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Title: The evaluation and management of acute concussion differs in young children.
Austin Authors: Davis, Gavin A ;Purcell, Laura K
Affiliation: Department of Neurosurgery, Cabrini Health, Austin Health and Murdoch Childrens Research Institute, , Melbourne, Victoria, Australia
Issue Date: 23-Apr-2013
Publication information: British Journal of Sports Medicine 2013; 48(2): 98-101
Abstract: There are many reasons why concussion in children needs to be considered different from adults. The Zurich (2008) recommendations on the management of concussion in children are restricted to children less than to 10 years of age. It does not include recommendations for children aged 5-10 years. The aim of this study is to review the current literature on (1) concussion assessment at the sideline and during recovery stages, especially in the age group 5-15 years, and (2) the management of concussion in children and adolescents.A literature review using the MEDLINE database was undertaken. Articles were selected that included evaluation and/or management in children aged 5-15 years.There are no sideline assessment tools validated for use in this age group. There are a number of different symptom scales that have been validated during different stages of the follow-up assessment in children. No single paediatric concussion assessment tool has been validated for use from sideline through to all stages of recovery. Reliability studies have been published on Balance Error Scoring System in children, but validity studies in this age group have not been published. The management of concussion includes withdrawal from play on the day and cognitive and physical rest. The priority of concussion management in children is to return to learn; while this is usually rapid, there are some children in whom a graduated return to school is required, which should include a number of accommodations.A young child is physically, cognitively and emotionally very different from adults, and requires the use of a different set of tools for the diagnosis, recovery-assessment and management of concussion. Age-specific, validated diagnostic tools are required, and management of concussion in children should focus attention on return to learn before considering return to play.
Gov't Doc #: 23613516
DOI: 10.1136/bjsports-2012-092132
Journal: British Journal of Sports Medicine
Type: Journal Article
Subjects: Children
Children's injuries
Head injuries
Acute Disease
Athletic Injuries.diagnosis.therapy
Brain Concussion.diagnosis.therapy
Child, Preschool
Cognition Disorders.etiology.therapy
Early Diagnosis
Neurologic Examination.methods
Point-of-Care Systems
Recovery of Function.physiology
Sports Medicine.methods
Appears in Collections:Journal articles

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