It is recommended that all athletes should have a

This preview shows page 3 - 5 out of 29 pages.

It is recommended that all athletes should have a clinical neurological assessment (including assessment of their cog- nitive function) as part of their overall management. This will normally be done by the treating physician often in conjunc- tion with computerized NP screening tools. Formal NP testing is not required for all athletes, however when this is considered necessary then it should ideally be performed by a trained neuropsychologist. Although neuropsychologists are in the best position to interpret NP tests by virtue of their background and training, the ultimate return to play decision should remain a medical one in which a multidisciplinary approach, when possible, has been taken. In the absence of NP and other (eg, formal balance assessment) testing, a more conservative return to play approach may be appropriate. Neuropsychological testing may be used to assist return to play decisions and is typically performed when an athlete is clinically asymptomatic, however NP assessment may add important information in the early stages following injury. 54,55 There may be particular situations where testing is performed early to assist in determining aspects of management eg, return to school in a pediatric athlete. This will normally be best deter- mined in consultation with a trained neuropsychologist. 56,57 Baseline NP testing was considered by the panel and was not felt to be required as a mandatory aspect of every assessment however may be helpful or add useful information to the overall interpretation of these tests. It also provides an additional educative opportunity for the physician to discuss the signi fi cance of this injury with the athlete. At present, there is insuf fi cient evidence to recommend the widespread routine use of baseline NP testing. Concussion Management The cornerstone of concussion management is physical and cognitive rest until the acute symptoms resolve and then a graded program of exertion prior to medical clearance and return to play. The current published evidence evaluating the effect of rest following a sport-related concussion is sparse. An initial period of rest in the acute symptomatic period following injury (24-48 hours) may be of bene fi t. Further research to evaluate the long-term outcome of rest, and the optimal amount and type of rest, is needed. In the absence of evidence-based recommendations, a sensible approach involves the gradual return to school and social activities (prior to contact sports) in a manner that does not result in a signi fi cant exacerbation of symptoms. Clin J Sport Med ± Volume 23, Number 2, March 2013 Consensus Statement on Concussion Ó 2013 Concussion in Sport Group | 91
Image of page 3

Subscribe to view the full document.

Low-level exercise for those who are slow to recover may be of bene fi t, although the optimal timing following injury for initiation of this treatment is currently unknown.
Image of page 4
Image of page 5
  • Winter '12
  • ChantalComeau
  • Sport Group, sport-related concussion

{[ snackBarMessage ]}

Get FREE access by uploading your study materials

Upload your study materials now and get free access to over 25 million documents.

Upload now for FREE access Or pay now for instant access
Christopher Reinemann
"Before using Course Hero my grade was at 78%. By the end of the semester my grade was at 90%. I could not have done it without all the class material I found."
— Christopher R., University of Rhode Island '15, Course Hero Intern

Ask a question for free

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern