Amoako, A O; Amoako, A B; Pujalte, G G
Family medicine residents' perceived level of comfort in treating common sports injuries across residency programs in the United States Journal Article
In: Open Access Journal of Sports Medicine, vol. 6, pp. 81–86, 2015.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Amoako2015,
title = {Family medicine residents' perceived level of comfort in treating common sports injuries across residency programs in the United States},
author = {Amoako, A O and Amoako, A B and Pujalte, G G},
year = {2015},
date = {2015-01-01},
journal = {Open Access Journal of Sports Medicine},
volume = {6},
pages = {81--86},
address = {Amoako,Adae O. Department of Family and Community Medicine, Penn State Hershey Medical Center, Hershey, PA, USA. Amoako,Agyenim B. Department of Family Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA. Pujalte,George},
abstract = {BACKGROUND AND OBJECTIVE: Family physicians are expected to be comfortable in treating common sports injuries. Evidence shows a limited level of comfort in treating these injuries in pediatric and internal medicine residents. Studies are lacking, however, in family medicine residents. The purpose of this study is to assess the comfort level of family medicine residents in treating common sports injuries in adults and children based on their perceived level of knowledge and attitudes. METHODS: This is a cross-sectional study of family medicine residents in the United Sates. A written survey of 25 questions related to sports injury knowledge and factors affecting comfort level were collected. A chi-square test was implemented in calculating P-values. RESULTS: Five hundred and fifty-seven residents responded to the survey. A higher percentage of doctors of osteopathy (86.6%, 82.5%, 69.6%, and 68.7%) compared to doctors of medicine (78.5%, 71.6%, 53.4%, and 52.8%) respectively identified ankle sprain, concussion, plantar fasciitis, and lateral epicondylitis as common injuries, and felt comfortable in treating them (P-values =0.015, 0.004, 0.0001, and 0.0002, respectively). Residents with high interest in sports medicine correctly identified the injuries as common and felt comfortable treating them as well (knowledge},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Harch, P G
Hyperbaric oxygen in chronic traumatic brain injury: oxygen, pressure, and gene therapy Journal Article
In: Medical Gas Research, vol. 5, pp. 9, 2015.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Harch2015,
title = {Hyperbaric oxygen in chronic traumatic brain injury: oxygen, pressure, and gene therapy},
author = {Harch, P G},
year = {2015},
date = {2015-01-01},
journal = {Medical Gas Research},
volume = {5},
pages = {9},
address = {Harch,Paul G. Section of Emergency Medicine, Department of Medicine, Louisiana State University School of Medicine, 1542 Tulane Avenue, Rm. 452, Box T4M2, New Orleans, LA 70112 USA.},
abstract = {Hyperbaric oxygen therapy is a treatment for wounds in any location and of any duration that has been misunderstood for 353 years. Since 2008 it has been applied to the persistent post-concussion syndrome of mild traumatic brain injury by civilian and later military researchers with apparent conflicting results. The civilian studies are positive and the military-funded studies are a mixture of misinterpreted positive data, indeterminate data, and negative data. This has confused the medical, academic, and lay communities. The source of the confusion is a fundamental misunderstanding of the definition, principles, and mechanisms of action of hyperbaric oxygen therapy. This article argues that the traditional definition of hyperbaric oxygen therapy is arbitrary. The article establishes a scientific definition of hyperbaric oxygen therapy as a wound-healing therapy of combined increased atmospheric pressure and pressure of oxygen over ambient atmospheric pressure and pressure of oxygen whose main mechanisms of action are gene-mediated. Hyperbaric oxygen therapy exerts its wound-healing effects by expression and suppression of thousands of genes. The dominant gene actions are upregulation of trophic and anti-inflammatory genes and down-regulation of pro-inflammatory and apoptotic genes. The combination of genes affected depends on the different combinations of total pressure and pressure of oxygen. Understanding that hyperbaric oxygen therapy is a pressure and oxygen dose-dependent gene therapy allows for reconciliation of the conflicting TBI study results as outcomes of different doses of pressure and oxygen.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Bell, K R; Brockway, J A; Fann, J R; Cole, W R; St De Lore, J; Bush, N; Lang, A J; Hart, T; Warren, M; Dikmen, S; Temkin, N; Jain, S; Raman, R; Stein, M B
Concussion treatment after combat trauma: development of a telephone based, problem solving intervention for service members Journal Article
In: Contemporary Clinical Trials, vol. 40, pp. 54–62, 2015.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Bell2015,
title = {Concussion treatment after combat trauma: development of a telephone based, problem solving intervention for service members},
author = {Bell, K R and Brockway, J A and Fann, J R and Cole, W R and {St De Lore}, J and Bush, N and Lang, A J and Hart, T and Warren, M and Dikmen, S and Temkin, N and Jain, S and Raman, R and Stein, M B},
year = {2015},
date = {2015-01-01},
journal = {Contemporary Clinical Trials},
volume = {40},
pages = {54--62},
address = {Bell,Kathleen R. Department of Rehabilitation Medicine, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States. Electronic address: krbell@uw.edu. Brockway,Jo Ann. Department of Rehabilitation Medicine, University of Washington},
abstract = {Military service members (SMs) and veterans who sustain mild traumatic brain injuries (mTBI) during combat deployments often have co-morbid conditions but are reluctant to seek out therapy in medical or mental health settings. Efficacious methods of intervention that are patient-centered and adaptable to a mobile and often difficult-to-reach population would be useful in improving quality of life. This article describes a new protocol developed as part of a randomized clinical trial of a telephone-mediated program for SMs with mTBI. The 12-session program combines problem solving training (PST) with embedded modules targeting depression, anxiety, insomnia, and headache. The rationale and development of this behavioral intervention for implementation with persons with multiple co-morbidities is described along with the proposed analysis of results. In particular, we provide details regarding the creation of a treatment that is manualized yet flexible enough to address a wide variety of problems and symptoms within a standard framework. The methods involved in enrolling and retaining an often hard-to-study population are also highlighted.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Schneider, K J; Meeuwisse, W H; Nettel-Aguirre, A; Barlow, K; Boyd, L; Kang, J; Emery, C A
Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial Journal Article
In: British Journal of Sports Medicine, vol. 48, pp. 1294–1298, 2014.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Schneider2014,
title = {Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial},
author = {Schneider, K J and Meeuwisse, W H and Nettel-Aguirre, A and Barlow, K and Boyd, L and Kang, J and Emery, C A},
year = {2014},
date = {2014-01-01},
journal = {British Journal of Sports Medicine},
volume = {48},
pages = {1294--1298},
address = {Schneider,Kathryn J. Faculty of Kinesiology, Sport Injury Prevention Research Centre, University of Calgary, Calgary, Alberta, Canada Faculty of Medicine, Alberta Children's Hospital Research Institute for Child \& Maternal Health, University of Calgary, C},
abstract = {BACKGROUND/AIM: Concussion is a common injury in sport. Most individuals recover in 7-10 days but some have persistent symptoms. The objective of this study was to determine if a combination of vestibular rehabilitation and cervical spine physiotherapy decreased the time until medical clearance in individuals with prolonged postconcussion symptoms. METHODS: This study was a randomised controlled trial. Consecutive patients with persistent symptoms of dizziness, neck pain and/or headaches following a sport-related concussion (12-30 years, 18 male and 13 female) were randomised to the control or intervention group. Both groups received weekly sessions with a physiotherapist for 8 weeks or until the time of medical clearance. Both groups received postural education, range of motion exercises and cognitive and physical rest until asymptomatic followed by a protocol of graded exertion. The intervention group also received cervical spine and vestibular rehabilitation. The primary outcome of interest was medical clearance to return to sport, which was evaluated by a study sport medicine physician who was blinded to the treatment group. RESULTS: In the treatment group, 73% (11/15) of the participants were medically cleared within 8 weeks of initiation of treatment, compared with 7% (1/14) in the control group. Using an intention to treat analysis, individuals in the treatment group were 3.91 (95% CI 1.34 to 11.34) times more likely to be medically cleared by 8 weeks. CONCLUSIONS: A combination of cervical and vestibular physiotherapy decreased time to medical clearance to return to sport in youth and young adults with persistent symptoms of dizziness, neck pain and/or headaches following a sport-related concussion. TRIAL REGISTRATION NUMBER: NCT01860755.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Elbin, R J; Schatz, P; Lowder, H B; Kontos, A P
An empirical review of treatment and rehabilitation approaches used in the acute, sub-acute, and chronic phases of recovery following sports-related concussion Journal Article
In: Current Treatment Options in Neurology, vol. 16, pp. 320, 2014.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Elbin2014,
title = {An empirical review of treatment and rehabilitation approaches used in the acute, sub-acute, and chronic phases of recovery following sports-related concussion},
author = {Elbin, R J and Schatz, P and Lowder, H B and Kontos, A P},
year = {2014},
date = {2014-01-01},
journal = {Current Treatment Options in Neurology},
volume = {16},
pages = {320},
address = {Elbin,R J. Department of Health, Human Performance and Recreation/Office for Sport Concussion Research, University of Arkansas, 155 Stadium Drive, Fayetteville, AR, 72701, USA, rjelbin@uark.edu.},
abstract = {OPINION STATEMENT: Several treatment and rehabilitation approaches for sport-related concussion have been mentioned in recent consensus and position statements. These options range from the more conservative behavioral management approaches to aggressive pharmacological and therapeutic interventions. Moreover, clinical decision-making for sport-related concussion changes as symptoms and impairments persist throughout recovery. The current article provides an empirical review of proposed treatment and rehabilitation options for sport-related concussion during the acute, subacute, and chronic phases of injury.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Brolinson, P G
Management of sport-related concussion: a review Journal Article
In: Clinical Journal of Sport Medicine, vol. 24, pp. 89–90, 2014.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Brolinson2014,
title = {Management of sport-related concussion: a review},
author = {Brolinson, P G},
year = {2014},
date = {2014-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {24},
pages = {89--90},
address = {The Edward Via Collegeof Osteopathic MedicineDepartment of Sports MedicineVirginia TechBlacksburg, Virginia.},
abstract = {OBJECTIVE: To systematically review the evidence for rest, treatment, and rehabilitation after sport-related concussion. DATA SOURCES: Nine databases including PubMed, Cochrane Central Register of Controlled Trials, Sport Discus, and Web of Science were searched for studies that evaluated the effect of rest separately from the effects of treatment and/or rehabilitation, using words related to concussion, mild traumatic brain injury, rest, treatment outcome, and therapy. STUDY SELECTION: Inclusion criteria were published reports (either articles or abstracts) of original peer-reviewed research that investigated sport-related concussions and evaluated the effects of rest or treatment on the symptoms. One investigator performed the searches. From 749 articles evaluating rest and 1175 evaluating treatment, 2 studies met criteria for the effect of rest and 10 abstracts met criteria for treatment. Three further treatment articles were identified by the authors. DATA EXTRACTION: Details of study design, samples, type and duration of treatment, outcome measures, and main results, with effect sizes, were extracted. Confidence intervals (CI) were extracted or calculated where possible. Level of evidence was graded (1-5; best to poorest) using Downs and Black criteria to assess study quality. MAIN RESULTS: The 3 studies that investigated rest after concussion were all retrospective case series. The studies were too heterogeneous for a clear assessment of the benefits of rest. Other treatments (evaluated by case studies, retrospective case series, or other level 4 or 5 studies) were subcutaneous sumatriptan, hyperbaric oxygen therapy, amantadine, ibuprofen, and various hormonal treatments. Light exercise, or daily exercise after a 2-week baseline period, appeared to encourage return to physical activity in children and adults. The only randomized controlled trial (with blinded assessment) investigated individualized treatment of 31 participants with symptoms from sport-related concussion that persisted for 12 to 30 months. Interventions included manual spinal therapy, physiotherapy, and neuromotor and sensorimotor retraining compared with rest and graduated exercise, for up to 8 weeks. More participants in the intervention group were medically cleared to return to sport within 8 weeks of initiating treatment (risk ratio 10.3; 95% CI, 1.51-69.6). CONCLUSIONS: Studies of management of concussion were so poor that conclusions that rest was not helpful or that exercise might be beneficial are premature. Better evidence showed that individualized treatment of long-standing symptoms may allow earlier return to sport than rest and exercise alone.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Solomon, G S; Sills, A K
Pharmacologic treatment of sport-related concussion: a review Journal Article
In: Journal of Surgical Orthopaedic Advances, vol. 22, pp. 193–197, 2013, ISSN: 1548-825X (Print) 1548-825X (Linking).
