The Pediatric Athlete: Younger Athletes with Sport-Related Concussion

Clinics in Sports Medicine

Volumn 30, Issue 1, 2011, Pages 133-144

  Meehan, William P ^a   Taylor, Alex M ^a   Proctor, Mark ^a  

^a BOSTON CHILDREN S HOSPITAL   (United States)

Author keywords

Concussion; Head injury; Injury; Mild traumatic brain injury; Sports; Trauma

Indexed keywords

AQUAPORIN 4; GLUTAMATE RECEPTOR;

AGE DISTRIBUTION; ATHLETE; ATTITUDE TO HEALTH; BIOMECHANICS; BRAIN CONCUSSION; BRAIN DEVELOPMENT; BRAIN EDEMA; CHILD HEALTH; CLINICAL ASSESSMENT; CLINICAL EVALUATION; COMA; COMPARATIVE ANATOMY; COMPUTER ASSISTED DIAGNOSIS; CONVALESCENCE; DISEASE ACTIVITY; EVIDENCE BASED MEDICINE; HUMAN; INJURY SEVERITY; MENTAL FUNCTION; NEUROPSYCHOLOGICAL TEST; PATHOPHYSIOLOGY; PROTEIN EXPRESSION; REVIEW; RISK ASSESSMENT; SELF REPORT; SPORT INJURY; SPORTS MEDICINE; SUBDURAL HEMATOMA; TRAUMATIC BRAIN INJURY;

ADOLESCENT; AGE FACTORS; ATHLETIC INJURIES; BIOMECHANICS; BRAIN INJURIES; CHILD; CHILD WELFARE; COGNITION; HEALTH STATUS INDICATORS; HUMANS; NEUROPSYCHOLOGICAL TESTS; PEDIATRICS; SPORTS MEDICINE; TRAUMA SEVERITY INDICES; UNITED STATES;

EID: 78149428232     PISSN: 02785919     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.csm.2010.08.004     Document Type: Review

References (92)

