Liang Qinchuan,Bao Nan,Shi Chengren.Research progress of children with concussion[J].Journal of Clinical Pediatric Surgery,,20():482-486.[doi:10.12260/lcxewkzz.2021.05.017]
Research progress of children with concussion
- Keywords:
- Brain Concussion/PC; Brain Concussion/CO; Brain Concussion/DT; Craniocerebral Trauma/SU; Child
- CLC:
- R651.1;R651.1+5
- Abstract:
- Pediatric concussions remain common and are frequently managed by primary care physicians.Concussion is a clinical diagnosis despite the availability of such ancillary tests as computerized neuropsychological testing,advanced imaging and blood biomarkers.Use of evidence-based decision-making tools in outpatient electronic health records along with focused training may boost appropriate documentation and cohesive clinical practice for primary care physicians.A multidisciplinary approach using physical therapy,behavioral and psychotherapy may accelerate the recovery time for patients.Retirement from sport in pediatric population remains a controversial issue lacking evidenced-based studies.There is currently no recommendation for using biomarkers for clinical diagnosis or management of concussions.
References:
1 Romeu-Mejia R,Giza CC,Goldman JT.Concussion pathophysiology and injury biomechanics[J].Curr Rev Musculoskelet Med,2019,12(1):1-12.DOI:10.1007/s12178-019-09536-8.
2 McCrory P,Meeuwisse W,Aubry M,et al.Consensus statement on concussion in sport-the 4th international conference on concussion in sport held in Zurich,November 2012[J].Clin J Sport Med,2013,23(2):89-117.DOI:10.1097/JSM.0b013e31828b67cf.
3 McCrea MA,Nelson LD,Guskiewicz K.Diagnosis and management of acute concussion[J].Phys Med Rehabil Clin N Am,2017,28(2):271-286.DOI:10.1016/j.pmr.2016.12.005.
4 McCrory P,Meeuwisse W,Dvorak J,et al.Consensus statement on concussion in sport-the 5th international conference on concussion in sport held in Berlin,October 2016[J].Br J Sports Med,2017,51(11):838-847.DOI:10.1136/bjsports-2017-097699.
5 Centers for Disease Control and Prevention (CDC).Report to congress on traumatic brain injury in the United States:epidemiology and rehabilitation[M].Atlanta (GA):National Center for Injury Prevention and Control; Division of Unintentional Injury Prevention,2015.
6 Almeida AA,Lorincz MT,Hashikawa AN.Recent Advances in Pediatric Concussion and Mild Traumatic Brain Injury[J].Pediatr Clin North Am,2018,65(6):1151-1166.DOI:10.1016/j.pcl.2018.07.006.
7 Schutzman S,Mannix R.Injury:head.In:Shaw K,Bachur R,editors.Fleisher and Ludwig’s textbook of pediatric emergency medicine[M].7th edition.Philadelphia:Wolters Kluwer,2016:247-253.
8 Mannix R,O’Brien MJ,Meehan WP 3rd.The epidemiology of outpatient visits for minor head injury:2005 to 2009[J].Neurosurgery,2013,73(1):129-134.DOI:10.1227/01.neu.0000429846.14579.41.
9 McManemy J,Jea A.Neurotrauma.In:Shaw K,Bachur R,editors.Fleisher and Ludwig’s textbook of pediatric emergency medicine[M].7th edition.Philadelphia:Wolters Kluwer,2016:1280-1287.
10 Bakhos LL,Lockhart GR,Myers R,et al.Emergency department visits for concussion in young child athletes[J].Pediatrics,2010,126(3):e550-e556.DOI:10.1542/peds.2009-3101.
11 Taylor ME,Sanner JE.The relationship between concussion knowledge and the high school athlete’s intention to report traumatic brain injury symptoms[J].J Sch Nurs,2017,33(1):73-81.DOI:10.1177/1059840515619683.
12 Arbogast KB,Curry AE,Metzger KB,et al.Improving primary care provider practices in youth concussion management[J].Clin Pediatr,2017,56(9):854-865.DOI:10.1177/0009922817709555.
