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Erschienen in: Current Pain and Headache Reports 7/2016

01.07.2016 | Concussion and Head Injury (T Seifert, Section Editor)

Sideline Neurological Evaluation: a Detailed Approach to the Sideline, In-Game Neurological Assessment of Contact Sport Athletes

verfasst von: Scott Anderson, Brock Schnebel

Erschienen in: Current Pain and Headache Reports | Ausgabe 7/2016

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Abstract

Contact sport holds inherent risk of traumatic injury to participant athletes. Neurologic injury, from trauma, portends significant potential for morbidity and mortality. The in-game sideline presents a challenging setting for injury evaluation. Athletic trainers and team physicians should understand general principles of the neurologic evaluation and apply a systematic approach that allows an organized evaluation of and differential diagnosis of neurologic injury. Athlete welfare demands an immediate, accurate diagnosis followed by targeted management. Management provides appropriate referral, timely treatment, and appropriate return-to-play decision. Management begins with recognition.
Literatur
1.
Zurück zum Zitat Chrisman SP, Quitiquit C, Rivara FP. Qualitative study of barriers to concussive symptom reporting in high school athletics. J Adolesc Health. 2013;52(3):330–5.CrossRefPubMed Chrisman SP, Quitiquit C, Rivara FP. Qualitative study of barriers to concussive symptom reporting in high school athletics. J Adolesc Health. 2013;52(3):330–5.CrossRefPubMed
2.
Zurück zum Zitat Zuckerman SL, Kerr ZY, Yengo-Kahn A, Wasserman E, Covassin T, Solomon GS. Epidemiology of sports-related concussion in NCAA athletes from 2009–2010 to 2013–2014 incidence, recurrence, and mechanisms. Am J Sports Med. 2015;43(11):2654–62.CrossRefPubMed Zuckerman SL, Kerr ZY, Yengo-Kahn A, Wasserman E, Covassin T, Solomon GS. Epidemiology of sports-related concussion in NCAA athletes from 2009–2010 to 2013–2014 incidence, recurrence, and mechanisms. Am J Sports Med. 2015;43(11):2654–62.CrossRefPubMed
3.
Zurück zum Zitat Oliaro S, Anderson S, Hooker D. Management of cerebral concussion in sports: the athletic trainer’s perspective. J Athl Train. 2001;36(3):257–62.PubMedPubMedCentral Oliaro S, Anderson S, Hooker D. Management of cerebral concussion in sports: the athletic trainer’s perspective. J Athl Train. 2001;36(3):257–62.PubMedPubMedCentral
4.
Zurück zum Zitat Hoppenfeld S. Orthopaedic neurology: a diagnostic guide to neurologic levels. Philadelphia: Lippincott Williams & Wilkins; 1997. Print. Hoppenfeld S. Orthopaedic neurology: a diagnostic guide to neurologic levels. Philadelphia: Lippincott Williams & Wilkins; 1997. Print.
5.•
Zurück zum Zitat Guskiewicz KM, Broglio SP. Acute sports-related traumatic brain injury and repetitive concussion. Handb Clin Neurol. 2015;127:157–72. Guskiewicz and Broglio grant a comprehensive and systematic presentation of concussion in sport with a practical pathway to assessment and management.CrossRefPubMed Guskiewicz KM, Broglio SP. Acute sports-related traumatic brain injury and repetitive concussion. Handb Clin Neurol. 2015;127:157–72. Guskiewicz and Broglio grant a comprehensive and systematic presentation of concussion in sport with a practical pathway to assessment and management.CrossRefPubMed
6.
Zurück zum Zitat Mueller FO. Fatalities from head and cervical spine injuries occurring in tackle football: 50 years’ experience. Clin Sports Med. 1998;17:169–82.CrossRefPubMed Mueller FO. Fatalities from head and cervical spine injuries occurring in tackle football: 50 years’ experience. Clin Sports Med. 1998;17:169–82.CrossRefPubMed
7.
Zurück zum Zitat Van Camp SP, Bloor CM, Mueller FO, Cantu RC, Olson HG. Nontraumatic sports death in high school and college athletes. Med Sci Sports Exerc. 1995;27:641–7.PubMed Van Camp SP, Bloor CM, Mueller FO, Cantu RC, Olson HG. Nontraumatic sports death in high school and college athletes. Med Sci Sports Exerc. 1995;27:641–7.PubMed
8.
Zurück zum Zitat Andersen JC, Courson RW, Kleiner DM, McLoda TA. National athletic trainers’ association position statement: emergency planning in athletics. J Athl Train. 2002;37(1):99–104.PubMedPubMedCentral Andersen JC, Courson RW, Kleiner DM, McLoda TA. National athletic trainers’ association position statement: emergency planning in athletics. J Athl Train. 2002;37(1):99–104.PubMedPubMedCentral
9.
Zurück zum Zitat National Collegiate Athletic Association. 2015–16 NCAA Division I manual. Indianapolis: NCAA; 2015. National Collegiate Athletic Association. 2015–16 NCAA Division I manual. Indianapolis: NCAA; 2015.
10.••
Zurück zum Zitat Broglio SP et al. National Athletic Trainers’ Association position statement: management of sport concussion. J Athl Train. 2014;49(2):245–65. NATA, in 2004, published their Position Statement on concussion and for years it stood as a management standard for concussion in sport. Broglio and his team have provided a timely and appropriate update—with particular regard for and by athletic trainers.CrossRefPubMedPubMedCentral Broglio SP et al. National Athletic Trainers’ Association position statement: management of sport concussion. J Athl Train. 2014;49(2):245–65. NATA, in 2004, published their Position Statement on concussion and for years it stood as a management standard for concussion in sport. Broglio and his team have provided a timely and appropriate update—with particular regard for and by athletic trainers.CrossRefPubMedPubMedCentral
