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Erschienen in: Translational Stroke Research 4/2013

01.08.2013 | Original Article

The Management of Sport-Related Concussion: Considerations for Male and Female Athletes

verfasst von: Tracey Covassin, R. J. Elbin, Bryan Crutcher, Scott Burkhart

Erschienen in: Translational Stroke Research | Ausgabe 4/2013

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Abstract

Sport-related concussion continues to be a centerpiece of attention in the field of sports medicine. The benefit to using neurocognitive testing when managing concussion will be documented in this review. In addition to providing critical objective information on the neurocognitive status of the concussed athlete, research data will be provided on the pre- and post-concussion neurocognitive profiles of concussed male and female athletes. Specifically, an overview of research will be presented on the epidemiology of male and female concussion rates, as well as concussion outcomes including symptoms and cognitive function post-injury. Finally, a clinician’s perspective on managing sports-related concussion will be presented focusing on three factors regarding sex differences: risk factors, clinical presentation, and management.
Literatur
1.
Zurück zum Zitat McCrea M, et al. Unreported concussion in high school football players: implications for prevention. Clin J Sport Med. 2004;14(1):13–7.PubMedCrossRef McCrea M, et al. Unreported concussion in high school football players: implications for prevention. Clin J Sport Med. 2004;14(1):13–7.PubMedCrossRef
2.
Zurück zum Zitat Guskiewicz K, Ross S, Marshall S. Postural stability and neuropsychological deficits after concussion in collegiate athletes. J Athl Train. 2001;36(3):263–73.PubMed Guskiewicz K, Ross S, Marshall S. Postural stability and neuropsychological deficits after concussion in collegiate athletes. J Athl Train. 2001;36(3):263–73.PubMed
3.
Zurück zum Zitat Guskiewicz KM, et al. National Athletic Trainers' Association Position Statement: management of sports-related concussion. J Athl Train. 2004;39(3):280–97.PubMed Guskiewicz KM, et al. National Athletic Trainers' Association Position Statement: management of sports-related concussion. J Athl Train. 2004;39(3):280–97.PubMed
4.
Zurück zum Zitat Bernhardt D. Football: a case-based approach to mild traumatic brain injury. Pediat Annal. 2000;29:172–6. Bernhardt D. Football: a case-based approach to mild traumatic brain injury. Pediat Annal. 2000;29:172–6.
5.
Zurück zum Zitat Schatz P. Long-term test-retest reliability of baseline cognitive assessments using ImPACT. Am J Sports Med. 2010;38(1):47–53.PubMedCrossRef Schatz P. Long-term test-retest reliability of baseline cognitive assessments using ImPACT. Am J Sports Med. 2010;38(1):47–53.PubMedCrossRef
6.
Zurück zum Zitat Barth, J.T., et al., eds. Mild head injury in sports: neuropsychological sequelae and recovery of function. Mild Head Injury, ed. H. Levin, H. Eisenberg, and A. Benton. 1989, Oxford University Press: New York, NY. 257-275. Barth, J.T., et al., eds. Mild head injury in sports: neuropsychological sequelae and recovery of function. Mild Head Injury, ed. H. Levin, H. Eisenberg, and A. Benton. 1989, Oxford University Press: New York, NY. 257-275.
7.
Zurück zum Zitat Macciocchi SN, et al. Neuropsychological functioning and recovery after mild head injury in collegiate athletes. Neurosurg. 1996;39(3):510–4. Macciocchi SN, et al. Neuropsychological functioning and recovery after mild head injury in collegiate athletes. Neurosurg. 1996;39(3):510–4.
8.
Zurück zum Zitat Schatz P, Zillmer EA. Computer-based assessment of sports-related concussion. Appl Neuropsychol. 2003;10(1):42–7.PubMedCrossRef Schatz P, Zillmer EA. Computer-based assessment of sports-related concussion. Appl Neuropsychol. 2003;10(1):42–7.PubMedCrossRef
9.
Zurück zum Zitat Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring attention, processing speed following sports-related concussion. J Clin Exp Neuropsychol. 2005;27:683–9.PubMedCrossRef Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring attention, processing speed following sports-related concussion. J Clin Exp Neuropsychol. 2005;27:683–9.PubMedCrossRef
10.
Zurück zum Zitat Iverson GL, et al. Construct validity of computerized neuropsychological screening in athletes with concussion. Arch Clin Neuropsychol. 2004;19:961–2. Iverson GL, et al. Construct validity of computerized neuropsychological screening in athletes with concussion. Arch Clin Neuropsychol. 2004;19:961–2.
11.
