Sport-Related Concussion (SRC), An Issue of Clinics in Sports Medicine

1st Edition, Volume 40-1 - November 18, 2020
Editor: Peter Kriz
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 5 4 5 - 0
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 5 4 6 - 7

This issue of Clinics in Sports Medicine will discuss Sports-Related Concussion. Guest edited by Dr. Peter Kriz, this issue will discuss a number of related topics that are… Read more

Sport-Related Concussion (SRC), An Issue of Clinics in Sports Medicine

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This issue of Clinics in Sports Medicine will discuss Sports-Related Concussion. Guest edited by Dr. Peter Kriz, this issue will discuss a number of related topics that are important to practicing clinicians. This issue is one of four selected each year by our series Consulting Editor, Dr. Mark Miller. The volume will include articles on: Epidemiology of SRC, Biomechanics of SRC, Diagnosis, On-field Management of SRC, Outpatient Management of Sports-Related Concussion, Neuropsychological Assessment of SRC, Rehabilitation of SRC, Neuroimaging in SRC, Medical Therapies for Concussion, Female Athlete and SRC, Pediatric Athlete and SRC, Prevention of Sport-Related Concussion, Long-term neurocognitive, mental health consequences of collision sports, Future Directions in SRC Management, among other topics.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Epidemiology of Sport-Related Concussion
Key points
Introduction
Sport-specific findings
Summary
Biomechanics of Sport-Related Neurological Injury
Key points
Introduction
Sports-related concussion
Biomechanics of traumatic brain injury
Defining tissue response and neurologic injury
Quantifying repetitive head impacts using biomechanical metrics
Summary
Clinics Care Points
The Molecular Pathophysiology of Concussion
Key points
Introduction
Neurometabolic cascade of concussion
Excitatory neurotransmitters and ion flux
Altered behavioral changes
Treatment
Summary
Clinics Care Points
Diagnosis and Sideline Management of Sport-Related Concussion
Key points
Diagnosis of sport-related concussion
Concussion tests
Sideline management of sport-related concussion
Recognition
Sideline evaluation
Monitoring
Initial care and follow-up
Clinics care points
Outpatient Management of Sport-Related Concussion, Return to Learn, Return to Play
Key points
Introduction
Office-based evaluation: recommended tools for clinical assessment
Sport-related concussion: return to activity
Adjunctive therapies for sports-related concussion: when/what to prescribe
Summary/future directions
Clinics Care points
Neuropsychological Assessment of Sport-Related Concussion
Key points
Introduction
History of neuropsychological assessment and concussion
Baseline testing
Symptom inventories
Computerized neuropsychological assessment
Brief sideline cognitive assessments
Neuropsychological assessment of youth sport–related concussion
Assessing visual-motor deficits
Role of neuropsychologists
Case study
Clinics care points
Rehabilitation of Sport-Related Concussion
Key points
Introduction
Assessment
Rehabilitation
Clearance and return to play
Neuroimaging in Sports-Related Concussion
Key points
Introduction
Diffusion tensor imaging
Quantitative brain morphometry
Proton magnetic resonance spectroscopy
Magnetic resonance susceptibility–weighted imaging
Blood oxygenation level–dependent functional magnetic resonance imaging
Perfusion-weighted imaging
Summary
Medical Therapies for Concussion
Key points
Introduction
Headaches
Sleep
Other symptoms
Omega-3 fatty acids
Summary
Female Athlete and Sports-Related Concussions
Key points
Introduction
Epidemiology
Anatomy/physiology/chemical differences
Biomechanical factors
Concussion testing differences
Management of symptoms
Return to sport
Summary
Sports-Related Concussions and the Pediatric Patient
Key points
Introduction
Body
Summary
Clinics care points
Prevention of Sport-Related Concussion
Key points
Introduction
Protective equipment
Rule and policy changes/enforcement
Educational programs
Legislation
Physiologic strategies to reduce concussion
Sport culture change
Summary
Long-Term Neurocognitive, Mental Health Consequences of Contact Sports
Key points
Introduction
Chronic traumatic encephalopathy
Traumatic encephalopathy syndrome
Other neurocognitive and mental health consequences
Radiologic investigations of long-term consequences
Other health conditions leading to neurocognitive decline
Summary
Clinic care points
Considerations for Athlete Retirement After Sport-Related Concussion
Key points
Introduction
Summary
Future Directions in Sports-Related Concussion Management
Key points
Introduction
Imaging in sports-related concussion
Biomarkers in sports-related concussion
Genetic testing
Video review
Accelerometers and head impact systems
Rule changes
Summary
Clinics care points
Special Article
Perspectives on the Impact of the COVID-19 Pandemic on the Sports Medicine Surgeon: Implications for Current and Future Care
Key points
Introduction
Impact on sports medicine surgeons
Impact on patients and athletes
A transient change or new normal?