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Solomon2013,
title = {Pharmacologic treatment of sport-related concussion: a review},
author = {Solomon, G S and Sills, A K},
issn = {1548-825X (Print) 1548-825X (Linking)},
year = {2013},
date = {2013-01-01},
journal = {Journal of Surgical Orthopaedic Advances},
volume = {22},
pages = {193--197},
address = {Departments of Psychiatry and Neurological Surgery, and the Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, Tennessee.},
edition = {2013/09/26},
abstract = {The goals of the current study were to review the published research over the past decade and to summarize the findings related to pharmacologic approaches in the treatment of sport-related concussion (SRC). PubMed searches across all databases were employed using combinations of the key words and search phrases ``concussion,'' ``mild traumatic brain injury,'' ``pharmacology,'' ``treatment,'' and ``sports,'' along with specific classes of pharmacologic agents. The few studies found were based primarily on clinician experience, with frequent reference to animal models. No clinical pharmacologic trials of SRC were found. The pharmacologic treatment of SRC remains focused on specific symptoms, and there is as yet no evidence-based treatment. On the basis of the limited published research, the authors offer some preliminary guidelines regarding the use of pharmacologic therapies in SRC.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Joseph, M M; Kutner, K C
From the field of play to the field of combat: A review of the pharmacological management of concussion: Comments Journal Article
In: Neurosurgery, vol. 70, pp. 1533, 2012.
BibTeX | Tags: Treatment & Rehabilitation
@article{Joseph2012,
title = {From the field of play to the field of combat: A review of the pharmacological management of concussion: Comments},
author = {Joseph, M M and Kutner, K C},
year = {2012},
date = {2012-01-01},
journal = {Neurosurgery},
volume = {70},
pages = {1533},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Buck, Page Walker; Laster, Rebecca G; Sagrati, Jocelyn Spencer; Kirzner, Rachel Shapiro
Working with mild traumatic brain injury: voices from the field Journal Article
In: Rehabilitation Research & Practice, 2012.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Buck2012,
title = {Working with mild traumatic brain injury: voices from the field},
author = {Buck, Page Walker and Laster, Rebecca G and Sagrati, Jocelyn Spencer and Kirzner, Rachel Shapiro},
year = {2012},
date = {2012-01-01},
journal = {Rehabilitation Research \& Practice},
address = {Graduate Social Work Department, West Chester University, West Chester, PA 19383, USA.},
abstract = {Mild traumatic brain injury (mTBI), also known as concussion, is an emerging public health issue in the United States. The estimated annual 1.2 million individuals who sustain this injury face a range of cognitive, psychological, and physical consequences for which rehabilitation protocols are being developed and implemented. On the frontlines of this developing area of rehabilitation work are professionals in a range of therapeutic settings whose practice wisdom has yet to be shared in the professional literature. This qualitative study aimed to fill this gap by exploring the experiences and insights of rehabilitation professionals serving mTBI patients in outpatient, civilian settings. An analysis of the qualitative data revealed five themes common in mTBI work, providing an in-depth look at this often challenging field of rehabilitation.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Valentine, Verle; Logan, Kelsey
Cognitive rest in concussion management Journal Article
In: American Family Physician, vol. 85, pp. 100–101, 2012.
BibTeX | Tags: Treatment & Rehabilitation
@article{Valentine2012,
title = {Cognitive rest in concussion management},
author = {Valentine, Verle and Logan, Kelsey},
year = {2012},
date = {2012-01-01},
journal = {American Family Physician},
volume = {85},
pages = {100--101},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Reed, Nick
Sport-related concussion and occupational therapy: expanding the scope of practice Journal Article
In: Physical & Occupational Therapy in Pediatrics, vol. 31, pp. 222–224, 2011.
BibTeX | Tags: Treatment & Rehabilitation
@article{Reed2011,
title = {Sport-related concussion and occupational therapy: expanding the scope of practice},
author = {Reed, Nick},
year = {2011},
date = {2011-01-01},
journal = {Physical \& Occupational Therapy in Pediatrics},
volume = {31},
pages = {222--224},
address = {Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Canada.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Berrigan, Lindsay; Marshall, Shawn; McCullagh, Scott; Velikonja, Diana; Bayley, Mark
Quality of clinical practice guidelines for persons who have sustained mild traumatic brain injury Journal Article
In: Brain Injury, vol. 25, pp. 742–751, 2011.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Berrigan2011,
title = {Quality of clinical practice guidelines for persons who have sustained mild traumatic brain injury},
author = {Berrigan, Lindsay and Marshall, Shawn and McCullagh, Scott and Velikonja, Diana and Bayley, Mark},
year = {2011},
date = {2011-01-01},
journal = {Brain Injury},
volume = {25},
pages = {742--751},
address = {Ottawa Hospital Research Institute, 501 Smyth Road, Ottawa, Ontario, Canada. lberrigan@Ottawahospital.on.ca},
abstract = {BACKGROUND: Mild TBI is one of the most common neurological disorders occurring today. For individuals who experience persistent symptoms following mild TBI, consequences can include functional disability, stress and time away from one's occupation. The objective of the study was to evaluate the quality of clinical practice guidelines (CPGs) that include recommendations on the care of persons who have sustained mild TBI and associated persistent symptoms. METHODS: A minimum of four appraisers used the Appraisal of Guidelines for Research and Evaluation (AGREE) instrument to evaluate seven CPGs found via a systematic search of bibliographic databases and internet resources. RESULTS: High AGREE scores were obtained for the domains Scope and Purpose and Clarity and Presentation. The CPGs fared less well on Rigour of Development, Stakeholder Involvement, Editorial Independence and Applicability. The number of recommendations addressing the care of persistent symptoms following mild TBI was meager, with the exception of military guidelines. CONCLUSIONS: There is considerable variability in the quality of guidelines addressing mild TBI and, overall, the CPGs reviewed score lower on Rigour of Development than CPGs for other medical conditions. There is a clear need for clinical guidance on the management of individuals who experience persistent symptoms following mild TBI.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
McCrory, Paul
Future advances and areas of future focus in the treatment of sport-related concussion Journal Article
In: Clinics in Sports Medicine, vol. 30, pp. 201–208, 2011.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{McCrory2011,
title = {Future advances and areas of future focus in the treatment of sport-related concussion},
author = {McCrory, Paul},
year = {2011},
date = {2011-01-01},
journal = {Clinics in Sports Medicine},
volume = {30},
pages = {201--208},
address = {Centre for Health, Exercise \& Sports Medicine \& Brain Research Institute, University of Melbourne, Parkville, Victoria 3010, Australia. paulmccr@bigpond.net.au},
abstract = {The occurrence and management of sports concussion provokes more debate and concern than virtually all other sports injuries combined. In the past 3 decades, clinicians have gone from mostly anecdotal strategies to an international consensus-based approach and the early evolution of evidence-based practice. There is increasing engagement by mainstream neuroscientists in this field, which had previously been dominated by sports team physicians. However, the interchange has largely taken place in the media rather than through scientific journals. Legislators have proposed regulatory measures that restrict medical management of concussion in ways that apply to no other medical condition. This paper examines some of the key areas that are likely to be the focus of research in the next few years.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Carlson, A P; Ramirez, P; Kennedy, G; McLean, A R; Murray-Krezan, C; Stippler, M
Low rate of delayed deterioration requiring surgical treatment in patients transferred to a tertiary care center for mild traumatic brain injury Journal Article
In: Neurosurgical Focus, vol. 29, 2010, ISSN: 1092-0684.
Abstract | Links | BibTeX | Tags: Treatment & Rehabilitation
@article{Carlson2010,
title = {Low rate of delayed deterioration requiring surgical treatment in patients transferred to a tertiary care center for mild traumatic brain injury},
author = {Carlson, A P and Ramirez, P and Kennedy, G and McLean, A R and Murray-Krezan, C and Stippler, M},
doi = {E3 10.3171/2010.8.focus10182},
issn = {1092-0684},
year = {2010},
date = {2010-01-01},
journal = {Neurosurgical Focus},
volume = {29},
abstract = {Object. Patients with mild traumatic brain injury (mTBI) only rarely need neurosurgical intervention; however, there is a subset of patients whose condition will deteriorate. Given the high resource utilization required for interhospital transfer and the relative infrequency of the need for intervention, this study was undertaken to determine how often patients who were transferred required intervention and if there were factors that could predict that need. Methods. The authors performed a retrospective review of cases involving patients who were transferred to the University of New Mexico Level 1 trauma center for evaluation of mTBI between January 2005 and December 2009. Information including demographic data, lesion type, need for neurosurgical intervention, and short-term outcome was recorded. Results. During the 4-year study period, 292 patients (age range newborn to 92 years) were transferred for evaluation of mTBI. Of these 292 patients, 182 (62.3%) had an acute traumatic finding of some kind; 110 (60.4%) of these had a follow-up CT to evaluate progression, whereas 60 (33.0%) did not require a follow-up CT. In 15 cases (5.1% overall), the patients were taken immediately to the operating room (either before or after the first CT). Only 4 patients (1.5% overall) had either clinical or radiographic deterioration requiring delayed surgical intervention after the second CT scan. Epidural hematoma (EDH) and subdural hematoma (SDH) were both found to be significantly associated with the need for surgery (OR 29.5 for EDH, 95% CI 6.6-131.8; OR 9.7 for SDH, 95% CI 2.4-39.1). There were no in-hospital deaths in the series, and 97% of patients were discharged with a Glasgow Coma Scale score of 15. Conclusions. Most patients who are transferred with mTBI who need neurosurgical intervention have a surgical lesion initially. Only a very small percentage will have a delayed deterioration requiring surgery, with EDH and SDH being more concerning lesions. In most cases of mTBI, triage can be performed by a neurosurgeon and the patient can be observed without interhospital transfer. (DOI: 10.3171/2010.8.FOCUS10182)},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Pieroth, Elizabeth M
Is specialized care required for concussive injuries? Journal Article
In: Professional Case Management, vol. 15, pp. 47–49, 2010.
