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Athletic Trainers’ Perceived Challenges Toward Comprehensive Concussion Management in the Secondary School Setting

Cailee E. Welch Bacon, Gary W. Cohen, Melissa C. Kay, Dayna K. Tierney, and Tamara C. Valovich McLeod

postinjury concussion management. 5 However, although the utility and frequency of baseline testing for student-athletes that are still maturing and developing has been argued, 6 – 8 researchers have reported that baseline assessment scores improve as an adolescent matures. 8 – 11 Therefore, if baseline

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Concussion Management Among National Collegiate Athletic Association Swim Programs

Katie Ritter, Ashley N. Marshall, Keenan Robinson, Dilaawar J. Mistry, Meeryo C. Choe, and Tamara Valovich McLeod

The recognition and treatment of sport-related concussion has continued to improve over the past 10 years. Concussion management protocols 1 – 3 have expanded to include elements such as preparticipation screening and testing, follow-up examinations, treatment strategies, return-to-school, and

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Youth Concussion Management Practices Among Athletic Trainers: A Vignette-Based Survey

Reid Skeel, Anissa Maffett, Abigail Feder, Cayla Mitzkovitz, and Sofia Lesica

with significant symptoms, (2) continued brain recovery in which symptoms abate, and finally (3) full recovery to preclinical neurological baseline. 7 The primary goals of concussion management are to prevent further injury during the vulnerable acute phase, provide physical and cognitive rest for the

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Reliability and Minimal Detectable Change for a Smartphone-Based Motor-Cognitive Assessment: Implications for Concussion Management

David R. Howell, Corrine N. Seehusen, Mathew J. Wingerson, Julie C. Wilson, Robert C. Lynall, and Vipul Lugade

pediatric concussion management . J Athl Train . 2020 . doi:10.4085/323-20 10.4085/323-20 33150416 14. Howell DR , Lugade V , Potter MN , Walker G , Wilson JC . A multifaceted and clinically viable paradigm to quantify postural control impairments among adolescents with concussion

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Ethical Issues in Concussion Management

Timothy Neal

Athletic health care professionals, team physicians, and athletic trainers have an ethical obligation to safeguard the short- and long-term well-being of the athlete they care for. The potential long-term negative consequences to the student-athlete’s physical, cognitive, and mental health as a result of concussions and their mismanagement is a reality. How the athletic health care professional attends to this top priority of providing optimal health care to the concussed athlete while navigating the mitigating circumstances and influences of nonmedical entities found in competitive athletics is one of the great ethical challenges of present day sports medicine. Effectively navigating the complex challenges faced by athletic health care professionals is as important as the care delivered. Understanding the ethical challenges faced by athletic health care decision makers should be a central focus in providing the optimal care the patient deserves.

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Effects of College Athlete Life Stressors on Baseline Concussion Measures

J.D. DeFreese, Michael J. Baum, Julianne D. Schmidt, Benjamin M. Goerger, Nikki Barczak, Kevin M. Guskiewicz, and Jason P. Mihalik

. Methods Participants A convenience sample of 165 incoming freshman and transfer student-athletes at a Division I institution completed baseline concussion testing in a sports medicine center as part of an ongoing clinical concussion management program. This population was chosen as the transition into

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Cognitive Rest: The Often Neglected Aspect of Concussion Management

Tamara C. Valovich McLeod and Gerard A. Gioia

Edited by John Parsons

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Introduction to the Special Issue: Concussion Management in Sport

Maureen R. Weiss

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Effects of Fatigue on the BTrackS Balance Test for Concussion Management

Scott E. Benedict, Jeffrey W. Hinshaw, Ryan Byron-Fields, Harsimran S. Baweja, and Daniel J. Goble

Fatigue has been shown to adversely affect balance results, as measured by the Balance Error Scoring System (BESS). The present study aimed to determine whether a new low-cost force plate for concussion balance assessment, the Balance Tracking System (BTrackS), is subject to similar fatigue effects. Significant fatigue effects were only evident immediately following a fatigue protocol (p > .05), and were fully resolved within 5 min postfatigue. These results suggest that the BTrackS Balance Test (BBT) is more fatigue resistant than the BESS, and support use of the BBT as a potentially more reliable alternative to the BESS during immediate sideline balance testing.

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The Art and Science of Sports Concussion Management: Introduction to Issue Two of the Special Series

Lynda Mainwaring