What are the evidence-based medical management approaches for the concussed youth athlete? A scoping review.

IF 2.9 Q1 REHABILITATION
Archives of physiotherapy Pub Date : 2025-08-04 eCollection Date: 2025-01-01 DOI:10.33393/aop.2025.3336
Tom McKeever, Michael Leavitt, Stephanie Valentin, David F Hamilton
{"title":"What are the evidence-based medical management approaches for the concussed youth athlete? A scoping review.","authors":"Tom McKeever, Michael Leavitt, Stephanie Valentin, David F Hamilton","doi":"10.33393/aop.2025.3336","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Concussion management in youth sport relies on the experience of adults pitch-side as to injury recognition, removal, and management decisions. Little consensus exists on the consistency of pitch-side and medical pathway management approaches.</p><p><strong>Objectives: </strong>A scoping review was completed to identify and synthesise primary research as to the management of the concussed youth athlete.</p><p><strong>Methods: </strong>A systematic search was completed in Medline, CINAHL, PubMed, SPORTDiscus, OVID emcare, Web of Science, ScienceDirect, and Cochrane Library databases and Google Scholar from inception to 1st March 2025 according to PRISMA-ScR guidelines. Primary research studies that provided outcome data on management approaches for concussed youth athletes at all stages post-injury were included. Articles were synthesised and reported in themes.</p><p><strong>Results: </strong>36 studies were included and four themes identified: Exercise, activity, and neuromuscular training interventions (n = 14), Pitch-side, sub-acute management and monitoring (n = 6), Novel treatment interventions (n = 5), and individual management in specific populations (n = 11).</p><p><strong>Conclusion: </strong>Published primary research for concussed youth athlete management approaches with outcome data supports early activity recommendations and sub-threshold exercise programmes. Few data exist for alternative management approaches. Case reports/ series saturated this review, with limited generalisable data reported on. Further transparency on concussion injury reporting and management, with outcome data, is warranted.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"15 ","pages":"214-238"},"PeriodicalIF":2.9000,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12320714/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of physiotherapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33393/aop.2025.3336","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Concussion management in youth sport relies on the experience of adults pitch-side as to injury recognition, removal, and management decisions. Little consensus exists on the consistency of pitch-side and medical pathway management approaches.

Objectives: A scoping review was completed to identify and synthesise primary research as to the management of the concussed youth athlete.

Methods: A systematic search was completed in Medline, CINAHL, PubMed, SPORTDiscus, OVID emcare, Web of Science, ScienceDirect, and Cochrane Library databases and Google Scholar from inception to 1st March 2025 according to PRISMA-ScR guidelines. Primary research studies that provided outcome data on management approaches for concussed youth athletes at all stages post-injury were included. Articles were synthesised and reported in themes.

Results: 36 studies were included and four themes identified: Exercise, activity, and neuromuscular training interventions (n = 14), Pitch-side, sub-acute management and monitoring (n = 6), Novel treatment interventions (n = 5), and individual management in specific populations (n = 11).

Conclusion: Published primary research for concussed youth athlete management approaches with outcome data supports early activity recommendations and sub-threshold exercise programmes. Few data exist for alternative management approaches. Case reports/ series saturated this review, with limited generalisable data reported on. Further transparency on concussion injury reporting and management, with outcome data, is warranted.

Abstract Image

青少年运动员脑震荡的循证医学管理方法是什么?范围审查。
背景:青少年体育运动中的脑震荡管理依赖于成人球场侧的损伤识别,去除和管理决策的经验。在球场侧和医学路径管理方法的一致性上存在很少的共识。目的:完成一项范围审查,以确定和综合关于脑震荡青年运动员管理的初步研究。方法:根据PRISMA-ScR指南,系统检索Medline、CINAHL、PubMed、SPORTDiscus、OVID emcare、Web of Science、ScienceDirect、Cochrane Library数据库和谷歌Scholar数据库,检索时间自成立至2025年3月1日。本研究纳入了对受伤后各个阶段的脑震荡青年运动员的管理方法提供结果数据的初步研究。文章按主题进行综合和报告。结果:纳入了36项研究,确定了四个主题:运动、活动和神经肌肉训练干预(n = 14),侧边、亚急性管理和监测(n = 6),新型治疗干预(n = 5)和特定人群的个体管理(n = 11)。结论:发表的关于脑震荡青年运动员管理方法的初步研究结果数据支持早期活动建议和亚阈值运动计划。可供选择的管理方法的数据很少。病例报告/系列报告使本综述饱和,但报告的可推广数据有限。进一步透明的脑震荡损伤报告和管理,与结果数据,是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
3.60
自引率
0.00%
发文量
0
审稿时长
10 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信