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Assessment of Mild Head Injury Using Measures of Balance and Cognition: A Case Study

Bryan L. Riemann and Kevin M. Guskiewicz

Mild head injury (MHI) represents one of the most challenging neurological pathologies occurring during athletic participation. Athletic trainers and sports medicine personnel are often faced with decisions about the severity of head injury and the timing of an athlete's return to play following MHI. Returning an athlete to competition following MHI too early can be a catastrophic mistake. This case study involves a 20-year-old collegiate football player who sustained three mild head injuries during one season. The case study demonstrates how objective measures of balance and cognition can be used when making decisions about returning an athlete to play following MHI. These measures can be used to supplement the subjective guidelines proposed by many physicians.

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Assessment of Mild Head Injuries

Jon Almquist, Donna Broshek, and David Erlanger

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Vestibular Disorders in Mild Head Injury

Susan L. Whitney and Jill L. Unico

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Definitional Problems in Mild Head Injury Epidemiology

Earl R. Cooper Jr., Michael S. Ferrara, Martin Mrazik, and Steven Casto

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Sideline Assessment of Mild Head Injuries

John A. Norwig

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Clinical Research in Sport Related Mild Head Injury

Kevin M. Guskiewicz

Column-editor : Brent L. Arnold

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Clinical Management of Sport-Related Concussion: Developing a Roadmap to a Successful Outcome

Kevin Guskiewicz and Elizabeth Teel

In order to promote the most successful outcomes following concussion, a multifaceted team of individuals is required for appropriate injury diagnosis and management. This review explores the primary roles of sports medicine personnel in the concussion diagnosis and management process. We will discuss the psychometric properties, including sensitivity, specificity, and clinical utility, of on-field/sideline, laboratory, and neurophysiological assessment tools. Additionally, we will discuss the roles of other kinesiology experts in concussion management and recovery, and their importance to concussion research. By developing a thorough and consistent roadmap for concussion management, clinicians and researchers will be capable of providing athletes with the most successful outcomes.

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The Influence of Race on Time to Symptom Resolution Following Sport Concussion in Collegiate Athletes

Angelina M. Domena, Daniel J. Rosenblum, Catherine C. Donahue, and Jacob E. Resch

. Neuropsychol Rev . 2013 ; 23 ( 4 ): 335 – 349 . PubMed ID: 24306287 doi: 10.1007/s11065-013-9242-5 19. Guskiewicz KM , Perrin DH , Gansneder BM . Effect of mild head injury on postural stability in athletes . J Athl Train . 1996 ; 31 ( 4 ): 300 – 306 . PubMed ID: 16558414 20. Guskiewicz KM

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Concussion: A Window Into Brain–Movement Relations in Motor Control

Michael Gay and Semyon Slobounov

. ( 1989 ). Mild head injury in sports: Neuropsychological sequelae and recovery of function . In: H.S. Levin , H.M. Eisenberg , & A.L. Benton (Eds.), Mild head injury (pp. 257 – 276 ). New York, NY : Oxford University Press . Becker , R.F. , Groat , R.A. , & Windle , W.F. ( 1946

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Preseason to Postseason Changes on the BTrackS Force Plate in a Sample of College Athletes

Ryan Morrison, Kyle M. Petit, Chris Kuenze, Ryan N. Moran, and Tracey Covassin

 al . Acute effects and recovery time following concussion in collegiate football players: the NCAA concussion study . JAMA . 2003 ; 290 ( 19 ): 2556 – 2563 . PubMed ID: 14625332 doi:10.1001/jama.290.19.2556 14625332 10.1001/jama.290.19.2556 4. Riemann BL , Guskiewicz KM . Effects of mild head injury