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Cited by 253Traumatic Brain Injury ResearchSports injuries and preventionTraumatic Brain Injury and Neurovascular Disturbances

Sport-Related Concussion in Children and Adolescents

Halstead, Mark E., Walter, Kevin D., Moffatt, Kody, COUNCIL ON SPORTS MEDICINE AND FITNESS, LaBella, Cynthia R., Brooks, M. Alison, Canty, Greg, Diamond, Alex B. +6 more·2018·Pediatrics
DOI 10.1542/peds.2018-3074
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Abstract

Sport-related concussion is an important topic in nearly all sports and at all levels of sport for children and adolescents. Concussion knowledge and approaches to management have progressed since the American Academy of Pediatrics published its first clinical report on the subject in 2010. Concussion’s definition, signs, and symptoms must be understood to diagnose it and rule out more severe intracranial injury. Pediatric health care providers should have a good understanding of diagnostic evaluation and initial management strategies. Effective management can aid recovery and potentially reduce the risk of long-term symptoms and complications. Because concussion symptoms often interfere with school, social life, family relationships, and athletics, a concussion may affect the emotional well-being of the injured athlete. Because every concussion has its own unique spectrum and severity of symptoms, individualized management is appropriate. The reduction, not necessarily elimination, of physical and cognitive activity is the mainstay of treatment. A full return to activity and/or sport is accomplished by using a stepwise program while evaluating for a return of symptoms. An understanding of prolonged symptoms and complications will help the pediatric health care provider know when to refer to a specialist. Additional research is needed in nearly all aspects of concussion in the young athlete. This report provides education on the current state of sport-related concussion knowledge, diagnosis, and management in children and adolescents.

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  • The increased risk of hormonal sequelae from sports-related TBI has not yet been reflected in official guidance on sports-related concussions.

    “This increased risk of hormonal sequelae from sports-related TBI has not yet been reflected in official guidance on sportsrelated concussions”

    From Neuroendocrine Disruptions Following Head Injury (2023) · cites this paper as [43]

  • There is some evidence that pituitary hormone dysfunction is seen at increased rates after subarachnoid hemorrhage and ischemic stroke, though definitions of deficiencies in this literature vary.

    “There is some evidence that pituitary hormone dysfunction is seen at increased rates after subarachnoid hemorrhage and ischemic stroke, though definitions of deficiencies in this literature vary [39-43].”

    From Neuroendocrine Disruptions Following Head Injury (2023) · cites this paper as [43]

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Authors
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., Nemeth, B. A., Pengel, K. B., Peterson, A. R., & Stricker, P. R.
Affiliations
  • Washington University in St. Louis (US)
  • Medical College of Wisconsin (US)
  • Creighton University (US)
ORCID
Venue
Pediatrics
Publisher
American Academy of Pediatrics (AAP)
Published
2018-12-01
Volume
142
Issue
6
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2018-3074
OpenAlex
W2027639407
Cited by
247
References
262
Citations by year
2026: 32 · 2025: 19 · 2024: 30 · 2023: 31 · 2022: 32 · 2021: 38 · 2020: 31 · 2019: 20 · 2018: 1 · 2016: 5 · 2015: 4 · 2014: 2 · 2013: 1 · 2012: 1
FWCI
3.21
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, pediatric concussion, children and adolescents, concussion diagnosis, concussion management, return to sport, concussion symptoms
MeSH terms
Adolescent, Athletic Injuries, Brain Concussion, Child, Humans, Neurologic Examination, Neuropsychological Tests, Prognosis, Risk Factors, Sports Medicine, Global Health, Incidence, Neuroimaging

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