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"Put Me Back In, Coach!" Concussion and Return to Play
Christopher Wolf1, Katie Fast2
1Christopher J. Wolf, DO, is Associate Professor of Clinical PM&R, in Department of Physical Medicine and Rehabilitation, University of Missouri Health Care.
Missouri Medicine
|September 21, 2018
Summary
Concussion, a mild traumatic brain injury, impacts cognitive function due to biochemical changes lasting over 15 days. Prompt diagnosis and treatment are crucial for healing and preventing severe outcomes like second-impact syndrome.
Area of Science:
- Neurology
- Sports Medicine
- Traumatology
Background:
- Concussion is a mild traumatic brain injury (TBI) resulting from head trauma.
- Millions of concussions occur annually in the U.S., necessitating a strong understanding of their effects.
- Biochemical changes after concussion can cause cognitive deficits and synaptic issues for over 15 days post-injury.
Purpose of the Study:
- To emphasize the importance of understanding concussion pathophysiology.
- To highlight the critical window for diagnosis and treatment.
- To underscore the need for proper management to prevent long-term effects.
Main Methods:
- Review of current literature on concussion.
- Analysis of biochemical changes and their timeline post-injury.
- Examination of diagnostic tools and clinical guidelines.
Main Results:
- Cognitive deficits and synaptic plasticity issues are most pronounced at 3 days and persist beyond 15 days post-concussion.
- Early identification and intervention are key to promoting healing.
- Standardized protocols aid in patient triage and management.
Conclusions:
- Understanding concussion's biochemical impact is vital for physicians.
- Prompt diagnosis and treatment are essential for recovery and preventing second-impact syndrome.
- Adherence to consensus guidelines ensures optimal patient outcomes and minimizes long-term brain injury effects.