Probably along with many of you, our household cheered when the United States won the Women’s World Cup championship last month. Amidst the excitement for the win, however, one moment in the tournament stands out for me- a controversial decision in the USA vs. Germany game to allow two players back into the match following a head to head collision. Regardless of whether that was the correct call, I think it’s important to recognize that when it comes to concussion risk, coaches and clinicians should take a more conservative approach for youth athletes.
concussion diagnosis and management
New CIRP@CHOP brief report describes increase in rates of concussion diagnosis in ERs that correspond to increase in rates of CT scans, which is counter to best practice for neuroimaging.
Today we are pleased to welcome a guest blog post from Julia Vanni, a Health Science student at Northeastern University in Boston, who is wrapping-up her research training experience at CIRP@CHOP at the end of June.
As part of a CHOP series demonstrating various Pediatric Exams, Christina Master, MD, Minds Matter co-director and sports medicine physician, walks healthcare professionals through a typical diagnostic concussion evaluation.
In a recent journal article, CHOP researchers describe the prevalence of vestibular deficits in pediatric concussion patients and what recovery looks like for patients that exhibit them at initial evaluation. The vestibular system in the brain and inner ear helps us visually track and focus, maintaining our balance. It's your body's "steadycam", which we can use to help diagnose concussion and then help patients recover from these deficits.
Now in its 3rd year, this one day Diagnosis and Management of Concussion conference provides continuing education for clinicians and school personnel such as athletic trainers and school nurses. Hear from CIRP experts and others on May 9, 2015.
While a new study in Pediatrics confirms current best practice, media headlines might confuse families and healthcare providers. Here are messages to reaffirm.
I recently co-authored a research article in the Journal of Pediatrics that identified pre-existing characteristics associated with prolonged recovery from concussions for children and youth (ages 5-18 years). Readers can use these data to further study risk factors for prolonged recovery, and to help with decision-making and care planning for concussion patients.
In a patient with direct trauma to the head and who presents with clear symptoms, the diagnosis of concussion is generally straightforward. However, it can be much more challenging to diagnose a subtle concussion, particularly among patients with multiple injuries or non-direct head trauma.
Published this week, a study in Pediatrics provides evidence for cognitive rest as an effective strategy following a concussion. Naomi Brown, MD, a Sports Medicine specialist at CHOP, found that study participants with the highest levels of activity suffered longer duration of symptoms than those with lower levels of cognitive activity. Kristy Arbogast, PhD speaks with Dr. Brown about the research questions that would help clinicians, as well as a new assessment tool called the Cognitive Activity Scale.