Concussion最新文献

{"title":"Parent knowledge of and attitudes towards youth sport-related concussion and associations with child and parent factors","authors":"Samantha D Roberts, P. Schatz, J. Register-Mihalik, M. Wojtowicz","doi":"10.2217/cnc-2021-0008","DOIUrl":"https://doi.org/10.2217/cnc-2021-0008","url":null,"abstract":"Aim: This cross-sectional study aimed to better understand parental knowledge and attitudes regarding pediatric sport-related concussions, and association with parent/child biopsychosocial factors. Methods: A community sample of ninety families (n = 140 children) were included. Parental concussion knowledge and attitudes, concussion history, sport participation and social risk status score (SRS) were collected. Results: Parents scored an average of 76% accuracy on factual concussion knowledge, with 74% confidence in responses. Parents endorsed a favorable attitude toward concussion reporting and management. Low SRS had higher perceived accuracy of knowledge than medium or high SRS (p = 0.003). SRS influenced over-and-underestimations of factual knowledge (p = .04). Age at first sport and sport contact level influenced factual and perceived concussion knowledge. Conclusion: These findings identify common gaps in concussion knowledge in parents.","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48459340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Head impacts in Canadian varsity football: an exploratory study.","authors":"Laurie-Ann Corbin-Berrigan, Éric Wagnac, Sophie-Andrée Vinet, Camille Charlebois-Plante, Samuel Guay, Louis De Beaumont","doi":"10.2217/cnc-2020-0024","DOIUrl":"https://doi.org/10.2217/cnc-2020-0024","url":null,"abstract":"Laurie-Ann Corbin-Berrigan*,1,2 , Éric Wagnac2,3 , Sophie-Andrée Vinet2,4 , Camille Charlebois-Plante2,4 , Samuel Guay2,4 & Louis De Beaumont2,5 1Département des sciences de l’activité physique, Université du Québec à Trois-Rivières, Trois-Rivières, QC, G9A 5H7, Canada 2Centre de recherche du CIUSSS du Nord-de-l’ı̂le de Montréal, Hôpital du Sacré-Coeur-de-Montréal, Montréal, QC, H4J 1C5, Canada 3Département de génie mécanique, École de Technologie Supérieure, Montréal, QC, H3C 1K3, Canada 4Département de psychologie, Université de Montréal, Montréal, QC, H2V 2S9, Canada 5Département de chirurgie, Faculté de médecine, Université de Montréal, Montréal, QC, H3C 3J7, Canada *Author for correspondence: Tel.: 819-376-5011 (3786); laurie-ann.corbin-berrigan@uqtr.ca","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8369522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39324205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Altered biphasic serotonin discharge hypothesis in mild traumatic brain injury.","authors":"Jun Shinoda, Hirohito Yano, Noriyuki Nakayama","doi":"10.2217/cnc-2021-0001","DOIUrl":"https://doi.org/10.2217/cnc-2021-0001","url":null,"abstract":"Jun Shinoda*,1,2 , Hirohito Yano1,2 & Noriyuki Nakayama3 1Chubu Medical Center for Prolonged Traumatic Brain Dysfunction, Kizawa Memorial Hospital, Minokamo, Japan 2Department of Clinical Brain Sciences, Gifu University Graduate School of Medicine, Minokamo, Japan 3Department of Neurosurgery, Gifu University Graduate School of Medicine, Gifu, Japan *Author for correspondence: Tel.: +81 574 24 2233; junshino@joy.ocn.ne.jp","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8369523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39324204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators to the management of mental health complications after mild traumatic brain injury.","authors":"Noah D Silverberg, Thalia Otamendi, Amanda Dulai, Ripenjot Rai, Jason Chhina, Anna MacLellan, Pierre-Paul Lizotte","doi":"10.2217/cnc-2020-0022","DOIUrl":"10.2217/cnc-2020-0022","url":null,"abstract":"<p><strong>Background: </strong>Clinical practice guidelines for mild traumatic brain injury (mTBI) management call on family physicians to proactively screen and initiate treatment for mental health complications, but evidence suggests that this does not happen consistently. The authors aimed to identify physician-perceived barriers and facilitators to early management of mental health complications following mTBI.</p><p><strong>Methods & results: </strong>Semi-structured interviews based on the Theoretical Domains Framework (TDF) were conducted with 11 family physicians. Interview transcripts were analyzed using directed content analysis. Factors influencing management of mental health post-mTBI were identified along five TDF domains.</p><p><strong>Conclusion: </strong>Family physicians could benefit from accessible and easily implemented resources to manage post-mTBI mental health conditions, having a better defined role in this process, and formalization of referrals to mental health specialists.