ConcussionPub Date : 2020-07-01DOI: 10.2217/cnc-2020-0004
James Mooney, Mitchell Self, Karim ReFaey, Galal Elsayed, Gustavo Chagoya, Joshua D Bernstock, James M Johnston
{"title":"Concussion in soccer: a comprehensive review of the literature.","authors":"James Mooney, Mitchell Self, Karim ReFaey, Galal Elsayed, Gustavo Chagoya, Joshua D Bernstock, James M Johnston","doi":"10.2217/cnc-2020-0004","DOIUrl":"https://doi.org/10.2217/cnc-2020-0004","url":null,"abstract":"<p><p>Sports-related concussion has been examined extensively in collision sports such as football and hockey. However, historically, lower-risk contact sports such as soccer have only more recently garnered increased attention. Here, we review articles examining the epidemiology, injury mechanisms, sex differences, as well as the neurochemical, neurostructural and neurocognitive changes associated with soccer-related concussion. From 436 titles and abstracts, 121 full texts were reviewed with a total of 64 articles identified for inclusion. Concussion rates are higher during competitions and in female athletes with purposeful heading rarely resulting in concussion. Given a lack of high-level studies examining sports-related concussion in soccer, clinicians and scientists must focus research efforts on large-scale data gathering and development of improved technologies to better detect and understand concussion.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2020-0004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38447376","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}
ConcussionPub Date : 2020-06-10eCollection Date: 2022-05-01DOI: 10.2217/cnc-2021-0007
Gavin A Davis, Vanessa C Rausa, Franz E Babl, Katie Davies, Michael Takagi, Alison Crichton, Audrey McKinlay, Nicholas Anderson, Stephen Jc Hearps, Cathriona Clarke, Remy Pugh, Kevin Dunne, Peter Barnett, Vicki Anderson
{"title":"Improving subacute management of post concussion symptoms: a pilot study of the Melbourne Paediatric Concussion Scale parent report.","authors":"Gavin A Davis, Vanessa C Rausa, Franz E Babl, Katie Davies, Michael Takagi, Alison Crichton, Audrey McKinlay, Nicholas Anderson, Stephen Jc Hearps, Cathriona Clarke, Remy Pugh, Kevin Dunne, Peter Barnett, Vicki Anderson","doi":"10.2217/cnc-2021-0007","DOIUrl":"https://doi.org/10.2217/cnc-2021-0007","url":null,"abstract":"<p><strong>Aim: </strong>To pilot a modification of the Post Concussion Symptom Inventory, the Melbourne Paediatric Concussion Scale (MPCS) and examine its clinical utility.</p><p><strong>Materials & methods: </strong>A total of 40 families of concussed children, aged 8-18 years, were recruited from the emergency department. Parent responses to the MPCS in the emergency department and 2-weeks post injury determined child symptomatic status. Association between MPCS symptom endorsement and symptomatic group status was examined.</p><p><strong>Results: </strong>All additional MPCS items were endorsed by at least 25% of the parents of symptomatic children at 2 weeks. MPCS items were classified into nine symptom domains, with most falling in mood, neurological, autonomic and vestibular domains.</p><p><strong>Conclusion: </strong>The additional items and domain classifications in the MPCS have the potential to improve subacute diagnostic precision, monitoring of clinical recovery and identification of appropriate interventions post pediatric concussion.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9199568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40224926","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}
ConcussionPub Date : 2020-05-14DOI: 10.2217/cnc-2020-0003
Ryan N Moran, Nicholas G Murray, Michael R Esco, Ward Dobbs, Jamie McAllister-Deitrick
{"title":"Effects of exercise on symptoms, vestibular/ocular motor screening and postural stability in a college-aged sample.","authors":"Ryan N Moran, Nicholas G Murray, Michael R Esco, Ward Dobbs, Jamie McAllister-Deitrick","doi":"10.2217/cnc-2020-0003","DOIUrl":"https://doi.org/10.2217/cnc-2020-0003","url":null,"abstract":"<p><strong>Aim: </strong>To examine the effects of maximal exercise on symptoms, vestibular/ocular motor screening (VOMS) and postural stability.</p><p><strong>Methodology: </strong>A total of 17 college-aged individuals completed a symptom scale, VOMS and the modified Clinical Test for Sensory Interaction and Balance (m-CTSIB), followed by a graded maximal exercise treadmill test. Assessments were repeated post exercise, 20 and 40 min post-exercise.</p><p><strong>Results: </strong>Significant increases in total symptoms, symptom severity scores and m-CTSIB scores from baseline to immediate post exercise were reported. Following 20-min recovery, improvements were noted on symptoms, visual motion sensitivity on VOMS and m-CTSIB.</p><p><strong>Conclusion: </strong>Symptoms and postural stability are influenced by exercise and following 20 min of rest, returned to baseline, indicating that a period of 20 min following a suspected concussion may be needed to negate exercise effects.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2020-0003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38023698","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}
