Tag Archives: treatment
The results, published today in JAMA Neurology, suggest delays in seeking treatment can lead to unnecessarily longer recovery.
“Our study emphasizes the importance of seeking appropriate, specialized care early on. Delaying clinical care following a concussion leaves patients to deal with symptoms on their own and negates the positive effects of early and targeted interventions,” said senior author Anthony Kontos, Ph.D., research director at Pitt’s Sports Medicine Concussion Program.
A concussion is a mild traumatic brain injury caused by a jolt to the head or body that disrupts the function of the brain. This injury can result in physical, cognitive, emotional and/or sleep-related symptoms that may or may not involve a loss of consciousness. The symptoms can last from several minutes, to days, weeks, months or longer.
Kontos and his team analyzed 162 athletes with diagnosed concussion injuries between the ages of 12 and 22 years. Athletes treated within the first week of injury recovered faster than athletes who did not receive care until eight days to three weeks after injury. Once in care, the length of time spent recovering was the same for athletes evaluated within the first week of injury compared to those evaluated eight days to three weeks post-injury, indicating the days before initial clinical care was the primary driver for the longer recovery duration.
“Early clinical care including behavioral management interventions and targeted exertion, vestibular and oculomotor rehabilitation exercises also may minimize missed time at work, school or sports, helping the patient return to a normal routine sooner,” said Michael “Micky” Collins, Ph.D., executive and clinical director, UPMC Sports Medicine Program.
Kontos and his colleagues say future research should look into the biological reasons why earlier engagement with care promotes faster recovery, as well as explore whether their findings could apply to other types of patients, such as military personnel.
Co-authors include Michael Collins, Ph.D., Alicia Trbovich, Ph.D., Nathan Ernst, Psy.D., Kouros Emami, Psy.D., Brandon Gillie, Ph.D., Jonathan French, Psy.D., and Cyndi Holland, M.P.H., all of Pitt; Kendra Jorgensen-Wagers, Ph.D., of Landstuhl Regional Medical Center; and R.J. Elbin, Ph.D., of University of Arkansas.
Physicians, scientists, athletic trainers, coaches, officials and retired pro players from the U.S. and Canada will discuss the science of concussion, including prevention, diagnosis, treatment and future research. The summit focuses on ice hockey, but concussion-related topics apply to all sports.
The sessions include:
- “Which Hockey Players are at Greatest Risk and Why?
- “Can Financial Concerns and Pending Litigation Reduce Concussions in Pro Hockey?”
- “The Brain’s Response to Concussive Events: Updates on the Neurometabolic Cascade”
- “Pharmacologic Interventions Available now and on the Horizon”
- “Fish Oils, Supplements and their Neuroprotective Effects”
“Ultimately, we’re coming together to make the sport safer for our athletes,” says Michael Stuart, M.D., orthopedic surgeon and co-director, Mayo Clinic Sports Medicine. “Athletes at all levels are bigger, stronger and faster. Therefore, we must improve our ability to diagnose, treat and prevent traumatic brain injury.”
As with the first two summits in 2010 and 2013, participants will develop recommendations to improve the safety of the sport. Panels featuring former hockey players, medical providers and experts with coaching, officiating and athletic training backgrounds will provide ideas for potential solutions.
Past recommendations helped foster rule changes, including penalties for all hits to the head, a delay in body checking until the 14-and-under level and the elimination of dangerous acts, such as checking from behind. After these rule changes, Minnesota Hockey/Mayo Clinic Sports Medicine data showed a significant decline in penalties related to checking from behind.
“To reduce concussions in hockey, we must change the mindset and behavior of players, coaches and fans,” says Aynsley Smith, Ph.D., sport and exercise psychologist and concussion investigator at Mayo Clinic Sports Medicine. “From a young age, athletes need to learn proper body control and stick play to shift the focus from checking to improving skills. We are making progress, but there is more to do.”
Mayo Clinic Sports Medicine is facilitating this conference with support from USA Hockey, International Ice Hockey Federation, Thorne Science, Hockey Equipment Certification Committee, American College of Sports Medicine, the Johansson-Gund Endowment, the Brian Mark Foundation and the Martineau Gift.
Members of the media who want to attend or interview participants should RSVP to the contact below by Thursday, Sept. 21.
The Canadian Concussion Collaborative (CCC) released today a guide to help parents and their children choose a good concussion clinic.
Signs or symptoms of a concussion can include headaches, blurred vision, dizziness, nausea or vomiting, and sensitivity to light or noise. For about nine in 10 people with concussions, symptoms heal gradually after seven to 10 days, but those with continuing symptoms may need a personalized care plan.
Finding a good concussion clinic that offers management and treatment can be confusing.
4 Characteristics of a Good Concussion Clinic suggests the questions to ask a clinic to make sure you’re receiving high-quality care that is supported by current guidelines.
“The guide provides important questions to ask and outlines the best approach to concussion care and management,” says Dr. Pierre Frémont, Chair of the CCC and professor at the department of rehabilitation in sports medicine general practice at Université Laval.
The four key characteristics to keep in mind when selecting a concussion clinic are:
- Medical doctor: Clinics should have timely access to physicians with experience in treating concussions who can do the initial assessment, direct care and provide final medical clearance.
- Team of licensed health care professionals: Clinics should have access to licensed professionals from several health care disciplines. They can provide complimentary expertise and work with the medical doctor to design a personalized treatment plan.
- Adhere to the most up-to-date standards of care: Recommended standards of care are updated every few years by groups of experts and are shared via documents like the international Consensus statement on concussion in sport.
- Tools, tests and recommendations used: Clinics should perform tests recommended in the most current international Consensus statement on concussion in sport to evaluate different components such as symptoms, mental functions and balance. Pre-season baseline testing is not recommended for children and adolescents.
“Good care and treatment is essential to a positive recovery from a concussion. Being able to identify a good concussion clinic that follows best practices provided by licensed health professionals is an important first step,” said Dr. Frémont.
About the Canadian Concussion Collaborative
The mission of the CCC is to create synergy between health organizations concerned with concussions in order to improve both the education about concussions, and the implementation of best practices for their prevention and management.
The CCC is composed of members from the following organizations:
- Canadian Academy of Sport and Exercise Medicine
- Canadian Association of Emergency Physicians
- Canadian Association of Occupational Therapists
- Canadian Athletic Therapists Association
- Canadian Centre for Ethics in Sport
- Canadian Chiropractic Association
- Canadian Medical Association
- Canadian Neurosurgical Society
- Canadian Paediatric Society
- Canadian Physiotherapy Association
- Canadian Psychological Association
- College of Family Physicians of Canada
- National Emergency Nurses Association
- Ontario Medical Association Sport & Exercise Medicine Section
- Ontario Neurotrauma Foundation
- Royal College of Chiropractic Sports Sciences (Canada)
For more information, please visit http://casem-acmse.org/education/ccc/