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Related Experiment Video

Updated: Aug 14, 2025

A Neuroscientific Approach to the Examination of Concussions in Student-Athletes
11:32

A Neuroscientific Approach to the Examination of Concussions in Student-Athletes

Published on: December 8, 2014

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School performance in youth after a concussion.

Carol A DeMatteo1,2, Josephine Jakubowski2, Sarah Randall1,2

  • 1School of Rehabilitation Sciences, McMaster University, Hamilton, ON, Canada.

Frontiers in Sports and Active Living
|January 9, 2023
PubMed
Summary

Fifty percent of youth experienced school problems upon returning to school after a concussion, decreasing to 18% by follow-up. Cognitive activity improved as concussion symptoms resolved, guiding a supported return to school.

Keywords:
brain injurychildren and youthpediatric concussionreturn to activityreturn to schoolschool performance

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Area of Science:

  • Pediatrics
  • Neurology
  • Sports Medicine

Background:

  • Concussion recovery in youth requires careful management, especially concerning return to school (RTS).
  • Understanding school-related challenges and cognitive function during recovery is crucial for effective support.

Purpose of the Study:

  • To identify school problems and cognitive activity levels in youth aged 5-18 with concussion during RTS stages.
  • To analyze the differences in reported school problems between youth and parents.

Main Methods:

  • Prospective cohort study with in-person assessments at three recovery time points.
  • Utilized Post-Concussion Symptom Scale (PCSS), cognitive activity scales, school questionnaires, and ImPACT testing.
  • Data collected every 2 days until symptom resolution.

Main Results:

  • 50% of youth reported school problems at the first visit post-injury (average 7.7 days), decreasing to 18% by follow-up.
  • Significant differences in perceived school problems between youth and parents were noted at different recovery stages.
  • Cognitive activity scores increased as Post-Concussion Symptom Scale scores decreased during RTS stages.

Conclusions:

  • School problems are common early in concussion recovery but decrease over time.
  • Gathering insights from both youth and parents is vital for a comprehensive understanding of recovery.
  • Findings support tailored return-to-school strategies and accommodations for concussed youth.