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A Mouse Model of Single and Repetitive Mild Traumatic Brain Injury
Published on: June 20, 2017
Contemporary diagnosis and management of mild TBI (concussions): What you need to know
Joseph C Panzera1, Olivia E Podolak, Christina L Master
1From the Sports Medicine and Performance Center, (J.C.P.); Center for Injury Research and Prevention (O.E.P.); and Sports Medicine and Performance Center, Center for Injury Research and Prevention (C.L.M.), Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Insights
Pediatric concussion, a mild traumatic brain injury, requires prompt diagnosis and active management. Targeted therapies addressing individual symptoms improve recovery for children and adolescents after concussion.
Area of Science:
- Pediatric neurology
- Sports medicine
- Neurotraumatology
Background:
- Concussion is a frequent mild traumatic brain injury in children and adolescents.
- Current evidence for diagnosis and management is rapidly evolving.
- Surgeons frequently encounter pediatric concussion in acute care settings.
Purpose of the Study:
- To emphasize timely identification and diagnosis of pediatric concussion.
- To promote early initiation of active management strategies post-injury.
- To outline a targeted, individualized approach to concussion recovery.
Main Methods:
- Reviewing the pathophysiology driving clinical concussion symptoms.
- Describing targeted clinical assessments for diagnosis and rehabilitation.
- Detailing a standardized approach for return to learning and sports.
Main Results:
- Active management, initiated early, is crucial for pediatric concussion recovery.
- Targeted therapies based on identified deficits improve outcomes.
- Standardized return-to-activity protocols aid in safe reintegration.
Conclusions:
- Early and active management of pediatric concussion is essential.
- Individualized, targeted therapies optimize recovery from concussion.
- A structured approach to returning to activities facilitates safe participation.
Abstract:
Concussion is a common injury in children and adolescents and is a form of mild traumatic brain injury that surgeons will see in their acute care practice. With a rapidly changing evidence base for diagnosis and management, we will focus on the importance of timely identification and diagnosis, as well as the early initiation of active management of pediatric concussion immediately after injury through recovery. This approach involves the application of targeted therapies for specific deficits identified after concussion, addressing the individual pattern of symptoms experienced by patients following concussion. We will review what is known about the underlying pathophysiology that drives the clinical manifestations of concussion, the targeted clinical assessments that can both aid in the diagnosis of concussion, as well as drive the active rehabilitation of deficits seen after concussion. The standardized approach to the return to activities will also be described, including return to learning and sports.
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