Zurück zum Zitat Schatz P, et al. Sensitivity and specificity of the ImPACT test battery for concussion in athletes. Arch Clin Neuropsychol. 2006;21:91–9.PubMedCrossRef Schatz P, et al. Sensitivity and specificity of the ImPACT test battery for concussion in athletes. Arch Clin Neuropsychol. 2006;21:91–9.PubMedCrossRef
12.
Zurück zum Zitat Covassin T, et al. Immediate post-concussion assessment and cognitive testing (ImPACT) practices of sports medicine professionals. J Athl Train. 2009;44(6):639–44.PubMedCrossRef Covassin T, et al. Immediate post-concussion assessment and cognitive testing (ImPACT) practices of sports medicine professionals. J Athl Train. 2009;44(6):639–44.PubMedCrossRef
13.
Zurück zum Zitat Lau B, Collins M, Lovell M. Sensitivity and specificity of subacute computerized neurocognitive testing and symptom evaluation in predicting outcomes after sports-related concussion. Am J Sports Med. 2011;39(6):1209–16.PubMedCrossRef Lau B, Collins M, Lovell M. Sensitivity and specificity of subacute computerized neurocognitive testing and symptom evaluation in predicting outcomes after sports-related concussion. Am J Sports Med. 2011;39(6):1209–16.PubMedCrossRef
14.
Zurück zum Zitat Meehan, W., et al., Computerized neurocognitive testing for the management of sport-related concussion. Pediatr. 129(1): p. 38-44. Meehan, W., et al., Computerized neurocognitive testing for the management of sport-related concussion. Pediatr. 129(1): p. 38-44.
15.
Zurück zum Zitat Hootman J, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007;42(2):311–9.PubMed Hootman J, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007;42(2):311–9.PubMed
17.
Zurück zum Zitat NCAA. NCAA participation rates going up. At least 444,000 student-athletes playing on 18,000 teams 2011 January 11, 2012. NCAA. NCAA participation rates going up. At least 444,000 student-athletes playing on 18,000 teams 2011 January 11, 2012.
18.
Zurück zum Zitat DeHaas DM. 1981–82–2007–08 NCAA sports sponsorship and participation rates report. Indianapolis: National Collegiate Athletic Association; 2009. DeHaas DM. 1981–82–2007–08 NCAA sports sponsorship and participation rates report. Indianapolis: National Collegiate Athletic Association; 2009.
20.
Zurück zum Zitat Lovell MR. The neurophysiology and assessment of sports-related head injuries. Neurol Clin. 2008;26:45–62.PubMedCrossRef Lovell MR. The neurophysiology and assessment of sports-related head injuries. Neurol Clin. 2008;26:45–62.PubMedCrossRef
21.
Zurück zum Zitat Gessel LM, et al. Concussions among United States high school and collegiate athletes. J Athl Train. 2007;42:495–503.PubMed Gessel LM, et al. Concussions among United States high school and collegiate athletes. J Athl Train. 2007;42:495–503.PubMed
22.
Zurück zum Zitat Covassin T, Swanik C, Sachs M. Sex differences and the incidence of concussions among collegiate athletes. J Athl Train. 2003;38(3):238–44.PubMed Covassin T, Swanik C, Sachs M. Sex differences and the incidence of concussions among collegiate athletes. J Athl Train. 2003;38(3):238–44.PubMed
23.
Zurück zum Zitat Marar M, et al. Epidemiology of concussions among United States high school athletes in 20 sports. Am J Sports Med. 2012;40(4):747–55.PubMedCrossRef Marar M, et al. Epidemiology of concussions among United States high school athletes in 20 sports. Am J Sports Med. 2012;40(4):747–55.PubMedCrossRef
24.
Zurück zum Zitat Lincoln A, et al. The American journal of sports medicine trends in concussion incidence in high school sports: a prospective 11-year study. Am J Sports Med. 2011;39(5):958–63.PubMedCrossRef Lincoln A, et al. The American journal of sports medicine trends in concussion incidence in high school sports: a prospective 11-year study. Am J Sports Med. 2011;39(5):958–63.PubMedCrossRef
25.
Zurück zum Zitat Tierney RT, et al. Gender differences in head-neck segment dynamic stabilization during head acceleration. Med Science in Sport Exer. 2005;37:272–9.CrossRef Tierney RT, et al. Gender differences in head-neck segment dynamic stabilization during head acceleration. Med Science in Sport Exer. 2005;37:272–9.CrossRef
26.
Zurück zum Zitat Schneider K, Zernicke RF. Computer simulation of head impact: estimation of head-injury risk during soccer heading. Int J Sport Biomech. 1988;4:358–71. Schneider K, Zernicke RF. Computer simulation of head impact: estimation of head-injury risk during soccer heading. Int J Sport Biomech. 1988;4:358–71.
27.
Zurück zum Zitat Barnes B, et al. Concussion history in elite male and female soccer players. American Journal of Sports Medicine. 1998;26(3):433–8.PubMed Barnes B, et al. Concussion history in elite male and female soccer players. American Journal of Sports Medicine. 1998;26(3):433–8.PubMed
28.
