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Concussions are a common sports injury that can have long-term neurological consequences if not properly diagnosed and treated. Several new or updated guidelines for managing sports concussions were released earlier this year, and their key areas of consensus, including recommendations for return to play, are presented in an article in Journal of Neurotrauma, a peer-reviewed journal from Mary Ann Liebert, Inc., publishers. The article is available on the Journal of Neurotrauma website.
Therese A. West, DNP and Donald W. Marion, MD, Defense and Veterans Brain Injury Center (Silver Spring, MD), compared three recent guidelines and highlighted the specific areas of agreement related to the definition of concussion, diagnosis, acute care of athletes suspected of having a concussion, and how to determine when a player should be allowed to resume an athletic activity.
The three sets of concussion recommendations reviewed in the Journal of Neurotrauma article "Current Recommendations for the Diagnosis and Treatment of Concussion in Sport: A Comparison of Three New Guidelines" include the position statement by the American Medical Society for Sports Medicine; the American Academy of Neurology's summary of evidence-based guidelines update; and the consensus statement derived from the 4th International Conference on Concussion in Sport, held in Zurich, Switzerland.
"This article by West and Marion should prove of immediate benefit to a broad range of health care professionals as well as those involved in the training and/or coaching of athletes participating in contact sports," says John T. Povlishock, PhD, Editor-in-Chief of Journal of Neurotrauma and Professor, VCU Neuroscience Center, Medical College of Virginia, Richmond. "This consolidation of three recent clinical practice guidelines/position statements on the diagnosis, treatment, and management of concussion in sports constitutes a particularly important and timely effort that helps focus attention to those recommendations for which consensus exists. The narrative provided in this review is also directly supported by well-prepared appendices that allow a meaningful comparison of multiple factors across all three reports."
"From my perspective as Editor-in-Chief," continues Dr. Povlishock, "I believe that this document will be an important read for all involved in the field, benefitting the seasoned clinician-scientist as well as members of the sports community seeking to find the most updated perspective on current practice guidelines and position statements focusing on concussive brain injury."
Harmon, K., Drezner, J., Gammons, J., Guskiewicz, K., Halstead, M., Herring, S., Kutcher, J., Pana, A., Putukian , M. and Roberts, W. (2013). American Medical Society for Sports Medicine Position Statement: Concussion in Sport. Clinical journal of Sports Medicine 3;23:1 - 18.
Giza, C., Kutcher, J., Ashwal, S., Barth, J., Getchius, T., Gioia, G., Gronseth, G., Guskiewicz, K., Mandel, S., Manley, G., McKeag, D., Thurman, D., and Zafonte, R., (2013). Summary of evidence - based guideline update:Evaluation and management of concussion in sports. Neurology ePub ahead of printas 10.1212/WNL.0b 013e31828d57dd
McCrory, P., Meeuwisse, W., ,Aubry, M., Cantu,B., Dvořák, J., Echemendia, R., Engebretsen, L., Johnston,K., Kutcher, J., Raft ery,M.,Allen Sills, A., Benson, B., Davis, G., Ellenbogen, R., Guskiewicz, K.,Herring, S., I verson,G., Jordan,B., Kissick,J., McCrea,M., McIntosh,A., Maddocks, D., Makdissi,M., Purcell, L., Putukian,M., Schneider, K., Tator, C. and Michael Turner, M. (2013).Consensus statement on concussion in sport: the 4th International Conference on Concussio n in Sport held in Zurich, November 2012. British Journal of Sports Medicine retrieved from: http://dx.doi.org/10.1136/bjsports - 2013 - 092313
Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
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Liebert, Mary Ann. "Return to play after concussion: Consensus reports summarized." Medical News Today. MediLexicon, Intl., 28 Aug. 2013. Web.
9 Dec. 2013. <http://www.medicalnewstoday.com/releases/265273>
Liebert, M. (2013, August 28). "Return to play after concussion: Consensus reports summarized." Medical News Today. Retrieved from
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