Navigation Links
AMSSM issues position statement on sport-related concussions
Date:1/7/2013

Philadelphia, Pa. (January 7, 2013) - Athletes with concussions must be held out of practice or play until all symptoms have resolved, to avoid the risk of further injury during the vulnerable period before the brain has recovered. That's among the key recommendations in the new American Medical Society for Sports Medicine (AMSSM) position statement on concussions in sport, which appears in the January issue of Clinical Journal of Sport Medicine. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

At a time of increased concern over concussions at all levels of competitionfrom youth sports to professional leaguesthe position statement "provides an evidence-based, best practices summary to assist physicians with the evaluation and management of sports concussion." The statement was prepared by a task force of the AMSSM, a professional organization representing more than 2,100 nonsurgical sports medicine physicians.

Evidence on Rates, Risks, and Management of Concussions in Sport

"This statement is really a comprehensive guide to the current knowledge on concussion," commented lead author Dr Kimberly G. Harmon of University of Washington, Seattle. "It is critically important that sport concussions be evaluated and managed by medical professionals who are trained and familiar with sport concussion and aware of strengths and limitations of tests used to evaluate them." The AMSSM statement is available on the journal website.

The AMSSM position statement defines concussion as a "subset of mild traumatic brain injuryat the less severe end of the brain injury spectrum." The injury generally resolves completely with time. However, a growing body of research finds that concussion is followed by a period of increased vulnerability to repeat injury. Sustaining another concussion during this time has been linked to worse outcomes. In athletes and others with repeated concussions, irreversible damage may occur.

Up to 3.8 million sports-related concussions occur each year in the United States, half of which may go unreported. Risk is higher in certain sports and positions, in youth athletes, and in athletes with previous concussions. In sports with similar rules, female athletes may be at higher risk than males.

Prompt recognition is essential, and evaluation by a professional with appropriate training and experience is ideal. "Concussion remains a clinical diagnosis best made by a healthcare provider familiar with the athlete and knowledgeable in the recognition and evaluation of concussion," Dr Harmon and coauthors write.

'No Same Day Return to Play' after Concussion

The section on sideline evaluation specifies that any athlete with suspected concussion be removed from play and assessed by a health care professional trained in the evaluation and management of concussions. The AMSSM statement emphasizes, "There is no same day return to play for an athlete diagnosed with concussion."

Evidence for different types of tests and assessments in athletes with concussion is discussed; for many tests, further research is needed to validate their use. The statement supports the use of checklists for assessing concussion symptoms and tracking them over time. Computerized neuropsychological tests can be useful if performed by experts, but are not necessary for most athletes with concussions.

The section on concussion management emphasizes the need for complete recovery: "The primary concern with early return to play is decreased reaction time leading to increased risk of repeat concussion or other injury and prolongation of symptoms." Symptoms should be completely resolved before the athlete resumes exercise or practice. Return to play should be gradual, with step-wise increases in physical demands, sport-specific activities, and risk of contact.

"Modification and enforcement of the rules and fair play" may help in preventing concussions. There's no evidence that equipment, including helmets or mouth guards, reduces concussion risk. The statement emphasizes the role of education: "Greater efforts are needed to educate involved parties including athletes, parents, coaches, officials, school administrators, and healthcare providers to improve concussion recognition, management, and prevention."

"We don't want to over diagnose concussion or withhold athletes from all of the many positive aspects of sport, but at the same time it is important that athletes not play with symptoms of concussion," Dr Harmon added. " We need to continue to research and better understand concussion, prevention and safe participation in sport."


'/>"/>

Contact: Connie Hughes
Connie.Hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

Related medicine news :

1. Carey Danis & Lowe Issues an Update on the Pradaxa Multi-District Litigation No. 2385
2. Honda Issues Recall of 800K Vehicles, Philadelphia Attorneys at Console & Hollawell Warn Consumers of Their Potential Risks
3. The Project for Natural Health Choices Inc. Issues an Advisory for Men to Consume Flavonoids in their Diet to Protect Against Prostate Cancer
4. Public ecology could help resolve mountaintop mining issues
5. Probiotic Action Issues a Response to an Article on Medical News Today About Synthetic Skin Research
6. American Society of Clinical Oncology issues annual report on state of clinical cancer science
7. Partisanship shapes beliefs about political and non-political issues
8. Health Issues Add to Risk of Vitamin D Deficiency, Study Says
9. Many cancer survivors face health-related quality of life issues
10. CWRUs Maxwell J. Mehlmans book examines issues emerging in genetic engineering
11. Children with autism experience interrelated health issues, says MU expert
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/22/2017)... CT (PRWEB) , ... March 22, 2017 , ... ... historic plan to cure Rett Syndrome, a devastating neurological disorder that afflicts 350,000 ... MECP2, located on the X chromosome, and almost exclusively strikes females. Following ...
(Date:3/22/2017)... ... March 22, 2017 , ... University Orthopedics (UOI) today ... Division of Hand, Upper Extremity and Microvascular Surgery at Newport Hospital. Dr. Bragdon ... both Orthopedics and Hand Surgery. , As the leader of comprehensive orthopedic ...
(Date:3/22/2017)... TX (PRWEB) , ... March 22, 2017 , ... ... medical imaging core lab with extensive therapeutic experience and operational excellence in oncology ... II immuno-oncology clinical trial for the treatment of non-small cell lung cancer and ...
(Date:3/22/2017)... Norwich, NY (PRWEB) , ... March 22, 2017 , ... ... to communities in the greater Nassau County region, is embarking on a combined charity ... breast cancer. , For the last 25 years, the Great Neck Breast Cancer ...
(Date:3/22/2017)... Billings, MT (PRWEB) , ... March 22, 2017 , ... ... services to families and business owners throughout the Yellowstone Valley region, is launching a ... the only zoo and botanical garden in all of Montana State, and is home ...
Breaking Medicine News(10 mins):
(Date:3/22/2017)... 2017 TFS is pleased to announce the ... Tumaian , two global executive positions in Medical Affairs and Clinical ... Leadership Team and will report to Dr. Montse Barceló , ... ... 10 years of medical and scientific expertise gained across leading biopharmaceutical ...
(Date:3/22/2017)... March 22, 2017  As the world,s leading non-profit ... Society (LLS) has played a role in most therapies ... which are even helping patients with other cancers and ... significant investment in cutting-edge research – more than $1 ... grow with the record-breaking sum of $4.1 million raised ...
(Date:3/22/2017)... March 22, 2017 NetworkNewsWire Editorial Coverage  ... Deciphering ... differing statements by White House officials. Federal laws are at ... for medical and/or recreational use, and businesses like SinglePoint, Inc. ... (NASDAQ: CRBP), Medical Marijuana, Inc. (OTC: MJNA), Cannabis Science, Inc. ...
Breaking Medicine Technology: