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Mark E. Halstead
In the United States, it is estimated that each year nearly 1.9 million children suffer from concussions, and these injuries could be underreported among young athletes, according to a clinical report published in the United States. pediatrics.
"Even though more families, doctors and coaches are aware of the health risks of a blow to the head – and more and more concussions have been reported – we remain concerned about the fact that that players try to fight without seeking help " Mark E. Halstead, MD, FAAP, an associate professor of orthopedic surgery and pediatrics and the director of the Sports Concussion program at the University of Washington's School of Medicine in St. Louis, Missouri, said in a press release. Polls have taught us that many high school athletes will continue to play after a head injury, fearing they will not be allowed to return to the field. "
Halstead and members of the AAP Sports Medicine and Fitness Council have drafted an updated 2010 clinical report for health care providers on the diagnostic guidelines. and the management of sport-related concussions in children and adolescents.
This update comes shortly after the CDC has issued guidelines to help physicians diagnose, treat and estimate the prognosis of mild traumatic brain injury in children.
The authors of the AAP report noted that there is currently no universally accepted definition of CRS codes.
"There is still debate as to whether the term concussion or traumatic trauma should be used to describe the injury," they wrote. "Often concussion is considered a subset of vascular trauma."
They wrote that a recent study estimated that between 1.1 and 1.9 million recreational concussions and CSR occurred each year in American children aged 18 and under. They added that in most cases, the CBC is not a visible injury, so under-reporting of concussions in athletes remains a concern.
The AAP recommends that no athlete be allowed to return to play on the same day as the injury and that he or she is not allowed to return to contact, collision or high-risk activities until he / she is not allowed to return to play. at the disappearance of the symptoms of the concussion.
The report's authors noted that the athlete and his family should be informed about concussions and recovery expectations.
They concluded that each concussion is unique and that an individualized management is therefore appropriate. The authors also noted that initial reductions in physical and cognitive activity could be beneficial to recovery, but that prolonged restrictions on physical activity or withdrawal from school could have negative effects. . A step-by-step program can help a full return to the sport while assessing any return of symptoms, they wrote.
"In recent years, research has suggested that a more active approach to treating concussions could benefit young athletes more than a vigilant approach," said Halstead, a former member of the executive committee of the Council of Sports Medicine and Sport. AAP's fitness, Telling Infectious Diseases in Children. "This may include resuming light physical activity earlier in the recovery, such as a brisk walk every day, back to school earlier with workload adjustments, and possibly physical therapy for some of the problems that may accompany a recovery. concussion, such as muscle fatigue of the neck. "- by Bruce Thiel
Disclosures: The authors do not report any relevant financial information.
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