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He is also past president of APA Division 47 (Society for Sport, Exercise and Performance Psychology). Monitoring for the development of symptoms or any signs of neurologic deterioration after the initial post-injury assessment is necessary because of the potentially delayed presentation of symptoms and objective findings. Few people understand that what they do in the aftermath of their injury will make a dramatic difference to their future well-being; patient experiences testify to the best practices for concussion sufferers and their caregivers. The differential diagnosis for post-concussive symptoms shifts once outside of the window of the acute injury.

The differential diagnosis immediately after a head injury should include potentially severe injuries, including cervical spine injury, intracranial hemorrhage, or skull fracture. The most commonly seen complication of a concussion is a post-concussion syndrome (PCS) characterized by persistent symptoms lasting weeks to months after the initial injury. Michael played professionally in both England and Australia for Bristol, Bath and the Melbourne Rebels. You are not required to obtain permission to distribute this article, provided that you credit the author and journal.Establishment of a multidisciplinary concussion program: impact of standardization on patient care and resource utilization. This is what happened to Michael Lipman, a former rugby international, who came out in public in 2020 as having had a diagnosis of early-onset dementia and probable CTE. Kontos served as chair of the Sub-acute Subgroup on the NIH Sports Concussion Common Data Elements working group, attended the 2014 White House Healthy Kids and Safe Sports Concussion Summit, and codirected the 2015 Targeted Evaluation and Active Management Approach to Treating Concussion meeting in Pittsburgh. But with the discovery of CTE, or chronic traumatic encephalopathy, in the brains of deceased footballers, it is now known that the onset of a form of dementia, caused by repeated concussions, can strike people as young as their thirties and forties.

Eschewing the extremes occupied by the loudest voices in the national concussion and youth sport conversation, the ones who either deny there is a serious issue that needs to be addressed (who they characterize as the “just a knock to the head” crowd) or have become so convinced that contact sports inevitably result in lifelong disability that they are so fundamentally unsafe that they should be abolished, they opt instead for the common sense middle ground – a place where MomsTEAM and I have been all along – a perhaps mythical place where it is possible to have a “more thoughtful, science-based” dialog about the role of sports in our kids’ lives. Concussion, even in its mildest form, can have lasting effects on the individual in a way we’re only just beginning to understand.Testing for serum biomarkers of concussion is still under development but may have a role in future clinical evaluation. Now in a fully revised and expanded second edition, this comprehensive text remains a timely and major contribution to the literature that addresses the neuromechanisms, predispositions, and latest developments in the evaluation and management of concussive injuries. Second-impact syndrome (SIS) involves a repeat blow or injury to the head before the complete resolution of the initial concussion, resulting in usually rapid, severe swelling of the brain.

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