ConcussionPub Date : 2020-05-14DOI: 10.2217/cnc-2020-0006
Scott L Zuckerman, Aaron M Yengo-Kahn, Benjamin L Brett, Andrew W Kuhn, Daniel I Wolfson, Zachary Y Kerr
{"title":"Benefits of team sport participation versus concerns of chronic traumatic encephalopathy: prioritizing the health of our youth.","authors":"Scott L Zuckerman, Aaron M Yengo-Kahn, Benjamin L Brett, Andrew W Kuhn, Daniel I Wolfson, Zachary Y Kerr","doi":"10.2217/cnc-2020-0006","DOIUrl":"https://doi.org/10.2217/cnc-2020-0006","url":null,"abstract":"Scott L Zuckerman*,1,2, Aaron M Yengo-Kahn1,2, Benjamin L Brett3,4, Andrew W Kuhn1, Daniel I Wolfson1 & Zachary Y Kerr5,6,7 1Vanderbilt Sports Concussion Center, Vanderbilt University Medical Center, Nashville, TN 37232, USA 2Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA 3Department of Neurology, Medical College of Wisconsin, Milwaukee, WI 53226, USA 4Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA 5Department of Exercise & Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27154, USA 6Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, University of North Carolina, Chapel Hill, NC 27154, USA 7Injury Prevention Research Center, University of North Carolina, Chapel Hill, NC, USA *Author for correspondence: Tel.: +1 615 835 7075; Fax: +1 615 343 6948; zuckerman.scott@gmail.com","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2020-0006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38023700","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}
ConcussionPub Date : 2020-05-11DOI: 10.2217/cnc-2019-0014
Åsa Engström, Eija Jumisko, Pashtun Shahim, Niklas Lehto, Kaj Blennow, Henrik Zetterberg, Yelverton Tegner
{"title":"Losing the identity of a hockey player: the long-term effects of concussions.","authors":"Åsa Engström, Eija Jumisko, Pashtun Shahim, Niklas Lehto, Kaj Blennow, Henrik Zetterberg, Yelverton Tegner","doi":"10.2217/cnc-2019-0014","DOIUrl":"10.2217/cnc-2019-0014","url":null,"abstract":"<p><strong>Aim: </strong>To describe what suffering multiple concussions meant for former semi-professional or professional hockey players who were forced to end their career.</p><p><strong>Results: </strong>Nine former Swedish hockey players, who once played on national or professional teams were interviewed. The interviews were analyzed with reference to hermeneutic phenomenology to interpret and explain their experiences. The theme of losing one's identity as a hockey player was constructed from five subthemes: being limited in everyday life, returning to the hockey stadium as soon as possible, forming a post career identity, lacking understanding and support, and preventing injuries by respecting other players.</p><p><strong>Conclusion: </strong>The former hockey players struggled with developing their off-the-ice identities and with finding other sources of meaning for their lives.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38023699","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}
ConcussionPub Date : 2020-04-09DOI: 10.2217/cnc-2020-0002
Adam R Kinney, Dustin Anderson, Kelly A Stearns-Yoder, Lisa A Brenner, Jeri E Forster
{"title":"Risk and recovery among high school athletes who sustained at least one sports-related concussion.","authors":"Adam R Kinney, Dustin Anderson, Kelly A Stearns-Yoder, Lisa A Brenner, Jeri E Forster","doi":"10.2217/cnc-2020-0002","DOIUrl":"https://doi.org/10.2217/cnc-2020-0002","url":null,"abstract":"<p><strong>Aim: </strong>Evidence of factors explaining sports-related concussion (SRC) risk and recovery among high school athletes remains inconclusive.</p><p><strong>Materials & methods: </strong>Prospective study of a real-world sample of high school athletes (n = 77) who sustained ≤1 SRC. Among those with multiple SRCs, recovery time between events was investigated. To investigate concussion risk, baseline characteristics of athletes with a single versus multiple SRC(s) were compared.</p><p><strong>Results: </strong>Recovery time did not differ across events. There were no differences between those with a single versus multiple SRCs.</p><p><strong>Conclusion: </strong>Recovery time between initial and subsequent concussive events did not differ, suggesting that prior concussion may not prolong recovery. Baseline characteristics did not explain heightened concussion risk. Investigation of these relationships using more representative samples is needed.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2020-0002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38023697","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}