BibTeX | Tags: Treatment & Rehabilitation
@article{Pieroth2010,
title = {Is specialized care required for concussive injuries?},
author = {Pieroth, Elizabeth M},
year = {2010},
date = {2010-01-01},
journal = {Professional Case Management},
volume = {15},
pages = {47--49},
address = {Midwest Center for Concussion Care (www.midwestconcussion.com), USA.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Herring, Stanley A
Sports concussions: physiatrists earning their seat at the table Journal Article
In: PM & R, vol. 1, pp. 404–405, 2009.
BibTeX | Tags: Treatment & Rehabilitation
@article{Herring2009,
title = {Sports concussions: physiatrists earning their seat at the table},
author = {Herring, Stanley A},
year = {2009},
date = {2009-01-01},
journal = {PM \& R},
volume = {1},
pages = {404--405},
address = {UW Medicine Sports and Spine Phys, 325 Ninth Avenue, Box 359721, Seattle, WA 98104, USA. sherring@u.washington.edu},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Martineau, Chad; Kingma, Jackie J; Bank, Laura; McLeod, Tamara C Valovich
Guidelines for treatment of sport-related concussions Journal Article
In: JAAPA, vol. 20, pp. 22–27, 2007.
BibTeX | Tags: Treatment & Rehabilitation
@article{Martineau2007,
title = {Guidelines for treatment of sport-related concussions},
author = {Martineau, Chad and Kingma, Jackie J and Bank, Laura and McLeod, Tamara C Valovich},
year = {2007},
date = {2007-01-01},
journal = {JAAPA},
volume = {20},
pages = {22--27},
address = {Mountain Orthopaedics, Bountiful, Utah, USA.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Guskiewicz, K M; Bruce, S L; Cantu, R C; Ferrara, M S; Kelly, J P; McCrea, M; Putukian, M; McLeod, T C Valovich; National Athletic Trainers, Association
Research based recommendations on management of sport related concussion: summary of the National Athletic Trainers' Association position statement Journal Article
In: British Journal of Sports Medicine, vol. 40, pp. 6–10, 2006.
BibTeX | Tags: Treatment & Rehabilitation
@article{Guskiewicz2006,
title = {Research based recommendations on management of sport related concussion: summary of the National Athletic Trainers' Association position statement},
author = {Guskiewicz, K M and Bruce, S L and Cantu, R C and Ferrara, M S and Kelly, J P and McCrea, M and Putukian, M and McLeod, T C Valovich and {National Athletic Trainers}, Association},
year = {2006},
date = {2006-01-01},
journal = {British Journal of Sports Medicine},
volume = {40},
pages = {6--10},
address = {Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-8700, USA. gus@email.unc.edu},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Guskiewicz, Kevin M; Bruce, Scott L; Cantu, Robert C; Ferrara, Michael S; Kelly, James P; McCrea, Michael; Putukian, Margot; McLeod, Tamara C Valovich; National Athletic Trainers, Association
Recommendations on management of sport-related concussion: summary of the National Athletic Trainers' Association position statement Journal Article
In: Neurosurgery, vol. 55, pp. 891–5; discussion 896, 2004.
BibTeX | Tags: Treatment & Rehabilitation
@article{Guskiewicz2004a,
title = {Recommendations on management of sport-related concussion: summary of the National Athletic Trainers' Association position statement},
author = {Guskiewicz, Kevin M and Bruce, Scott L and Cantu, Robert C and Ferrara, Michael S and Kelly, James P and McCrea, Michael and Putukian, Margot and McLeod, Tamara C Valovich and {National Athletic Trainers}, Association},
year = {2004},
date = {2004-01-01},
journal = {Neurosurgery},
volume = {55},
pages = {891--5; discussion 896},
address = {Sports Medicine Research Laboratory, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, 27599, USA. gus@email.unc.edu},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Guskiewicz, K M; Bruce, S L; Cantu, R C; Ferrara, M S; Kelly, J P; McCrea, M; Putukian, M; McLeod, T C V
National Athletic Trainers' Association position statement: Management of sport-related concussion Journal Article
In: Journal of Athletic Training, vol. 39, pp. 280–297, 2004, ISSN: 1062-6050.
BibTeX | Tags: Treatment & Rehabilitation
@article{Guskiewicz2004,
title = {National Athletic Trainers' Association position statement: Management of sport-related concussion},
author = {Guskiewicz, K M and Bruce, S L and Cantu, R C and Ferrara, M S and Kelly, J P and McCrea, M and Putukian, M and McLeod, T C V},
issn = {1062-6050},
year = {2004},
date = {2004-01-01},
journal = {Journal of Athletic Training},
volume = {39},
pages = {280--297},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Johnston, Karen M; Bloom, Gordon A; Ramsay, Jim; Kissick, James; Montgomery, David; Foley, Dave; Chen, JenKai; Ptito, Alain
Current concepts in concussion rehabilitation Journal Article
In: Current Sports Medicine Reports, vol. 3, pp. 316–323, 2004.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Johnston2004,
title = {Current concepts in concussion rehabilitation},
author = {Johnston, Karen M and Bloom, Gordon A and Ramsay, Jim and Kissick, James and Montgomery, David and Foley, Dave and Chen, JenKai and Ptito, Alain},
year = {2004},
date = {2004-01-01},
journal = {Current Sports Medicine Reports},
volume = {3},
pages = {316--323},
address = {Concussion Program, McGill Sport Medicine Centre, 475 Pine Avenue West, Montreal, Quebec, H2W 1S4, Canada.},
abstract = {Active rehabilitation of sport injuries is a concept familiar to athletes and those caring for them. Rehabilitation goals aim to optimize recovery efficiency and diminish chances of repeat injury. Rehabilitation programs take many aspects of recovery and wellness into consideration including physical, social, and psychologic components. Ultimately, this is important in the recovery process after concussion. In this article we introduce the largely unexplored concept of multidimensional concussion rehabilitation and discuss physical, psychologic, social, and sport-specific issues. As well, we propose future directions in this field. [References: 19]},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
McCrory, P
Should we treat concussion pharmacologically? The need for evidence based pharmacological treatment for the concussed athlete Journal Article
In: British Journal of Sports Medicine, vol. 36, pp. 3–5, 2002.
BibTeX | Tags: Treatment & Rehabilitation
@article{McCrory2002c,
title = {Should we treat concussion pharmacologically? The need for evidence based pharmacological treatment for the concussed athlete},
author = {McCrory, P},
year = {2002},
date = {2002-01-01},
journal = {British Journal of Sports Medicine},
volume = {36},
pages = {3--5},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Johnston, K M; Lassonde, M; Ptito, A
A contemporary neurosurgical approach to sport-related head injury: the McGill concussion protocol Journal Article
In: Journal of the American College of Surgeons, vol. 192, pp. 515–524, 2001.
BibTeX | Tags: Treatment & Rehabilitation
@article{Johnston2001,
title = {A contemporary neurosurgical approach to sport-related head injury: the McGill concussion protocol},
author = {Johnston, K M and Lassonde, M and Ptito, A},
year = {2001},
date = {2001-01-01},
journal = {Journal of the American College of Surgeons},
volume = {192},
pages = {515--524},
address = {Department of Neurosurgery, McGill University Health Center and McGill Sport Medicine, Montreal, Quebec, Canada.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
McCrory, P R
Were you knocked out? A team physician's approach to initial concussion management Journal Article
In: Medicine & Science in Sports & Exercise, vol. 29, pp. S207–12, 1997.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{McCrory1997a,
title = {Were you knocked out? A team physician's approach to initial concussion management},
author = {McCrory, P R},
year = {1997},
date = {1997-01-01},
journal = {Medicine \& Science in Sports \& Exercise},
volume = {29},
pages = {S207--12},
address = {Olympic Park Sports Medicine Centre, Melbourne, Australia.},
abstract = {To present an evidence-based approach reviewing the acute management of concussive brain injury in sport. All published articles on the acute management of sport-related brain injury were extracted using searches of computerised databases (Medline, Embase, Sport Discus) as well as detailed literature reviews based upon the published bibliographies in this area. The review details the aspects where prospective scientific data is available upon which to base clinical management strategies. The first few minutes after an athlete receives a concussive injury provides a window of opportunity during which time the initial medical management forms a crucial and potentially lifesaving treatment. All clinicians involved in care of the concussed athlete need to have an understanding of the early management of the concussed athlete and a strategy by which they may manage such problems. An efficient and appropriate response to the immediate concussion management will help minimise the potential sequelae which may impact upon the athletes ability to return to sport. [References: 55]},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Hugenholtz, H; Richard, M T
On-site management of athletes with head injuries Journal Article
In: Physician & Sportsmedicine, vol. 11, no. 6, pp. 71, 1983, ISBN: 00913847.
BibTeX | Tags: *BRAIN -- Concussion, *DIAGNOSIS, *HEAD, *HEMODYNAMICS, *PERIODIC health examinations, *RESPIRATION, *THERAPEUTICS, *WOUNDS & injuries, Assessment & Testing, Treatment & Rehabilitation
@article{Hugenholtz1983,
title = {On-site management of athletes with head injuries},
author = {Hugenholtz, H and Richard, M T},
isbn = {00913847},
year = {1983},
date = {1983-01-01},
journal = {Physician \& Sportsmedicine},
volume = {11},
number = {6},
pages = {71},
keywords = {*BRAIN -- Concussion, *DIAGNOSIS, *HEAD, *HEMODYNAMICS, *PERIODIC health examinations, *RESPIRATION, *THERAPEUTICS, *WOUNDS \& injuries, Assessment \& Testing, Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Amoako, A O; Amoako, A B; Pujalte, G G
Family medicine residents' perceived level of comfort in treating common sports injuries across residency programs in the United States Journal Article
In: Open Access Journal of Sports Medicine, vol. 6, pp. 81–86, 2015.
@article{Amoako2015,
title = {Family medicine residents' perceived level of comfort in treating common sports injuries across residency programs in the United States},
author = {Amoako, A O and Amoako, A B and Pujalte, G G},
year = {2015},
date = {2015-01-01},
journal = {Open Access Journal of Sports Medicine},
volume = {6},
pages = {81--86},
address = {Amoako,Adae O. Department of Family and Community Medicine, Penn State Hershey Medical Center, Hershey, PA, USA. Amoako,Agyenim B. Department of Family Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA. Pujalte,George},
abstract = {BACKGROUND AND OBJECTIVE: Family physicians are expected to be comfortable in treating common sports injuries. Evidence shows a limited level of comfort in treating these injuries in pediatric and internal medicine residents. Studies are lacking, however, in family medicine residents. The purpose of this study is to assess the comfort level of family medicine residents in treating common sports injuries in adults and children based on their perceived level of knowledge and attitudes. METHODS: This is a cross-sectional study of family medicine residents in the United Sates. A written survey of 25 questions related to sports injury knowledge and factors affecting comfort level were collected. A chi-square test was implemented in calculating P-values. RESULTS: Five hundred and fifty-seven residents responded to the survey. A higher percentage of doctors of osteopathy (86.6%, 82.5%, 69.6%, and 68.7%) compared to doctors of medicine (78.5%, 71.6%, 53.4%, and 52.8%) respectively identified ankle sprain, concussion, plantar fasciitis, and lateral epicondylitis as common injuries, and felt comfortable in treating them (P-values =0.015, 0.004, 0.0001, and 0.0002, respectively). Residents with high interest in sports medicine correctly identified the injuries as common and felt comfortable treating them as well (knowledge},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Harch, P G
Hyperbaric oxygen in chronic traumatic brain injury: oxygen, pressure, and gene therapy Journal Article
In: Medical Gas Research, vol. 5, pp. 9, 2015.
