AAP Releases Updated Guidance On Management of Sport-Related Concussion
The guidance, by Mark E. Halstead, MD, director of the Sports Concussion Program at Washington University, St. Louis, Missouri, and colleagues was published online on November 12 in Pediatrics. It describes the evolution of thought from elimination of all activity in the days following a concussion to an emphasis on reduction of activity. They explain that a brisk walk can be considered an example of an appropriate post-SRC activity.
Effective management can aid recovery and potentially reduce the risk of long-term symptoms and complications. Because concussion symptoms often interfere with school, social life, family relationships, and athletics, a concussion may affect the emotional well-being of the injured athlete. Because every concussion has its own unique spectrum and severity of symptoms, individualized management is appropriate. The reduction, not necessarily elimination, of physical and cognitive activity is the mainstay of treatment. A full return to activity and/or sport is accomplished by using a stepwise program while evaluating for a return of symptoms. An understanding of prolonged symptoms and complications will help the pediatric health care provider know when to refer to a specialist. Additional research is needed in nearly all aspects of concussion in the young athlete. This report provides education on the current state of sport-related concussion knowledge, diagnosis, and management in children and adolescents.