ConcussionPub Date : 2020-02-06DOI: 10.2217/cnc-2020-0001
Kimberley Ndungu, Lauren Pulling, Jennifer Straiton
{"title":"Welcome to Volume 5 of <i>Concussion</i>.","authors":"Kimberley Ndungu, Lauren Pulling, Jennifer Straiton","doi":"10.2217/cnc-2020-0001","DOIUrl":"https://doi.org/10.2217/cnc-2020-0001","url":null,"abstract":"To all of our readers, Happy New Year and welcome to the first issue of Volume 5 of Concussion. As we celebrate our 5th birthday as a journal, we are proud 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 2019, as well as introduce our new resource for concussion researchers: Concussion Zone [1]. We also provide an update regarding the work of our parent, The Drake Foundation [2], 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":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37813551","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}
ConcussionPub Date : 2020-01-14DOI: 10.2217/cnc-2019-0008
Travis White-Schwoch, Jennifer Krizman, Kristi McCracken, Jamie K Burgess, Elaine C Thompson, Trent Nicol, Nina Kraus, Cynthia R LaBella
{"title":"Baseline profiles of auditory, vestibular, and visual functions in youth tackle football players.","authors":"Travis White-Schwoch, Jennifer Krizman, Kristi McCracken, Jamie K Burgess, Elaine C Thompson, Trent Nicol, Nina Kraus, Cynthia R LaBella","doi":"10.2217/cnc-2019-0008","DOIUrl":"https://doi.org/10.2217/cnc-2019-0008","url":null,"abstract":"<p><strong>Aim: </strong>Neurosensory tests have emerged as components of sport-related concussion management. Limited normative data are available in healthy, nonconcussed youth athletes.</p><p><strong>Patients & methods/results: </strong>In 2017 and 2018, we tested 108 youth tackle football players immediately before their seasons on the frequency-following response, Balance Error Scoring System, and King-Devick test. We compared results with published data in older and/or and nonathlete populations. Performance on all tests improved with age. Frequency-following response and Balance Error Scoring System results aligned with socioeconomic status. Performance was not correlated across neurosensory domains.</p><p><strong>Conclusion: </strong>Baseline neurosensory functions in seven 14-year-old male tackle football players are consistent with previously published data. Results reinforce the need for individual baselines or demographic-specific norms and the use of multiple neurosensory measures in sport-related concussion management.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2019-0008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37581465","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}
ConcussionPub Date : 2020-01-14DOI: 10.2217/cnc-2019-0013
Melissa Hunfalvay, Claire-Marie Roberts, Nicholas P Murray, Ankur Tyagi, Kyle W Barclay, Takumi Bolte, Hannah Kelly, Frederick R Carrick
{"title":"Vertical smooth pursuit as a diagnostic marker of traumatic brain injury.","authors":"Melissa Hunfalvay, Claire-Marie Roberts, Nicholas P Murray, Ankur Tyagi, Kyle W Barclay, Takumi Bolte, Hannah Kelly, Frederick R Carrick","doi":"10.2217/cnc-2019-0013","DOIUrl":"10.2217/cnc-2019-0013","url":null,"abstract":"<p><strong>Aim: </strong>Neural deficits were measured via the eye tracking of vertical smooth pursuit (VSP) as markers of traumatic brain injury (TBI). The present study evaluated the ability of the eye tracking tests to differentiate between different levels of TBI severity and healthy controls.</p><p><strong>Methodology: </strong>Ninety-two individuals divided into four groups (those with mild, moderate or severe TBI and healthy controls) participated in a computerized test of VSP eye movement using a remote eye tracker.</p><p><strong>Results: </strong>The VSP eye tracking test was able to distinguish between severe and moderate levels of TBI but unable to detect differences in the performance of participants with mild TBI and healthy controls.</p><p><strong>Conclusion: </strong>The eye-tracking technology used to measure VSP eye movements is able to provide a timely and objective method of differentiating between individuals with moderate and severe levels of TBI.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37813548","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}
ConcussionPub Date : 2020-01-10DOI: 10.2217/cnc-2019-0015
Elizabeth Thomas, Melinda Fitzgerald, Gill Cowen
{"title":"Does Australia have a concussion 'epidemic'?","authors":"Elizabeth Thomas, Melinda Fitzgerald, Gill Cowen","doi":"10.2217/cnc-2019-0015","DOIUrl":"10.2217/cnc-2019-0015","url":null,"abstract":"","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37813550","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}