Acute Clinical Recovery from Sport-Related Concussion

Concussion is a highly prevalent injury in contact and collision sports that has historically been poorly understood. An influx of sport-concussion research in recent years has led to a dramatic improvement in our understanding of the injury’s defining characteristics and natural history of recovery...

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Bibliographic Details
Published in:Neuropsychology review 2013-12, Vol.23 (4), p.285-299
Main Authors: Nelson, Lindsay D., Janecek, Julie K., McCrea, Michael A.
Format: Article
Language:English
Subjects:
Athletic Injuries - complications
Biomedical and Life Sciences
Biomedicine
Brain Concussion - etiology
Brain Concussion - therapy
Brain research
Cognitive ability
Concussion
Consciousness
Football
Humans
Neurology
Neuropsychology
Neurosciences
Recovery of Function
Review
Traumatic brain injury
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Summary:Concussion is a highly prevalent injury in contact and collision sports that has historically been poorly understood. An influx of sport-concussion research in recent years has led to a dramatic improvement in our understanding of the injury’s defining characteristics and natural history of recovery. In this review, we discuss the current state of knowledge regarding the characteristic features of concussion and typical acute course of recovery, with an emphasis on the aspects of functioning most commonly assessed by clinicians and researchers (e.g., symptoms, cognitive deficits, postural stability). While prototypical clinical recovery is becoming better understood, questions remain regarding what factors (e.g., injury severity, demographic variables, history of prior concussions, psychological factors) may explain individual variability in recovery. Although research concerning individual differences in response to concussion is relatively new, and in many cases limited methodologically, we discuss the evidence about several potential moderators of concussion recovery and point out areas for future research. Finally, we describe how increased knowledge about the negative effects of and recovery following concussion has been translated into clinical guidelines for managing concussed athletes.
ISSN:1040-7308
1573-6660
DOI:10.1007/s11065-013-9240-7