Pediatric sport-related concussion: A review of the clinical management of an oft-neglected population

被引:214
作者
Kirkwood, MW
Yeates, KO
Wilson, PE
机构
[1] Childrens Hosp, Concuss Program, Dept Phys Med & Rehabil, Denver, CO 80218 USA
[2] Univ Colorado, Hlth Sci Ctr, Denver, CO USA
[3] Ohio State Univ, Dept Pediat, Columbus, OH 43210 USA
[4] Columbus Childrens Res Inst, Ctr Biobehav Hlth, Columbus, OH USA
关键词
concussion; mild traumatic brain injury; athletic injuries;
D O I
10.1542/peds.2005-0994
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Athletic concussion is a growing focus of attention for pediatricians. Although numerous literature reviews and clinical guidelines are now available pertaining to athletic concussion, few have focused on the pediatric athlete in particular. Sport-related concussions occur relatively frequently in children and adolescents, and primary health care providers are often responsible for coordinating clinical management. Here we summarize the scientific literature pertinent to the care of young athletes. We examine how concussion affects younger and older athletes differently at biomechanical, pathophysiological, neurobehavioral, and contextual levels. We also discuss important issues in clinical management, including preparticipation assessment, concussion evaluation and recovery tracking, and when and how to return pediatric athletes to play sports. We also briefly cover non - sport-related interventions (eg, school support). With proper management, most children and adolescents sustaining a sport-related concussion can be expected to recover fully.
引用
收藏
页码:1359 / 1371
页数:13
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