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Concussion experts: For kids -- no sports, no schoolwork, no text messages
June 09, 2009International consensus defines important differences in treatment for child and adolescent concussions
WASHINGTON, DC-When it comes to concussions, children and teens require different treatment, according to international experts who recently published consensus recommendations. The British Journal of Sports Medicine's new guidelines say children and teens must be strictly monitored and activities restricted until fully healed. These restrictions include no return to the field of play, no return to school, and no cognitive activity.
The new consensus is from the International Conference on Concussion in Sports. Children's pediatric concussion expert and neuropsychologist Gerard Gioia, PhD, participated in the panel, and played a key role in delineating the differences between children, adolescents and teens, and adult athletes.
"These consensus recommendations mark the first time that international experts have focused on specialized treatment for kids," said Dr. Gioia, chief of Neuropsychology at Children's National. "This conference of experts has led the way in developing protocols for adult athletes, and now international protocols take into consideration that the developing brain of the child and adolescent requires special consideration. The guidelines also point to the important role parents, coaches, and teachers play in assessing and treating young athletes."
For children and adolescents, the guidance strongly reiterates several key points for coaches, parents, and physicians:
* Injury to the developing brain, especially repeat concussions, may increase the risk of long term effects in children, so no return-to-play until completely symptom free.
* No child or adolescent athlete should ever return to play on the same day of an injury-regardless of level of athletic performance.
* Children and adolescents may need a longer period of full rest and then gradual return to normal activities than adults.
* For children, "cognitive rest" is a key to recovery. While restrictions on physical activity restrictions are also important, cognitive rest must be carefully adhered to, including limits on cognitive stressors such as academic activities and at-home/social activities including text messaging, video games, and television watching.
The group's recommendations for children and adolescents were based on the fact that though 80 to 90 percent of adult concussions resolve in seven to 10 days, for children and adolescents, the recovery time is often longer. In all cases, the decision to "return-to-play" should be made based on the individual's progress, not a standard time period. Careful post-injury evaluation of the injured student-athlete is essential.
Children's National Medical Center
"These consensus recommendations mark the first time that international experts have focused on specialized treatment for kids," said Dr. Gioia, chief of Neuropsychology at Children's National. "This conference of experts has led the way in developing protocols for adult athletes, and now international protocols take into consideration that the developing brain of the child and adolescent requires special consideration. The guidelines also point to the important role parents, coaches, and teachers play in assessing and treating young athletes."
For children and adolescents, the guidance strongly reiterates several key points for coaches, parents, and physicians:
* Injury to the developing brain, especially repeat concussions, may increase the risk of long term effects in children, so no return-to-play until completely symptom free.
* No child or adolescent athlete should ever return to play on the same day of an injury-regardless of level of athletic performance.
* Children and adolescents may need a longer period of full rest and then gradual return to normal activities than adults.
* For children, "cognitive rest" is a key to recovery. While restrictions on physical activity restrictions are also important, cognitive rest must be carefully adhered to, including limits on cognitive stressors such as academic activities and at-home/social activities including text messaging, video games, and television watching.
The group's recommendations for children and adolescents were based on the fact that though 80 to 90 percent of adult concussions resolve in seven to 10 days, for children and adolescents, the recovery time is often longer. In all cases, the decision to "return-to-play" should be made based on the individual's progress, not a standard time period. Careful post-injury evaluation of the injured student-athlete is essential.
Children's National Medical Center
Concussions Current Events and Concussions News RSSMember of NFL Hall of Fame diagnosed with degenerative brain disease
The Center for the Study of Traumatic Encephalopathy (CSTE) at Boston University School of Medicine (BUSM) announced today that a recently deceased member of the NFL Hall of Fame suffered from the degenerative brain disease Chronic Traumatic Encephalopathy (CTE) when he died, becoming the 10th former NFL player diagnosed with the disease.
First former college football player diagnosed with CTE
The Center for the Study of Traumatic Encephalopathy (CSTE) at Boston University School of Medicine (BUSM) announced today that a deceased former college football player who died at age 42 was already suffering from the degenerative brain disease, Chronic Traumatic Encephalopathy (CTE).
Football injuries in US high school athletes more severe during kickoff, punting
Injuries can occur during a sporting competition at any time. However, new research finds that during football, injuries sustained at the beginning or middle of a game are more severe compared to injuries sustained during the end or in overtime.
Minor league hockey players unable to identify concussion symptoms, study says
When Chicago Blackhawk's leading scorer Martin Havlat returned to the ice for game four of the Western Conference Final after sustaining a concussion only two days earlier, questions were raised surrounding his swift return.
UCLA study shows traumatic brain injury haunts children for years
Traumatic Brain Injury (TBI) is the single most common cause of death and disability in children and adolescents, according to the Centers for Disease Control. Now, according to a new study by UCLA researchers, the effects of a blow to the head, whether it's mild or a concussion, can linger for years.
Children with concussions require follow-up care before returning to play, say researchers
Children hospitalized with concussions should wait until they are seen by a clinician in a follow-up exam before returning to regular sports or playtime activities, according to researchers at The Children's Hospital of Philadelphia.
Classifying concussions could help kids
It's estimated that more than a half million kids in the U.S. go to the hospital each year with a concussion.
Center for the Study of Traumatic Encephalopathy announces new findings
Leading medical experts at the Center for the Study of Traumatic Encephalopathy (CSTE) at Boston University School of Medicine (BUSM) reported today that nine-year NFL veteran, former Tampa Bay Buccaneer Tom McHale was suffering from chronic traumatic encephalopathy (CTE), a degenerative brain disease caused by head trauma, when he died in 2008 at the age of 45.
Men and women with history of concussion mend differently, study finds
Female soccer players and soccer players who have had a previous concussion recuperate differently from males or players without a history of concussion, new research released today at the 2008 American Orthopaedic Society for Sports Medicine Annual Meeting at the JW Marriott Orlando Grande Lakes shows.
Golf cart injuries on the rise
As golf carts are used in more settings off the golf course, the number of injuries is rising. According to an article in the July 2008 issue of the American Journal of Preventive Medicine, from 1990 until 2006, the injury rate rose more than 130 percent.
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