@article{Harch2015,
title = {Hyperbaric oxygen in chronic traumatic brain injury: oxygen, pressure, and gene therapy},
author = {Harch, P G},
year = {2015},
date = {2015-01-01},
journal = {Medical Gas Research},
volume = {5},
pages = {9},
address = {Harch,Paul G. Section of Emergency Medicine, Department of Medicine, Louisiana State University School of Medicine, 1542 Tulane Avenue, Rm. 452, Box T4M2, New Orleans, LA 70112 USA.},
abstract = {Hyperbaric oxygen therapy is a treatment for wounds in any location and of any duration that has been misunderstood for 353 years. Since 2008 it has been applied to the persistent post-concussion syndrome of mild traumatic brain injury by civilian and later military researchers with apparent conflicting results. The civilian studies are positive and the military-funded studies are a mixture of misinterpreted positive data, indeterminate data, and negative data. This has confused the medical, academic, and lay communities. The source of the confusion is a fundamental misunderstanding of the definition, principles, and mechanisms of action of hyperbaric oxygen therapy. This article argues that the traditional definition of hyperbaric oxygen therapy is arbitrary. The article establishes a scientific definition of hyperbaric oxygen therapy as a wound-healing therapy of combined increased atmospheric pressure and pressure of oxygen over ambient atmospheric pressure and pressure of oxygen whose main mechanisms of action are gene-mediated. Hyperbaric oxygen therapy exerts its wound-healing effects by expression and suppression of thousands of genes. The dominant gene actions are upregulation of trophic and anti-inflammatory genes and down-regulation of pro-inflammatory and apoptotic genes. The combination of genes affected depends on the different combinations of total pressure and pressure of oxygen. Understanding that hyperbaric oxygen therapy is a pressure and oxygen dose-dependent gene therapy allows for reconciliation of the conflicting TBI study results as outcomes of different doses of pressure and oxygen.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Bell, K R; Brockway, J A; Fann, J R; Cole, W R; St De Lore, J; Bush, N; Lang, A J; Hart, T; Warren, M; Dikmen, S; Temkin, N; Jain, S; Raman, R; Stein, M B
Concussion treatment after combat trauma: development of a telephone based, problem solving intervention for service members Journal Article
In: Contemporary Clinical Trials, vol. 40, pp. 54–62, 2015.
@article{Bell2015,
title = {Concussion treatment after combat trauma: development of a telephone based, problem solving intervention for service members},
author = {Bell, K R and Brockway, J A and Fann, J R and Cole, W R and {St De Lore}, J and Bush, N and Lang, A J and Hart, T and Warren, M and Dikmen, S and Temkin, N and Jain, S and Raman, R and Stein, M B},
year = {2015},
date = {2015-01-01},
journal = {Contemporary Clinical Trials},
volume = {40},
pages = {54--62},
address = {Bell,Kathleen R. Department of Rehabilitation Medicine, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States. Electronic address: krbell@uw.edu. Brockway,Jo Ann. Department of Rehabilitation Medicine, University of Washington},
abstract = {Military service members (SMs) and veterans who sustain mild traumatic brain injuries (mTBI) during combat deployments often have co-morbid conditions but are reluctant to seek out therapy in medical or mental health settings. Efficacious methods of intervention that are patient-centered and adaptable to a mobile and often difficult-to-reach population would be useful in improving quality of life. This article describes a new protocol developed as part of a randomized clinical trial of a telephone-mediated program for SMs with mTBI. The 12-session program combines problem solving training (PST) with embedded modules targeting depression, anxiety, insomnia, and headache. The rationale and development of this behavioral intervention for implementation with persons with multiple co-morbidities is described along with the proposed analysis of results. In particular, we provide details regarding the creation of a treatment that is manualized yet flexible enough to address a wide variety of problems and symptoms within a standard framework. The methods involved in enrolling and retaining an often hard-to-study population are also highlighted.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Schneider, K J; Meeuwisse, W H; Nettel-Aguirre, A; Barlow, K; Boyd, L; Kang, J; Emery, C A
Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial Journal Article
In: British Journal of Sports Medicine, vol. 48, pp. 1294–1298, 2014.
@article{Schneider2014,
title = {Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial},
author = {Schneider, K J and Meeuwisse, W H and Nettel-Aguirre, A and Barlow, K and Boyd, L and Kang, J and Emery, C A},
year = {2014},
date = {2014-01-01},
journal = {British Journal of Sports Medicine},
volume = {48},
pages = {1294--1298},
address = {Schneider,Kathryn J. Faculty of Kinesiology, Sport Injury Prevention Research Centre, University of Calgary, Calgary, Alberta, Canada Faculty of Medicine, Alberta Children's Hospital Research Institute for Child \& Maternal Health, University of Calgary, C},
abstract = {BACKGROUND/AIM: Concussion is a common injury in sport. Most individuals recover in 7-10 days but some have persistent symptoms. The objective of this study was to determine if a combination of vestibular rehabilitation and cervical spine physiotherapy decreased the time until medical clearance in individuals with prolonged postconcussion symptoms. METHODS: This study was a randomised controlled trial. Consecutive patients with persistent symptoms of dizziness, neck pain and/or headaches following a sport-related concussion (12-30 years, 18 male and 13 female) were randomised to the control or intervention group. Both groups received weekly sessions with a physiotherapist for 8 weeks or until the time of medical clearance. Both groups received postural education, range of motion exercises and cognitive and physical rest until asymptomatic followed by a protocol of graded exertion. The intervention group also received cervical spine and vestibular rehabilitation. The primary outcome of interest was medical clearance to return to sport, which was evaluated by a study sport medicine physician who was blinded to the treatment group. RESULTS: In the treatment group, 73% (11/15) of the participants were medically cleared within 8 weeks of initiation of treatment, compared with 7% (1/14) in the control group. Using an intention to treat analysis, individuals in the treatment group were 3.91 (95% CI 1.34 to 11.34) times more likely to be medically cleared by 8 weeks. CONCLUSIONS: A combination of cervical and vestibular physiotherapy decreased time to medical clearance to return to sport in youth and young adults with persistent symptoms of dizziness, neck pain and/or headaches following a sport-related concussion. TRIAL REGISTRATION NUMBER: NCT01860755.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Elbin, R J; Schatz, P; Lowder, H B; Kontos, A P
An empirical review of treatment and rehabilitation approaches used in the acute, sub-acute, and chronic phases of recovery following sports-related concussion Journal Article
In: Current Treatment Options in Neurology, vol. 16, pp. 320, 2014.
@article{Elbin2014,
title = {An empirical review of treatment and rehabilitation approaches used in the acute, sub-acute, and chronic phases of recovery following sports-related concussion},
author = {Elbin, R J and Schatz, P and Lowder, H B and Kontos, A P},
year = {2014},
date = {2014-01-01},
journal = {Current Treatment Options in Neurology},
volume = {16},
pages = {320},
address = {Elbin,R J. Department of Health, Human Performance and Recreation/Office for Sport Concussion Research, University of Arkansas, 155 Stadium Drive, Fayetteville, AR, 72701, USA, rjelbin@uark.edu.},
abstract = {OPINION STATEMENT: Several treatment and rehabilitation approaches for sport-related concussion have been mentioned in recent consensus and position statements. These options range from the more conservative behavioral management approaches to aggressive pharmacological and therapeutic interventions. Moreover, clinical decision-making for sport-related concussion changes as symptoms and impairments persist throughout recovery. The current article provides an empirical review of proposed treatment and rehabilitation options for sport-related concussion during the acute, subacute, and chronic phases of injury.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Brolinson, P G
Management of sport-related concussion: a review Journal Article
In: Clinical Journal of Sport Medicine, vol. 24, pp. 89–90, 2014.
@article{Brolinson2014,
title = {Management of sport-related concussion: a review},
author = {Brolinson, P G},
year = {2014},
date = {2014-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {24},
pages = {89--90},
address = {The Edward Via Collegeof Osteopathic MedicineDepartment of Sports MedicineVirginia TechBlacksburg, Virginia.},
abstract = {OBJECTIVE: To systematically review the evidence for rest, treatment, and rehabilitation after sport-related concussion. DATA SOURCES: Nine databases including PubMed, Cochrane Central Register of Controlled Trials, Sport Discus, and Web of Science were searched for studies that evaluated the effect of rest separately from the effects of treatment and/or rehabilitation, using words related to concussion, mild traumatic brain injury, rest, treatment outcome, and therapy. STUDY SELECTION: Inclusion criteria were published reports (either articles or abstracts) of original peer-reviewed research that investigated sport-related concussions and evaluated the effects of rest or treatment on the symptoms. One investigator performed the searches. From 749 articles evaluating rest and 1175 evaluating treatment, 2 studies met criteria for the effect of rest and 10 abstracts met criteria for treatment. Three further treatment articles were identified by the authors. DATA EXTRACTION: Details of study design, samples, type and duration of treatment, outcome measures, and main results, with effect sizes, were extracted. Confidence intervals (CI) were extracted or calculated where possible. Level of evidence was graded (1-5; best to poorest) using Downs and Black criteria to assess study quality. MAIN RESULTS: The 3 studies that investigated rest after concussion were all retrospective case series. The studies were too heterogeneous for a clear assessment of the benefits of rest. Other treatments (evaluated by case studies, retrospective case series, or other level 4 or 5 studies) were subcutaneous sumatriptan, hyperbaric oxygen therapy, amantadine, ibuprofen, and various hormonal treatments. Light exercise, or daily exercise after a 2-week baseline period, appeared to encourage return to physical activity in children and adults. The only randomized controlled trial (with blinded assessment) investigated individualized treatment of 31 participants with symptoms from sport-related concussion that persisted for 12 to 30 months. Interventions included manual spinal therapy, physiotherapy, and neuromotor and sensorimotor retraining compared with rest and graduated exercise, for up to 8 weeks. More participants in the intervention group were medically cleared to return to sport within 8 weeks of initiating treatment (risk ratio 10.3; 95% CI, 1.51-69.6). CONCLUSIONS: Studies of management of concussion were so poor that conclusions that rest was not helpful or that exercise might be beneficial are premature. Better evidence showed that individualized treatment of long-standing symptoms may allow earlier return to sport than rest and exercise alone.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Solomon, G S; Sills, A K
Pharmacologic treatment of sport-related concussion: a review Journal Article
In: Journal of Surgical Orthopaedic Advances, vol. 22, pp. 193–197, 2013, ISSN: 1548-825X (Print) 1548-825X (Linking).
@article{Solomon2013,
title = {Pharmacologic treatment of sport-related concussion: a review},
author = {Solomon, G S and Sills, A K},
issn = {1548-825X (Print) 1548-825X (Linking)},
year = {2013},
date = {2013-01-01},
journal = {Journal of Surgical Orthopaedic Advances},
volume = {22},
pages = {193--197},
address = {Departments of Psychiatry and Neurological Surgery, and the Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, Tennessee.},
edition = {2013/09/26},
abstract = {The goals of the current study were to review the published research over the past decade and to summarize the findings related to pharmacologic approaches in the treatment of sport-related concussion (SRC). PubMed searches across all databases were employed using combinations of the key words and search phrases ``concussion,'' ``mild traumatic brain injury,'' ``pharmacology,'' ``treatment,'' and ``sports,'' along with specific classes of pharmacologic agents. The few studies found were based primarily on clinician experience, with frequent reference to animal models. No clinical pharmacologic trials of SRC were found. The pharmacologic treatment of SRC remains focused on specific symptoms, and there is as yet no evidence-based treatment. On the basis of the limited published research, the authors offer some preliminary guidelines regarding the use of pharmacologic therapies in SRC.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Joseph, M M; Kutner, K C
From the field of play to the field of combat: A review of the pharmacological management of concussion: Comments Journal Article
In: Neurosurgery, vol. 70, pp. 1533, 2012.
