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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
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Developing guidelines for return to play: consensus and evidence-based approaches.

Ruben J Echemendia1, Christopher C Giza, Jeffrey S Kutcher

  • 1Psychological and Neurobehavioral Associates, Inc., State College, PA , USA .

Brain Injury
|January 15, 2015
PubMed
Summary
This summary is machine-generated.

Managing sports concussions requires careful return to play (RTP) guidelines. Both consensus-based and evidence-based methods offer valuable insights for athlete safety and recovery.

Keywords:
Guidelinesmild traumatic brain injurysports concussion

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Area of Science:

  • Sports Medicine
  • Neurology
  • Public Health

Background:

  • Sports-related concussions are frequent across all levels and ages.
  • The lack of objective biomarkers complicates concussion management.
  • Athletes returning to play post-concussion face increased risk of further brain injury.

Purpose of the Study:

  • To review the historical development of return to play (RTP) guidelines for sports concussions.
  • To discuss the outcomes of recent consensus statements from leading organizations.
  • To evaluate current approaches to concussion management in athletes.

Main Methods:

  • Evaluation of the strengths and weaknesses of various RTP guideline methodologies.
  • Review of consensus statements from the Concussion In Sport Group (CISG), American Academy of Neurology (AAN), and others.
  • Consideration of the Institute of Medicine's report on youth concussions.

Main Results:

  • Both consensus-based and evidence-based methods for concussion management have distinct advantages and disadvantages.
  • Despite differing methodologies, the overall approach to sports concussion management remains consistent.
  • Current guidelines provide confidence for practitioners in managing sports concussions.

Conclusions:

  • Diverse methodologies in guideline development contribute valuable insights to concussion management.
  • The similarity in overall approaches across different methods bolsters confidence in current clinical standards.
  • Future research must employ rigorous study designs to minimize bias in subject selection, data collection, and interpretation.