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8369524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39324201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relation between neck strength and psychological distress: preliminary evidence from collegiate soccer athletes.","authors":"Tara Porfido, Nicola L de Souza, Allison M Brown, Jennifer F Buckman, Brian D Fanning, James S Parrott, Carrie Esopenko","doi":"10.2217/cnc-2020-0023","DOIUrl":"10.2217/cnc-2020-0023","url":null,"abstract":"<p><strong>Aim: </strong>To examine whether neck strength and symmetry are associated with psychological function in athletes with exposure to repetitive head impacts.</p><p><strong>Methods: </strong>Collegiate soccer (n = 29) and limited/noncontact (n = 63) athletes without a history of concussion completed the Brief Symptom Inventory 18 and assessments of isometric neck strength. Neck strength symmetry was calculated as the difference in strength between opposing muscle groups.</p><p><strong>Results: </strong>The results demonstrated that lower neck strength was associated with more symptoms of anxiety, whereas asymmetry in neck strength was associated with more symptoms of somatization and depression in soccer athletes only.</p><p><strong>Conclusion: </strong>These preliminary results suggest that greater neck strength/symmetry is related to better psychological function in athletes who have higher exposure to repetitive head impacts.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8162191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38979342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Welcome to Volume 6 of <i>Concussion</i>.","authors":"Lucy Chard,&nbsp;Lauren Pulling","doi":"10.2217/cnc-2020-0025","DOIUrl":"https://doi.org/10.2217/cnc-2020-0025","url":null,"abstract":"To all of our readers, Happy New Year and welcome to the first issue of Volume 6 of Concussion. Year 2020 was a tumultuous time for everyone and it involved many canceled plans and changes to how we work. However, We are proud to have been able to maintain our commitment to publishing the key advances in clinical and translational research across this niche, yet fast paced, area of research. In this Foreword, we take a look back at some of our content highlights from 2020 as well as provide an update regarding the work of our parent organization, The Drake Foundation (London, UK) [1], on behalf of which the journal is published; looking at the projects they are currently funding in order to help further concussion research.","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8097495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38972663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Selective head-neck cooling after concussion shortens return-to-play in ice hockey players.","authors":"Anna Gard,&nbsp;Yelverton Tegner,&nbsp;Mohammad Fazel Bakhsheshi,&nbsp;Niklas Marklund","doi":"10.2217/cnc-2021-0002","DOIUrl":"https://doi.org/10.2217/cnc-2021-0002","url":null,"abstract":"<p><p>We aimed to investigate whether selective head-neck cooling could shorten recovery after sports-related concussions (SRCs). In a nonrandomized study of 15 Swedish professional ice hockey teams, 29 concussed players received immediate head and neck cooling for ≥30 min (initiated at 12.3 ± 9.2 min post-SRC by a portable cooling system), and 52 SRC controls received standard management. Players receiving head-neck cooling had shorter time to return-to-play than controls (7 vs 12.5 days, p < 0.0001), and 7% in the intervention group versus 25% in the control group were out of play for ≥3 weeks (p = 0.07). Immediate selective head-neck cooling is a promising option in the acute management of SRC that should be addressed in larger cohorts.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8162197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38979341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pilot study on exertional tasks with physiological measures designed for the assessment of military concussion.","authors":"Julianna H Prim,&nbsp;Maria I Davila,&nbsp;Karen L McCulloch","doi":"10.2217/cnc-2020-0018","DOIUrl":"https://doi.org/10.2217/cnc-2020-0018","url":null,"abstract":"<p><strong>Background: </strong>Guidelines for clinicians treating military concussion recommend exertional testing before return-to-duty, yet there is currently no standardized task or inclusion of an objective physiological measure like heart rate variability (HRV).