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Updated: May 6, 2026

A Neuroscientific Approach to the Examination of Concussions in Student-Athletes
Published on: December 8, 2014
The cognitive effects and decrements following concussion
Tracey Covassin1, Robert J Elbin
1Michigan State University, Department of Kinesiology, East Lansing, MI, USA.
Detecting and managing sports concussions is challenging due to varied symptoms. A multi-faceted approach, including neurocognitive testing and considering factors like age and history, is recommended for effective concussion management.
Area of Science:
- Sports Medicine
- Neurology
- Neuroscience
Background:
- Sports-related concussion presents diverse symptoms and cognitive deficits, complicating detection and management.
- Athletes may not accurately self-report concussion symptoms, placing the responsibility on clinicians and coaches.
- Current understanding highlights the influence of age, sex, and prior concussion history on injury risk and recovery.
Purpose of the Study:
- To review current challenges in sports concussion detection and management.
- To emphasize the importance of a multi-faceted approach in concussion protocols.
- To highlight the role of neurocognitive testing and individual factors in concussion assessment.
Main Methods:
- Review of recent management recommendations for sports concussion.
- Emphasis on pre- and post-injury neurocognitive testing.
- Consideration of demographic and historical factors in concussion assessment.
Main Results:
- Sports concussion diagnosis and management are complex due to varied presentations.
- A multi-faceted approach, integrating neurocognitive testing with clinical evaluation, is crucial.
- Individual factors such as age, sex, and concussion history significantly impact injury risk and recovery timelines.
Conclusions:
- Effective sports concussion management requires a comprehensive strategy beyond self-reporting.
- Neurocognitive testing, alongside clinical judgment, is vital for accurate assessment and return-to-play decisions.
- Personalized management plans considering individual risk factors are essential for optimal athlete recovery.
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