12.•
Zurück zum Zitat Williams VB. Neurologic emergencies in sports. Continuum (Minneap Minn). 2014;20(6):1629–44. There is a dearth of published literature on traumatic neurologic injury assessment in athletes in a sideline setting, certainly in comparison to concussion. Though broad in range of topics, the author, in practical fashion, captures the challenges of on-the-field medicine with particular emphasis on facets of neurologic injury. Williams VB. Neurologic emergencies in sports. Continuum (Minneap Minn). 2014;20(6):1629–44. There is a dearth of published literature on traumatic neurologic injury assessment in athletes in a sideline setting, certainly in comparison to concussion. Though broad in range of topics, the author, in practical fashion, captures the challenges of on-the-field medicine with particular emphasis on facets of neurologic injury.
13.
Zurück zum Zitat Mulligan RP, Friedman JA, Mahabir RC. A nationwide review of the associations among cervical spine injuries, head injuries, and facial fractures. J Trauma. 2010;68(3):587–92.CrossRefPubMed Mulligan RP, Friedman JA, Mahabir RC. A nationwide review of the associations among cervical spine injuries, head injuries, and facial fractures. J Trauma. 2010;68(3):587–92.CrossRefPubMed
14.
Zurück zum Zitat Sivananthan S, Sherry E, Warnke P, Mille MD, editors. Mercer’s textbook of orthopaedics and trauma. 10th ed. Boca Raton: CRC Press; 2013. Sivananthan S, Sherry E, Warnke P, Mille MD, editors. Mercer’s textbook of orthopaedics and trauma. 10th ed. Boca Raton: CRC Press; 2013.
15.
Zurück zum Zitat Boden BP, Breit I, Beachler JA, et al. Fatalities in high school and college football players. Am J Sports Med. 2013;41(5):1108–16.CrossRefPubMed Boden BP, Breit I, Beachler JA, et al. Fatalities in high school and college football players. Am J Sports Med. 2013;41(5):1108–16.CrossRefPubMed
16.
Zurück zum Zitat Cantu RC, Mueller FO. Brain injury-related fatalities in American football, 1945–1999. Neurosurgery. 2003;52(4):846–53.CrossRefPubMed Cantu RC, Mueller FO. Brain injury-related fatalities in American football, 1945–1999. Neurosurgery. 2003;52(4):846–53.CrossRefPubMed
17.
Zurück zum Zitat Miele VJ, Norwig JA, Bailes JE. Sideline and ringside evaluation for brain and spinal injuries. Neurosurg Focus. 2006;21(4):E8.PubMed Miele VJ, Norwig JA, Bailes JE. Sideline and ringside evaluation for brain and spinal injuries. Neurosurg Focus. 2006;21(4):E8.PubMed
18.
Zurück zum Zitat Sanders MJ, McKenna K. Head and facial trauma. In: Sanders MJ, McKenna KD, editors. Mosby’s paramedic textbook. 2nd ed. Mosby: St. Louis; 2001. p. 624–51. Sanders MJ, McKenna K. Head and facial trauma. In: Sanders MJ, McKenna KD, editors. Mosby’s paramedic textbook. 2nd ed. Mosby: St. Louis; 2001. p. 624–51.
19.
Zurück zum Zitat Guskiewicz KM, Register-Mihalik J, McCrory P, et al. Evidence based approach to revising the SCAT2: introducing the SCAT3. Br J Sports Med. 2013;47(5):289–93.CrossRefPubMed Guskiewicz KM, Register-Mihalik J, McCrory P, et al. Evidence based approach to revising the SCAT2: introducing the SCAT3. Br J Sports Med. 2013;47(5):289–93.CrossRefPubMed
20.
Zurück zum Zitat McCrory P et al. Consensus statement on concussion in sport Zurich 2012. Clin J Sport Med. 2013;23:89–117.CrossRefPubMed McCrory P et al. Consensus statement on concussion in sport Zurich 2012. Clin J Sport Med. 2013;23:89–117.CrossRefPubMed
21.
Zurück zum Zitat Giza CC, Kutcher JS, Ashwal S, et al. Summary of evidence-based guideline update: evaluation and management of concussion in sport: report of the guideline development subcommittee of the American Academy of Neurology. Neurology. 2013;80:2250–57.CrossRefPubMedPubMedCentral Giza CC, Kutcher JS, Ashwal S, et al. Summary of evidence-based guideline update: evaluation and management of concussion in sport: report of the guideline development subcommittee of the American Academy of Neurology. Neurology. 2013;80:2250–57.CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Putukian M, Raftery M, Guskiewicz K, et al. Onfield assessment of concussion in the adult athlete. Br J Sports Med. 2013;47:285–8.CrossRefPubMed Putukian M, Raftery M, Guskiewicz K, et al. Onfield assessment of concussion in the adult athlete. Br J Sports Med. 2013;47:285–8.CrossRefPubMed
23.
Zurück zum Zitat Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32–5.CrossRefPubMed Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32–5.CrossRefPubMed
Metadaten
Titel
Sideline Neurological Evaluation: a Detailed Approach to the Sideline, In-Game Neurological Assessment of Contact Sport Athletes
verfasst von
Scott Anderson
Brock Schnebel
Publikationsdatum
01.07.2016
Verlag
Springer US
Erschienen in
Current Pain and Headache Reports / Ausgabe 7/2016
Print ISSN: 1531-3433
Elektronische ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-016-0575-7

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