Classification of Sport-Related Head Trauma: A Spectrum of Mild to Severe Injury.

Abstract:

:OBJECTIVE: To identify the types of injuries the human brain incurs as a result of traumatic forces applied to the cranium. In athletic events and endeavors, the full spectrum of intracranial hemorrhages in various compartments, raised intracranial pressure, and diffuse nonhemorrhagic damage may be seen. In this review, we describe these serious injuries and the more common mild traumatic brain injury in their clinical presentations and relate concussion classification to the overall picture of traumatic brain injury. METHODS: Our cumulative experience with athletic injuries, both at the catastrophic and mild traumatic brain injury levels, has led us to a management paradigm that serves to guide us in the classification and treatment of these athletes. DISCUSSION: The occurrence of intracranial injuries in sports has now been well documented. Intracranial hematomas (epidural, subdural, and parenchymal) and cerebral contusions can result from head injury. Many patients sustain a diffuse brain injury, resulting in elevated intracranial pressures, without a blood clot or mass lesion. The classification of concussion and the use of concussion guidelines are not uniform. However, the major emphases are agreed upon: the close and careful scrutiny of the athlete, an expeditious but reliable neurologic examination, and proper on-field management. Return-to-play decisions are based on many factors that affect normal functioning, both on and off the playing field. CONCLUSIONS: Sufficient knowledge now exists to allow us to carefully evaluate the injured athlete, to place him or her in the management scheme to minimize the potential for permanent cerebral dysfunction, and to know when the athlete can safely return to contact sport participation.

journal_name

J Athl Train

authors

Bailes JE,Hudson V

keywords:

subject

Has Abstract

pub_date

2001-09-01 00:00:00

pages

236-243

issue

3

eissn

1062-6050

issn

1938-162X

journal_volume

36

pub_type

杂志文章
  • Functional performance testing in participants with functional ankle instability and in a healthy control group.

    abstract:CONTEXT:Functional ankle instability (FAI) affects a large part of the population. Inconsistent findings have been reported regarding the existence of functional performance deficits in individuals with FAI. OBJECTIVE:To examine functional performance in participants with FAI compared with participants in a control gr...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-43.4.342

    authors: Buchanan AS,Docherty CL,Schrader J

    更新日期:2008-07-01 00:00:00

  • The Effects of the Swede-O, New Cross, and McDavid Ankle Braces and Adhesive Ankle Taping on Speed, Balance, Agility, and Vertical Jump.

    abstract::Scores from motor performance tests were compared using subjects with taped and untaped ankles. Previous studies have shown that taped ankle support may be detrimental in vertical and standing broad jumping performance. Conflicting data have been published on the effects of commercial ankle braces on various motor tas...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Paris DL

    更新日期:1992-01-01 00:00:00

  • Epidemiology of Skin Infections in Men's Wrestling: Analysis of 2009-2010 Through 2013-2014 National Collegiate Athletic Association Surveillance Data.

    abstract:CONTEXT:  Our knowledge of the current epidemiology of skin infections among wrestlers is limited. OBJECTIVE:  To analyze and report the epidemiology of skin infections among National Collegiate Athletic Association (NCAA) men's wrestling student-athletes during the 2009-2010 through 2013-2014 academic years. DESIGN:...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-52.2.16

    authors: Herzog MM,Fraser MA,Register-Mihalik JK,Kerr ZY

    更新日期:2017-05-01 00:00:00

  • Low back pain in adolescents: a comparison of clinical outcomes in sports participants and nonparticipants.

    abstract:CONTEXT:Back pain is common in adolescents. Participation in sports has been identified as a risk factor for the development of back pain in adolescents, but the influence of sports participation on treatment outcomes in adolescents has not been adequately examined. OBJECTIVE:To examine the clinical outcomes of rehabi...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-45.1.61

    authors: Fritz JM,Clifford SN

    更新日期:2010-01-01 00:00:00

  • Importance of selected athletic trainer employment characteristics in collegiate, sports medicine clinic, and high school settings.

    abstract:OBJECTIVE:We examined employer importance ratings of 35 employee characteristics in the collegiate, sports medicine clinic, and high school settings and made comparisons among these settings. DESIGN AND SETTING:All prospective employers were sent a survey. Of the 472 surveys mailed, 282 (60%) were returned, with a sam...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Arnold BL,Gansneder BM,Van Lunen BL,Szczerba JE,Mattacola CG,Perrin DH

    更新日期:1998-07-01 00:00:00

  • Sport Concussion Assessment Tool Symptom Inventory: Healthy and Acute Postconcussion Symptom Factor Structures.