@article{Joseph2012,
title = {From the field of play to the field of combat: A review of the pharmacological management of concussion: Comments},
author = {Joseph, M M and Kutner, K C},
year = {2012},
date = {2012-01-01},
journal = {Neurosurgery},
volume = {70},
pages = {1533},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Buck, Page Walker; Laster, Rebecca G; Sagrati, Jocelyn Spencer; Kirzner, Rachel Shapiro
Working with mild traumatic brain injury: voices from the field Journal Article
In: Rehabilitation Research & Practice, 2012.
@article{Buck2012,
title = {Working with mild traumatic brain injury: voices from the field},
author = {Buck, Page Walker and Laster, Rebecca G and Sagrati, Jocelyn Spencer and Kirzner, Rachel Shapiro},
year = {2012},
date = {2012-01-01},
journal = {Rehabilitation Research \& Practice},
address = {Graduate Social Work Department, West Chester University, West Chester, PA 19383, USA.},
abstract = {Mild traumatic brain injury (mTBI), also known as concussion, is an emerging public health issue in the United States. The estimated annual 1.2 million individuals who sustain this injury face a range of cognitive, psychological, and physical consequences for which rehabilitation protocols are being developed and implemented. On the frontlines of this developing area of rehabilitation work are professionals in a range of therapeutic settings whose practice wisdom has yet to be shared in the professional literature. This qualitative study aimed to fill this gap by exploring the experiences and insights of rehabilitation professionals serving mTBI patients in outpatient, civilian settings. An analysis of the qualitative data revealed five themes common in mTBI work, providing an in-depth look at this often challenging field of rehabilitation.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Valentine, Verle; Logan, Kelsey
Cognitive rest in concussion management Journal Article
In: American Family Physician, vol. 85, pp. 100–101, 2012.
@article{Valentine2012,
title = {Cognitive rest in concussion management},
author = {Valentine, Verle and Logan, Kelsey},
year = {2012},
date = {2012-01-01},
journal = {American Family Physician},
volume = {85},
pages = {100--101},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Reed, Nick
Sport-related concussion and occupational therapy: expanding the scope of practice Journal Article
In: Physical & Occupational Therapy in Pediatrics, vol. 31, pp. 222–224, 2011.
@article{Reed2011,
title = {Sport-related concussion and occupational therapy: expanding the scope of practice},
author = {Reed, Nick},
year = {2011},
date = {2011-01-01},
journal = {Physical \& Occupational Therapy in Pediatrics},
volume = {31},
pages = {222--224},
address = {Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Canada.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Berrigan, Lindsay; Marshall, Shawn; McCullagh, Scott; Velikonja, Diana; Bayley, Mark
Quality of clinical practice guidelines for persons who have sustained mild traumatic brain injury Journal Article
In: Brain Injury, vol. 25, pp. 742–751, 2011.
@article{Berrigan2011,
title = {Quality of clinical practice guidelines for persons who have sustained mild traumatic brain injury},
author = {Berrigan, Lindsay and Marshall, Shawn and McCullagh, Scott and Velikonja, Diana and Bayley, Mark},
year = {2011},
date = {2011-01-01},
journal = {Brain Injury},
volume = {25},
pages = {742--751},
address = {Ottawa Hospital Research Institute, 501 Smyth Road, Ottawa, Ontario, Canada. lberrigan@Ottawahospital.on.ca},
abstract = {BACKGROUND: Mild TBI is one of the most common neurological disorders occurring today. For individuals who experience persistent symptoms following mild TBI, consequences can include functional disability, stress and time away from one's occupation. The objective of the study was to evaluate the quality of clinical practice guidelines (CPGs) that include recommendations on the care of persons who have sustained mild TBI and associated persistent symptoms. METHODS: A minimum of four appraisers used the Appraisal of Guidelines for Research and Evaluation (AGREE) instrument to evaluate seven CPGs found via a systematic search of bibliographic databases and internet resources. RESULTS: High AGREE scores were obtained for the domains Scope and Purpose and Clarity and Presentation. The CPGs fared less well on Rigour of Development, Stakeholder Involvement, Editorial Independence and Applicability. The number of recommendations addressing the care of persistent symptoms following mild TBI was meager, with the exception of military guidelines. CONCLUSIONS: There is considerable variability in the quality of guidelines addressing mild TBI and, overall, the CPGs reviewed score lower on Rigour of Development than CPGs for other medical conditions. There is a clear need for clinical guidance on the management of individuals who experience persistent symptoms following mild TBI.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
McCrory, Paul
Future advances and areas of future focus in the treatment of sport-related concussion Journal Article
In: Clinics in Sports Medicine, vol. 30, pp. 201–208, 2011.
@article{McCrory2011,
title = {Future advances and areas of future focus in the treatment of sport-related concussion},
author = {McCrory, Paul},
year = {2011},
date = {2011-01-01},
journal = {Clinics in Sports Medicine},
volume = {30},
pages = {201--208},
address = {Centre for Health, Exercise \& Sports Medicine \& Brain Research Institute, University of Melbourne, Parkville, Victoria 3010, Australia. paulmccr@bigpond.net.au},
abstract = {The occurrence and management of sports concussion provokes more debate and concern than virtually all other sports injuries combined. In the past 3 decades, clinicians have gone from mostly anecdotal strategies to an international consensus-based approach and the early evolution of evidence-based practice. There is increasing engagement by mainstream neuroscientists in this field, which had previously been dominated by sports team physicians. However, the interchange has largely taken place in the media rather than through scientific journals. Legislators have proposed regulatory measures that restrict medical management of concussion in ways that apply to no other medical condition. This paper examines some of the key areas that are likely to be the focus of research in the next few years.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Carlson, A P; Ramirez, P; Kennedy, G; McLean, A R; Murray-Krezan, C; Stippler, M
Low rate of delayed deterioration requiring surgical treatment in patients transferred to a tertiary care center for mild traumatic brain injury Journal Article
In: Neurosurgical Focus, vol. 29, 2010, ISSN: 1092-0684.
@article{Carlson2010,
title = {Low rate of delayed deterioration requiring surgical treatment in patients transferred to a tertiary care center for mild traumatic brain injury},
author = {Carlson, A P and Ramirez, P and Kennedy, G and McLean, A R and Murray-Krezan, C and Stippler, M},
doi = {E3 10.3171/2010.8.focus10182},
issn = {1092-0684},
year = {2010},
date = {2010-01-01},
journal = {Neurosurgical Focus},
volume = {29},
abstract = {Object. Patients with mild traumatic brain injury (mTBI) only rarely need neurosurgical intervention; however, there is a subset of patients whose condition will deteriorate. Given the high resource utilization required for interhospital transfer and the relative infrequency of the need for intervention, this study was undertaken to determine how often patients who were transferred required intervention and if there were factors that could predict that need. Methods. The authors performed a retrospective review of cases involving patients who were transferred to the University of New Mexico Level 1 trauma center for evaluation of mTBI between January 2005 and December 2009. Information including demographic data, lesion type, need for neurosurgical intervention, and short-term outcome was recorded. Results. During the 4-year study period, 292 patients (age range newborn to 92 years) were transferred for evaluation of mTBI. Of these 292 patients, 182 (62.3%) had an acute traumatic finding of some kind; 110 (60.4%) of these had a follow-up CT to evaluate progression, whereas 60 (33.0%) did not require a follow-up CT. In 15 cases (5.1% overall), the patients were taken immediately to the operating room (either before or after the first CT). Only 4 patients (1.5% overall) had either clinical or radiographic deterioration requiring delayed surgical intervention after the second CT scan. Epidural hematoma (EDH) and subdural hematoma (SDH) were both found to be significantly associated with the need for surgery (OR 29.5 for EDH, 95% CI 6.6-131.8; OR 9.7 for SDH, 95% CI 2.4-39.1). There were no in-hospital deaths in the series, and 97% of patients were discharged with a Glasgow Coma Scale score of 15. Conclusions. Most patients who are transferred with mTBI who need neurosurgical intervention have a surgical lesion initially. Only a very small percentage will have a delayed deterioration requiring surgery, with EDH and SDH being more concerning lesions. In most cases of mTBI, triage can be performed by a neurosurgeon and the patient can be observed without interhospital transfer. (DOI: 10.3171/2010.8.FOCUS10182)},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Pieroth, Elizabeth M
Is specialized care required for concussive injuries? Journal Article
In: Professional Case Management, vol. 15, pp. 47–49, 2010.
@article{Pieroth2010,
title = {Is specialized care required for concussive injuries?},
author = {Pieroth, Elizabeth M},
year = {2010},
date = {2010-01-01},
journal = {Professional Case Management},
volume = {15},
pages = {47--49},
address = {Midwest Center for Concussion Care (www.midwestconcussion.com), USA.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Herring, Stanley A
Sports concussions: physiatrists earning their seat at the table Journal Article
In: PM & R, vol. 1, pp. 404–405, 2009.
@article{Herring2009,
title = {Sports concussions: physiatrists earning their seat at the table},
author = {Herring, Stanley A},
year = {2009},
date = {2009-01-01},
journal = {PM \& R},
volume = {1},
pages = {404--405},
address = {UW Medicine Sports and Spine Phys, 325 Ninth Avenue, Box 359721, Seattle, WA 98104, USA. sherring@u.washington.edu},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Martineau, Chad; Kingma, Jackie J; Bank, Laura; McLeod, Tamara C Valovich
Guidelines for treatment of sport-related concussions Journal Article
In: JAAPA, vol. 20, pp. 22–27, 2007.
@article{Martineau2007,
title = {Guidelines for treatment of sport-related concussions},
author = {Martineau, Chad and Kingma, Jackie J and Bank, Laura and McLeod, Tamara C Valovich},
year = {2007},
date = {2007-01-01},
journal = {JAAPA},
volume = {20},
pages = {22--27},
address = {Mountain Orthopaedics, Bountiful, Utah, USA.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Guskiewicz, K M; Bruce, S L; Cantu, R C; Ferrara, M S; Kelly, J P; McCrea, M; Putukian, M; McLeod, T C Valovich; National Athletic Trainers, Association
Research based recommendations on management of sport related concussion: summary of the National Athletic Trainers' Association position statement Journal Article
In: British Journal of Sports Medicine, vol. 40, pp. 6–10, 2006.
@article{Guskiewicz2006,
title = {Research based recommendations on management of sport related concussion: summary of the National Athletic Trainers' Association position statement},
author = {Guskiewicz, K M and Bruce, S L and Cantu, R C and Ferrara, M S and Kelly, J P and McCrea, M and Putukian, M and McLeod, T C Valovich and {National Athletic Trainers}, Association},
year = {2006},
date = {2006-01-01},
journal = {British Journal of Sports Medicine},
volume = {40},
pages = {6--10},
address = {Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-8700, USA. gus@email.unc.edu},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Guskiewicz, Kevin M; Bruce, Scott L; Cantu, Robert C; Ferrara, Michael S; Kelly, James P; McCrea, Michael; Putukian, Margot; McLeod, Tamara C Valovich; National Athletic Trainers, Association
Recommendations on management of sport-related concussion: summary of the National Athletic Trainers' Association position statement Journal Article
In: Neurosurgery, vol. 55, pp. 891–5; discussion 896, 2004.
