Management of pediatric mild traumatic brain injury: A neuropsychological review from injury through recovery

被引:133
作者
Kirkwood, Michael W. [1 ,2 ,3 ]
Yeates, Keith Owen [4 ,5 ]
Taylor, H. Gerry [6 ,7 ]
Randolph, Christopher [8 ]
McCrea, Michael [9 ,10 ]
Anderson, Vicki A. [11 ]
机构
[1] Childrens Hosp, Concuss Program, Denver, CO 80218 USA
[2] Univ Colorado, Dept Phys Med & Rehabil, Denver, CO 80202 USA
[3] Univ Colorado, Hlth Sci Ctr, Denver, CO USA
[4] Ohio State Univ, Dept Pediat, Columbus, OH 43210 USA
[5] Columbus Childrens Res Inst, Ctr Biobehav Hlth, Columbus, OH USA
[6] Case Western Reserve Univ, Dept Pediat, Cleveland, OH 44106 USA
[7] Univ Hosp Cleveland, Rainbow Babies & Childrens Hosp, Cleveland, OH 44106 USA
[8] Loyola Univ, Med Ctr, Dept Neurol, Maywood, IL 60153 USA
[9] Med Coll Wisconsin, Dept Neurol, Milwaukee, WI 53226 USA
[10] Waukesha Mem Hosp, Ctr Neurosci, Waukesha, WI USA
[11] Univ Melbourne, Dept Psychol, Royal Childrens Hosp, Melbourne, Vic, Australia
关键词
mild traumatic brain injury; minor head injury; concussion; pediatrics; treatment;
D O I
10.1080/13854040701543700
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Little scientific attention has been aimed at the non-acute clinical care of pediatric mild TBI. We propose a clinical management model focused on both evaluation and intervention from the time of injury through recovery. Intervention strategies are outlined using a framework encompassing four relevant domains: the individual youth, family, school, and athletics. Clinical management has primary value in its potential to speed recovery, minimize distress during the recovery process, and reduce the number of individuals who subjectively experience longer lasting postconcussive problems. With proper management, most children and adolescents sustaining an uncomplicated mild TBI can be expected to recover fully.
引用
收藏
页码:769 / 800
页数:32
相关论文
共 200 条
[1]   Predictors of acute child and family outcome following traumatic brain injury in children [J].
Anderson, VA ;
Catroppa, C ;
Haritou, F ;
Morse, S ;
Pentland, L ;
Rosenfeld, J ;
Stargatt, R .
PEDIATRIC NEUROSURGERY, 2001, 34 (03) :138-148
[2]  
AYR LK, 2006, J INT NEUROPSYCH SOC, V12, P208
[3]  
Bailes JE, 2001, J ATHL TRAINING, V36, P236
[4]  
Baron I.S., 2004, Neuropsychological Evaluation of the Child
[5]   Bench to bedside: Evidence for brain injury after concussion - Looking beyond the computed tomography scan [J].
Bazarian, JJ ;
Blyth, B ;
Cimpello, L .
ACADEMIC EMERGENCY MEDICINE, 2006, 13 (02) :199-214
[6]   Serum biochemical markers for post-concussion syndrome in patients with mild traumatic brain injury [J].
Begaz, Tomer ;
Kyriacou, Demetrios N. ;
Segal, Jordana ;
Bazarian, Jeffrey J. .
JOURNAL OF NEUROTRAUMA, 2006, 23 (08) :1201-1210
[7]   Recent neuroimaging techniques in mild traumatic brain injury [J].
Belanger, Heather G. ;
Vanderploeg, Rodney D. ;
Curtiss, Glenn ;
Warden, Deborah L. .
JOURNAL OF NEUROPSYCHIATRY AND CLINICAL NEUROSCIENCES, 2007, 19 (01) :5-20
[8]   The neuropsychological impact of sports-related concussion: A meta-analysis [J].
Belanger, HG ;
Vanderploeg, RD .
JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY, 2005, 11 (04) :345-357
[9]   Factors moderating neuropsychological outcomes following mild traumatic brain injury: A meta-analysis [J].
Belanger, HG ;
Curtiss, G ;
Demery, JA ;
Lebowitz, BK ;
Vanderploeg, RD .
JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY, 2005, 11 (03) :215-227
[10]   Evaluation and Management of Pediatric Head Trauma in the Emergency Department: Current Concepts and State-of-the-Art Research [J].
Berger, Rachel Pardes ;
Adelson, P. David .
CLINICAL PEDIATRIC EMERGENCY MEDICINE, 2005, 6 (01) :8-15