Sports-Related Concussions in Youth by Robert Graham

Author:Robert Graham
Language: eng
Format: epub
Tags: ebook
Publisher: The National Academies Press
Published: 2013-10-07T00:00:00+00:00

4

Treatment and Management of Prolonged Symptoms and Post-Concussion Syndrome

Most young people who sustain a concussion during active play or sports naturally progress from the injury event through a period of symptom resolution, followed by a return to full normal activities. As discussed in Chapter 3, in 80 to 90 percent of cases, individuals’ symptoms resolve within 2 weeks (Makdissi et al., 2010; McClincy et al., 2006; McCrea et al., 2009, 2013; McCrory et al., 2013), although recovery within that period appears to be somewhat slower for adolescents ages 13 years through high school than for college-age athletes (Covassin et al., 2010; Eisenberg et al., 2013; Field et al., 2003; McClincy et al., 2006). In 10 to 20 percent of individuals, however, concussive symptoms persist for a number of weeks, months, or even years. These individuals may be said to be experiencing post-concussion syndrome (PCS). This chapter reviews the diagnostic definitions of PCS, potential early predictors of prolonged recovery, and the symptomatology and management of individuals with prolonged recovery or PCS. The chapter addresses those areas described in the statement of task that pertain to risk factors for PCS; the cognitive, affective, and behavioral changes that may occur during the subacute and chronic posttraumatic phases; and the treatment and management of PCS. The committee’s charge did not include the development or recommendation of specific clinical practice guidelines. Given that, the chapter is limited to a review and discussion of the available literature on the treatment and management of individuals experiencing prolonged recovery from a concussion.1

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.