    abstract:CONTEXT:Previous researchers have examined factor structures for common concussion symptom inventories. However, they failed to discriminate between the acute (<72 hours) and subacute (3 days-3 months) periods after concussion. The Sport Concussion Assessment Tool (SCAT) is an acute assessment that, when compared with ...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-393.19

    authors: Anderson M,Petit KM,Bretzin AC,Elbin RJ,Stephenson-Brown K,Covassin T

    更新日期:2020-09-04 00:00:00

  • Novice to expert practice via postprofessional athletic training education: a grounded theory.

    abstract:OBJECTIVE:To discover the theoretic constructs that confirm, disconfirm, or extend the principles and their applications appropriate for National Athletic Trainers' Association (NATA)-accredited postprofessional athletic training education programs. DESIGN:Interviews at the 2003 NATA Annual Meeting & Clinical Symposia...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-44.4.378

    authors: Neibert PJ

    更新日期:2009-07-01 00:00:00

  • Managing heteronormativity and homonegativity in athletic training: in and beyond the classroom.

    abstract:CONTEXT:As an allied health professional working in various settings, an athletic trainer (AT) is responsible for the health care of a highly diverse population. More often than not, this diversity is defined by the visible, such as race or sex. However, diversity encompasses many more variables than these observable f...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-43.3.326

    authors: Maurer-Starks SS,Clemons HL,Whalen SL

    更新日期:2008-05-01 00:00:00

  • Validity of musculoskeletal ultrasound for identification of humeroradial joint chondral lesions: a preliminary investigation.

    abstract:CONTEXT:Epicondylalgia is a common condition involving pain-generating structures such as tendon, neural, and chondral tissue. The current noninvasive reference standard for identifying chondral lesions is magnetic resonance imaging. Musculoskeletal ultrasound (MUS) may be an inexpensive and effective alternative. OBJ...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-49.1.03

    authors: Lohman CM,Smith MP,Dedrick GS,Brismée JM

    更新日期:2014-01-01 00:00:00

  • Tibiofemoral joint positioning for the valgus stress test.

    abstract:CONTEXT:Recommendations on the positioning of the tibiofemoral joint during a valgus stress test to optimize isolation of the medial collateral ligament (MCL) from other medial joint structures vary in the literature. If a specific amount of flexion could be identified as optimally isolating the MCL, teaching and using...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-45.4.357

    authors: Aronson PA,Gieck JH,Hertel J,Rijke AM,Ingersoll CD

    更新日期:2010-07-01 00:00:00

  • Evaluation of Various Cooling Systems After Exercise-Induced Hyperthermia.

    abstract:CONTEXT:Rapid diagnosis and expeditious cooling of individuals with exertional heat stroke is paramount for survival. OBJECTIVE:To evaluate the efficacy of various cooling systems after exercise-induced hyperthermia. DESIGN:Crossover study. SETTING:Laboratory. PATIENTS OR OTHER PARTICIPANTS:Twenty-two men (age = 24...

    journal_title:Journal of athletic training

    pub_type: 杂志文章,随机对照试验

    doi:10.4085/1062-6050-52.1.11

    authors: Tan PM,Teo EY,Ali NB,Ang BC,Iskandar I,Law LY,Lee JK

    更新日期:2017-02-01 00:00:00

  • Hip Strength as a Predictor of Ankle Sprains in Male Soccer Players: A Prospective Study.

    abstract:CONTEXT:  Diminished hip-abductor strength has been suggested to increase the risk of noncontact lateral ankle sprains. OBJECTIVE:  To determine prospectively whether baseline hip-abductor strength predicts future noncontact lateral ankle sprains in competitive male soccer players. DESIGN:  Prospective cohort study. ...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-52.11.18

    authors: Powers CM,Ghoddosi N,Straub RK,Khayambashi K

    更新日期:2017-11-01 00:00:00

  • An Unusual Scalp Lesion in a 15-Year-Old Girl: A Case Report.

    abstract::OBJECTIVE: To present an unusual congenital malformation of the central nervous system. BACKGROUND: Neural tube defects (NTDs) are potentially serious congenital malformations. When undiagnosed in childhood, such lesions may later be mistaken for a variety of other soft tissue abnormalities. Athletic trainers should b...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Koester MC,Amundson CL

    更新日期:2001-06-01 00:00:00

  • Influences of Clinician Technique on Performance and Interpretation of the Lachman Test.