@article{Guskiewicz2004a,
title = {Recommendations on management of sport-related concussion: summary of the National Athletic Trainers' Association position statement},
author = {Guskiewicz, Kevin M and Bruce, Scott L and Cantu, Robert C and Ferrara, Michael S and Kelly, James P and McCrea, Michael and Putukian, Margot and McLeod, Tamara C Valovich and {National Athletic Trainers}, Association},
year = {2004},
date = {2004-01-01},
journal = {Neurosurgery},
volume = {55},
pages = {891--5; discussion 896},
address = {Sports Medicine Research Laboratory, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, 27599, USA. gus@email.unc.edu},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Guskiewicz, K M; Bruce, S L; Cantu, R C; Ferrara, M S; Kelly, J P; McCrea, M; Putukian, M; McLeod, T C V
National Athletic Trainers' Association position statement: Management of sport-related concussion Journal Article
In: Journal of Athletic Training, vol. 39, pp. 280–297, 2004, ISSN: 1062-6050.
@article{Guskiewicz2004,
title = {National Athletic Trainers' Association position statement: Management of sport-related concussion},
author = {Guskiewicz, K M and Bruce, S L and Cantu, R C and Ferrara, M S and Kelly, J P and McCrea, M and Putukian, M and McLeod, T C V},
issn = {1062-6050},
year = {2004},
date = {2004-01-01},
journal = {Journal of Athletic Training},
volume = {39},
pages = {280--297},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Amoako, A O; Amoako, A B; Pujalte, G G
Family medicine residents' perceived level of comfort in treating common sports injuries across residency programs in the United States Journal Article
In: Open Access Journal of Sports Medicine, vol. 6, pp. 81–86, 2015.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Amoako2015,
title = {Family medicine residents' perceived level of comfort in treating common sports injuries across residency programs in the United States},
author = {Amoako, A O and Amoako, A B and Pujalte, G G},
year = {2015},
date = {2015-01-01},
journal = {Open Access Journal of Sports Medicine},
volume = {6},
pages = {81--86},
address = {Amoako,Adae O. Department of Family and Community Medicine, Penn State Hershey Medical Center, Hershey, PA, USA. Amoako,Agyenim B. Department of Family Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA. Pujalte,George},
abstract = {BACKGROUND AND OBJECTIVE: Family physicians are expected to be comfortable in treating common sports injuries. Evidence shows a limited level of comfort in treating these injuries in pediatric and internal medicine residents. Studies are lacking, however, in family medicine residents. The purpose of this study is to assess the comfort level of family medicine residents in treating common sports injuries in adults and children based on their perceived level of knowledge and attitudes. METHODS: This is a cross-sectional study of family medicine residents in the United Sates. A written survey of 25 questions related to sports injury knowledge and factors affecting comfort level were collected. A chi-square test was implemented in calculating P-values. RESULTS: Five hundred and fifty-seven residents responded to the survey. A higher percentage of doctors of osteopathy (86.6%, 82.5%, 69.6%, and 68.7%) compared to doctors of medicine (78.5%, 71.6%, 53.4%, and 52.8%) respectively identified ankle sprain, concussion, plantar fasciitis, and lateral epicondylitis as common injuries, and felt comfortable in treating them (P-values =0.015, 0.004, 0.0001, and 0.0002, respectively). Residents with high interest in sports medicine correctly identified the injuries as common and felt comfortable treating them as well (knowledge},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Harch, P G
Hyperbaric oxygen in chronic traumatic brain injury: oxygen, pressure, and gene therapy Journal Article
In: Medical Gas Research, vol. 5, pp. 9, 2015.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Harch2015,
title = {Hyperbaric oxygen in chronic traumatic brain injury: oxygen, pressure, and gene therapy},
author = {Harch, P G},
year = {2015},
date = {2015-01-01},
journal = {Medical Gas Research},
volume = {5},
pages = {9},
address = {Harch,Paul G. Section of Emergency Medicine, Department of Medicine, Louisiana State University School of Medicine, 1542 Tulane Avenue, Rm. 452, Box T4M2, New Orleans, LA 70112 USA.},
abstract = {Hyperbaric oxygen therapy is a treatment for wounds in any location and of any duration that has been misunderstood for 353 years. Since 2008 it has been applied to the persistent post-concussion syndrome of mild traumatic brain injury by civilian and later military researchers with apparent conflicting results. The civilian studies are positive and the military-funded studies are a mixture of misinterpreted positive data, indeterminate data, and negative data. This has confused the medical, academic, and lay communities. The source of the confusion is a fundamental misunderstanding of the definition, principles, and mechanisms of action of hyperbaric oxygen therapy. This article argues that the traditional definition of hyperbaric oxygen therapy is arbitrary. The article establishes a scientific definition of hyperbaric oxygen therapy as a wound-healing therapy of combined increased atmospheric pressure and pressure of oxygen over ambient atmospheric pressure and pressure of oxygen whose main mechanisms of action are gene-mediated. Hyperbaric oxygen therapy exerts its wound-healing effects by expression and suppression of thousands of genes. The dominant gene actions are upregulation of trophic and anti-inflammatory genes and down-regulation of pro-inflammatory and apoptotic genes. The combination of genes affected depends on the different combinations of total pressure and pressure of oxygen. Understanding that hyperbaric oxygen therapy is a pressure and oxygen dose-dependent gene therapy allows for reconciliation of the conflicting TBI study results as outcomes of different doses of pressure and oxygen.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Bell, K R; Brockway, J A; Fann, J R; Cole, W R; St De Lore, J; Bush, N; Lang, A J; Hart, T; Warren, M; Dikmen, S; Temkin, N; Jain, S; Raman, R; Stein, M B
Concussion treatment after combat trauma: development of a telephone based, problem solving intervention for service members Journal Article
In: Contemporary Clinical Trials, vol. 40, pp. 54–62, 2015.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Bell2015,
title = {Concussion treatment after combat trauma: development of a telephone based, problem solving intervention for service members},
author = {Bell, K R and Brockway, J A and Fann, J R and Cole, W R and {St De Lore}, J and Bush, N and Lang, A J and Hart, T and Warren, M and Dikmen, S and Temkin, N and Jain, S and Raman, R and Stein, M B},
year = {2015},
date = {2015-01-01},
journal = {Contemporary Clinical Trials},
volume = {40},
pages = {54--62},
address = {Bell,Kathleen R. Department of Rehabilitation Medicine, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States. Electronic address: krbell@uw.edu. Brockway,Jo Ann. Department of Rehabilitation Medicine, University of Washington},
abstract = {Military service members (SMs) and veterans who sustain mild traumatic brain injuries (mTBI) during combat deployments often have co-morbid conditions but are reluctant to seek out therapy in medical or mental health settings. Efficacious methods of intervention that are patient-centered and adaptable to a mobile and often difficult-to-reach population would be useful in improving quality of life. This article describes a new protocol developed as part of a randomized clinical trial of a telephone-mediated program for SMs with mTBI. The 12-session program combines problem solving training (PST) with embedded modules targeting depression, anxiety, insomnia, and headache. The rationale and development of this behavioral intervention for implementation with persons with multiple co-morbidities is described along with the proposed analysis of results. In particular, we provide details regarding the creation of a treatment that is manualized yet flexible enough to address a wide variety of problems and symptoms within a standard framework. The methods involved in enrolling and retaining an often hard-to-study population are also highlighted.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Schneider, K J; Meeuwisse, W H; Nettel-Aguirre, A; Barlow, K; Boyd, L; Kang, J; Emery, C A
Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial Journal Article
In: British Journal of Sports Medicine, vol. 48, pp. 1294–1298, 2014.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Schneider2014,
title = {Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial},
author = {Schneider, K J and Meeuwisse, W H and Nettel-Aguirre, A and Barlow, K and Boyd, L and Kang, J and Emery, C A},
year = {2014},
date = {2014-01-01},
journal = {British Journal of Sports Medicine},
volume = {48},
pages = {1294--1298},
address = {Schneider,Kathryn J. Faculty of Kinesiology, Sport Injury Prevention Research Centre, University of Calgary, Calgary, Alberta, Canada Faculty of Medicine, Alberta Children's Hospital Research Institute for Child \& Maternal Health, University of Calgary, C},
abstract = {BACKGROUND/AIM: Concussion is a common injury in sport. Most individuals recover in 7-10 days but some have persistent symptoms. The objective of this study was to determine if a combination of vestibular rehabilitation and cervical spine physiotherapy decreased the time until medical clearance in individuals with prolonged postconcussion symptoms. METHODS: This study was a randomised controlled trial. Consecutive patients with persistent symptoms of dizziness, neck pain and/or headaches following a sport-related concussion (12-30 years, 18 male and 13 female) were randomised to the control or intervention group. Both groups received weekly sessions with a physiotherapist for 8 weeks or until the time of medical clearance. Both groups received postural education, range of motion exercises and cognitive and physical rest until asymptomatic followed by a protocol of graded exertion. The intervention group also received cervical spine and vestibular rehabilitation. The primary outcome of interest was medical clearance to return to sport, which was evaluated by a study sport medicine physician who was blinded to the treatment group. RESULTS: In the treatment group, 73% (11/15) of the participants were medically cleared within 8 weeks of initiation of treatment, compared with 7% (1/14) in the control group. Using an intention to treat analysis, individuals in the treatment group were 3.91 (95% CI 1.34 to 11.34) times more likely to be medically cleared by 8 weeks. CONCLUSIONS: A combination of cervical and vestibular physiotherapy decreased time to medical clearance to return to sport in youth and young adults with persistent symptoms of dizziness, neck pain and/or headaches following a sport-related concussion. TRIAL REGISTRATION NUMBER: NCT01860755.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Elbin, R J; Schatz, P; Lowder, H B; Kontos, A P
An empirical review of treatment and rehabilitation approaches used in the acute, sub-acute, and chronic phases of recovery following sports-related concussion Journal Article
In: Current Treatment Options in Neurology, vol. 16, pp. 320, 2014.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Elbin2014,
title = {An empirical review of treatment and rehabilitation approaches used in the acute, sub-acute, and chronic phases of recovery following sports-related concussion},
author = {Elbin, R J and Schatz, P and Lowder, H B and Kontos, A P},
year = {2014},
date = {2014-01-01},
journal = {Current Treatment Options in Neurology},
volume = {16},
pages = {320},
address = {Elbin,R J. Department of Health, Human Performance and Recreation/Office for Sport Concussion Research, University of Arkansas, 155 Stadium Drive, Fayetteville, AR, 72701, USA, rjelbin@uark.edu.},
abstract = {OPINION STATEMENT: Several treatment and rehabilitation approaches for sport-related concussion have been mentioned in recent consensus and position statements. These options range from the more conservative behavioral management approaches to aggressive pharmacological and therapeutic interventions. Moreover, clinical decision-making for sport-related concussion changes as symptoms and impairments persist throughout recovery. The current article provides an empirical review of proposed treatment and rehabilitation options for sport-related concussion during the acute, subacute, and chronic phases of injury.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Brolinson, P G
Management of sport-related concussion: a review Journal Article
In: Clinical Journal of Sport Medicine, vol. 24, pp. 89–90, 2014.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Brolinson2014,
title = {Management of sport-related concussion: a review},
author = {Brolinson, P G},
year = {2014},
date = {2014-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {24},
pages = {89--90},
address = {The Edward Via Collegeof Osteopathic MedicineDepartment of Sports MedicineVirginia TechBlacksburg, Virginia.},
abstract = {OBJECTIVE: To systematically review the evidence for rest, treatment, and rehabilitation after sport-related concussion. DATA SOURCES: Nine databases including PubMed, Cochrane Central Register of Controlled Trials, Sport Discus, and Web of Science were searched for studies that evaluated the effect of rest separately from the effects of treatment and/or rehabilitation, using words related to concussion, mild traumatic brain injury, rest, treatment outcome, and therapy. STUDY SELECTION: Inclusion criteria were published reports (either articles or abstracts) of original peer-reviewed research that investigated sport-related concussions and evaluated the effects of rest or treatment on the symptoms. One investigator performed the searches. From 749 articles evaluating rest and 1175 evaluating treatment, 2 studies met criteria for the effect of rest and 10 abstracts met criteria for treatment. Three further treatment articles were identified by the authors. DATA EXTRACTION: Details of study design, samples, type and duration of treatment, outcome measures, and main results, with effect sizes, were extracted. Confidence intervals (CI) were extracted or calculated where possible. Level of evidence was graded (1-5; best to poorest) using Downs and Black criteria to assess study quality. MAIN RESULTS: The 3 studies that investigated rest after concussion were all retrospective case series. The studies were too heterogeneous for a clear assessment of the benefits of rest. Other treatments (evaluated by case studies, retrospective case series, or other level 4 or 5 studies) were subcutaneous sumatriptan, hyperbaric oxygen therapy, amantadine, ibuprofen, and various hormonal treatments. Light exercise, or daily exercise after a 2-week baseline period, appeared to encourage return to physical activity in children and adults. The only randomized controlled trial (with blinded assessment) investigated individualized treatment of 31 participants with symptoms from sport-related concussion that persisted for 12 to 30 months. Interventions included manual spinal therapy, physiotherapy, and neuromotor and sensorimotor retraining compared with rest and graduated exercise, for up to 8 weeks. More participants in the intervention group were medically cleared to return to sport within 8 weeks of initiating treatment (risk ratio 10.3; 95% CI, 1.51-69.6). CONCLUSIONS: Studies of management of concussion were so poor that conclusions that rest was not helpful or that exercise might be beneficial are premature. Better evidence showed that individualized treatment of long-standing symptoms may allow earlier return to sport than rest and exercise alone.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Solomon, G S; Sills, A K
Pharmacologic treatment of sport-related concussion: a review Journal Article
In: Journal of Surgical Orthopaedic Advances, vol. 22, pp. 193–197, 2013, ISSN: 1548-825X (Print) 1548-825X (Linking).
