Spelling suggestions: "subject:"sportrelated concussion (SRC)"" "subject:"importrelated concussion (SRC)""
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Viewing Contact Sports as a Safeguarding IssueWalker, Daniel 05 May 2023 (has links)
Yes / ... Sustaining a sport-related concussion (SRC) has been
associated with negative consequences to emotion and cognition
in recent years,4,5 and head impacts are no different.1
Moreover, there is a consistent link reported with neurodegenerative
diseases such as motor-neuron disease, Parkinson’s disease, and
dementia. Although this is well-known within the scientific
community, and becoming so in the general population, we still
place children at risk. Promoting attitude change toward SRC and
head impacts in sport is difficult enough with adults as many are
accustomed to the way their contact sports are played and
spectated. However, a redeeming feature for many researchers is
that the evidence is there, and the rhetoric is being discussed in
the mainstream media across the world.
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A Pilot Study Evaluating the Timing of Vestibular Therapy After Sport-Related Concussion: Is Earlier Better?Ahluwalia, Ranbir, Miller, Scott, Dawoud, Fakhry M., Malave, Jose O., Tyson, Heidi, Bonfield, Christopher M., Yengo-Kahn, Aaron M. 01 November 2021 (has links)
Background: Vestibular dysfunction, characterized by nausea, dizziness, imbalance, and/or gait disturbance, represents an important sport-related concussion (SRC) subtype associated with prolonged recovery. Vestibular physical therapy promotes recovery; however, the benefit of earlier therapy is unclear. Hypothesis: Earlier vestibular therapy for young athletes with SRC is associated with earlier return to play (RTP), return to learn (RTL), and symptom resolution. Study Design: Retrospective cohort study. Level of Evidence: Level 3. Methods: Patients aged 5 to 23 years with SRC who initiated vestibular rehabilitation therapy (VRT) from January 2019 to December 2019 were included and patient records were reviewed. Therapy initiation was defined as either early, ≤30 days postinjury, or late (>30 days). Univariate comparisons between groups, Kaplan-Meier plots, and multivariate Cox proportional hazard modeling were performed. Results: Overall, 23 patients (10 early, 13 late) aged 16.14 ± 2.98 years and 43.5% were male patients. There was no difference between group demographics or medical history. Median initial total and vestibular symptom scores were comparable between groups. The late therapy group required additional time to RTP (110 days [61.3, 150.8] vs 31 days [22.5, 74.5], P = 0.03) and to achieve symptom resolution (121.5 days [71, 222.8] vs 54 days [27, 91], P = 0.02), but not to RTL (12 days [3.5, 26.5] vs 17.5 days [8, 20.75], P = 0.09). Adjusting for age and initial total symptom score, earlier therapy was protective against delayed symptom resolution (P = 0.01). Conclusion: This pilot study suggests that initiating VRT within the first 30 days after SRC is associated with earlier RTP and symptom resolution. Further prospective trials to evaluate if even earlier VRT should be pursued to further improve recovery time. Clinical Relevance: Clinicians should screen for vestibular dysfunction and consider modifying follow-up schedules after SRC to initiate VRT within a month of injury for improved outcomes.
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Providing a clearer insight into how sport-related concussion and physical pain impact mental health, cognition, and quality of lifeWalker, Daniel, Qureshi, A.W., Marchant, David, Ford, B., Balani, A.B. 05 May 2023 (has links)
Yes / Sport-related concussion (SRC) and physical pain are both associated with poor mental health, impaired cognition, and
reduced quality of life. Despite SRC and physical pain often co-occurring, there is little research that investigates these
two factors together, and therefore it is difficult to conclude which of these contributes to the negative outcomes asso ciated with them. Therefore, the present study aimed to investigate the effect of SRC and physical pain on mental health,
cognitive ability, and quality of life. Depression was measured using the Center for Epidemiological Studies Depression
Scale, anxiety was assessed using the State-Trait Anxiety Inventory while the SF-12 recorded health-related quality of
life. A trail making task (TMT) assessed cognitive flexibility of participants. Analysis of 83 participants (43 concussed)
revealed that SRC led to reduced accuracy on TMT(A) and (B), whereas physical pain was responsible for poorer mental
health and reduced quality of life. This study highlights the influence that SRC has on cognitive ability and the impact that
physical pain has on mental health and quality of life. With this information, we are better placed to predict the negative
consequences of SRC and physical pain and therefore tailor support accordingly.
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