Sport-Related Concussion Evaluation and Management

Jeanne Doperak; Kelley Anderson; Michael Collins; Kouros Emami

doi:10.1016/j.csm.2019.06.003

Sport-Related Concussion Evaluation and Management

Clin Sports Med. 2019 Oct;38(4):497-511. doi: 10.1016/j.csm.2019.06.003. Epub 2019 Jul 29.

Authors

Jeanne Doperak¹, Kelley Anderson², Michael Collins³, Kouros Emami⁴

Affiliations

¹ Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: Doperakjm@upmc.edu.
² Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA, USA.
³ Department of Orthopaedic Surgery, University of Pittsburgh Medical Center Sports Medicine Concussion Program, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
⁴ University of Pittsburgh Medical Center Sports Medicine Concussion Program, Pittsburgh, PA, USA.

PMID: 31472762
DOI: 10.1016/j.csm.2019.06.003

Abstract

Concussion is a challenging and controversial medical diagnosis that can test even the most seasoned practitioner. Knowledge on this topic is ever evolving. It was not so long ago that grading guidelines were based on loss of consciousness and amnesia. Medicine has seen a renaissance of discovery over the past 20 years in concussion evaluation and management. A PubMed search for "concussion" between 1990 and 2000 produced just over 1000 articles and that same search including the last 18 years expands to over 10,000 publications. The most recent knowledge and recommendations are discussed based on the published evidence.

Keywords: Concussion; Neuropsychological testing; VOMS testing.

Publication types

Review

MeSH terms

Athletic Injuries / diagnosis*
Athletic Injuries / therapy*
Brain Concussion / diagnosis*
Brain Concussion / therapy*
Humans
Physical Examination
Sports Medicine / methods
Symptom Assessment