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Solomon2013,
title = {Pharmacologic treatment of sport-related concussion: a review},
author = {Solomon, G S and Sills, A K},
issn = {1548-825X (Print) 1548-825X (Linking)},
year = {2013},
date = {2013-01-01},
journal = {Journal of Surgical Orthopaedic Advances},
volume = {22},
pages = {193--197},
address = {Departments of Psychiatry and Neurological Surgery, and the Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, Tennessee.},
edition = {2013/09/26},
abstract = {The goals of the current study were to review the published research over the past decade and to summarize the findings related to pharmacologic approaches in the treatment of sport-related concussion (SRC). PubMed searches across all databases were employed using combinations of the key words and search phrases ``concussion,'' ``mild traumatic brain injury,'' ``pharmacology,'' ``treatment,'' and ``sports,'' along with specific classes of pharmacologic agents. The few studies found were based primarily on clinician experience, with frequent reference to animal models. No clinical pharmacologic trials of SRC were found. The pharmacologic treatment of SRC remains focused on specific symptoms, and there is as yet no evidence-based treatment. On the basis of the limited published research, the authors offer some preliminary guidelines regarding the use of pharmacologic therapies in SRC.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Joseph, M M; Kutner, K C
From the field of play to the field of combat: A review of the pharmacological management of concussion: Comments Journal Article
In: Neurosurgery, vol. 70, pp. 1533, 2012.
BibTeX | Tags: Treatment & Rehabilitation
@article{Joseph2012,
title = {From the field of play to the field of combat: A review of the pharmacological management of concussion: Comments},
author = {Joseph, M M and Kutner, K C},
year = {2012},
date = {2012-01-01},
journal = {Neurosurgery},
volume = {70},
pages = {1533},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Buck, Page Walker; Laster, Rebecca G; Sagrati, Jocelyn Spencer; Kirzner, Rachel Shapiro
Working with mild traumatic brain injury: voices from the field Journal Article
In: Rehabilitation Research & Practice, 2012.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Buck2012,
title = {Working with mild traumatic brain injury: voices from the field},
author = {Buck, Page Walker and Laster, Rebecca G and Sagrati, Jocelyn Spencer and Kirzner, Rachel Shapiro},
year = {2012},
date = {2012-01-01},
journal = {Rehabilitation Research \& Practice},
address = {Graduate Social Work Department, West Chester University, West Chester, PA 19383, USA.},
abstract = {Mild traumatic brain injury (mTBI), also known as concussion, is an emerging public health issue in the United States. The estimated annual 1.2 million individuals who sustain this injury face a range of cognitive, psychological, and physical consequences for which rehabilitation protocols are being developed and implemented. On the frontlines of this developing area of rehabilitation work are professionals in a range of therapeutic settings whose practice wisdom has yet to be shared in the professional literature. This qualitative study aimed to fill this gap by exploring the experiences and insights of rehabilitation professionals serving mTBI patients in outpatient, civilian settings. An analysis of the qualitative data revealed five themes common in mTBI work, providing an in-depth look at this often challenging field of rehabilitation.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Valentine, Verle; Logan, Kelsey
Cognitive rest in concussion management Journal Article
In: American Family Physician, vol. 85, pp. 100–101, 2012.
BibTeX | Tags: Treatment & Rehabilitation
@article{Valentine2012,
title = {Cognitive rest in concussion management},
author = {Valentine, Verle and Logan, Kelsey},
year = {2012},
date = {2012-01-01},
journal = {American Family Physician},
volume = {85},
pages = {100--101},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Reed, Nick
Sport-related concussion and occupational therapy: expanding the scope of practice Journal Article
In: Physical & Occupational Therapy in Pediatrics, vol. 31, pp. 222–224, 2011.
BibTeX | Tags: Treatment & Rehabilitation
@article{Reed2011,
title = {Sport-related concussion and occupational therapy: expanding the scope of practice},
author = {Reed, Nick},
year = {2011},
date = {2011-01-01},
journal = {Physical \& Occupational Therapy in Pediatrics},
volume = {31},
pages = {222--224},
address = {Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Canada.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Berrigan, Lindsay; Marshall, Shawn; McCullagh, Scott; Velikonja, Diana; Bayley, Mark
Quality of clinical practice guidelines for persons who have sustained mild traumatic brain injury Journal Article
In: Brain Injury, vol. 25, pp. 742–751, 2011.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Berrigan2011,
title = {Quality of clinical practice guidelines for persons who have sustained mild traumatic brain injury},
author = {Berrigan, Lindsay and Marshall, Shawn and McCullagh, Scott and Velikonja, Diana and Bayley, Mark},
year = {2011},
date = {2011-01-01},
journal = {Brain Injury},
volume = {25},
pages = {742--751},
address = {Ottawa Hospital Research Institute, 501 Smyth Road, Ottawa, Ontario, Canada. lberrigan@Ottawahospital.on.ca},
abstract = {BACKGROUND: Mild TBI is one of the most common neurological disorders occurring today. For individuals who experience persistent symptoms following mild TBI, consequences can include functional disability, stress and time away from one's occupation. The objective of the study was to evaluate the quality of clinical practice guidelines (CPGs) that include recommendations on the care of persons who have sustained mild TBI and associated persistent symptoms. METHODS: A minimum of four appraisers used the Appraisal of Guidelines for Research and Evaluation (AGREE) instrument to evaluate seven CPGs found via a systematic search of bibliographic databases and internet resources. RESULTS: High AGREE scores were obtained for the domains Scope and Purpose and Clarity and Presentation. The CPGs fared less well on Rigour of Development, Stakeholder Involvement, Editorial Independence and Applicability. The number of recommendations addressing the care of persistent symptoms following mild TBI was meager, with the exception of military guidelines. CONCLUSIONS: There is considerable variability in the quality of guidelines addressing mild TBI and, overall, the CPGs reviewed score lower on Rigour of Development than CPGs for other medical conditions. There is a clear need for clinical guidance on the management of individuals who experience persistent symptoms following mild TBI.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
McCrory, Paul
Future advances and areas of future focus in the treatment of sport-related concussion Journal Article
In: Clinics in Sports Medicine, vol. 30, pp. 201–208, 2011.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{McCrory2011,
title = {Future advances and areas of future focus in the treatment of sport-related concussion},
author = {McCrory, Paul},
year = {2011},
date = {2011-01-01},
journal = {Clinics in Sports Medicine},
volume = {30},
pages = {201--208},
address = {Centre for Health, Exercise \& Sports Medicine \& Brain Research Institute, University of Melbourne, Parkville, Victoria 3010, Australia. paulmccr@bigpond.net.au},
abstract = {The occurrence and management of sports concussion provokes more debate and concern than virtually all other sports injuries combined. In the past 3 decades, clinicians have gone from mostly anecdotal strategies to an international consensus-based approach and the early evolution of evidence-based practice. There is increasing engagement by mainstream neuroscientists in this field, which had previously been dominated by sports team physicians. However, the interchange has largely taken place in the media rather than through scientific journals. Legislators have proposed regulatory measures that restrict medical management of concussion in ways that apply to no other medical condition. This paper examines some of the key areas that are likely to be the focus of research in the next few years.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Carlson, A P; Ramirez, P; Kennedy, G; McLean, A R; Murray-Krezan, C; Stippler, M
Low rate of delayed deterioration requiring surgical treatment in patients transferred to a tertiary care center for mild traumatic brain injury Journal Article
In: Neurosurgical Focus, vol. 29, 2010, ISSN: 1092-0684.
