Dedication
Acknowledgments
About the Editor
Contributing Authors
Preface
Introduction
Section I Concussion Basics
Question 1 What Is Currently the Most Commonly Accepted Definition of a
Sport-Related Concussion, and How Does This Definition Impact
Clinical Management?
Michelle L. Weber, MS, AT, ATC and
Tamara C. Valovich McLeod, PhD, ATC, FNATA
Question 2 How Common Are Sport-Related Concussions?
Laura Decoster, ATC
Question 3 What Are the Best Educational Materials Available to Help a Coach,
Parent, or Athlete Learn About Concussions?
Johna K. Register-Mihalik, PhD, LAT, ATC
Section II Preseason Planning
Question 4 What Pertinent Questions Should Be Asked During a Preparticipation
Physical Examination to Accurately Determine Prior Concussion
History?
Ian A. McLeod, PA-C, ATC
Question 5 Are There Risk Factors or Behaviors That Can Make Athletes
Prone to Concussion?
Scott C. Livingston, PhD, PT, ATC, SCS
Question 6 Are There Differences Between the Sexes Regarding Concussion
Incidence, Outcomes, and Treatment
Tracey Covassin, PhD, ATC and Erica L. Beidler, MEd, ATC
Question 7 Is It Imperative to Perform Baseline Testing?
Jason P. Mihalik, PhD, CAT(C), ATC and Ashley C. Littleton, MA, ATC
Question 8 Which Medical Professionals Should Be Part of My Concussion
Management Team?
Richelle M. Williams, MS, ATC and
Tamara C. Valovich McLeod, PhD, ATC, FNATA
Question 9 What Are the Most Important Regulations and Policies to Consider Regarding the Management of Sport-Related Concussion?
John T. Parsons, PhD, ATC
Question 10 What Factors Aid in the Prevention of Recurrent Concussion?
Johna K. Register-Mihalik, PhD, LAT, ATC
Question 11 Can Protective Equipment or Strengthening the Neck Decrease
the Risk of Concussion?
Jason P. Mihalik, PhD, CAT(C), ATC and Julianne D. Schmidt, PhD, ATC
Section III Concussion Assessment
Question 12 What Should Be Included in the On-Field or Sideline Examination to Diagnose a Suspected Concussion?
Roger McCoy, MD and Matthew Anastasi, MD
Question 13 What Are the Red Flags During a Sideline Assessment for
Immediate Referral to the Emergency Department?
Kristina Wilson, MD, MPH, CAQSM, FAAP
Question 14 What Constitutes a Failed Postconcussion Test for Athletes
With Baseline Neurocognitive or Balance Tests?
Christina B. Kunec, PsyD; Sheri Fedor, PT, DPT; and Michael W. Collins, PhD
Question 15 Which Self-Report Symptom Scales Are the Best
for Concussion Assessment?
Lindsey Shepherd, MS, ATC, AT, CSCS and
Tamara C. Valovich McLeod, PhD, ATC, FNATA
Question 16 Are Ocular Movements Related to Concussion Assessment,
and if so, How Do I Measure This?
Steven Erickson, MD, FACP and Shelly Massingale, PT, MPT
Question 17 How Common Are Vestibular Deficits Following Sport-Related Concussion, and What Tools Are Best Used to Assess Vestibular Dysfunction?
Shelly Massingale, PT, MPT
Question 18 How Frequently and When Should Postconcussion Assessments
Be Administered?
R.J. Elbin, PhD; Michael W. Collins, PhD; and Anthony P. Kontos, PhD
Question 19 Does Recovery on Clinical Tests Represent True Recovery of the Brain?
Steven P. Broglio, PhD, ATC and Douglas Martini, MS
Question 20 Is Imaging Useful to Determine the Severity of, or the Time to
Recovery From, a Concussion?
Max Zeiger, BS; Meeryo C. Choe, MD; and Christopher C. Giza, MD
Section IV Concussion Management Considerations
Question 21 Should Concussions in Children and Adolescents Be Managed
Differently From Those in Adults?
Richelle M. Williams, MS, ATC and
Tamara C. Valovich McLeod, PhD, ATC, FNATA
Question 22 How Many Concussions Are Too Many Before an Athlete Should Retire?
Amaal J. Starling, MD; Meeryo C. Choe, MD; and Christopher C. Giza, MD
Question 23 What Are the Long-Term Concerns With Concussion?
Steven P. Broglio, PhD, ATC and Douglas Martini, MS
Question 24 How Can We Predict if a Patient Will Have a Protracted Recovery
Following Concussion?
Ian A. McLeod, PA-C, ATC
Question 25 Do Subconcussive Blows Place Athletes at Just as Much Risk for
Future Negative Sequelae as Athletes With Diagnosed Concussions?
Steven P. Broglio, PhD, ATC and Douglas Martini, MS
Question 26 How Should I Manage Concussion in Athletes With
Learning Disabilities, Epilepsy, Depression, or Anxiety?
Javier CArdenas, MD and Tamara C. Valovich McLeod, PhD, ATC, FNATA
Question 27 Are There Any Medications That May Be Useful in the
Management of Concussions?
Javier CArdenas, MD and Tamara C. Valovich McLeod, PhD, ATC, FNATA
Question 28 Are There Any Rehabilitation Exercises That Help a
Concussed Athlete Heal Faster?
Johna K. Register-Mihalik, PhD, LAT, ATC and
Jason P. Mihalik, PhD, CAT(C), ATC
Question 29 Which Patient Self-Report Measures Are Best for Assessing the Impact
of Concussion on a Patient's Quality of Life?
Michelle L. Weber, MS, AT, ATC and
Tamara C. Valovich McLeod, PhD, ATC, FNATA
Section V Return to Activity
Question 30 Why Can't an Athlete Return to Play on the Same Day
as the Concussion?
Scott C. Livingston, PhD, PT, ATC, SCS
Question 31 Does Recovery Following Concussion Follow a Typical Time Course,
and Does This Really Correspond to Resolution of
Self-Reported Symptoms?
Steven P. Broglio, PhD, ATC
Question 32 How Long Should Patients Be Free of Symptoms Prior to Beginning a Gradual Return to Activity?
Laura Decoster, ATC
Question 33 What Is the Role of the Graded Exertion Protocols for Making
Return-to-Play Decisions?
Tracey Covassin, PhD, ATC and Jessica Wallace, MA, ATC, AT
Question 34 How Should Return to Play Be Managed in Athletes With
Comorbid Factors, Such as Attention Deficit Hyperactivity Disorder or
Prior History of Concussion?
Christopher G. Vaughan, PsyD and Valerie Needham, MS
Question 35 How Do Head Impact Indicators Work, and Is There Value in
Recommending That Patients Purchase Them?
Jason P. Mihalik, PhD, CAT(C), ATC and Robert C. Lynall, MS, ATC
Section VI Return to School
Question 36 What Is Cognitive Rest, and Can It Help Recovery
Following Concussion?
Christopher G. Vaughan, PsyD and Valerie Needham, MS
Question 37 How Can Concussion Negatively Affect School Functioning?
Danielle M.E. Ransom, PsyD and Christopher G. Vaughan, PsyD
Question 38 What School Policies/Procedures Apply to Concussed Student-Athletes
Who Are Attempting to Return to the Classroom?
John T. Parsons, PhD, ATC and Richelle M. Williams, MS, ATC
Question 39 How Are Educational Accommodations Determined, and
Who Should Be Part of the Decision-Making Process?
Richelle M. Williams, MS, ATC and
Tamara C. Valovich McLeod, PhD, ATC, FNATA
Financial Disclosures
Index