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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
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Sideline assessment of concussion
Zachary Schepart1, Margot Putukian1
1Athletic Medicine, University Health Services, Princeton University, Princeton, NJ, United States.
Handbook of Clinical Neurology
|November 29, 2018
Summary
Diagnosing sport-related concussion on the sidelines is challenging due to the lack of objective biomarkers. Serial assessments are crucial for athletes with suspected concussion, prioritizing caution over immediate return to play.
Area of Science:
- Sports Medicine
- Neurology
- Athletic Training
Background:
- Recognizing and evaluating sport-related concussions sideline is complex for medical professionals.
- Current sideline assessment tools are evolving, yet objective biomarkers for concussion are unavailable.
- Variable presentation and evolving symptoms of concussion necessitate ongoing monitoring.
Purpose of the Study:
- To review current challenges and strategies in the sideline assessment of sport-related concussion.
- To highlight the importance of evolving assessment tools and investigational methods.
- To emphasize a cautious approach to athlete return-to-play decisions.
Main Methods:
- Review of current literature and clinical practices in sideline concussion management.
- Discussion of evolving assessment tools, including video review.
- Exploration of investigational assessments such as oculomotor function and reaction time.
Main Results:
- Objective biomarkers for concussion are currently lacking, complicating sideline diagnosis.
- Sideline video review can provide supplementary information for athletic staff.
- Investigational assessments show promise but require further validation.
Conclusions:
- Accurate sideline concussion recognition and evaluation remain difficult.
- A conservative approach, involving serial assessments and caution regarding return to play, is advised.
- Continued research into objective measures and refined assessment protocols is essential.
Keywords:
SCATconcussionmild traumatic brain injurysidelinesideline assessmentsports-related concussionMore Related Videos
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