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Sport-Related Concussion in Children and Adolescents
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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“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]
In the citing paper
“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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Johnson, G. M., Wild, J., Burgess, J. K., McCracken, K., Malekian, S., Turner, J. A., King, K., Kwon, S., Carl, R. L., & LaBella, C. R. (2023) · The Physician and Sportsmedicine · doi:10.1080/00913847.2023.2239159 · Cited by 6
Self-citationLongitudinal, prospective study of head impacts in male high school football players
McAlister, K. L., Mack, W. J., BIR, C. A., Baron, D. A., Som, C., Li, K., Chavarria-Garcia, A., Sawardekar, S., Baron, D. A., Toth, Z., et al. (2023) · PLoS ONE · doi:10.1371/journal.pone.0291374 · Cited by 5
Evaluation of Quantitative Pupillometry in Acute Postinjury Pediatric Concussion
Heyming, T. W., Knudsen-Robbins, C., Schomberg, J., Hayakawa, J., Lara, B., Bacon, K., Valdez, B., Wickens, M., Shelton, S. K., Romain, J. E., et al. (2024) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2024.01.016 · Cited by 5
Corwin, D. J., Mandel, F., McDonald, C. C., Mohammed, F., Margulies, S. S., Barnett, I., Arbogast, K. B., & Master, C. L. (2023) · Journal of Athletic Training · doi:10.4085/1062-6050-0020.22 · Cited by 5
The Variability of Recovery From Pediatric Concussion Using Multimodal Clinical Definitions
Corwin, D. J., Metzger, K. B., McDonald, C. C., Pfeiffer, M. R., Arbogast, K. B., & Master, C. L. (2023) · Sports Health A Multidisciplinary Approach · doi:10.1177/19417381231152448 · Cited by 5
Zynda, A. J., Worrall, H. M., Sabatino, M. J., Ellis, H. B., Chung, J. S., Cullum, C. M., & Miller, S. M. (2021) · Applied Neuropsychology Child · doi:10.1080/21622965.2021.1957677 · Cited by 5
Eagle, S. R., Kontos, A. P., & Connaboy, C. (2021) · European Journal of Sport Science · doi:10.1080/17461391.2021.2003869 · Cited by 5
Davis, G. A., Rausa, V. C., Babl, F. E., Davies, K., Takagi, M., Crichton, A. J., McKinlay, A., Anderson, N., Hearps, S. J. C., Clarke, C., et al. (2022) · Concussion · doi:10.2217/cnc-2021-0007 · Cited by 5
Sport participation among children with complicated mild traumatic brain injury
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Return-to-Play After Concussion: Clinical Guidelines for Young Athletes
Berry, J. A. D., Wacker, M. S., Menoni, R., Zampella, B., Majeed, G., Kashyap, S., Ghanchi, H., Elia, C. J., Carson, T. A., & Miulli, D. E. (2019) · Journal of Osteopathic Medicine · doi:10.7556/jaoa.2019.135 · Cited by 5
The Use of a Mobile Application to Teach Concussion-Related Health Knowledge
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Psychosocial Aspects of Sport-Related Concussion in Youth
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TAYLOR, A. M., Mannix, R., ZAFONTE, R. D., Whalen, M. J., & Meehan, W. P., III (2023) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000003364 · Cited by 4
Reduced Concussion Symptom Burden in Early Adolescent Athletes Using a Head–Neck Cooling Device
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Self-citationDoes This Child Have a Concussion?
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Concussion Knowledge of Youth Sport Athletes, Coaches, and Parents: A Review
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Paediatric traumatic brain injury: an approach in primary care
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Association Between Head Impact Biomechanics and Physical Load in College Football
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The Current State of Functional MR Imaging for Trauma Prognostication.
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Metadata
- 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
- 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
- FWCI
- 3.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Health Sciences › Medicine › Clinical 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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