1. Buzzini S.R., Guskiewicz K.M. Sport-related concussion in the young athlete. Curr Opin Pediatr 2006, 18(4):376-382.
2. Browne G.J., Lam L.T. Concussive head injury in children and adolescents related to sports and other leisure physical activities. Br J Sports Med 2006, 40(2):163-168.
3. Kirkwood M.W., Yeates K.O., Wilson P.E. Pediatric sport-related concussion: a review of the clinical management of an oft-neglected population. Pediatrics 2006, 117(4):1359-1371.
4. Mccrory P., Collie A., Anderson V., et al. Can we manage sport related concussion in children the same as in adults?. Br J Sports Med 2004, 38(5):516-519.
5. Gessel L.M., Fields S.K., Collins C.L., et al. Concussions among United States high school and collegiate athletes. J Athl Train 2007, 42(4):495-503.
6. Koh J.O., Cassidy J.D., Watkinson E.J. Incidence of concussion in contact sports: a systematic review of the evidence. Brain Inj 2003, 17(10):901-917.
7. Tommasone B.A., Valovich McLeod T.C. Contact sport concussion incidence. J Athl Train 2006, 41(4):470-472.
8. Mccrea M., Hammeke T., Olsen G., et al. Unreported concussion in high school football players: implications for prevention. Clin J Sport Med 2004, 14(1):13-17.
9. Gerberich S.G., Priest J.D., Boen J.R., et al. Concussion incidences and severity in secondary school varsity football players. Am J Public Health 1983, 73(12):1370-1375.
10. Gordon K.E., Dooley J.M., Wood E.P. Descriptive epidemiology of concussion. Pediatr Neurol 2006, 34(5):376-378.
11. Goldsmith W., Plunkett J. A biomechanical analysis of the causes of traumatic brain injury in infants and children. Am J Forensic Med Pathol 2004, 25(2):89-100.
12. Bauer R., Fritz H. Pathophysiology of traumatic injury in the developing brain: an introduction and short update. Exp Toxicol Pathol 2004, 56(1-2):65-73.
13. Denny-Brown D., Russell R. Experimental cerebral concussion. Brain 1941, 64:93-164.
14. Holbourn A. Mechanics of head injury. Lancet 1943, 2(2):438-441.
15. Ommaya A.K., Gennarelli T.A. Cerebral concussion and traumatic unconsciousness. Correlation of experimental and clinical observations of blunt head injuries. Brain 1974, 97(4):633-654.
16. Tysvaer A.T. Head and neck injuries in soccer. Impact of minor trauma. Sports Med 1992, 14(3):200-213.
17. Ommaya A.K., Goldsmith W., Thibault L. Biomechanics and neuropathology of adult and paediatric head injury. Br J Neurosurg 2002, 16(3):220-242.
18. Mihalik J.P., Blackburn J.T., Greenwald R.M., et al. Collision type and player anticipation affect head impact severity among youth ice hockey players. Pediatrics 2010, 125(6):e1394-e1401.
19. Berney J., Favier J., Froidevaux A.C. Paediatric head trauma: influence of age and sex. I. Epidemiology. Childs Nerv Syst 1994, 10(8):509-516.
20. Mckeever C.K., Schatz P. Current issues in the identification, assessment, and management of concussions in sports-related injuries. Appl Neuropsychol 2003, 10(1):4-11.
21. Prins M.L., Hovda D.A. Developing experimental models to address traumatic brain injury in children. J Neurotrauma 2003, 20(2):123-137.
22. Giza C.C., Hovda D.A. The neurometabolic cascade of concussion. J Athl Train 2001, 36(3):228-235.
23. Sakas D.E., Whittaker K.W., Whitwell H.L., et al. Syndromes of posttraumatic neurological deterioration in children with no focal lesions revealed by cerebral imaging: evidence for a trigeminovascular pathophysiology. Neurosurgery 1997, 41(3):661-667.
24. Schnitker M.T. A syndrome of cerebral concussion in children. J Pediatr 1949, 35(5):557-560.
25. Snoek J.W., Minderhoud J.M., Wilmink J.T. Delayed deterioration following mild head injury in children. Brain 1984, 107(Pt 1):15-36.
26. Centers for Disease Control and Prevention (CDC) Sports-related recurrent brain injuries-United States. MMWR Morb Mortal Wkly Rep 1997, 46(10):224-227.
27. Cantu R. Second impact syndrome: a risk in any contact sport. Phys Sportsmed 1995, 23(6):27.
28. Kelly J.P., Nichols J.S., Filley C.M., et al. Concussion in sports. Guidelines for the prevention of catastrophic outcome. JAMA 1991, 266(20):2867-2869.
29. Mccrory P.R., Berkovic S.F. Second impact syndrome. Neurology 1998, 50(3):677-683.
30. Saunders R.L., Harbaugh R.E. The second impact in catastrophic contact-sports head trauma. JAMA 1984, 252(4):538-539.
31. Grundl P.D., Biagas K.V., Kochanek P.M., et al. Early cerebrovascular response to head injury in immature and mature rats. J Neurotrauma 1994, 11(2):135-148.
32. Williamson I.J., Goodman D. Converging evidence for the under-reporting of concussions in youth ice hockey. Br J Sports Med 2006, 40(2):128-132. [discussion: 128-32].
33. Maroon J.C. Concussion from the inside: the athlete's perspective. Sports-related concussion 1999, 231-251. Quality Medical Publishing, Inc, St Louis (MO). J.E. Bailes, M.R. Lovell, J.C. Maroon (Eds.).
34. Delaney J.S., Lacroix V.J., Leclerc S., et al. Concussions during the 1997 Canadian Football League season. Clin J Sport Med 2000, 10(1):9-14.
