Changing the Culture of Concussion: Education Meets Legislation

Executive Board, Brain Injury Association of Washington, Seattle, WA, USA.
PM&R (Impact Factor: 1.53). 10/2011; 3(10 Suppl 2):S468-70. DOI: 10.1016/j.pmrj.2011.08.006
Source: PubMed
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    ABSTRACT: Mild traumatic brain injury (mTBI) is a common public health concern that affects millions of people each year. The available epidemiology of mTBI may contain insights that can guide future identification, prevention, and treatment efforts. This article discusses epidemiology of both non-sports-related mTBI and sports-related concussion. Specific occupational factors, emergency department data, and meta-analysis regarding mTBI are reviewed and discussed. With regard to sports concussion, the article will discuss data related to the sport played, the individual's position, level of play, and gender differences. Although males make up a larger percentage of cases than do females throughout the majority of reviewed non-sports-related mTBI data, the sports literature indicates that rates are higher in women when similar sports are compared. Identifiable risk factors within sports include female gender, sport, and position played. Emerging trends across mTBI include increased incidence and decreased rate of hospitalization for mTBI.
    No preview · Article · Oct 2011 · PM&R
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    ABSTRACT: There has been a remarkable increase in the past 10 years in the awareness of concussion in the sports and recreation communities. Just as sport participants,their families, coaches, trainers, and sports organizations now know more aboutconcussions, health care professionals are also better prepared to diagnose andmanage concussions. As has been stated in the formal articles in this specialissue on sport-related concussion, education about concussion is one of the mostimportant aspects of concussion prevention, with the others being data collection,program evaluation, improved engineering, and introduction and enforcement ofrules. Unfortunately, the incidence of concussion appears to be rising in manysports and thus, additional sports-specific strategies are required to reduce theincidence, short-term effects, and long term consequences of concussion. Enhancededucational strategies are required to ensure that individual participants, sportsorganizations, and health care professionals recognize concussions and managethem profciently according to internationally recognized guidelines. Therefore,this paper serves as a "brief report" on a few important aspects of concussioneducation and prevention.
    Preview · Article · Sep 2012 · Journal of clinical sport psychology
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    ABSTRACT: Object: Sports-related concussions (SRCs) represent a significant and growing public health concern. The vast majority of SRCs produce mild symptoms that resolve within 1-2 weeks and are not associated with imaging-documented changes. On occasion, however, structural brain injury occurs, and neurosurgical management and intervention is appropriate. Methods: A literature review was performed to address the epidemiology of SRC with a targeted focus on structural brain injury in the last half decade. MEDLINE and PubMed databases were searched to identify all studies pertaining to structural head injury in sports-related head injuries. Results: The literature review yielded a variety of case reports, several small series, and no prospective cohort studies. Conclusions: The authors conclude that reliable incidence and prevalence data related to structural brain injuries in SRC cannot be offered at present. A prospective registry collecting incidence, management, and follow-up data after structural brain injuries in the setting of SRC would be of great benefit to the neurosurgical community.
    No preview · Article · Dec 2012 · Neurosurgical FOCUS
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