BOOK
Concussion in Sports, An Issue of Physical Medicine and Rehabilitation Clinics of North America, E-Book
(2016)
Additional Information
Book Details
Abstract
CDC estimates reveal that 1.6 million to 3.8 million concussions occur each year. This issue will include topics such as pathophysiology, imagine, rturn to learn programs and long-term consequences of concussions.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Concussion in Sports\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Foreword: It Takes a Team Effort\r | vii | ||
| Preface: Concussion in Sports \r | vii | ||
| The Molecular Pathophysiology of Concussive Brain Injury – an Update\r | vii | ||
| Sideline Management of Concussion\r | vii | ||
| Neuroimaging of Concussion\r | vii | ||
| Returning to School Following Sport-Related Concussion\r | vii | ||
| Active Rehabilitation of Concussion and Post-concussion Syndrome\r | viii | ||
| Managing Patients with Prolonged Recovery Following Concussion\r | viii | ||
| The Role of Neuropsychological Evaluation in the Clinical Management of Concussion\r | viii | ||
| Retirement and Activity Restrictions Following Concussion\r | viii | ||
| Potential Long-Term Consequences of Concussive and Subconcussive Injury\r | ix | ||
| Effects of Legislation on Sports-Related Concussion\r | ix | ||
| PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA \r | x | ||
| FORTHCOMING ISSUES | x | ||
| August 2016 | x | ||
| November 2016 | x | ||
| February 2017 | x | ||
| May 2017 | x | ||
| RECENT ISSUES | x | ||
| February 2016 | x | ||
| November 2015 | x | ||
| August 2015 | x | ||
| May 2015 | x | ||
| Forword: It Takes a Team Effort\r | xi | ||
| Preface: Concussion in Sports\r | xiii | ||
| The Molecular Pathophysiology of Concussive Brain Injury – an Update | 373 | ||
| Key points | 373 | ||
| INTRODUCTION | 374 | ||
| NEUROMETABOLIC CASCADE OF CONCUSSION | 375 | ||
| GLUTAMATE RELEASE AND IONIC FLUX | 376 | ||
| GLUCOSE METABOLISM AND MITOCHONDRIAL EFFECTS | 376 | ||
| CEREBRAL BLOOD FLOW | 377 | ||
| AXONAL INJURY AND DIFFUSION TENSOR IMAGING | 378 | ||
| ALTERED BRAIN ACTIVATION | 380 | ||
| ACUTE RESPONSES TO REPEAT CONCUSSION | 382 | ||
| POTENTIAL FOR CUMULATIVE INJURY AND CHRONIC SEQUELAE | 383 | ||
| PITUITARY DYSFUNCTION | 384 | ||
| SUMMARY | 385 | ||
| REFERENCES | 385 | ||
| Sideline Management of Concussion | 395 | ||
| Key points | 395 | ||
| INTRODUCTION | 395 | ||
| PHYSICAL EXAMINATION | 396 | ||
| Watch for Any of the Following Problems | 397 | ||
| An Example of Take Home Instructions | 397 | ||
| SYMPTOM CHECKLIST | 397 | ||
| Somatic | 398 | ||
| Cognitive | 398 | ||
| Affective | 398 | ||
| Sleep | 398 | ||
| MADDOCKS QUESTIONS | 399 | ||
| STANDARDIZED ASSESSMENT OF CONCUSSION | 399 | ||
| BALANCE ERROR SCORING SYSTEM | 400 | ||
| SPORT CONCUSSION ASSESSMENT TOOL | 402 | ||
| SENSORY ORGANIZATION TEST | 402 | ||
| KING-DEVICK | 403 | ||
| REACTION TIME | 403 | ||
| ELECTROENCEPHALOGRAPHY | 404 | ||
| VIRTUAL REALITY | 405 | ||
| HEAD IMPACT SENSORS | 405 | ||
| NEUROPSYCHIATRIC TESTING | 406 | ||
| DISCUSSION/SUMMARY | 406 | ||
| REFERENCES | 407 | ||
| Neuroimaging of Concussion | 411 | ||
| Key points | 411 | ||
| INTRODUCTION | 411 | ||
| DECIDING WHEN/IF TO IMAGE THE CONCUSSED PATIENT | 412 | ||
| STRUCTURAL IMAGING: EXCLUDING ACUTE TRAUMATIC BRAIN INJURIES | 413 | ||
| Computed Tomography | 413 | ||
| Magnetic Resonance Imaging | 413 | ||
| ADVANCED AND EXPERIMENTAL IMAGING TECHNIQUES FOR THE EVALUATION OF CONCUSSION | 415 | ||
| Ultra-High Field Structural Imaging | 416 | ||
| Diffusion Tensor Imaging | 417 | ||
| Functional MRI | 418 | ||
| Perfusion Imaging | 419 | ||
| Perfusion computed tomography | 419 | ||
| Perfusion MRI | 420 | ||
| Single-photon emission computed tomography | 420 | ||
| Positron Emission Tomography | 421 | ||
| Magnetic Resonance Spectroscopy | 421 | ||
| SUMMARY | 422 | ||
| REFERENCES | 423 | ||
| Returning to School Following Sport-Related Concussion | 429 | ||
| Key points | 429 | ||
