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Objectively Assessing Sports Concussion Utilizing Visual Evoked Potentials
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[Sport-related concussion].

Silvia Bonfanti1, Victoria Duthon1,2, Jean-Luc Ziltener1,2

  • 1Centre de médecine du sport et de l'exercice, Hirslanden Clinique La Colline, Avenue de la Roseraie 76B, 1205 Genève.

Revue Medicale Suisse
|July 13, 2017
PubMed
Summary
This summary is machine-generated.

Sport-related concussion management is complex. A new 11R approach (Recognise, Remove, Re-evaluate, Rest, Rehabilitation, Refer, Recover, Return to sport, Reconsider, Residual effects and sequelae, Risk reduction) offers guidelines for practitioners.

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Area of Science:

  • Sports Medicine
  • Neurology
  • Public Health

Background:

  • Sport-related concussion is a common and complex injury.
  • Its underlying physiopathological mechanisms require further elucidation.
  • A recent consensus statement aims to guide practitioners.

Purpose of the Study:

  • To provide an overview of current literature on sport-related concussion.
  • To offer practical guidelines for the evaluation and management of these injuries.
  • To introduce a structured approach for concussion care.

Main Methods:

  • Literature review and synthesis of current knowledge.
  • Development of the 11R approach: Recognise, Remove, Re-evaluate, Rest, Rehabilitation, Refer, Recover, Return to sport, Reconsider, Residual effects and sequelae, Risk reduction.
  • Identification of known risk factors for prolonged recovery.

Main Results:

  • The 11R approach provides a framework for concussion management.
  • Risk factors associated with delayed recovery have been identified.
  • No definitive test currently predicts recovery time.

Conclusions:

  • The 11R approach offers a structured method for managing sport-related concussions.
  • Graduated return-to-activity strategies are recommended for both daily life and sports.
  • Physician-led clinical assessment remains crucial for return-to-play decisions.