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Updated: Feb 13, 2026

Vision Training Methods for Sports Concussion Mitigation and Management
Published on: May 5, 2015
Acute concussion: making the diagnosis and state of the art management
Matthew Eisenberg1,2, Rebekah Mannix1,2
1Division of Emergency Medicine, Boston Children's Hospital.
Insights
Pediatric concussion, a common brain injury, affects many children long-term. Early identification of at-risk youth and avoiding prolonged rest are crucial for better recovery outcomes.
Area of Science:
- Pediatric neurology
- Sports medicine
- Traumatic brain injury research
Background:
- Concussion is a frequent injury among children, often categorized as mild traumatic brain injury.
- Emerging evidence indicates a significant percentage of children experience persistent symptoms one month post-injury.
- Current objective measures for diagnosing concussion and monitoring recovery are still under development.
Purpose of the Study:
- To review the fundamental epidemiology and acute management strategies for pediatric concussion.
- To highlight recent research advancements in understanding and managing childhood concussion.
- To emphasize the need for improved diagnostic tools and targeted therapies.
Main Methods:
- Literature review of recent studies on pediatric concussion.
- Analysis of epidemiological data related to concussion incidence and outcomes in children.
- Synthesis of current understanding of concussion management protocols.
Main Results:
- A substantial proportion of children (up to 30%) remain symptomatic one month after a concussion.
- Objective diagnostic and recovery biomarkers (imaging, serum) are not yet clinically applicable.
- Prolonged physical rest may negatively impact recovery, suggesting a need for revised management guidelines.
Conclusions:
- Objective measures for concussion diagnosis and recovery are essential for clinical practice.
- Identifying children at risk for prolonged symptoms is critical for timely intervention.
- Targeted therapeutic approaches are needed to mitigate the risk of prolonged recovery after pediatric concussion.
Purpose Of Review:
Concussion is an increasingly common injury in children. We aim to review the basic epidemiology and management of acute concussion and highlight recent studies that have contributed to our understanding of care for this injury.
Recent Findings:
While concussion is considered a 'mild' form of traumatic brain injury, recent evidence suggests that as many as 30% of children are still symptomatic 1 month after injury. Although there is increasing interest in finding objective measures of injury and recovery, emerging imaging and serum biomarkers are not ready for routine clinical use. Identification of children at risk for prolonged symptoms is vital. Prolonged rest after injury may worsen outcomes.
Summary:
Concussion is a common injury in children. Objective measures of injury and recovery are needed, as are targeted therapies to mitigate the risk of prolonged recovery after injury.
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