Abstract:
BACKGROUND:Concussion in sport typically recovers clinically within 10 days of injury. In some cases, however, symptoms may be prolonged or complications may develop. The objectives of the current paper are to review the literature regarding the difficult concussion and to provide recommendations for an approach to the investigation and management of patients with persistent symptoms. METHODS:A qualitative review of the literature on concussion in sport was conducted with a focus on prolonged recovery, long-term complications and management including investigation and treatment strategies. MEDLINE and Sports Discus databases were reviewed. RESULTS:Persistent symptoms (>10 days) are generally reported in 10-15% of concussions. This figure may be higher in certain sports (eg, ice hockey) and populations (eg, children). In general, symptoms are not specific to concussion and it is important to consider and manage coexistent pathologies. Investigations may include formal neuropsychological testing and conventional neuroimaging to exclude structural pathology. Currently, there is insufficient evidence to recommend routine clinical use of advanced neuroimaging techniques or genetics markers. Preliminary studies demonstrate the potential benefit of subsymptom threshold activity as part of a comprehensive rehabilitation programme. Limited research is available on pharmacological interventions. CONCLUSIONS:Cases of concussion in sport where clinical recovery falls outside the expected window (ie, 10 days) should be managed in a multidisciplinary manner by healthcare providers with experience in sports-related concussion. Important components of management, after the initial period of physical and cognitive rest, include associated therapies such as cognitive, vestibular, physical and psychological therapy, assessment for other causes of prolonged symptoms and consideration of a graded exercise programme at a level that does not exacerbate symptoms.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Makdissi M,Cantu RC,Johnston KM,McCrory P,Meeuwisse WHdoi
10.1136/bjsports-2013-092255subject
Has Abstractpub_date
2013-04-01 00:00:00pages
308-13issue
5eissn
0306-3674issn
1473-0480pii
47/5/308journal_volume
47pub_type
杂志文章,评审abstract:BACKGROUND:Improved oxygen uptake improves soccer performance as regards distance covered, involvements with the ball, and number of sprints. Large improvements in oxygen uptake have been shown using interval running. A similar physiological load arising from interval running could be obtained using the soccer ball in ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2004.012526
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVES:To evaluate the differences in hip external rotation (ER) strength and inner, outer, and total hip ER range of motion (ROM) between dancers and non-dancers and between left and right sides in each group. METHODS:Seventy one subjects (34 dancers and 37 non-dancers) volunteered for this study. The strength (t...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2003.010827
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:Snowboard cross (SBX) became an official Olympic sport in 2006. This discipline includes manoeuvring several obstacles while competing in heats. It is common for the riders to collide, making this sport both exciting and at risk of injuries. Although a recent study from the 2010 Olympic Games has shown that ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2011-090527
更新日期:2011-12-01 00:00:00
abstract::Sedentary time is a modifiable determinant of poor health, and in older adults, reducing sedentary time may be an important first step in adopting and maintaining a more active lifestyle. The primary purpose of this consensus statement is to provide an integrated perspective on current knowledge and expert opinion per...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2016-097209
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Some controversy exists over the possibility that exercise during pregnancy might increase the risk of preterm delivery. OBJECTIVE:This study aimed to determine the possible cause-effect relationship between regular exercise performed during the second and third trimesters of pregnancy by previously sedenta...
journal_title:British journal of sports medicine
pub_type: 杂志文章,随机对照试验
doi:10.1136/bjsm.2008.047837
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:Mental health in sport is a hard-hitting topic that is frequently the subject of news coverage and increasingly a theme for avid research. Some suggest that cricketers, participating in a game unique in its statistical analysis of individual performance, prolonged periods of play away from home and extended ...
journal_title:British journal of sports medicine
pub_type: 信件
doi:10.1136/bjsports-2017-097827.5
更新日期:2017-05-10 00:00:00
abstract:BACKGROUND:The aim of this study was to update our original systematic review of return to sport rates following anterior cruciate ligament (ACL) reconstruction surgery. METHOD:Electronic databases were searched from April 2010 to November 2013 for articles reporting the number of patients returning to sport following...
journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bjsports-2013-093398
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:To determine whether there are objective findings of tendinosis in a rabbit tendinopathy model on exercised and contralateral (non-exercised) Achilles tendons. DESIGN:Four groups of six New Zealand white rabbits per group were used. The animals of one (control) group were not subjected to exercise/stimulatio...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2009.068122
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:The varying methods of cricket injury surveillance have made direct comparison of published studies in this field impossible. METHODS:A consensus regarding definitions and methods to calculate injury rates in cricket was sought between researchers in this field. This was arrived at through a variety of face...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2004.012732
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:To evaluate muscle activation patterns in selected scapulohumeral muscles in the tennis serve. These patterns of muscle activation have not been evaluated in other studies of the tennis serve. Fine wire and surface EMG was used to calculate onset and offset timing of muscle activation. DESIGN:Controlled labo...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2007.037333
更新日期:2007-11-01 00:00:00
abstract::The aim was to assess the quality and strength of evidence for the health benefits of specific sport disciplines. Electronic search yielded 2194 records and the selection resulted in 69 eligible studies (47 cross-sectional, 9 cohort, 13 intervention studies). 105 comparisons between participation and non-participation...
journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bjsports-2014-093885
更新日期:2015-04-01 00:00:00
abstract::The purpose of this study was to describe the anthropometric and physiological parameters that apply to a USA amateur rugby union club team. Fifteen players who were members of the club's first team were evaluated for body composition, muscular strength, power and endurance, flexibility, anaerobic power, anaerobic cap...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.17.1.16
更新日期:1983-03-01 00:00:00
abstract::At the request of the Service des Haras, our laboratory works on the toxicological problems of the sport-horse. These studies have resulted in the setting up of an anti-doping control for equestrian competitions of various types, not only flat racing. During events, horses, must be calm and docile to the riders' order...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.10.3.143
更新日期:1976-10-01 00:00:00
abstract::A history of morning and rest pain that eases with activity was found to improve after anti-inflammatory injections around the paratenon or within the Achilles bursae. The reduction in pain morbidity was significant, and the peritendinous steroid injections did not increase the rupture rate. ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.33.2.134
更新日期:1999-04-01 00:00:00
abstract::Recent anecdotal reports that some synchronized swimmers have become dizzy or disorientated towards the end of their performance, and in the worst cases fainted underwater, have caused concern. However, the rules of synchronized swimming encourage slow performance of compulsory figures, and an analysis of the competit...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.29.1.16
更新日期:1995-03-01 00:00:00
abstract:PURPOSE:Physical fitness may confer protection from thrombosis; however, exercise-induced platelet activation may be involved in the triggering of acute vascular events. This study aimed to assess haemostatic responses to acute exercise in trained and sedentary middle-aged subjects. METHODS:21 first class Scottish foo...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2008.053306
更新日期:2010-06-01 00:00:00
abstract:INTRODUCTION:The hip is the second most common area for injury in collegiate athletes and may account for 2-5% of all sports injuries. Hip and groin pain in the athlete has long been associated with structural abnormalities of the femoral neck, acetabulum and labral pathology. REVIEW:The relationship between osteoarth...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.2010.082529
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:The menstrual cycle can affect sports participation and exercise performance. There are very few data on specific menstrual cycle symptoms (symptoms during various phases of the cycle, not only during menstruation) experienced by exercising women. We aimed to characterise the most common symptoms, as well as...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2020-102792
更新日期:2020-11-16 00:00:00
abstract:OBJECTIVE:To investigate the efficacy and safety of dietary supplements for patients with osteoarthritis. DESIGN:An intervention systematic review with random effects meta-analysis and meta-regression. DATA SOURCES:MEDLINE, EMBASE, Cochrane Register of Controlled Trials, Allied and Complementary Medicine and Cumulati...
journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bjsports-2016-097333
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:In competitive alpine skiing, there is a controversy regarding the sex-related risk of injury. OBJECTIVE:To compare the risk of injury in female versus male World Cup (WC) alpine skiers. METHODS:Injuries were recorded through the International Ski Federation Injury Surveillance System for six consecutive w...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2013-092206
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:A matched case-control study was carried out to evaluate biological risk indicators for recurrent non-specific low back pain in adolescents. METHODS:Adolescents with recurrent non-specific low back pain (symptomatic; n = 28; mean (SD) age 14.9 (0.7) years) and matched controls (asymptomatic; n = 28; age 14....
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2003.009951
更新日期:2005-03-01 00:00:00
abstract:AIMS:To prospectively follow a cohort of elite young male professional soccer players with sequential symptom questionnaires and imaging of the anterior pelvis to determine the prevalence and severity of imaging findings. METHODS:34 male athletes (mean age 16.5 years) underwent clinical examination, history/symptom qu...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2013-092932
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the protective eyewear promotion (PEP) project, which was a comprehensive educational strategy to increase the use of appropriate protective eyewear by squash players. METHODS:An ecological study design was used. Four squash venues in one playing association were randomly chosen to receive PEP an...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2005.018366
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:To test the hypothesis that stress reducing techniques such as meditation alter immune responses after strenous physical stress. METHODS:The hypothesis was tested by studying six meditating and six non-meditating male runners in a concurrent, controlled design. After a period of six months with meditation fo...
journal_title:British journal of sports medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1136/bjsm.29.4.255
更新日期:1995-12-01 00:00:00
abstract:OBJECTIVE:Describe the self-reported prevalence and nature of Olympic-career injury and general health and current residual symptoms in a self-selected sample of retired Olympians. METHODS:3357 retired Olympians from 131 countries completed a cross-sectional online survey, distributed by direct email through World Oly...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2019-101772
更新日期:2021-01-01 00:00:00
abstract::There is little information on the nutritional habits of female football players at any level of the game. There is also a shortage of information on the nutrition and hydration strategies that players should adopt. In general, differences in nutritional needs between males and females are smaller than differences bet...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.2007.036475
更新日期:2007-08-01 00:00:00
abstract:BACKGROUND:Ankle sprains are highly prevalent with high risk of recurrence. Consequently, there are a significant number of research reports examining strategies for treating and preventing acute and recurrent sprains (otherwise known as chronic ankle instability (CAI)), with a coinciding proliferation of review articl...
journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bjsports-2016-096178
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the incidence of hypermobility in young female netball players and to determine the relation between hypermobility, previous injuries sustained in netball or other sports, and the use of protective equipment. METHODS:Under 16 year old female netball players from a local suburban netball associati...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2004.015271
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:The equivocal findings in the literature on efficacy of massage makes it difficult to assess the requirement for, or justify the use of, specialist massage personnel at major athletics events. However, the use of massage by athletes during training and competition remains popular. OBJECTIVES:To quantify the...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2002.003145
更新日期:2004-04-01 00:00:00
abstract:BACKGROUND:The majority of sporting injuries are clinically diagnosed using history and physical examination as the cornerstone. There are no studies supporting the reliability of making a clinical diagnosis of medial tibial stress syndrome (MTSS). AIM:Our aim was to assess if MTSS can be diagnosed reliably, using his...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2016-097037
更新日期:2018-10-01 00:00:00