Presence or absence of loss of consciousness.Grading the concussion can be a helpful tool in the management of the injury and depends on: To view peer-reviewed literature related to sports concussions, the Sports Concussion Library can be found here. The clinical signs and symptoms should not be explained by drug, alcohol, or medication use, other injuries (such as cervical injuries, peripheral vestibular dysfunction, etc.) or other comorbidities (e.g., psychological factors or coexisting medical conditions). However, it is important to note that in some cases symptoms may be prolonged. Resolution of the clinical and cognitive symptoms typically follows a sequential course. Sport related concussion results in a range of clinical symptoms that may or may not involve loss of consciousness.Sport related concussion may result in neuropathological changes, but the acute clinical symptoms largely reflect a functional disturbance rather than a structural injury and, as such, no abnormality is seen on standard structural neuroimaging studies.However, in some cases, signs and symptoms evolve over a number of minutes to hours. Sport related concussion typically results in the rapid onset of short-lived impairment of neurological function that resolves spontaneously.Sport related concussion may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an “impulsive” force transmitted to the head.Several common features that may be utilized in clinically defining the nature of a concussive head injury include: Sport related concussion is a traumatic brain injury induced by biomechanical forces. Minor revisions were made to the definition of concussion, which is defined as follows: It was also noted that the term commotio cerebri is often used in European and other countries. Concussion is a subset of TBI and will be the term used in this document. Sport-related concussion is the historical term representing low velocity injuries that cause brain ‘shaking’ resulting in clinical symptoms and that are not necessarily related to a pathological injury. The 5th International Conference on Concussion in Sport held in Berlin, Germany, in 2016 defined Sport-related Concussion as: A concussion may result from shaking the brain within the skull and, if severe, can cause shearing injuries to nerve fibers and neurons. Speech: Difficulty finding the "right" word difficulty expressing words or thoughts dysarthric or slurred speechĬoncussions frequently affect athletes in both contact and non-contact sports, and are considered to be diffuse brain injuries that traumatically induce alterations of mental status.Cognitive: Agitation confusion shortened attention span easily distracted overstimulated by environment difficulty following directions or understanding information feeling of disorientation and confusion and other neuropsychological deficiencies.Sensory: Changes in ability to hear, taste or see dizziness hypersensitivity to light or sound.Motor Dysfunction: Inability to control or coordinate motor functions, or disturbance with balance.Individuals with TBI may experience one or more of the following: Mild cases (mild, traumatic brain injury, or mTBI) may result in a brief change in mental state or consciousness, while severe cases may result in extended periods of unconsciousness, coma or even death. Symptoms of a TBI can be mild, moderate, or severe, depending on the extent of damage to the brain. TBI can result when the head suddenly and violently hits an object, or when an object pierces the skull and enters brain tissue. While most brain injuries are self-limiting with symptoms resolving in a week, a growing amount of research has now established that the sequelae from recurrent minor impacts is significant in the long term.Ī traumatic brain injury (TBI) is defined as a form of acquired brain injury from a blow or jolt to the head or a penetrating head injury that disrupts the normal function of the brain. It is important to recognize when a head trauma is severe or has resulted in a TBI because it is crucial to seek immediate medical attention. Sustaining an injury while playing sports can range from a mild physical trauma such as a scalp contusion or laceration to severe TBI with concurrent bleeding in the brain or coma. Amongst American children and adolescents, sports and recreational activities contribute to over 21 percent of all traumatic brain injuries. There are an estimated 1.7 to 3.8 million traumatic brain injuries each year in the United States, according to the CDC, of which 10 percent arise due to sports and recreational activities. Your browser does not support the audio element. A Neurosurgeon Explains: Sports-related Head Injury
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