Which on-field signs/symptoms predict protracted recovery from sport-related concussion among high school football players?

American Journal of Sports Medicine

Volumn 39, Issue 11, 2011, Pages 2311-2318

  Lau, Brian C ^a   Kontos, Anthony P ^b   Collins, Michael W ^b   Mucha, Anne ^c   Lovell, Mark R ^b  

^a UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF PITTSBURGH   (United States)

^c UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

Author keywords

concussion; mild traumatic brain injury (mTBI); neurocognitive testing; prognosis; recovery time; signs symptoms

Indexed keywords

ADOLESCENT; ARTICLE; BRAIN CONCUSSION; CONFUSION; CONVALESCENCE; DIZZINESS; FOOTBALL; HEADACHE; HUMAN; HYPESTHESIA; INJURY; MALE; NEUROPSYCHOLOGICAL TEST; PHOTOPHOBIA; POSTCONCUSSION SYNDROME; PROGNOSIS; PROSPECTIVE STUDY; RETROGRADE AMNESIA; SPORT INJURY; UNCONSCIOUSNESS; VOMITING;

ADOLESCENT; AMNESIA, RETROGRADE; ATHLETIC INJURIES; BRAIN CONCUSSION; CONFUSION; DIZZINESS; FOOTBALL; HEADACHE; HUMANS; HYPESTHESIA; MALE; NEUROPSYCHOLOGICAL TESTS; PHOTOPHOBIA; POST-CONCUSSION SYNDROME; PROGNOSIS; PROSPECTIVE STUDIES; RECOVERY OF FUNCTION; UNCONSCIOUSNESS; VOMITING;

EID: 80155142465     PISSN: 03635465     EISSN: 15523365     Source Type: Journal    
DOI: 10.1177/0363546511410655     Document Type: Article

References (44)

