Sport-Related Concussion in Children and Adolescents
Abstract
Sport-related concussion is a “hot topic” in the media and in medicine. It is a common injury that is likely underreported by pediatric and adolescent athletes. Football has the highest incidence of concussion, but girls have higher concussion rates than boys do in similar sports. A clear understanding of the definition, signs, and symptoms of concussion is necessary to recognize it and rule out more severe intracranial injury. Concussion can cause symptoms that interfere with school, social and family relationships, and participation in sports. Recognition and education are paramount, because although proper equipment, sport technique, and adherence to rules of the sport may decrease the incidence or severity of concussions, nothing has been shown to prevent them. Appropriate management is essential for reducing the risk of long-term symptoms and complications. Cognitive and physical rest is the mainstay of management after diagnosis, and neuropsychological testing is a helpful tool in the management of concussion. Return to sport should be accomplished by using a progressive exercise program while evaluating for any return of signs or symptoms. This report serves as a basis for understanding the diagnosis and management of concussion in children and adolescent athletes.
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Using the National Patient Register to ascertain TBI cases allowed comprehensive information on all individuals who sought medical treatment, but will have underestimated milder forms of TBI, such as sports-related injuries.
“We used the National Patient Register, as adopted by previous studies [8,15,16], to ascertain TBI cases. This allowed comprehensive information on all individuals who sought medical treatment for their injuries, but will have underestimated milder forms of TBI, for example of the type prevalent in sports-related injuries [53–56].”
Cites
Diffusion tensor imaging of acute mild traumatic brain injury in adolescents
Wilde, E. A., McCauley, S. R., Hunter, J. V., Bigler, E. D., Chu, Z., Wang, Z. J., Hanten, G. R., Troyanskaya, M., Yallampalli, R., Li, X., et al. (2008) · Neurology · doi:10.1212/01.wnl.0000305961.68029.54 · Cited by 525 · see citing works
The value added of neurocognitive testing after sports-related concussion
Van Kampen, D. A., Lovell, M. R., Pardini, J. E., Collins, M. W., & Fu, F. H. (2006) · The American Journal of Sports Medicine · doi:10.1177/0363546506288677 · Cited by 331 · see citing works
Collie, A., Maruff, P., Makdissi, M., McCrory, P., McStephen, M., & Darby, D. (2003) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200301000-00006 · Cited by 305 · see citing works
Which symptom assessments and approaches are uniquely appropriate for paediatric concussion?
Gioia, G. A., Schneider, J. C., Vaughan, C. G., & Isquith, P. K. (2009) · British Journal of Sports Medicine · doi:10.1136/bjsm.2009.058255 · Cited by 212 · see citing works
Lovell, M. R., Pardini, J. E., Welling, J., Collins, M. W., Bakal, J., Lazar, N., Roush, R., Eddy, W. F., & Becker, J. T. (2007) · Neurosurgery · doi:10.1227/01.neu.0000279985.94168.7f · Cited by 197 · see citing works
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Sariaslan, A., Sharp, D. J., D’Onofrio, B. M., Larsson, H., & Fazel, S. (2016) · PLOS Medicine · doi:10.1371/journal.pmed.1002103 · Cited by 262 · see citing works
Sport-Related Concussion in Children and Adolescents
Halstead, M. E., Walter, K. D., Moffatt, K., COUNCIL ON SPORTS MEDICINE AND FITNESS, LaBella, C. R., Brooks, M. A., Canty, G., Diamond, A. B., Hennrikus, W., Logan, K., et al. (2018) · Pediatrics · doi:10.1542/peds.2018-3074 · Cited by 247 · see citing works
Self-citationMultiple self-reported concussions are more prevalent in athletes with ADHD and learning disability
Nelson, L. D., Guskiewicz, K. M., Marshall, S. W., Hammeke, T., Barr, W., Randolph, C., & McCrea, M. A. (2016) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0000000000000207 · Cited by 118 · see citing works
Pediatric sports-related concussion
Guskiewicz, K. M., & Valovich McLeod, T. C. (2011) · PM&R · doi:10.1016/j.pmrj.2010.12.006 · Cited by 113 · see citing works
Adelson, P. D., Pineda, J., Bell, M. J., Abend, N. S., Berger, R. P., Giza, C. C., Hotz, G., & Wainwright, M. S. (2012) · Journal of Neurotrauma · doi:10.1089/neu.2011.1952 · Cited by 93 · see citing works
- Authors
- Halstead, M. E., Walter, K. D., & The Council on Sports Medicine and Fitness
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2010-09-01
- Volume
- 126
- Issue
- 3
- Pages
- 597-615
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1563954785
- Cited by
- 628
- References
- 5
- Citations by year
- 2026: 5 · 2025: 21 · 2024: 19 · 2023: 11 · 2022: 24 · 2021: 26 · 2020: 37 · 2019: 42 · 2018: 55 · 2017: 63 · 2016: 63 · 2015: 76 · 2014: 64 · 2013: 43 · 2012: 43
- FWCI
- 28.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (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
- sports-related concussion, youth athletes, football, concussion symptoms, intracranial injury, concussion management, cognitive rest, physical rest, neuropsychological assessment, return to sport, concussion prevention
- MeSH terms
- Adolescent, Athletic Injuries, Brain Concussion, Child, Humans
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