% among players who were wearing full head protection (both a helmet and faceguard). CONCLUSION: The GAA responded in three stages to the accumulating evidence: (1) they introduced a mandatory regulation for those aged less than 18 years in 2005; (2) this ruling was extended to all players under 21 years in 2007 and (3) finally extended to all players irrespective of age, gender or grade from January 2010. The latter ruling applied to both games and organised training sessions.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Baugh, C M; Kroshus, E; Stamm, J M; Daneshvar, D H; Pepin, M J; Meehan, W P
Clinical practices in collegiate concussion management Journal Article
In: American Journal of Sports Medicine, vol. 44, no. 6, pp. 1391–1399, 2016.
Abstract | Links | BibTeX | Tags: best practices, clinical practice, college, Concussion, Health Policy
@article{Baugh2016,
title = {Clinical practices in collegiate concussion management},
author = {Baugh, C M and Kroshus, E and Stamm, J M and Daneshvar, D H and Pepin, M J and Meehan, W P},
doi = {10.1177/0363546516635639},
year = {2016},
date = {2016-01-01},
journal = {American Journal of Sports Medicine},
volume = {44},
number = {6},
pages = {1391--1399},
abstract = {Background: In recent years, sports leagues and sports medicine experts have developed guidelines for concussion management. The extent to which current clinical practice is consistent with guideline recommendations is unclear. At the collegiate level, there have been few examinations of concussion management practices and the extent to which meaningful differences across divisions of competition exist. Purpose: The purposes of this study were to (1) examine current practices in concussion diagnosis and management at National Collegiate Athletic Association (NCAA) member colleges, (2) explore the extent to which current practices reflect current recommendations for concussion diagnosis and management, and (3) determine whether there are differences in management patterns across divisions of competition. Design: Descriptive epidemiology study. Methods: An electronic questionnaire was sent to sports medicine clinicians at all NCAA member colleges during September and October 2013. Clinicians were asked about baseline assessments, diagnosis and management practices, return-to-play protocols, the perceived prevalence of underdiagnosis, and basic demographic information. Results: Approximately 30% (n = 866) of contacted clinicians, representing nearly 50% (n = 527) of NCAA member colleges, responded to the questionnaire. Preparticipation baseline examinations were administered at the majority of schools (95%), but most (87.5%) administered baseline assessments only to selected high-risk athletes. Computerized neurocognitive testing and balance assessments were most commonly used as preseason baseline and postinjury assessments. Multimodal examination in line with NCAA and other guidance was used only at a minority of institutions. Athletic trainers most commonly administered and interpreted the preseason baseline examination. Most clinicians reported that their institutions' practices were in line with NCAA guidelines during the first 24 hours of an athlete's concussion diagnosis, with exact percentages varying across measures. Differences across divisions of competition included shorter return-to-play time at Division I schools than Division III schools (9.13 vs 10.31 days, respectively) and more frequently referring concussed athletes to a physician within 24 hours of diagnosis at Division I schools. Conclusion: Concussion management at many colleges in the United States incorporates elements recommended by current guidelines; however, there is room to improve. Increasing the use of a multimodal baseline and postinjury examination will elevate the concussion care provided to college athletes and better align with best practice guidance. © American Orthopaedic Society for Sports Medicine.},
keywords = {best practices, clinical practice, college, Concussion, Health Policy},
pubstate = {published},
tppubtype = {article}
}
Crowley, P J; Crowley, M J
Dramatic impact of using protective equipment on the level of hurling-related head injuries: an ultimately successful 27-year programme Journal Article
In: British Journal of Sports Medicine, vol. 48, no. 2, pp. 147–150, 2014.
Abstract | BibTeX | Tags: *Craniocerebral Trauma/pc [Prevention & Control], *Head Protective Devices/ut [Utilization], *Track and Field/in [Injuries], Adolescent, Athletic Injuries/ep [Epidemiology], Athletic Injuries/pc [Prevention & Control], Attitudes, Child, Craniocerebral Trauma/ep [Epidemiology], Data Collection, Equipment Design, Health Knowledge, Health Policy, Health Promotion/og [Organization & Administration, Humans, Ireland/ep [Epidemiology], Practice, Risk Reduction Behavior, Track and Field/lj [Legislation & Jurisprudence], Track and Field/sn [Statistics & Numerical Data], Young Adult
@article{Crowley2014,
title = {Dramatic impact of using protective equipment on the level of hurling-related head injuries: an ultimately successful 27-year programme},
author = {Crowley, P J and Crowley, M J},
year = {2014},
date = {2014-01-01},
journal = {British Journal of Sports Medicine},
volume = {48},
number = {2},
pages = {147--150},
abstract = {BACKGROUND: Major head injuries are not uncommon in the Irish national game of hurling. Historically, helmets were not worn. METHODS: We report a multistage campaign to facilitate and encourage the use of appropriate headgear among the estimated 100 000 hurling players in Ireland. This campaign lasted for 27 years between 1985 and 2012, and involved a number of different stages including: (1) facilitating the establishment of a business dedicated to developing head protection equipment suitable for hurling, (2) placing a particular emphasis on continual product enhancement to the highest industrial standards, (3) engaging continually with the game's controlling body, the Gaelic Athletic Association (GAA), with the ultimate objective of securing a mandatory usage policy for protective helmets and faceguards, (4) longitudinal research to monitor hurling injury, equipment usage and players' attitudes and (5) widely communicating key research findings to GAA leaders and members, as well as to 1000 clubs and schools. RESULTS: One of our three relevant studies included 798 patients and identified a dramatic association between the type of head protection used by a player, if any, and the site of the injury requiring treatment. While 51% of the injured players without head protection suffered head trauma, this rate was only 35% among the players wearing helmets and 5% among players who were wearing full head protection (both a helmet and faceguard). CONCLUSION: The GAA responded in three stages to the accumulating evidence: (1) they introduced a mandatory regulation for those aged less than 18 years in 2005; (2) this ruling was extended to all players under 21 years in 2007 and (3) finally extended to all players irrespective of age, gender or grade from January 2010. The latter ruling applied to both games and organised training sessions.},
keywords = {*Craniocerebral Trauma/pc [Prevention \& Control], *Head Protective Devices/ut [Utilization], *Track and Field/in [Injuries], Adolescent, Athletic Injuries/ep [Epidemiology], Athletic Injuries/pc [Prevention \& Control], Attitudes, Child, Craniocerebral Trauma/ep [Epidemiology], Data Collection, Equipment Design, Health Knowledge, Health Policy, Health Promotion/og [Organization \& Administration, Humans, Ireland/ep [Epidemiology], Practice, Risk Reduction Behavior, Track and Field/lj [Legislation \& Jurisprudence], Track and Field/sn [Statistics \& Numerical Data], Young Adult},
pubstate = {published},
tppubtype = {article}
}