Article

Neuropsychological evaluation in the diagnosis and management of sports-related concussion

RSM Psychology Center, LLC, USA.
Archives of Clinical Neuropsychology (Impact Factor: 1.92). 12/2007; 22(8):909-16. DOI: 10.1016/j.acn.2007.09.004
Source: PubMed

ABSTRACT A mild traumatic brain injury in sports is typically referred to as a concussion. This is a common injury in amateur and professional athletics, particularly in contact sports. This injury can be very distressing for the athlete, his or her family, coaches, and school personnel. Fortunately, most athletes recover quickly and fully from this injury. However, some athletes have a slow recovery, and there are reasons to be particularly concerned about re-injury during the acute recovery period. Moreover, some athletes who have experienced multiple concussions are at risk for long-term adverse effects. Neuropsychologists are uniquely qualified to assess the neurocognitive and psychological effects of concussion. The National Academy of Neuropsychology recommends neuropsychological evaluation for the diagnosis, treatment, and management of sports-related concussion at all levels of play.

Download full-text

Full-text

Available from: Frank M Webbe, Jul 29, 2015
1 Follower
 · 
322 Views
  • Source
    • "Blood biomarkers in human mTBI 2012). It has been suggested that an mTBI that occurs in sports is typically referred to as a concussion (Moser et al., 2007). In an attempt at clarity and unification, a definition has been put forth by the American Congress of Rehabilitation Medicine (ACRM) that is endorsed by both the Centre of Disease Control and Prevention (CDC) and the World Health Organization (WHO). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Traumatic Brain Injury (TBI) is a global health concern. The majority of TBI's are mild, yet our ability to diagnose and treat mild traumatic brain injury (mTBI) is lacking. This deficiency results from a variety of issues including the difficulty in interpreting ambiguous clinically presented symptoms, and ineffective imaging techniques. Thus, researchers have begun to explore cellular and molecular based approaches to improve both diagnosis and prognosis. This has been met with a variety of challenges, including difficulty in relating biological markers to current clinical symptoms, and overcoming our lack of fundamental understanding of the pathophysiology of mTBI. However, recent adoption of high throughput technologies and a change in focus from the identification of single to multiple markers has given just optimism to mTBI research. The purpose of this review is to highlight a number of current experimental peripheral blood biomarkers of mTBI, as well as comment on the issues surrounding their clinical application and utility.
    Frontiers in Neurology 05/2013; 4:44. DOI:10.3389/fneur.2013.00044
  • Source
    • "The authors of these statements frequently repeat that; " Concussion may result in neuropathologic changes, but the clinical symptoms largely reflect a functional disturbance rather than a structural injury " . This clinical sentiment is repeated and re-examined in clinical research in which neuropsychologists and other clinical concussion researchers continue to promote the idea of cognitive functional recovery being representative of clinical recovery (Moser et al., 2007). Moreover, this basic statement represents a construct flaw in their hypothesis. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Concussion, the most common form of traumatic brain injury, proves to be increasingly complex and not mild in nature as its synonymous term mild traumatic brain injury (mTBI) would imply. Despite the increasing occurrence and prevalence of mTBI there is no universally accepted definition and conventional brain imaging techniques lack the sensitivity to detect subtle changes it causes. Moreover, clinical management of sports induced mild traumatic brain injury has not changed much over the past decade. Advances in neuroimaging that include electroencephalography (EEG), functional magnetic resonance imaging (fMRI), resting-state functional connectivity, diffusion tensor imaging (DTI) and magnetic resonance spectroscopy (MRS) offer promise in aiding research into understanding the complexities and nuances of mTBI which may ultimately influence clinical management of the condition. In this paper the authors review the major findings from these advanced neuroimaging methods along with current controversy within this field of research. As mTBI is frequently associated with youth and sports injury this review focuses on sports-related mTBI in the younger population.
    Brain Imaging and Behavior 06/2012; 6(2):224-43. DOI:10.1007/s11682-012-9167-2 · 4.60 Impact Factor
  • Source
    • "In a more recent investigation, Moser and Schatz (2002) showed that postconcussive symptoms persisted for weeks or months in some youth athletes who had suffered multiple concussive or subconcussive blows. The current return-to-play guidelines suggest that children should not return to play if they continue to be symptomatic after a concussion, either at rest or under physical or cognitive exertion (Aubry et al., 2002; Guskiewicz et al., 2004; McCrory et al., 2005; Moser et al., 2007). Hence, appropriate symptom assessment is critical to the effective management of sports concussion in youth; however, some potential barriers exist, which may preclude the accuracy of symptom identification and resolution. "
    [Show abstract] [Hide abstract]
    ABSTRACT: This paper aims to familiarize readers with the contemporary scientific literature available on sports concussion as it relates to populations divergent from adult males who play football and hockey. Herein, we focus on important issues such as age, gender, culture, language, sport type, and premorbid conditions (such as learning disabilities [LD] and attention deficit/hyperactive disorder [ADHD]) that can influence concussion incidence, severity, and recovery.
    Journal of clinical sport psychology 01/2012; 6(4):363-384.
Show more