35. Pleacher M.D., Dexter W.W. Concussion management by primary care providers. Br J Sports Med 2006, 40(1):e2. [discussion: e2].
36. Kirkwood M.W., Randolph C., Yeates K.O. Returning pediatric athletes to play after concussion: the evidence (or lack thereof) behind baseline neuropsychological testing. Acta Paediatr 2009, 98(9):1409-1411.
37. Kirkwood M.W., Kirk J.W. The base rate of suboptimal effort in a pediatric mild TBI sample: performance on the medical symptom validity test. Clin Neuropsychol 2010, 24(5):860-872.
38. Purcell L. What are the most appropriate return-to-play guidelines for concussed child athletes?. Br J Sports Med 2009, 43(Suppl 1):i51-i55.
39. Barth J.T., Alves W.M., Ryan T.V., et al. Mild head injuries in sports: neuropsychological sequelae and recovery of function. Mild head injury 1989, 257-275. Oxford University Press, New York. H.S. Levin, H.M. Eisenberg, A.L. Benton (Eds.).
40. Barr W.B., Mccrea M. Sensitivity and specificity of standardized neurocognitive testing immediately following sports concussion. J Int Neuropsychol Soc 2001, 7(6):693-702.
41. Belanger H.G., Vanderploeg R.D. The neuropsychological impact of sports-related concussion: a meta-analysis. J Int Neuropsychol Soc 2005, 11(4):345-357.
42. Chen J.K., Johnston K.M., Collie A., et al. A validation of the post concussion symptom scale in the assessment of complex concussion using cognitive testing and functional MRI. J Neurol Neurosurg Psychiatr 2007, 78(11):1231-1238.
43. Collins M.W., Grindel S.H., Lovell M.R., et al. Relationship between concussion and neuropsychological performance in college football players. JAMA 1999, 282(10):964-970.
44. Erlanger D., Feldman D., Kutner K., et al. Development and validation of a web-based neuropsychological test protocol for sports-related return-to-play decision-making. Arch Clin Neuropsychol 2003, 18(3):293-316.
45. Fazio V.C., Lovell M.R., Pardini J.E., et al. The relationship between post concussion symptoms and neurocognitive performance in concussed athletes. NeuroRehabilitation 2007, 22(3):207-216.
46. Geary E.K., Kraus M.F., Pliskin N.H., et al. Verbal learning differences in chronic mild traumatic brain injury. J Int Neuropsychol Soc 2010, 16(3):506-516.
47. Guskiewicz K.M., Mccrea M., Marshall S.W., et al. Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA concussion study. JAMA 2003, 290(19):2549-2555.
48. Lovell M.R., Collins M.W., Iverson G.L., et al. Recovery from mild concussion in high school athletes. J Neurosurg 2003, 98(2):296-301.
49. Macciocchi S.N., Barth J.T., Alves W., et al. Neuropsychological functioning and recovery after mild head injury in collegiate athletes. Neurosurgery 1996, 39(3):510-514.
50. Mcclincy M.P., Lovell M.R., Pardini J., et al. Recovery from sports concussion in high school and collegiate athletes. Brain Inj 2006, 20(1):33-39.
51. Mccrea M., Guskiewicz K.M., Marshall S.W., et al. Acute effects and recovery time following concussion in collegiate football players: the NCAA concussion study. JAMA 2003, 290(19):2556-2563.
52. Mccrea M., Kelly J.P., Randolph C., et al. Immediate neurocognitive effects of concussion. Neurosurgery 2002, 50(5):1032-1040. [discussion: 1040-2].
53. Gioia G.A., Schneider J.C., Vaughan C.G., et al. Which symptom assessments and approaches are uniquely appropriate for paediatric concussion?. Br J Sports Med 2009, 43(Suppl 1):i13-i22.
54. Erlanger D., Kaushik T., Cantu R., et al. Symptom-based assessment of the severity of a concussion. J Neurosurg 2003, 98(3):477-484.
55. Erlanger D., Saliba E., Barth J., et al. Monitoring resolution of postconcussion symptoms in athletes: preliminary results of a web-based neuropsychological test protocol. J Athl Train 2001, 36(3):280-287.
56. Van Kampen D.A., Lovell M.R., Pardini J.E., et al. The' value added" of neurocognitive testing after sports-related concussion. Am J Sports Med 2006, 34(10):1630-1635.
57. Aubry M., Cantu R., Dvorak J., et al. Summary and agreement statement of the first international conference on concussion in sport, Vienna 2001. Recommendations for the improvement of safety and health of athletes who may suffer concussive injuries. Br J Sports Med 2002, 36(1):6-10.
58. Mccrory P., Johnston K., Meeuwisse W., et al. Summary and agreement statement of the 2nd international conference on concussion in sport, Prague 2004. Br J Sports Med 2005, 39(4):196-204.
59. Mccrory P., Meeuwisse W., Johnston K., et al. Consensus statement on concussion in sport: the 3rd international conference on concussion in sport held in Zurich, November 2008. J Athl Train 2009, 44(4):434-448.
60. Field M., Collins M.W., Lovell M.R., et al. Does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes. J Pediatr 2003, 142(5):546-553.
61. Collins M., Lovell M.R., Iverson G.L., et al. Examining concussion rates and return to play in high school football players wearing newer helmet technology: a three-year prospective cohort study. Neurosurgery 2006, 58(2):275-286. [discussion: 275-86].