</p><p><strong>Methodology & results: </strong>We pilot-tested two clinically feasible exertional tasks that include HRV measures and examined reliability of a commercially available heart rate monitor. Testing healthy participants confirmed that the 6-min step test and 2-min pushup test evoked the targeted physiological response, and the Polar H10 was reliable to the gold-standard electrocardiogram.</p><p><strong>Conclusion: </strong>Both tasks are brief assessments that can be implemented into primary care setting including the Polar H10 as an affordable way to access HRV. Additional research utilizing these tasks to evaluate concussion recovery can validate standardized exertional tasks for clinical use.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8097503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38972666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visual snow syndrome: evolving neuro-optometric considerations in concussion/mild traumatic brain injury.","authors":"Kenneth J Ciuffreda,&nbsp;Mh Esther Han,&nbsp;Barry Tannen,&nbsp;Daniella Rutner","doi":"10.2217/cnc-2021-0003","DOIUrl":"https://doi.org/10.2217/cnc-2021-0003","url":null,"abstract":"Visual snow syndrome (VSS) is a relatively rare, unusual and enigmatic medical condition [1–4]. It frequently occurs in patients with concussion/mild traumatic brain injury (C/mTBI) and other brain-related abnormalities [1–7]. VSS presents with a constellation of visual and non-visual problems. The hallmark symptom is the appearance of pixelated ‘visual snow’ (VS) occurring in a single plane in front of and throughout the visual field, either achromatic or chromatic in nature. Individuals diagnosed with VSS must also report two or more of the following four primary visual perceptual phenomena: photosensitivity, night vision problems (nyctalopia), palinopsia and enhanced entoptic imagery [1,2]. They frequently also report some of the following secondary visual and non-visual symptoms: photopsia, migraine, phonophobia, hyperacusis, cutaneous allodynia, tinnitus, balance disturbances and tremor [1,2]. Based on the patient’s case history and the aforementioned possible symptomatology, we have developed a VSS symptom questionnaire to assist in diagnosis, as well as to assess the effect of a therapeutic intervention [5]. This questionnaire is used in our Vision Rehabilitation Service. We have also proposed a range of basic and advanced vision tests to assist in better understanding VSS [5]. The presence of VS per se was reported as early as 1944 in association with the use of digitalis for heart problems [8]. However, it is only over the past decade that VSS has received considerable attention [1–7], with emphasis on C/mTBI. This has focused on defining the diagnostic criteria and related aspects. Unfortunately, there has been a paucity of reports related to treatment, which has been minimally successful; for example, the work of van Dongan et al. [9]. Hence we have taken a different, neuro-optometrically based, approach in our evolving clinical studies [5–7] – especially in the patient with C/mTBI – with promising results. This has included the use of specialized chromatic and achromatic tints and a saccadic tracking paradigm. Our primary focus has involved the use of specialized spectacle tints, typically of a chromatic nature [5–7]. Different tints are tested on a patient, and the one that best reduces the perceived intensity of the VS is dispensed, being incorporated into the spectacle refractive correction. In addition, this tint typically also reduces the patient’s photosensitivity, as well as the perceived intensity of the disturbing palinopsia, if either or both are present. Two commercially available tints found to be effective are BPI-Omega (Brain Power Miami, FL, USA) and FL-41 (Brain Power Miami). In an earlier medically based study [10], the Intuitive ColorimeterTM (Cerium Visual Technologies Tenterden, Kent, UK) was used to assess chromatic tint preferences in 12 individuals with VSS. Eleven of the individuals (92%) had a distinct, repeatable chromatic preference, typically in the blue–yellow color spectrum. We have also used the Intuitiv","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8162163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38979340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum.","authors":"","doi":"10.2217/cnc-2020-0008c2","DOIUrl":"https://doi.org/10.2217/cnc-2020-0008c2","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2217/cnc-2020-0008.].</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8097505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38972664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}