Assessment and management of sport-related concussions in United States high schools

American Journal of Sports Medicine

Volumn 39, Issue 11, 2011, Pages 2304-2310

  Meehan, William P ^a   D'Hemecourt, Pierre ^a   Collins, Christy L ^b   Comstock, R Dawn ^b  

^a BOSTON CHILDREN S HOSPITAL   (United States)

^b NATIONWIDE CHILDREN S HOSPITAL   (United States)

Author keywords

athletic injuries; athletic trainer; computed tomography; medical personnel; neuropsychological testing

Indexed keywords

ADOLESCENT; ARTICLE; ATHLETE; BRAIN CONCUSSION; DISEASE MANAGEMENT; FEMALE; HUMAN; MALE; SPORT INJURY; STATISTICS; UNITED STATES;

ADOLESCENT; ATHLETES; ATHLETIC INJURIES; BRAIN CONCUSSION; DISEASE MANAGEMENT; FEMALE; HUMANS; MALE; UNITED STATES;

EID: 80155151831     PISSN: 03635465     EISSN: 15523365     Source Type: Journal    
DOI: 10.1177/0363546511423503     Document Type: Article

References (36)

1. 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
2. Brenner DJ, Hall EJ. Computed tomography: an increasing source of radiation exposure. N Engl J Med. 2007; 357 (22). 2277-2284 (Pubitemid 350190758)
3. Brody AS, Frush DP, Huda W, Brent RL. Radiation risk to children from computed tomography. Pediatrics. 2007; 120 (3). 677-682 (Pubitemid 47358314)
4. Broglio SP, Macciocchi SN, Ferrara MS. Neurocognitive performance of concussed athletes when symptom free. J Athl Train. 2007; 42 (4). 504-508 (Pubitemid 351377898)
5. Broshek DK, Kaushik T, Freeman JR, Erlanger D, Webbe F, Barth JT. Sex differences in outcome following sports-related concussion. J Neurosurg. 2005; 102 (5). 856-863 (Pubitemid 43194006)
6. Cantu R. Second impact syndrome: a risk in any contact sport. Physician and Sportsmedicine. 1995; 23 (6). 27
7. Cantu RC. Chronic traumatic encephalopathy in the National Football League. Neurosurgery. 2007; 61 (2). 223-225 (Pubitemid 47357282)
8. Covassin T, Schatz P, Swanik CB. Sex differences in neuropsychological function and post-concussion symptoms of concussed collegiate athletes. Neurosurgery. 2007; 61 (2). 345-350 (Pubitemid 47357331)
9. Covassin T, Swanik CB, Sachs ML. Sex differences and the incidence of concussions among collegiate athletes. J Athl Train. 2003; 38 (3). 238-244 (Pubitemid 38165711)
10. 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 (3). 280-287 (Pubitemid 33685238)
11. Farace E, Alves WM. Do women fare worse? A metaanalysis of gender differences in outcome after traumatic brain injury. Neurosurg Focus. 2000; 8 (1). e6
12. Ferrara MS, McCrea M, Peterson CL, Guskiewicz KM. A survey of practice patterns in concussion assessment and management. J Athl Train. 2001; 36 (2). 145-149 (Pubitemid 33682168)
13. Foreman M. Sidelined for safety: new laws keep student athletes with concussions benched. State Legis. 2010; 36 (6). 28-30
14. Gessel LM, Fields SK, Collins CL, Dick RW, Comstock RD. Concussions among United States high school and collegiate athletes. J Athl Train. 2007; 42 (4). 495-503 (Pubitemid 351377897)
15. Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007; 42 (2). 311-319 (Pubitemid 46919986)
16. Koh JO, Cassidy JD, Watkinson EJ. Incidence of concussion in contact sports: a systematic review of the evidence. Brain Inj. 2003; 17 (10). 901-917 (Pubitemid 37235963)
17. Mannix R, Bourgeois FT, Schutzman SA, Bernstein A, Lee LK. Neuroimaging for pediatric head trauma: do patient and hospital characteristics influence who gets imaged?. Acad Emerg Med. 2010; 17 (7). 694-700
18. 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 (Pubitemid 40478202)
19. 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 Sci Med Sport. 2009; 12 (3). 340-351
20. McKee AC, Cantu RC, Nowinski CJ, et al. Chronic traumatic encephalopathy in athletes: progressive tauopathy after repetitive head injury. J Neuropathol Exp Neurol. 2009; 68 (7). 709-735
21. Meehan WP, d'Hemecourt P, Comstock RD. High school concussions in the 2008-2009 academic year: mechanism, symptoms, and management. Am J Sports Med. 2010; 38 (12). 2405-2409
22. Meehan WP, Mannix R. Pediatric concussions in United States emergency departments in the years 2002 to 2006. J Pediatr. 2010; 157 (6). 889-893
23. Mendez CV, Hurley RA, Lassonde M, Zhang L, Taber KH. Mild traumatic brain injury: neuroimaging of sports-related concussion. J Neuropsychiatry Clin Neurosci. 2005; 17 (3). 297-303 (Pubitemid 46179291)
24. Pleacher MD, Dexter WW. Concussion management by primary care providers. Br J Sports Med. 2006; 40 ( 1 e2 ):
25. Powell JW, Barber-Foss KD. Traumatic brain injury in high school athletes. JAMA. 1999; 282 (10). 958-963 (Pubitemid 29420315)
26. Prabhu SP. The role of neuroimaging in sport-related concussion. Clin Sports Med. 2011; 30 (1). 103 ix - 114
27. Press A. Concussions reported in NFL up 21 percent from last season. NFL.com News. 2010; 13 :
28. Rechel JA, Yard EE, Comstock RD. An epidemiologic comparison of high school sports injuries sustained in practice and competition. J Athl Train. 2008; 43 (2). 197-204 (Pubitemid 351508036)
29. RickersonJ. Concussion laws: 2010. Available at: http:// sportsconcussions.org/laws.html. Accessed July 22, 2011.
30. Saunders RL, Harbaugh RE. The second impact in catastrophic contact-sports head trauma. JAMA. 1984; 252 (4). 538-539 (Pubitemid 14088112)
31. Schwarz A. acknowledges long-term concussion effects. New York Times. 2009; 20 :
32. Shankar PR, Fields SK, Collins CL, Dick RW, Comstock RD. Epidemiology of high school and collegiate football injuries in the United States, 2005-2006. Am J Sports Med. 2007; 35 (8). 1295-1303 (Pubitemid 47084213)
33. MMWR Morb Mortal Wkly Rep. 2006; 55 (38). 1037-1040
34. Tommasone BA, Valovich McLeod TC. Contact sport concussion incidence. J Athl Train. 2006; 41 (4). 470-472 (Pubitemid 46889991)
35. 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)
36. WaxenbergRSatloffE. Athletic trainers fill a necessary niche in secondary schools. National Athletic Trainer's Association: 2009. Available at: http://www.nata.org/NR031209. Accessed July 22, 2011.