    abstract::OBJECTIVE: To examine the influences of clinician technique on performance and interpretation of the Lachman test. DESIGN AND SETTING: Blinded, controlled, and randomized-block design clinical study conducted in an athletic training laboratory classroom. SUBJECTS: Twenty-two certified athletic trainer clinicians and 1...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Hurley WL,Thompson McGuire D

    更新日期:2003-03-01 00:00:00

  • Interday reliability of peak muscular power outputs on an isotonic dynamometer and assessment of active trunk control using the chop and lift tests.

    abstract:CONTEXT:Assessment techniques used to measure functional tasks involving active trunk control are restricted to linear movements that lack the explosive movements and dynamic tasks associated with activities of daily living and sport. Reliable clinical methods used to assess the diagonal and ballistic movements about t...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-46.2.150

    authors: Palmer TG,Uhl TL

    更新日期:2011-03-01 00:00:00

  • Physical activity participation and constraints among athletic training students.

    abstract:CONTEXT:Researchers have examined the physical activity (PA) habits of certified athletic trainers; however, none have looked specifically at athletic training students. OBJECTIVE:To assess PA participation and constraints to participation among athletic training students. DESIGN:Cross-sectional study. SETTING:Entry...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-49.3.56

    authors: Stanek J,Rogers K,Anderson J

    更新日期:2015-02-01 00:00:00

  • Knowledge, attitude, and concussion-reporting behaviors among high school athletes: a preliminary study.

    abstract:CONTEXT:Many athletes continue to participate in practices and games while experiencing concussion-related symptoms, potentially predisposing them to subsequent and more complicated brain injuries. Limited evidence exists about factors that may influence concussion-reporting behaviors. OBJECTIVE:To examine the influen...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-48.3.20

    authors: Register-Mihalik JK,Guskiewicz KM,McLeod TC,Linnan LA,Mueller FO,Marshall SW

    更新日期:2013-09-01 00:00:00

  • Electrocardiogram testing during athletic preparticipation physical examinations.

    abstract:CONTEXT:Sudden cardiac death (SCD) is a relatively rare yet unfortunate risk of athletic participation. To reduce the incidence of SCD, electrocardiogram (ECG) use during athletic preparticipation examinations (PPEs) has been proposed to detect underlying cardiac abnormalities. OBJECTIVE:To estimate the effectiveness ...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-45.3.265

    authors: O'Connor DP,Knoblauch MA

    更新日期:2010-05-01 00:00:00

  • Reliability and Validity of the Belt-Stabilized Handheld Dynamometer in Hip- and Knee-Strength Tests.

    abstract:CONTEXT:  The belt-stabilized handheld dynamometer (HHD) has been used to assess the strength of knee- and hip-muscle groups. However, few researchers have examined its reliability and validity for assessing the strength of these muscles. OBJECTIVE:  To evaluate the intra-examiner reliability of the belt-stabilized HH...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-52.6.04

    authors: Martins J,da Silva JR,da Silva MRB,Bevilaqua-Grossi D

    更新日期:2017-09-01 00:00:00

  • Muscular and functional performance characteristics of individuals wearing prophylactic knee braces.

    abstract::The efficacy of prophylactic knee bracing has been refuted with regard to reducing the incidence and/or severity of injuries to the knee joint. This is thought to be a result of the prophylactic knee brace's ineffectiveness in protecting the knee joint from valgus loads. Furthermore, discrepancies exist regarding the ...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Borsa PA,Lephart SM,Fu FH

    更新日期:1993-01-01 00:00:00

  • Arthrogenic muscle response of the quadriceps and hamstrings with chronic ankle instability.

    abstract:CONTEXT:An arthrogenic muscle response (AMR) of the soleus and peroneal muscles has been previously demonstrated in individuals with chronic ankle instability (CAI), but the presence of AMR in muscles acting on joints proximal to unstable ankles has not been previously explored. OBJECTIVE:To determine if AMR is presen...

    journal_title:Journal of athletic training

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Sedory EJ,McVey ED,Cross KM,Ingersoll CD,Hertel J

    更新日期:2007-07-01 00:00:00

  • Paradoxical Vocal-Cord Dysfunction: Management in Athletes.

    abstract::OBJECTIVE: To describe a treatment strategy for paradoxical vocal-cord dysfunction (PVCD) as it applies to an athletic population. BACKGROUND: Paradoxical vocal-cord dysfunction has been identified as a cause of dyspnea and stridor in athletes. The basic element of PVCD is an inappropriate closure of the vocal cords d...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Newsham KR,Klaben BK,Miller VJ,Saunders JE