62. Pellman E.J., Lovell M.R., Viano D.C., et al. Concussion in professional football: neuropsychological testing-part 6. Neurosurgery 2004, 55(6):1290-1303. [discussion: 1303-5].
63. Collie A., Darby D., Maruff P. Computerised cognitive assessment of athletes with sports related head injury. Br J Sports Med 2001, 35(5):297-302.
64. Lovell M.R., Fazio V. Concussion management in the child and adolescent athlete. Curr Sports Med Rep 2008, 7(1):12-15.
65. Hunt T.N., Ferrara M.S. Age-related differences in neuropsychological testing among high school athletes. J Athl Train 2009, 44(4):405-409.
66. Iverson G.L., Collins M.W., Roberge M., et al. Final Program, 36th Annual Meeting International Neuropsychological Society. J Int Neuropsychol Soc 2008, 14(Suppl 1):i-292.
67. Broshek D.K., Kaushik T., Freeman J.R., et al. Sex differences in outcome following sports-related concussion. J Neurosurg 2005, 102(5):856-863.
68. Covassin T., Schatz P., Swanik C.B. Sex differences in neuropsychological function and post-concussion symptoms of concussed collegiate athletes. Neurosurgery 2007, 61(2):345-350. [discussion: 350-1].
69. Covassin T., Swanik C.B., Sachs M., et al. Sex differences in baseline neuropsychological function and concussion symptoms of collegiate athletes. Br J Sports Med 2006, 40(11):923-927. [discussion: 927].
70. Grindel S.H., Lovell M.R., Collins M.W. The assessment of sport-related concussion: the evidence behind neuropsychological testing and management. Clin J Sport Med 2001, 11(3):134-143.
71. Bailey C.M., Echemendia R.J., Arnett P.A. The impact of motivation on neuropsychological performance in sports-related mild traumatic brain injury. J Int Neuropsychol Soc 2006, 12(4):475-484.
72. Iverson G.L., Gaetz M., Lovell M.R., et al. Cumulative effects of concussion in amateur athletes. Brain Inj 2004, 18(5):433-443.
73. Gronwall D., Wrightson P. Cumulative effect of concussion. Lancet 1975, 2(7943):995-997.
74. Iverson G.L., Brooks B.L., Lovell M.R., et al. No cumulative effects for one or two previous concussions. Br J Sports Med 2006, 40(1):72-75.
75. Broglio S.P., Ferrara M.S., Piland S.G., et al. Concussion history is not a predictor of computerised neurocognitive performance. Br J Sports Med 2006, 40(9):802-805. [discussion: 802-5].
76. Heilbronner R.L., Bush S.S., Ravdin L.D., et al. Neuropsychological consequences of boxing and recommendations to improve safety: a national academy of neuropsychology education paper. Arch Clin Neuropsychol 2009, 24(1):11-19.
77. Iverson G.L., Brooks B.L., Collins M.W., et al. Tracking neuropsychological recovery following concussion in sport. Brain Inj 2006, 20(3):245-252.
78. Guskiewicz K.M., Ross S.E., Marshall S.W. Postural stability and neuropsychological deficits after concussion in collegiate athletes. J Athl Train 2001, 36(3):263-273.
79. Vagnozzi R., Signoretti S., Tavazzi B., et al. Hypothesis of the postconcussive vulnerable brain: experimental evidence of its metabolic occurrence. Neurosurgery 2005, 57(1):164-171. [discussion: 164-71].
80. Vagnozzi R., Tavazzi B., Signoretti S., et al. Temporal window of metabolic brain vulnerability to concussions: mitochondrial-related impairment-part I. Neurosurgery 2007, 61(2):379-388. [discussion: 388-9].
81. Anderson V., Catroppa C., Morse S., et al. Functional plasticity or vulnerability after early brain injury?. Pediatrics 2005, 116(6):1374-1382.
82. Ewing-Cobbs L., Prasad M.R., Landry S.H., et al. Executive functions following traumatic brain injury in young children: a preliminary analysis. Dev Neuropsychol 2004, 26(1):487-512.
83. Taylor H.G., Alden J. Age-related differences in outcomes following childhood brain insults: an introduction and overview. J Int Neuropsychol Soc 1997, 3(6):555-567.
84. Ewing-Cobbs L., Barnes M., Fletcher J.M., et al. Modeling of longitudinal academic achievement scores after pediatric traumatic brain injury. Dev Neuropsychol 2004, 25(1-2):107-133.
85. Ewing-Cobbs L., Prasad M.R., Kramer L., et al. Late intellectual and academic outcomes following traumatic brain injury sustained during early childhood. J Neurosurg 2006, 105(4 Suppl):287-296.
86. Gronwall D., Wrightson P., McGinn V. Effect of mild head injury during the preschool years. J Int Neuropsychol Soc 1997, 3(6):592-597.
87. Giza C.C., Kolb B., Harris N.G., et al. Hitting a moving target: Basic mechanisms of recovery from acquired developmental brain injury. Dev Neurorehabil 2009, 12(5):255-268.
88. Russo S. Sport-related concussion in the young athlete. Curr Opin Pediatr 2006, 18:376-382.
89. Bruce D.A., Schut L., Sutton L.N. Brain and cervical spine injuries occurring during organized sports activities in children and adolescents. Clin Sports Med 1982, 1(3):495-514.
90. Theye F., Mueller K.A.' Heads up": concussions in high school sports. Clin Med Res 2004, 2(3):165-171.
91. Collins M. New developments in the management of sports concussion. Curr Opin Orthop 2004, 15:100-107.
92. Committee on Sports Medicine and Fitness American academy of pediatrics: medical conditions affecting sports participation. Pediatrics 2001, 107(5):1205-1209.