Pediatric sports-related concussion
Abstract
This article aims to examine pediatric concussion literature with respect to epidemiology, etiology, return to play, and recurrent concussions, and to provide recommendations for future research. We conducted a review of pediatric concussion literature regarding incidence, etiology, return to play, and recurrent concussive injury by using MEDLINE, CINAHL, Sport-Discus, and PsychInfo databases from 1995-2010. A review of reference lists in the aforementioned articles was also performed. We discovered that the research on sports-related concussion specific to children and adolescents is rather limited. Results of existing studies of concussion incidence in this population indicate that concussion is relatively rare compared with most musculoskeletal injuries; however, the potential consequences of mismanagement and of subsequent injury warrant significant attention regarding injury recognition and recovery, and the challenge of determining readiness to return to play. Evidence exists that children and adolescents take longer to recover than adults after a concussion, which underscores the need for a more conservative approach to management and return to physical and cognitive activities. Concussion in the young athlete is of specific concern because of the continuing cognitive maturation, therefore, the recovery may be more difficult to track when using the standard assessment tools currently available. Until future studies can better delineate the mechanisms of, response to, and recovery from concussion in the young athlete, it is prudent to act in a conservative manner when dealing with pediatric athletes with concussion.
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The third finding, on the effects of recurrent injuries, is broadly consistent with the emerging literature on the adverse consequences of sports and combat-related neurotrauma.
“Our third finding, on the effects of recurrent injuries, is broadly consistent with the emerging literature on the adverse consequences of sports and combat-related neurotrauma [7,9,11–14,46–49].”
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- Authors
- Guskiewicz, K. M., & Valovich McLeod, T. C.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Guskiewicz, Kevin M.
- ORCID
- Guskiewicz, Kevin M.
- Venue
- PM&R
- Publisher
- Wiley
- Published
- 2011-04
- Volume
- 3
- Issue
- 4
- Pages
- 353-364
- ISSN
- 1934-1482 (ISSN-L)
- 1934-1563
- OpenAlex
- W2147937093
- Cited by
- 113
- References
- 95
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 6 · 2020: 10 · 2019: 9 · 2018: 8 · 2017: 11 · 2016: 6 · 2015: 14 · 2014: 14 · 2013: 12 · 2012: 8
- FWCI
- 1.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PM&R (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- concussion epidemiology, return to sport, recurrent concussion, concussion recovery, children and adolescents, youth athletes, concussion management, cognitive maturation, injury recognition
- MeSH terms
- Athletic Injuries, Brain Concussion, Child, Humans, Rehabilitation, Sports Medicine, United States, Trauma Severity Indices, Incidence, Recovery of Function
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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