Zurück zum Zitat Weiss E, et al. Sex differences in cognitive functions. Personality and Individual Differences. 2003;35:863–75.CrossRef Weiss E, et al. Sex differences in cognitive functions. Personality and Individual Differences. 2003;35:863–75.CrossRef
29.
Zurück zum Zitat Kimura D, Clarke P. Women's advantage on verbal memory is not restricted to concrete words. Psychol Report. 2002;91:1137–42. Kimura D, Clarke P. Women's advantage on verbal memory is not restricted to concrete words. Psychol Report. 2002;91:1137–42.
30.
Zurück zum Zitat Covassin T, et al. Sex differences in baseline neuropsychological function and concussion symptoms of collegiate athletes. Br J Sports Med. 2006;40(11):923–7. discussion 927.PubMedCrossRef Covassin T, et al. Sex differences in baseline neuropsychological function and concussion symptoms of collegiate athletes. Br J Sports Med. 2006;40(11):923–7. discussion 927.PubMedCrossRef
31.
Zurück zum Zitat Lewis R, Kamptner N. Sex differences in spatial task performance of patients with and without unilateral cerebral lesions. Brain Cogn. 1987;6(2):142–52.PubMedCrossRef Lewis R, Kamptner N. Sex differences in spatial task performance of patients with and without unilateral cerebral lesions. Brain Cogn. 1987;6(2):142–52.PubMedCrossRef
32.
Zurück zum Zitat Halpern, D., ed. Sex differences and cognitive abilities 3rd ed., ed. N. Mahwah. 2000, Lawrence Erlbaum Associates Inc. Halpern, D., ed. Sex differences and cognitive abilities 3rd ed., ed. N. Mahwah. 2000, Lawrence Erlbaum Associates Inc.
33.
Zurück zum Zitat Broshek DK, et al. Sex differences in outcome following sports-related concussion. J Neurosurg. 2005;102(5):856–63.PubMedCrossRef Broshek DK, et al. Sex differences in outcome following sports-related concussion. J Neurosurg. 2005;102(5):856–63.PubMedCrossRef
34.
Zurück zum Zitat Colvin A, et al. The role of concussion history and gender in recovery from soccer-related concussion. Am J Sports Med. 2009;37(9):1699–704.PubMedCrossRef Colvin A, et al. The role of concussion history and gender in recovery from soccer-related concussion. Am J Sports Med. 2009;37(9):1699–704.PubMedCrossRef
35.
Zurück zum Zitat Covassin, T., et al., Sex and age differences in depression and baseline sport-related concussion neurocognitive performance and symptoms. Clin J Sport Med, 2012. Covassin, T., et al., Sex and age differences in depression and baseline sport-related concussion neurocognitive performance and symptoms. Clin J Sport Med, 2012.
36.
Zurück zum Zitat de Courten-Myers GM. The human cerebral cortex: gender differences in structure and function. J Neuropathol Exper Neurol. 1999;58:217–26.CrossRef de Courten-Myers GM. The human cerebral cortex: gender differences in structure and function. J Neuropathol Exper Neurol. 1999;58:217–26.CrossRef
37.
Zurück zum Zitat Esposito G, et al. Gender differences with cerebral blood flow as a function of cognitive state with PET. J Neurologic Med. 1996;37:559–64. Esposito G, et al. Gender differences with cerebral blood flow as a function of cognitive state with PET. J Neurologic Med. 1996;37:559–64.
38.
Zurück zum Zitat Emerson CS, Headrick JP, Vink R. Estrogen improves biochemical and neurologic outcome following traumatic brain injury in male rats, but not females. Brain Res. 1993;608:95–100.PubMedCrossRef Emerson CS, Headrick JP, Vink R. Estrogen improves biochemical and neurologic outcome following traumatic brain injury in male rats, but not females. Brain Res. 1993;608:95–100.PubMedCrossRef
39.
Zurück zum Zitat Frommer L, et al. Sex differences in concussion symptoms of high school athletes. J Athl Train. 2011;46(1):76–84.PubMedCrossRef Frommer L, et al. Sex differences in concussion symptoms of high school athletes. J Athl Train. 2011;46(1):76–84.PubMedCrossRef
40.
Zurück zum Zitat Ebell M. Diagnosis of migraine headache. American Family Physician. 2006;74(12):2087–8.PubMed Ebell M. Diagnosis of migraine headache. American Family Physician. 2006;74(12):2087–8.PubMed
41.
Zurück zum Zitat Guskiewicz KM, et al. Epidemiology of concussion in collegiate and high school football players. Am J Sports Med. 2000;28(5):643–50.PubMed Guskiewicz KM, et al. Epidemiology of concussion in collegiate and high school football players. Am J Sports Med. 2000;28(5):643–50.PubMed
Metadaten
Titel
The Management of Sport-Related Concussion: Considerations for Male and Female Athletes
verfasst von
Tracey Covassin
R. J. Elbin
Bryan Crutcher
Scott Burkhart
Publikationsdatum
01.08.2013
Verlag
Springer US
Erschienen in
Translational Stroke Research / Ausgabe 4/2013
Print ISSN: 1868-4483
Elektronische ISSN: 1868-601X
DOI
https://doi.org/10.1007/s12975-012-0228-z

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