The Unconsidered Pathway: Suggestions for Physical Therapists to Facilitate Student Reintegration to Physical Education after a Concussion.

IF 2 4区 医学 Q2 PEDIATRICS
Pamela Maree Tucker, Jennifer Strizak, Brian Rieger, Steven Lounsbury, John Leddy
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引用次数: 0

Abstract

Background/Objectives: "Return-to-play" and "return-to-learn" after a concussion are familiar concepts due to guidelines proposed by the Concussion in Sport Group and Heads-Up Initiative. The purpose of this commentary is to expand upon the current consensus guidelines for treatment of concussed children and adolescents, as well as provide guidelines for returning to physical education (RT-PE) classes. Proposal: The authors propose one general and four subtype-specific guidelines post-concussion injury. This framework highlights the role of physical therapists in the management of children with prolonged recovery. The final RT-PE determination should occur with documented medical clearance from a licensed healthcare provider trained in the evaluation and management of a concussion. Conclusions: Despite significant gains regarding the management of concussed children and adolescents, confusion remains regarding RT-PE post-concussion. To eliminate ambiguity and promote adherence to a gradual return to activity protocols, the authors developed guidelines based on current evidence and recommendations.

未经考虑的途径:物理治疗师促进学生在脑震荡后重返体育课的建议。
背景/目标:由于 "运动脑震荡小组 "和 "抬头行动 "提出的指导方针,脑震荡后 "重返赛场 "和 "重返学习 "已成为耳熟能详的概念。本评论旨在扩充当前治疗脑震荡儿童和青少年的共识指南,并提供重返体育课(RT-PE)的指南。建议:作者提出了脑震荡损伤后的一个通用指南和四个亚型特定指南。这一框架强调了物理治疗师在管理恢复期较长的儿童中的作用。最终的复课决定应由接受过脑震荡评估和管理培训的持证医疗保健提供者出具医疗证明文件。结论:尽管在脑震荡儿童和青少年的管理方面取得了重大进展,但在脑震荡后的 RT-PE 方面仍然存在困惑。为了消除歧义并促进遵守逐步恢复活动的方案,作者根据当前的证据和建议制定了指导方针。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Children-Basel
Children-Basel PEDIATRICS-
CiteScore
2.70
自引率
16.70%
发文量
1735
审稿时长
6 weeks
期刊介绍: Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.
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