Sports concussion management: Part II

Thomas R. Terrell, Conrad B. Cox, Kenneth Bielak, Robert Casmus, Daniel Laskowitz, Gregory Nichols

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Millions of concussions occur every year in the United States. The public interest in concussion has increased after a number of high-profile deaths in high school athletes from sports-related head trauma and in some professional athletes from chronic traumatic encephalopathy. One of the most active areas of research in sports medicine during the last decade has been the evaluation and management of concussion. In this second article of a two-part series, we provide an overview of the latest scientific advances in concussion research. This overview includes an update on the pathobiological changes that occur during concussion and the results of biomechanical studies. In addition, to aid the practicing clinician, we review the literature on proven and currently studied concussion risk factors, including a history of concussion, fatigue, and age. Genetic polymorphisms and biomarkers may provide risk-prediction capability, but at present the research remains inconclusive. Diffusion tensor imaging and functional magnetic resonance imaging are promising technologies that reveal more sophisticated data about the impact of concussion on the brain.We reviewthe existing literature on the application of these neuroimaging modalities to sports concussion. An update from the Fourth International Conference on Concussion in Sport, with highlights of new recommendations, and the presentation of the third edition of the Sports ConcussionAssessment Tool to evaluate acute concussion, concludes our review.

Original languageEnglish (US)
Pages (from-to)126-135
Number of pages10
JournalSouthern Medical Journal
Volume107
Issue number2
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Sports
Athletes
Brain Concussion
Research
Sports Medicine
Diffusion Tensor Imaging
Genetic Polymorphisms
Craniocerebral Trauma
Neuroimaging
Fatigue
Biomarkers
Magnetic Resonance Imaging
Technology

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Terrell, T. R., Cox, C. B., Bielak, K., Casmus, R., Laskowitz, D., & Nichols, G. (2014). Sports concussion management: Part II. Southern Medical Journal, 107(2), 126-135. https://doi.org/10.1097/SMJ.0000000000000064

Sports concussion management : Part II. / Terrell, Thomas R.; Cox, Conrad B.; Bielak, Kenneth; Casmus, Robert; Laskowitz, Daniel; Nichols, Gregory.

In: Southern Medical Journal, Vol. 107, No. 2, 01.01.2014, p. 126-135.

Research output: Contribution to journalReview article

Terrell, TR, Cox, CB, Bielak, K, Casmus, R, Laskowitz, D & Nichols, G 2014, 'Sports concussion management: Part II', Southern Medical Journal, vol. 107, no. 2, pp. 126-135. https://doi.org/10.1097/SMJ.0000000000000064
Terrell TR, Cox CB, Bielak K, Casmus R, Laskowitz D, Nichols G. Sports concussion management: Part II. Southern Medical Journal. 2014 Jan 1;107(2):126-135. https://doi.org/10.1097/SMJ.0000000000000064
Terrell, Thomas R. ; Cox, Conrad B. ; Bielak, Kenneth ; Casmus, Robert ; Laskowitz, Daniel ; Nichols, Gregory. / Sports concussion management : Part II. In: Southern Medical Journal. 2014 ; Vol. 107, No. 2. pp. 126-135.
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