Sideline management of sport-related concussions

Laura D. Goldberg, Robert J. Dimeff

Research output: Contribution to journalReview article

12 Scopus citations

Abstract

Concussions remain one of the most troublesome injuries sports physicians face. Studies suggest recovery takes hours to weeks, but at what point is the concussed brain no longer at increased risk for reinjury is unknown. Physicians must be alert to the symptoms of concussion and be familiar with the available tools to assess neurocognitive dysfunction. Prospectively validated signs and symptoms include amnesia, loss of consciousness, headache, dizziness, blurred vision, attention deficit, memory, postural instability, and nausea. A player with any signs or symptoms of a concussion should not be allowed to return to the current game or practice and should be monitored closely for deterioration of symptoms. Return-to-play should be individually based and proceed in a step-wise manner. The ongoing risk-benefit analysis of return-to-play must currently be based on experience, corollary data from traumatic brain injuries in animals and humans, and limited prospective data with sports-related concussions.

Original languageEnglish (US)
Pages (from-to)199-205
Number of pages7
JournalSports Medicine and Arthroscopy Review
Volume14
Issue number4
DOIs
StatePublished - Dec 1 2006

Keywords

  • Concussion
  • Mild traumatic brain injury
  • Neuropsychologic testing
  • Return-to-play
  • Sideline concussion assessment tool
  • Transient neurologic syndrome

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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