13 Arbogast KB,Curry AE,Pfeiffer MR,et al.Point of health care entry for youth with concussion within a large pediatric care network[J].JAMA Pediatr,2016,170(7):e160294.DOI:10.1001/jamapediatrics.2016.0294.
14 Kuppermann N,Holmes JF,Dayan PS,et al.Identification of children at very low risk of clinically-important brain injuries after head trauma:a prospective cohort study[J].Lancet,2009,374(9696):1160-1170.DOI:10.1016/S0140-6736(09)61558-0.
15 Zonfrillo MR,Topf S.Head trauma.In:Shaw K,Bachur R,editors.Fleisher and Ludwig’s textbook of pediatric emergency medicine[M].7th edition.Philadelphia:Wolters Kluwer,2016:595-597.
16 Davis GA,Anderson V,Babl FE,et al.What is the difference in concussion management in children as compared with adults? A systematic review[J].Br J Sports Med,2017,51(12):949-957.DOI:10.1136/bjsports-2016-097415.
17 Alsalaheen B,Stockdale K,Pechumer D,et al.Validity of the immediate post concussion assessment and cognitive testing (ImPACT)[J].Sports Med,2016,46(10):1487-1501.DOI:10.1007/s40279-016-0532-y.
18 Atif H,Hicks SD.A review of microrna biomarkers in traumatic brain injury[J].J Exp Neurosci,2019,13:1179069519832286.DOI:10.1177/1179069519832286.
19 McCrea M,Meier T,Huber D,et al.Role of advanced neuroimaging,fluid biomarkers and genetic testing in the assessment of sport-related concussion:a systematic review[J].Br J Sports Med,2017,51(12):919-929.DOI:10.1136/bjsports-2016-097447.
20 Echemendia RJ,Meeuwisse W,McCrory P,et al.The sport concussion assessment tool 5th edition (SCAT5):background and rationale[J].Br J Sports Med,2017,51(11):848-850.DOI:10.1136/bjsports-2017-097506.
21 Davis GA,Purcell L,Schneider KJ,et al.The child sport concussion assessment tool 5th edition (child SCAT5):background and rationale[J].Br J Sports Med,2017,51(11):859-861.DOI:10.1136/bjsports-2017-097492.
22 McKee AC,Stein TD,Kiernan PT,et al.The neuropathology of chronic traumatic encephalopathy[J].Brain Pathol,2015,25(3):350-364.DOI:10.1111/bpa.12248.
23 Mucha A,Collins MW,Elbin RJ,et al.A brief vestibular/ocular motor screening (VOMS) assessment to evaluate concussions[J].Am J Sports Med,2014,42(10):2479-2486.DOI:10.1177/0363546514543775.
24 Schneider KJ,Leddy JJ,Guskiewicz KM,et al.Rest and treatment/rehabilitation following sport-related concussion:a systematic review[J].Br J Sports Med,2017,51(12):930-934.DOI:10.1136/bjsports-2016-097475.
25 Solomon GS,Kuhn AW,Zuckerman SL.Depression as a modifying factor in sport-related concussion:a critical review of the literature[J].Phys Sportsmed,2016,44(1):14-19.DOI:10.1080/00913847.2016.1121091.
26 Echemendia RJ,Gioia GA.The role of neuropsychologists in concussion evaluation and management[J].Handb Clin Neurol,2018,158:179-191.DOI:10.1016/B978-0-444-63954-7.00018-5.
27 Halstead ME.Return to learn[J].Handb Clin Neurol,2018,158:199-204.DOI:10.1016/B978-0-444-63954-7.00020-3.
28 Dreer LE,Crowley MT,Cash A,et al.Examination of teacher knowledge,dissemination preferences,and classroom management of student concussions:implications for return-to-learn protocols[J].Health Promot Pract,2017,18(3):428-436.DOI:10.1177/1524839916650865.
Memo
收稿日期:2019-04-23。
作者简介:梁秦川,Email:liangqinchuan@126.com