1. Alsalaheen BA, Mucha A, Morris LO, et al. Vestibular rehabilitation for dizziness and balance disorders after concussion. J Neurol Phys Ther. 2010; 34 (2). 87-93
2. Aubry M, Cantu R, Dvorak J, et al. Summary and agreement statement of the First International Conference on Concussion in Sport, Vienna 2001. Br J Sports Med. 2002; 36: 6-10 (Pubitemid 34165263)
3. Binder LM. A review of mild head trauma, part II: clinical implication. J Clin Exp Neuropsychol. 1997; 19: 432-457 (Pubitemid 27316174)
4. Chamelian L, Feinstein A. Outcome after mild to moderate traumatic brain injury: the role of dizziness. Arch Phys Med Rehabil. 2004; 85: 1662-1666 (Pubitemid 39349412)
5. Cohen H, Blatchly CA, Gombash LL. A study of the Clinical Test of Sensory Interaction and Balance. Phys Ther. 1993; 73: 346-351
6. Collins MW, Iverson GL, Lovell MR, McKeag DB, Norwig J, Maroon J. On-field predictors of neuropsychological and symptom deficit following sports-related concussion. Clin J Sports Med. 2003; 13 (4). 222-229 (Pubitemid 36917980)
7. Collins MW, Lovell MR, Iverson GL, Ide T, Maroon J. Examining concussion rates and return to play in high school football players wearing newer helmet technology: at three-year prospective cohort study. Neurosurgery. 2006; 58 (2). 275-286
8. De Kruijk JR, Leffers P, Menheere PP, Meerhoff S, Rutten J, Twijnstra A. Prediction of post-traumatic complaints after mild traumatic brain injury: early symptoms and biochemical markers. J Neurol Neurosurg Psychiatry. 2002; 73 (6). 727-732 (Pubitemid 35448860)
9. Erlanger D, Saliba E, Barth J, Almquist J, Webright W, Freeman J. Monitoring resolution of postconcussion symptoms in athletes: preliminary results of a web-based neuropsychological test protocol. J Athl Train. 2001; 36: 280-287 (Pubitemid 33685238)
10. Field M, Collins MW, Lovell MR, Maroon J. Does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes. J Pediatr. 2003; 142: 546-553 (Pubitemid 36623566)
11. Guskiewicz KM. Balance assessment in the management of sport-related concussion. Clin Sports Med. 2011; 30 (1). 89-102
12. Guskiewicz KM, Ross SE, Marshall SW. Postural stability and neuropsychological deficits after concussion in collegiate athletes. J Athl Train. 2001; 36: 263-273 (Pubitemid 33685236)
13. Honrubia V, Bell TS, Harris MR, Baloh RW, Fisher LM. Quantitative evaluation of dizziness characteristics and impact on quality of life. Am J Otol. 1996; 17: 595-602 (Pubitemid 26254914)
14. Ingebrigtsen T, Waterloo K, Marup-Jensen S, Attner E, Romner B. Quantification of post-concussion symptoms 3 months after minor head injury in 100 consecutive patients. J Neurol. 1998; 245: 609-612 (Pubitemid 28431896)
15. Iverson GL. Predicting slow recovery from sport-related concussion: the new simple-complex distinction. Clin J Sport Med. 2007; 17: 31-37
16. Iverson GL, Brooks BL, Collins MW, Lovell MR. Tracking neuropsychological recovery following concussion in sport. Brain Inj. 2006; 20 (3). 245-252
17. Iverson GL, Lovell MR, Collins MW. Interpreting change on ImPACT following sport concussion. Clin Neuropsychol. 2003; 17: 460-467 (Pubitemid 38221769)
18. Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed following sports-related concussion. J Clin Exp Neuropsychol. 2005; 27 (6). 683-689 (Pubitemid 41663404)
19. Jacobson GP, Newman CW. The development of the dizziness handicap inventory. Arch Otolaryngol Head Neck Surg. 1990; 116 (4). 424-427 (Pubitemid 20142463)
20. Kammerlind AS, Larsson PB, Ledin T, Skargren E. Reliability of clinical balance tests and subjective ratings in dizziness and disequilibrium. Adv Phyiother. 2005; 7: 96-107 (Pubitemid 41388019)
21. Lanska DJ, Goetz CG. Romberg's sign: development, adoption and adaptation into the 19th century. Neurology. 2000; 55: 1201-1206
22. Lau BC, Collins MW, Lovell MR. Sensitivity and specificity of subacute computerized neurocognitive testing and symptom evaluation in predicting outcomes after sports-related concussion. Am J Sports Med. 2011 ;:
23. Lau B, Lovell MR, Collins MW, Pardini J. Neurocognitive and symptom predictors in recovery in high school athletes. Clin J Sports Med. 2009; 19 (3). 216-221
24. Leininger BE, Gramling SE, Farrell AD, Kreutzer JS, Peck EA. Neuropsychological deficits in symptomatic minor head injury patients after concussion and mild concussion. J Neurol Neurosurg Psychiatry. 1990; 53: 293-296 (Pubitemid 20152008)
25. Lovell MR, Collins MW, Fu F, Burke C, Podell K. Neuropsychological testing in sports: past, present, and future. Br J Sports Med. 2001; 35: 367-372
26. Lovell MR, Iverson GL, Collins MW, McKeag D, Maroon JC. Does loss of consciousness predict neuropsychological decrements after concussion?. Clin J Sports Med. 1999; 9: 193-198
27. Lovell MR, Iverson GL, Collins MW, et al. Measurement of symptoms following sports-related concussion: reliability and normative data for the post-concussion scale. Appl Neuropsychol. 2006; 13 (3). 166-174 (Pubitemid 44917660)
28. Makdissi M, Darby D, Maruff P, Ugoni A, Brukner P, McCrory PR. Natural history of concussion in sport: markers of severity and implications for management. Am J Sports Med. 2010; 38 (3). 464-471
29. Maskell F, Chiarelli P, Isles R. Dizziness after traumatic brain injury: overview and measurement in the clinical setting. Brain Inj. 2006; 20: 293-305
30. McCrory P, Johnston K, Meeuwise W, et al. Summary and agreement statement of the 2nd International Conference on Concussion in Sport, Prague 2004. Clin J Sport Med. 2005; 15 (2). 48-55 (Pubitemid 40462876)
31. McCrory P, Meeuwisse W, Johnston K, et al. Consensus statement on concussion in sport: the Third International Conference on Concussion in Sport held in Zurich, November 2008. Phys Sportsmed. 2009; 37 (2). 141-159
32. Meehan WP, d'Hemecourt P, Comstock RD. High school concussion in the 2008-2009 academic year: mechanism, symptoms, and management. Am J Sports Med. 2010; 38 (12). 2405-2409
33. Pellman EJ, Lovell MR, Viano DC, Casson IR. Concussion in professional football: recovery of NFL and high school athletes assessed by computerized neuropsychological testing, part 12. Neurosurgery. 2006; 58: 263-274
34. Peterson CL, Ferrara MS, Mrazik M, Piland S, Elliott R. Evaluation of neuropsychological domain scores and postural stability following cerebral concussion in sports. Clin J Sport Med. 2003; 13: 230-237 (Pubitemid 36917981)
35. Randolph C, McCrea M, Barr WB. Is neuropsychological testing useful in management of sport-related concussion?. J Athl Train. 2005; 30: 139-152 (Pubitemid 41443068)
36. Riemann BL, Guskiewicz KM. Effects of mild head injury on postural stability as measured through clinical balance testing. J Athl Train. 2000; 35: 19-25
37. Schatz P, Pardini J, Lovell MR, Collins MW, Podell K. Sensitivity and specificity of the ImPACT test battery for concussion in athletes. Arch Clin Neuropsychol. 2006; 21 (1). 91-99 (Pubitemid 41802930)
38. Slobounov S, Slobounov E, Sebastianelli W, Cao C, Newell K. Differential rate of recovery in athletes after first and second concussion episodes. Neurosurgery. 2007; 61 (2). 338-344 (Pubitemid 47357329)
39. Van der Naalt J. Prediction of outcome in mild to moderate head injury: a review. J Clin Exp Neuropsychol. 2001; 23: 837-851 (Pubitemid 33817418)
40. Van der Naalt J, Van Zomeren AH, Sluiter WJ, Minderhoud JM. One year outcome in mild to moderate head injury: the predictive value of acute injury characteristics related to complaints and return to work. J Neurol Neurosurg Psychiatry. 1999; 66: 207-213 (Pubitemid 29103523)
41. Van Kampen DA, Lovell MR, Pardini JE, Collins MW, Fu FH. The "value-added" of neurocognitive testing after sports-related concussion. Am J Sports Med. 2006; 34 (10). 1630-1635 (Pubitemid 44385857)
42. Yang CC, Tu YK, Hua MS, Huang SJ. The association between postconcussion symptoms and clinical outcomes for patients with mild traumatic brain injury. J Trauma. 2007; 62 (3). 657-663
43. Yardley L. Contribution of symptoms and beliefs to handicap in people with vertigo: a longitudinal study. Br J Clin Psychol. 1994; 33: 101-113 (Pubitemid 24061591)
44. Yardley L, Beech S, Weinman J. Influence of beliefs about the consequences of dizziness on handicap in people with dizziness, and the effect of therapy on beliefs. J Psychosom Res. 2001; 50: 1-6 (Pubitemid 32279927)