| INTRODUCTION | 429 | ||
| RECOMMENDATIONS FOR RETURN TO SCHOOL FOLLOWING INJURY | 431 | ||
| SUMMARY | 435 | ||
| DECLARATION OF CONFLICTING INTERESTS | 435 | ||
| ACKNOWLEDGMENTS | 436 | ||
| REFERENCES | 436 | ||
| Active Rehabilitation of Concussion and Post-concussion Syndrome | 437 | ||
| Key points | 437 | ||
| INTRODUCTION | 437 | ||
| DEFINITION OF CONCUSSION | 438 | ||
| DEFINITION OF POST-CONCUSSION SYNDROME | 438 | ||
| NONPHARMACOLOGIC TREATMENT APPROACHES | 439 | ||
| Acute Concussion | 439 | ||
| Rest | 439 | ||
| Return to normal activity | 440 | ||
| Post-concussion Syndrome | 441 | ||
| Rest | 441 | ||
| Athletes | 442 | ||
| Active rehabilitation for post-concussion syndrome | 442 | ||
| Psychosocial factors and cognitive rehabilitation | 442 | ||
| Psychoeducational intervention | 442 | ||
| Psychological intervention | 443 | ||
| Cognitive rehabilitation | 443 | ||
| Physical therapy | 444 | ||
| Vestibular therapy | 445 | ||
| Ocular therapy | 445 | ||
| Aerobic exercise therapy | 446 | ||
| The Buffalo Concussion Treadmill Test | 446 | ||
| SUMMARY | 448 | ||
| REFERENCES | 448 | ||
| Managing Patients with Prolonged Recovery Following Concussion | 455 | ||
| Key points | 455 | ||
| INTRODUCTION | 455 | ||
| PATHOPHYSIOLOGY | 456 | ||
| RISK FACTORS FOR PROLONGED RECOVERY | 456 | ||
| EFFECTS OF MULTIPLE CONCUSSIONS | 458 | ||
| EVALUATION | 459 | ||
| GENERAL TREATMENT PRINCIPLES | 460 | ||
| Sleep | 460 | ||
| Headache | 461 | ||
| Vestibular/Vision Dysfunction | 463 | ||
| Emotional | 464 | ||
| Cognitive | 464 | ||
| SUMMARY | 466 | ||
| REFERENCES | 466 | ||
| The Role of Neuropsychological Evaluation in the Clinical Management of Concussion | 475 | ||
| Key points | 475 | ||
| INTRODUCTION | 475 | ||
| NATURAL CLINICAL HISTORY | 476 | ||
| RISK FACTORS FOR PROLONGED RECOVERY | 476 | ||
| CONSIDERATIONS IN CLINICAL NEUROPSYCHOLOGICAL EVALUATIONS | 477 | ||
| Baseline Testing | 477 | ||
| Computerized Testing | 477 | ||
| Validity Testing | 478 | ||
| TIMELINE FOR NEUROPSYCHOLOGICAL EVALUATION | 478 | ||
| COMPONENTS OF NEUROPSYCHOLOGICAL EVALUATION | 479 | ||
| Assessment Instruments | 479 | ||
| Neuropsychological Management Recommendations | 480 | ||
| Return to Play | 480 | ||
| Pediatric Considerations | 481 | ||
| SUMMARY | 481 | ||
| REFERENCES | 481 | ||
| Retirement and Activity Restrictions Following Concussion | 487 | ||
| Key points | 487 | ||
| INTRODUCTION | 487 | ||
| EPIDEMIOLOGY | 488 | ||
| PAST AND CURRENT RECOMMENDATIONS | 488 | ||
| PROLONGED SYMPTOMS | 490 | ||
| CUMULATIVE EFFECTS OF CONCUSSION | 491 | ||
| Neuropsychological Testing | 492 | ||
| MODIFYING FACTORS | 494 | ||
| PEDIATRIC ATHLETES | 494 | ||
| DISCUSSION | 495 | ||
| REFERENCES | 498 | ||
| Potential Long-Term Consequences of Concussive and Subconcussive Injury | 503 | ||
| Key points | 503 | ||
| CLINICAL SIGNS AND SYMPTOMS OF CHRONIC TRAUMATIC ENCEPHALOPATHY | 504 | ||
| CLINICAL DIAGNOSIS OF CHRONIC TRAUMATIC ENCEPHALOPATHY | 505 | ||
| BIOMARKERS | 505 | ||
| NEUROPATHOLOGY OF CHRONIC TRAUMATIC ENCEPHALOPATHY | 506 | ||
| Gross Abnormality | 506 | ||
| Microscopic Abnormality | 506 | ||
| Staging of Chronic Traumatic Encephalopathy | 506 | ||
| Relationship of Tau Abnormality to Trauma | 507 | ||
| β-Amyloid | 507 | ||
| TDP-43 | 508 | ||
| RISK AND PROTECTIVE FACTORS | 508 | ||
| SUMMARY | 508 | ||
| REFERENCES | 509 | ||
| Effects of Legislation on Sports-Related Concussion | 513 | ||
| Key points | 513 | ||
| INTRODUCTION | 513 | ||
| EDUCATION | 514 | ||
| REMOVAL FROM PLAY | 515 | ||
| RETURN TO PLAY | 515 | ||
| CHALLENGES IN EDUCATION | 516 | ||
| CHALLENGES IN ATHLETE REPORTING | 516 | ||
| CHALLENGES IN IMPLEMENTATION | 517 | ||
| COSTS OF IMPLEMENTATION | 517 | ||
| HEALTH CARE UTILIZATION | 517 | ||
| LEGAL LIABILITY | 518 | ||
| VARIATIONS ACROSS STATES | 519 | ||
| CHANGES TO STATE LAWS | 522 | ||
| SUCCESS OF THE LAW | 522 | ||
| FUTURE OPPORTUNITIES | 522 | ||
| SUMMARY | 523 | ||
| REFERENCES | 523 | ||
| Index | 529 |