Abstract | Links | BibTeX | Tags: Treatment & Rehabilitation
@article{Carlson2010,
title = {Low rate of delayed deterioration requiring surgical treatment in patients transferred to a tertiary care center for mild traumatic brain injury},
author = {Carlson, A P and Ramirez, P and Kennedy, G and McLean, A R and Murray-Krezan, C and Stippler, M},
doi = {E3 10.3171/2010.8.focus10182},
issn = {1092-0684},
year = {2010},
date = {2010-01-01},
journal = {Neurosurgical Focus},
volume = {29},
abstract = {Object. Patients with mild traumatic brain injury (mTBI) only rarely need neurosurgical intervention; however, there is a subset of patients whose condition will deteriorate. Given the high resource utilization required for interhospital transfer and the relative infrequency of the need for intervention, this study was undertaken to determine how often patients who were transferred required intervention and if there were factors that could predict that need. Methods. The authors performed a retrospective review of cases involving patients who were transferred to the University of New Mexico Level 1 trauma center for evaluation of mTBI between January 2005 and December 2009. Information including demographic data, lesion type, need for neurosurgical intervention, and short-term outcome was recorded. Results. During the 4-year study period, 292 patients (age range newborn to 92 years) were transferred for evaluation of mTBI. Of these 292 patients, 182 (62.3%) had an acute traumatic finding of some kind; 110 (60.4%) of these had a follow-up CT to evaluate progression, whereas 60 (33.0%) did not require a follow-up CT. In 15 cases (5.1% overall), the patients were taken immediately to the operating room (either before or after the first CT). Only 4 patients (1.5% overall) had either clinical or radiographic deterioration requiring delayed surgical intervention after the second CT scan. Epidural hematoma (EDH) and subdural hematoma (SDH) were both found to be significantly associated with the need for surgery (OR 29.5 for EDH, 95% CI 6.6-131.8; OR 9.7 for SDH, 95% CI 2.4-39.1). There were no in-hospital deaths in the series, and 97% of patients were discharged with a Glasgow Coma Scale score of 15. Conclusions. Most patients who are transferred with mTBI who need neurosurgical intervention have a surgical lesion initially. Only a very small percentage will have a delayed deterioration requiring surgery, with EDH and SDH being more concerning lesions. In most cases of mTBI, triage can be performed by a neurosurgeon and the patient can be observed without interhospital transfer. (DOI: 10.3171/2010.8.FOCUS10182)},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Pieroth, Elizabeth M
Is specialized care required for concussive injuries? Journal Article
In: Professional Case Management, vol. 15, pp. 47–49, 2010.
BibTeX | Tags: Treatment & Rehabilitation
@article{Pieroth2010,
title = {Is specialized care required for concussive injuries?},
author = {Pieroth, Elizabeth M},
year = {2010},
date = {2010-01-01},
journal = {Professional Case Management},
volume = {15},
pages = {47--49},
address = {Midwest Center for Concussion Care (www.midwestconcussion.com), USA.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Herring, Stanley A
Sports concussions: physiatrists earning their seat at the table Journal Article
In: PM & R, vol. 1, pp. 404–405, 2009.
BibTeX | Tags: Treatment & Rehabilitation
@article{Herring2009,
title = {Sports concussions: physiatrists earning their seat at the table},
author = {Herring, Stanley A},
year = {2009},
date = {2009-01-01},
journal = {PM \& R},
volume = {1},
pages = {404--405},
address = {UW Medicine Sports and Spine Phys, 325 Ninth Avenue, Box 359721, Seattle, WA 98104, USA. sherring@u.washington.edu},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Martineau, Chad; Kingma, Jackie J; Bank, Laura; McLeod, Tamara C Valovich
Guidelines for treatment of sport-related concussions Journal Article
In: JAAPA, vol. 20, pp. 22–27, 2007.
BibTeX | Tags: Treatment & Rehabilitation
@article{Martineau2007,
title = {Guidelines for treatment of sport-related concussions},
author = {Martineau, Chad and Kingma, Jackie J and Bank, Laura and McLeod, Tamara C Valovich},
year = {2007},
date = {2007-01-01},
journal = {JAAPA},
volume = {20},
pages = {22--27},
address = {Mountain Orthopaedics, Bountiful, Utah, USA.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Guskiewicz, K M; Bruce, S L; Cantu, R C; Ferrara, M S; Kelly, J P; McCrea, M; Putukian, M; McLeod, T C Valovich; National Athletic Trainers, Association
Research based recommendations on management of sport related concussion: summary of the National Athletic Trainers' Association position statement Journal Article
In: British Journal of Sports Medicine, vol. 40, pp. 6–10, 2006.
BibTeX | Tags: Treatment & Rehabilitation
@article{Guskiewicz2006,
title = {Research based recommendations on management of sport related concussion: summary of the National Athletic Trainers' Association position statement},
author = {Guskiewicz, K M and Bruce, S L and Cantu, R C and Ferrara, M S and Kelly, J P and McCrea, M and Putukian, M and McLeod, T C Valovich and {National Athletic Trainers}, Association},
year = {2006},
date = {2006-01-01},
journal = {British Journal of Sports Medicine},
volume = {40},
pages = {6--10},
address = {Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-8700, USA. gus@email.unc.edu},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Guskiewicz, Kevin M; Bruce, Scott L; Cantu, Robert C; Ferrara, Michael S; Kelly, James P; McCrea, Michael; Putukian, Margot; McLeod, Tamara C Valovich; National Athletic Trainers, Association
Recommendations on management of sport-related concussion: summary of the National Athletic Trainers' Association position statement Journal Article
In: Neurosurgery, vol. 55, pp. 891–5; discussion 896, 2004.
BibTeX | Tags: Treatment & Rehabilitation
@article{Guskiewicz2004a,
title = {Recommendations on management of sport-related concussion: summary of the National Athletic Trainers' Association position statement},
author = {Guskiewicz, Kevin M and Bruce, Scott L and Cantu, Robert C and Ferrara, Michael S and Kelly, James P and McCrea, Michael and Putukian, Margot and McLeod, Tamara C Valovich and {National Athletic Trainers}, Association},
year = {2004},
date = {2004-01-01},
journal = {Neurosurgery},
volume = {55},
pages = {891--5; discussion 896},
address = {Sports Medicine Research Laboratory, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, 27599, USA. gus@email.unc.edu},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Guskiewicz, K M; Bruce, S L; Cantu, R C; Ferrara, M S; Kelly, J P; McCrea, M; Putukian, M; McLeod, T C V
National Athletic Trainers' Association position statement: Management of sport-related concussion Journal Article
In: Journal of Athletic Training, vol. 39, pp. 280–297, 2004, ISSN: 1062-6050.
BibTeX | Tags: Treatment & Rehabilitation
@article{Guskiewicz2004,
title = {National Athletic Trainers' Association position statement: Management of sport-related concussion},
author = {Guskiewicz, K M and Bruce, S L and Cantu, R C and Ferrara, M S and Kelly, J P and McCrea, M and Putukian, M and McLeod, T C V},
issn = {1062-6050},
year = {2004},
date = {2004-01-01},
journal = {Journal of Athletic Training},
volume = {39},
pages = {280--297},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Johnston, Karen M; Bloom, Gordon A; Ramsay, Jim; Kissick, James; Montgomery, David; Foley, Dave; Chen, JenKai; Ptito, Alain
Current concepts in concussion rehabilitation Journal Article
In: Current Sports Medicine Reports, vol. 3, pp. 316–323, 2004.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{Johnston2004,
title = {Current concepts in concussion rehabilitation},
author = {Johnston, Karen M and Bloom, Gordon A and Ramsay, Jim and Kissick, James and Montgomery, David and Foley, Dave and Chen, JenKai and Ptito, Alain},
year = {2004},
date = {2004-01-01},
journal = {Current Sports Medicine Reports},
volume = {3},
pages = {316--323},
address = {Concussion Program, McGill Sport Medicine Centre, 475 Pine Avenue West, Montreal, Quebec, H2W 1S4, Canada.},
abstract = {Active rehabilitation of sport injuries is a concept familiar to athletes and those caring for them. Rehabilitation goals aim to optimize recovery efficiency and diminish chances of repeat injury. Rehabilitation programs take many aspects of recovery and wellness into consideration including physical, social, and psychologic components. Ultimately, this is important in the recovery process after concussion. In this article we introduce the largely unexplored concept of multidimensional concussion rehabilitation and discuss physical, psychologic, social, and sport-specific issues. As well, we propose future directions in this field. [References: 19]},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
McCrory, P
Should we treat concussion pharmacologically? The need for evidence based pharmacological treatment for the concussed athlete Journal Article
In: British Journal of Sports Medicine, vol. 36, pp. 3–5, 2002.
BibTeX | Tags: Treatment & Rehabilitation
@article{McCrory2002c,
title = {Should we treat concussion pharmacologically? The need for evidence based pharmacological treatment for the concussed athlete},
author = {McCrory, P},
year = {2002},
date = {2002-01-01},
journal = {British Journal of Sports Medicine},
volume = {36},
pages = {3--5},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Johnston, K M; Lassonde, M; Ptito, A
A contemporary neurosurgical approach to sport-related head injury: the McGill concussion protocol Journal Article
In: Journal of the American College of Surgeons, vol. 192, pp. 515–524, 2001.
BibTeX | Tags: Treatment & Rehabilitation
@article{Johnston2001,
title = {A contemporary neurosurgical approach to sport-related head injury: the McGill concussion protocol},
author = {Johnston, K M and Lassonde, M and Ptito, A},
year = {2001},
date = {2001-01-01},
journal = {Journal of the American College of Surgeons},
volume = {192},
pages = {515--524},
address = {Department of Neurosurgery, McGill University Health Center and McGill Sport Medicine, Montreal, Quebec, Canada.},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
McCrory, P R
Were you knocked out? A team physician's approach to initial concussion management Journal Article
In: Medicine & Science in Sports & Exercise, vol. 29, pp. S207–12, 1997.
Abstract | BibTeX | Tags: Treatment & Rehabilitation
@article{McCrory1997a,
title = {Were you knocked out? A team physician's approach to initial concussion management},
author = {McCrory, P R},
year = {1997},
date = {1997-01-01},
journal = {Medicine \& Science in Sports \& Exercise},
volume = {29},
pages = {S207--12},
address = {Olympic Park Sports Medicine Centre, Melbourne, Australia.},
abstract = {To present an evidence-based approach reviewing the acute management of concussive brain injury in sport. All published articles on the acute management of sport-related brain injury were extracted using searches of computerised databases (Medline, Embase, Sport Discus) as well as detailed literature reviews based upon the published bibliographies in this area. The review details the aspects where prospective scientific data is available upon which to base clinical management strategies. The first few minutes after an athlete receives a concussive injury provides a window of opportunity during which time the initial medical management forms a crucial and potentially lifesaving treatment. All clinicians involved in care of the concussed athlete need to have an understanding of the early management of the concussed athlete and a strategy by which they may manage such problems. An efficient and appropriate response to the immediate concussion management will help minimise the potential sequelae which may impact upon the athletes ability to return to sport. [References: 55]},
keywords = {Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}
Hugenholtz, H; Richard, M T
On-site management of athletes with head injuries Journal Article
In: Physician & Sportsmedicine, vol. 11, no. 6, pp. 71, 1983, ISBN: 00913847.
BibTeX | Tags: *BRAIN -- Concussion, *DIAGNOSIS, *HEAD, *HEMODYNAMICS, *PERIODIC health examinations, *RESPIRATION, *THERAPEUTICS, *WOUNDS & injuries, Assessment & Testing, Treatment & Rehabilitation
@article{Hugenholtz1983,
title = {On-site management of athletes with head injuries},
author = {Hugenholtz, H and Richard, M T},
isbn = {00913847},
year = {1983},
date = {1983-01-01},
journal = {Physician \& Sportsmedicine},
volume = {11},
number = {6},
pages = {71},
keywords = {*BRAIN -- Concussion, *DIAGNOSIS, *HEAD, *HEMODYNAMICS, *PERIODIC health examinations, *RESPIRATION, *THERAPEUTICS, *WOUNDS \& injuries, Assessment \& Testing, Treatment \& Rehabilitation},
pubstate = {published},
tppubtype = {article}
}