You will notice absolutely no interventions except pulling them from play. These aren't guidelines. Have they not seen this research? But stupidity rules once again. Don't they have anyone in the AAN that reads research? GAH
Notice they say nothing about pretreatment like this;
or interventions after the concussions.
Discussions about it here.
Sports Concussion: Now There Are Guidelines
The actual abstract here;
Summary of evidence-based guideline update: evaluation and management of concussion in sports: report of the Guideline Development Subcommittee of the American Academy of Neurology
Giza CC; Kutcher JS;
Ashwal S; Barth J; Getchius TS; Gioia GA; Gronseth GS; Guskiewicz K;
Mandel S; Manley G; McKeag DB; Thurman DJ; Zafonte R
Division of Pediatric Neurology, Mattel Children's Hospital, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
OBJECTIVE:
To update the 1997 American Academy of Neurology (AAN) practice
parameter regarding sports concussion, focusing on 4 questions: 1) What
factors increase/decrease concussion risk? 2) What diagnostic tools
identify those with concussion and those at increased risk for
severe/prolonged early impairments, neurologic catastrophe, or chronic
neurobehavioral impairment? 3) What clinical factors identify those at
increased risk for severe/prolonged early postconcussion impairments,
neurologic catastrophe, recurrent concussions, or chronic
neurobehavioral impairment? 4) What interventions enhance recovery,
reduce recurrent concussion risk, or diminish long-term sequelae? The
complete guideline on which this summary is based is available as an
online data supplement to this article.
METHODS:
We systematically reviewed the literature from 1955 to June 2012
for pertinent evidence. We assessed evidence for quality and synthesized
into conclusions using a modified Grading of Recommendations
Assessment, Development and Evaluation process. We used a modified
Delphi process to develop recommendations.
RESULTS:
Specific risk factors can increase or decrease concussion risk.
Diagnostic tools to help identify individuals with concussion include
graded symptom checklists, the Standardized Assessment of Concussion,
neuropsychological assessments, and the Balance Error Scoring System.
Ongoing clinical symptoms, concussion history, and younger age identify
those at risk for postconcussion impairments. Risk factors for recurrent
concussion include history of multiple concussions, particularly within
10 days after initial concussion. Risk factors for chronic
neurobehavioral impairment include concussion exposure and APOE ε4
genotype. Data are insufficient to show that any intervention enhances
recovery or diminishes long-term sequelae postconcussion. Practice
recommendations are presented for preparticipation counseling,
management of suspected concussion, and management of diagnosed
concussion.
No comments:
Post a Comment