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Objectively Assessing Sports Concussion Utilizing Visual Evoked Potentials
Published on: April 27, 2021
Sports Concussion Management: part II
Thomas R Terrell1, Conrad B Cox1, Ken Bielak1
1From the University of Tennessee, Knoxville, James A. Quillen School of Medicine, Johnson City, TN, Department of Physical Education and Athletics, Catawba College, Salisbury, North Carolina, Duke University School of Medicine, Durham, North Carolina, and Occupational Exposure and Worker Health Programs, Oak Ridge Associated Universities, Oak Ridge, Tennessee.
Millions of concussions happen yearly in the US. This review covers the latest concussion research, including pathobiology, biomechanics, risk factors, and advanced neuroimaging for better sports concussion evaluation.
Area of Science:
- Sports Medicine
- Neuroscience
- Biomechanics
Background:
- Sports-related head trauma and chronic traumatic encephalopathy have increased public concern regarding concussions.
- Concussion evaluation and management is a key research area in sports medicine.
Purpose of the Study:
- To provide an overview of recent scientific advances in concussion research.
- To update clinicians on concussion risk factors and diagnostic tools.
Main Methods:
- Review of the latest scientific literature on concussion pathobiology and biomechanics.
- Analysis of studies on concussion risk factors (history, fatigue, age, genetics).
- Evaluation of neuroimaging techniques like diffusion tensor imaging and functional MRI for sports concussion.
Main Results:
- Concussion involves complex pathobiological changes and biomechanical impacts.
- Factors like concussion history, fatigue, and age are significant risk factors.
- Advanced neuroimaging shows promise in understanding concussion's brain impact.
Conclusions:
- Ongoing research into genetic polymorphisms and biomarkers for concussion risk prediction is inconclusive.
- Diffusion tensor imaging and functional MRI offer sophisticated insights into brain changes post-concussion.
- New recommendations and updated assessment tools (Sports Concussion Assessment Tool 3rd edition) aid clinical practice.
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