    更新日期:2002-09-01 00:00:00

  • Athletic Trainers' Attitudes and Perceptions of Environmental Sustainability.

    abstract:CONTEXT:  Environmental sustainability efforts are becoming a critical concern in health care. However, little is known regarding how athletic trainers feel about the environment or what can be done to reduce the environmental impact of the practice of athletic training. OBJECTIVE:  To examine athletic trainers' attit...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-52.12.19

    authors: Potteiger K,Pitney WA,Cappaert TA,Wolfe A

    更新日期:2017-12-01 00:00:00

  • Athlete characteristics and outcome scores for computerized neuropsychological assessment: a preliminary analysis.

    abstract:CONTEXT:Computerized neuropsychological testing is used in athletics; however, normative data on an athletic population are lacking. OBJECTIVE:To investigate factors, such as sex, SAT score, alertness, and sport, and their effects on baseline neuropsychological test scores. A secondary purpose was to begin establishin...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Brown CN,Guskiewicz KM,Bleiberg J

    更新日期:2007-10-01 00:00:00

  • Increased medial longitudinal arch mobility, lower extremity kinematics, and ground reaction forces in high-arched runners.

    abstract:CONTEXT:Runners with high medial longitudinal arch structure demonstrate unique kinematics and kinetics that may lead to running injuries. The mobility of the midfoot as measured by the change in arch height is also suspected to play a role in lower extremity function during running. The effect of arch mobility in high...

    journal_title:Journal of athletic training

    pub_type: 临床试验,杂志文章

    doi:10.4085/1062-6050-49.3.05

    authors: Williams DS 3rd,Tierney RN,Butler RJ

    更新日期:2014-05-01 00:00:00

  • Disablement Model and Health-Related Quality of Life Classification for Patient-Reported Outcomes Measurement Information System (PROMIS) Instruments.

    abstract:CONTEXT:The National Institutes of Health created a medical research road map that included the development of the Patient-Reported Outcomes Measurement Information System (PROMIS). A key feature of PROMIS was the development of patient-reported outcome measures (PROs) addressing various aspects of health. Understandin...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-331-17

    authors: Snyder Valier AR,Bacon CEW,Lam KC

    更新日期:2018-12-01 00:00:00

  • Subcutaneous thigh fat assessment: a comparison of skinfold calipers and ultrasound imaging.

    abstract:CONTEXT:Skinfold calipers (SC) typically are used to determine subcutaneous fat thicknesses. Identifying the exact separation of muscle and fat can complicate measurements. Ultrasound imaging (USI) might provide a better technique for analyzing subcutaneous fat thicknesses. OBJECTIVE:To compare measurements from SC an...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-46.1.50

    authors: Selkow NM,Pietrosimone BG,Saliba SA

    更新日期:2011-01-01 00:00:00

  • Psychological issues in sport injury rehabilitation: current knowledge and practice.

    abstract:OBJECTIVE:The importance of addressing psychological issues in athletic injury rehabilitation has been recognized by the medical community. When and how to address psychological ramifications of injury, however, have not been given sufficient attention. BACKGROUND:VARIOUS FACTORS ARE ASSOCIATED WITH ATHLETIC INJURY: m...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Wagman D,Khelifa M

    更新日期:1996-07-01 00:00:00

  • Compliance with neuromuscular training and anterior cruciate ligament injury risk reduction in female athletes: a meta-analysis.

    abstract:CONTEXT:No consensus exists about the influence of compliance with neuromuscular training programs on reduction of the risk of anterior cruciate ligament (ACL) injury. OBJECTIVE:To systematically review and synthesize the published literature to determine if compliance with neuromuscular training is associated with r...

    journal_title:Journal of athletic training

    pub_type: 杂志文章,meta分析

    doi:10.4085/1062-6050-47.6.10

    authors: Sugimoto D,Myer GD,Bush HM,Klugman MF,Medina McKeon JM,Hewett TE

    更新日期:2012-11-01 00:00:00

  • Sunscreen Use and Sweat Production in Men and Women.

    abstract:CONTEXT:Sunscreen lotions are important to protect the skin during outdoor exercise, but they may interfere with sweating. OBJECTIVE:To measure the effect of 2 water-resistant sunscreens on local sweat production in men and women exercising in the heat and to compare those effects with the expected inhibition resultin...

    journal_title:Journal of athletic training

    pub_type: 杂志文章,随机对照试验

    doi:10.4085/1062-6050-51.11.01

    authors: Aburto-Corona J,Aragón-Vargas L

    更新日期:2016-09-01 00:00:00