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Pediatric Sport-Related Concussion: Recommendations From the Amsterdam Consensus Statement 2023.

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The 6th International Consensus Conference updated guidelines for sport-related concussion (SRC) in youth. Early light activity and multimodal assessments aid recovery, while prevention strategies like mouthguards reduce SRC incidence.

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Area of Science:

  • Pediatric Sports Medicine
  • Neurology
  • Public Health

Background:

  • The 6th International Consensus Conference on Concussion in Sport (Amsterdam 2022) convened to update evidence on sport-related concussion (SRC).
  • Focus was placed on evidence-based recommendations for children (5-12 years) and adolescents (13-18 years).

Purpose of the Study:

  • To present updated evidence and recommendations for managing sport-related concussion in pediatric and adolescent populations.
  • To highlight advancements in prevention, assessment, and rehabilitation strategies for youth SRC.

Main Methods:

  • Review and synthesis of the latest scientific evidence on pediatric and adolescent SRC.
  • Development and refinement of assessment tools, including the Sport Concussion Assessment Tools (SCAT) and Sport Concussion Office Assessment Tools (SCOAT6).
  • Analysis of prevention strategies and rehabilitation protocols.

Main Results:

  • Prevention strategies such as mouthguard use, modified ice hockey rules, and neuromuscular training show promise in reducing SRC rates.
  • The SCAT demonstrates diagnostic utility within 72 hours, while SCOAT6 tools are developed for subacute evaluation (>72 hours) using multimodal assessments.
  • Early return to light physical activity and reduced screen time are recommended for recovery, alongside specific rehabilitation for persistent symptoms.

Conclusions:

  • Updated guidelines emphasize multimodal assessments for subacute SRC evaluation and recommend early, light physical activity for recovery.
  • Cervicovestibular and active rehabilitation approaches are beneficial for adolescents with persistent symptoms.
  • Further research is needed on biomarkers, diverse populations, and ethical considerations in pediatric SRC.